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"  @5Number of Members of JSCP*g$   =2Committees of JSCP  Editorial board of the official Journal Terminology committee Medical insurance committee Stoma rehabilitation committee International committee Specialty accreditation committee Chairman :Professor H.Isomoto Educational committee Others .PF2     *#SThe establishment of accreditation for coloproctology specialty in Japan (JSCP) BTI   (&(   J1988: provisional committee for planning of colorectal specialist qualification (Prof.Yasutomi) 1989: approved by the Japanese association of medical specialty accrediatation 1990: 24 accreditation committee members nominated (JSCP), chairman  Prof.Yasutomi 1990: 327 specialists and trainers were nominated among the fellows (councilors) of the society 1992: the first test for coloproctology specialist Z`LT)-4V   B  L   {    E: Coloproctology specialty accreditation without examinations 1990 (For senior surgeons who had already had sufficient training for coloproctology) -2002r)      ZL  |     Those who graduated from medical school and licensed before 1984. At least 8 years membership of JSCP Clinical experience of coloproctology that satisfied the minimum requirements of the coloproctology specialty accreditation. L  0    6, Relationships   ! PMinimum requirement of surgical cases for the qualification of general surgeryQQ  Q jMinimum number of surgical cases 350 Minimum number of surgical cases as the operator 120 kk k  -Abdominal 50 Breast 10 Lung 10 Cardio-vascular 10 Peripheral vascular 10 Head, neck,endocrine 10 Pediatric 10 Trauma 10 Laparoscopic 10 ..&  x "5+6Categories of coloproctology specialist accreditation "75((&   Requirements to apply for colo-proctology specialist examination  (1)HH$&  ) At least 6 years clinical training of coloproctology in a specialist training unit. Alternatively, at least 3 years clinical training of coloproctology after qualified as a general surgeon or physician At least five years membership period of JSCP Reports on the details of clinical experience at the training hospitals of coloproctology ,WZr'  V  2  {   1'Requirements to apply for colo-proctology specialist examination  (2) ,IG$$(2  )  Attendance at at least two annual meetings of JSCP in the past 5 years. Attendance at at least three other meetings on coloproctology in the past 5 years. At least two presentations or publications on coloproctology as the first author in the past 7 years.   F    D  +  $ARequirements of hospitals for coloproctology specialist trainingBB(&    At least 15 beds for patients with colorectal or anal diseases At least 200 investigations of colon, rectum and anus in a year. Alternatively, at least 100 surgical operations of colorectal or anal surgery in a year At least one qualified trainer of coloproctology>  b     ?44Representative questions in the previous oral tests 55( 5 AWhat is the appropriate management of obstructing cancer of the colon and rectum ? How do you select the method of treatment for T1 colorectal cancers? How do you treat the patients with pouchitis? How do you treat the patients with intractable anal pain? What is the indication of surgery for chronic constipation? BZB&   ~ 3)Examination Feesd   Cost in Dollars American Board of Colon and Rectal Surgery $ 1600 Japanese specialty accreditation of $ 93 Coloproctology (JSCP) (+ $ 370) . 2bb&  6  Recertification : every 5 years!! ! Reports on the details of clinical practice on coloproctology in the past 5 years Attendance at meetings on coloproctology in the past 5 years Publications and presentations in the past 5 years $@0  /  J 0&  .$8-  F;   ORecertification : every 5 years (attendance of meetings and publishing papers)&P (0  P P Specialist of coloproctology: 30 points Trainer of coloproctology: 50 points@       B7  >3,Education seminar of JSCP (once in a year) "-+(( - ^Diagnosis and treatment of Crohn s Disease Surgical treatment of ulcerative colitis Problems of low anterior resection of the rectum Selection of treatment for hemorrhoids   /%  D9ORecertification : every 5 years (attendance of meetings and publishing papers)&P (0  P P Specialist of coloproctology: 30 points Trainer of coloproctology: 50 points@     4*Recertification feed   Duration(years) Fees American board of Colon and Rectal 10 years $ 950 Surgery Japanese accreditation 5 years 000 $ 93 of coloproctology (JSCP) \  /bb$bbbX6        9/^Requirements of the applicants for coloproctology specialty accreditation without taking test(_K  2#  -  Those who graduated from medical school and licensed before 1984. At least 8 years membership of JSCP Clinical experience of coloproctology that satisfies the minimum requirements of the coloproctology specialty accreditation. L  0    % ;Requirements for trainers of colorectal specialist training<<( < A specialist of coloproctology accredited by JSCP At least 4 years experience as a specialist of coloproctology Coloproctology as the major clinical practice Research activity of coloproctology t  D    6   <1BNumbers of accredited specialists of coloprcotology (JSCP) 2002CC( C A6Organization of JSCP g$     22 ` ff33f` ffD3f` MMM` f3fD"Yf` f3f6f3f` 3f̙f>?" dd@,|?" dd@   " @ ` n?" dd@   @@``@n?" dd@  @@``PR    @ ` ` p>> '& &(    H2,$@  0>   0e0e     ?B)CDElFt @ 5% 8c8c     ?1 0u0@Ty2 NP'p<'p @A)BCD|E?