J.Jpn. Surg. Soc.. 126(2): 144-148, 2025

---

Feature topic

WORKSTYLE REFORM FOR SURGEONS IN GENERAL THORACIC SURGERY

The implementation of workstyle reforms for physicians in April 2024 has highlighted the need for sustainable healthcare systems, particularly in general thoracic surgery. This paper examines the current challenges facing thoracic surgeons and introduces specific initiatives to address those issues. Data on the number of surgeons indicate a lack of growth in surgical departments compared with other specialties, coupled with challenges in career development for younger physicians. To address those issues, task shifting and task sharing have been emphasized. The utilization of advanced practice nurses trained through Japan’s specific clinical training programs and medical administrative assistants has proven effective in reducing surgeons’ workloads and enhancing efficiency. Additionally, comparisons with the roles of nurse practitioners (NPs) and physician assistants (PAs) in the USA suggest the need to reevaluate the utilization of Japan’s specialized clinical nurses. Expanding the role of medical administrative assistants also enables surgeons to focus on their core professional tasks. At our institution, reforms in critical care management, including the establishment of an urgent care team (UCT) and revision of ICU staffing, have improved postoperative care and on-call systems. These initiatives highlight strategies for improving efficiency, enhancing safety, and advancing the quality of care in thoracic surgery.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.