An analytical questionnaire was conducted targeting 78 pediatric surgical units in university hospitals in Japan in order to clarify the present status and to elucidate problems in education, research and clinical practices. Answers to the questionnaire were obtained from 44 institutions. Among the 83 medical schools in Japan, only 29 have independent pediatric surgical departments. There are serious inter-institutional differences in staff number and annual surgical operation number, particularly in neonatal surgical cases. Most of the qualified pediatric surgical units in university hospitals had no more than 20 neonatal cases annually. For appropriate allocation of qualified pediatric surgeons and institutions, and for proper education of undergraduate and postgraduate students as well as resident pediatric surgeons, a novel common nationwide education and training system, not individual institution, should be constructed and introduced. The Japanese Society for Pediatric Surgeons should take the initiative for the construction and proper introduction of such a system.
To establish a better relationship between pediatric surgeons and pediatric urologists, I propose the following : 1. The Chairman of the annual meeting include requested themes of interest to pediatric urologists. 2. Some pediatric surgeons are willing to spend one or two years as a resident of pediatric urology in children's hospitals. Add this period of time as a requirement for specialist certification. 3. Develop ideas to encourage the pediatric urologists who contribute to the association. Creating the position of consultant pediatric urologist may be one option.