1976 年 15 巻 2 号 p. 102-113
In order to find out what are the problems between cytologists and cytotechnologists in promoting the ideal cytological system in Japan, the author sent out a questionnaire to 45 cytologists and 60 cytotechnolo gists chosen at random from amongst those actively practising in Japan. Answers were received from 40 of the cytologists and from 52 of the cytotechnologists, and from their collective answers the following points were deduced.
Improvements required are:
1. In order to elevate and define clearly the quali fications and position of cytologists in academic circles, they should become qualified as cytologists in two or more specialist areas. At present, if a doctor wants to be a cytologist recognised by the Japanese Society of Clinical Cytology, he can choose only one specialist field.If they were qualified in more than one field, this would help to dissolve the imbalance in the number of cytologists and cytotechnologists in Japan.
2. Many cytologists seem to think of cytotechnologists as mere ciphers, but in order to promote smooth development, and dissolve the problems of the present cytological system in Japan, cytologists must respect cytotechnologists as colleagues, and thus promote better working relations.
3. Many cytotechnologists seem to have a feeling of inferiority to and irritation with cytologists, and thus consider their requests to do extra reading and research to be in excess of their prescribed duties. But it would be better to regard such requests by cytologists as means of guidance towards doing their work better and gaining more selfrespect because of their increased knowledge.
4. Regarding the qualifications of cytotechnologists, the following are requested. At present their qualifications are not government recognised. Though many may be certified by the Japanese Society of Clinical Cytology these certificates command no more respect than those of tea ceremony or ikebana teachers. Further more courses run by the Cytotechnologists' School in Tokyo and Osaka are not government authorised, and licences from these places make no difference to salaries or positions. There is thus an urgent need of official recognition of such schools and their qualifications.
5. Most hospitals or institutions in which cytology is practised still have no proper understanding of the present system. Cytology must be performed as team work by cytologists and cytotechnologists under the proper direction of the Japanese Society of Clinical Cytology.the Society itself must make available ade quate information about the cytological system to the entire medical profession in Japan.
If all these things are carried out faithfully, then we may hope for a considerable improvement in the present efficacy of the cytological system.