||c $)6N_i> _4% #j +  y  p  d(78@ #  3 0e0e     ?BCnDEF @ 5% 8c8c     ?1 0u0@Ty2 NP'p<'p @A)BCD|E?||//  MoK0YVS_^tT, [v] T5  G r C  ]smm#h g:Y/x|!  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C u, <C !$@D    0X P  T0000 0000n0f_-[    s *   \0000 0000n0f_-[ ,{ 2 000 ,{ 3 000 ,{ 4 000 ,{ 5 000/    s *Ȯ ``  ^*    s * `   `*    s *p `   `*  T  <޽h? ffD3f$___PPT10+D' = @B D' = @BA?%,( < +O%,( < +D' =%(%(DZ' =%(D' =4@BBBB%(E<' =1B B`BPB1:Bhidden*3>+B#style.visibility= `B<*%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*+  Pulse>.  && F&(     H2,$@  0   3 0e0e     ?B)CDElFt @ 5% 8c8c     ?1 0u0@Ty2 NP'p<'p @A)BCD|E?||c $)6N_i> _4% #j +  y  p  d(78@ #  3 0e0e     ?BCnDEF @ 5% 8c8c     ?1 0u0@Ty2 NP'p<'p @A)BCD|E?||//  MoK0YVS_^tT, [v] T5  G r C  ]smm#h g:Y/x|!  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C u, <C !$@D   H? ??p  T0000 0000n0f_-[   BD? ?? `    X 0000 000000n0f_-[   s * ``  ^*    s *P `   `*    s * `   `*  T  <޽h? ffD3f$___PPT10+D' = @B D' = @BA?%,( < +O%,( < +D' =%(%(DZ' =%(D' =4@BBBB%(E<' =1B B`BPB1:Bhidden*3>+B#style.visibility= `B<* %(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<* D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<* +J 0 @Z(    0Y    Y d*     04c   Y f*   X  C  Dx c"  0c  c Z00000000n0f_-[ ,{ 2 000 ,{ 3 000 ,{ 4 000 ,{ 5 000.   6 c    c d*     6Xc   c f*   H  0޽h ? ̙3380___PPT10.L0 3 0(P( u   0$c    c `*     0#c   c b*     6,c    c `*     61c   c b*   H  0޽h ? ̙3380___PPT10.L3$ p<$(  <r < S  j:  r < S t  `    H < 0޽h ? ffD3f80___PPT10.a$  $(  r  S  P   r  S    H  0޽h ? ffD3f80___PPT10.@[ǚ  xp@ 0(  0 0 0  PYear ^1960 1975 1985 1994 2001 2002,June2) 2a$c )   0 0@  6Number <300 1300 2400 5600 6000 6179D7 2ac0c 7  0 0,EC pG-I Surgeon000070% Proctologist 15% G-I Physician Radiologist 15% Pathologist (Foreign member 53)" 2c$   u  0 BMGqHR+    J" c   0 N ?" G  0 N ?" `0x 0 c $8O    X  0 0  H 0 0޽h ?0 ffD3f$  $$(  $r $ S @U P   r $ S U   H $ 0޽h ? ffD3f80___PPT10.PLW 0  0(  x  c $b P   x  c $c   H  0޽h ? ffD3f80___PPT10.o y$w0  H0(  Hx H c $u    x H c $tv   H H 0޽h ? ffD3f80___PPT10.cm~   ~(  r  S h~ P   2  0Ԁp  BJapan Society of Coloprcotlogy Specialty Accreditation committee(C!3f"3f C   0d  8Japanese association of medical specialty accreditation993f 9    0  _Japan Surgical Society3f     0 ZK p&Japanese Society of Internal Medicine'' '   \G(;Hh A 60%"` &V ^2  6C  <( *  G?(  ^  687"PC  <̘,* L Z board of coloproctology&    RB @ s *Do*P H  0޽h ? ffD3f80___PPT10.Ws$ P((d(    <|: LTraining and qualification of general surgery and surgical subspecialties ,M J M   <M  `Japan Surgical Society f  X  0ZBXB  0D% Z% XB  0Ds Zs R  s *Z XB  0D}Z}R  s *W R  s * X R  s *c R  s * c   <hptj  @     6jj  X lung"     BT<  ZCardio- vascular     6<Cw Q pediatric      6ĻFzF Q abdominal      0 -   *General clinical trainig for two years rotating -compulsory-02004~0000*J @J  &      <$ T 2 graduation    < =  _Training of General Surgery    0`5      0  P primary test     <2T9, Tfinal oral test     < i  8general surgery  X  0 d:   <7C O specialties   X  07J/^  6ZJmX  0`gX  0g   <T/qO     </ O ,test   ! <   E1   " <p   E2   # <06 V  E3   $ <x% E  E4   % <  E5   & 0D E6   ' 0@` E7   ( <  : /(years)  H  0޽h ? ffD3f  `(  `r ` S \  P   r ` S      r ` S   p   H ` 0޽h ? ffD3f80___PPT10.50ņr "`22(  $  <# FTraining and qualification of general surgery and colorectal surgery BG 2 G   <& `Japan Surgical Society f  X  05BXB  0D% 5% XB  0Ds 5s R  s *FXB  0DP5PR  s * R  s *e R  s *> R  s * p   <H1ptj  @     64l X lung"     B 6<   ZCardio- vascular     689<~  Q pediatric      6l@SF Q abdominal      0D gG  6General clinical trainig for two years super-rotating -compulsory-02004~0000*P FJ  ,      <M q 2 graduation    <O   _Training of General Surgery    00U`5      0xVn  P primary test     <[2, Tfinal oral test     <` v  8general surgery  X  0 qG   <0cq} O specialties   X  0q/^  6Z:mX  0`X  0 "  6gg] >  ^B  6D> ^B ! 6D>" " 68lI/ >   # <o/O Ltest   $ <Dtw  Ltest   % <,y/qO    & <|/O ,test   ' <t) T colorectal   ^2 ( 6ԔFM ) <`"  "Japan Society of colo- proctology##&     * <x   E1   + <̌   E2   , <Lc   E3   - <0% E  E4   . <X  E5   / 0} E6   0 <@` E7   1 <8  /(years)  RB 2 s *DԔFH  0޽h ? ffD3f  vn(  r  S t P   T  < E  `! Internal Medicine a!a Surgery (colorectal) a!b Surgery (anal)  GF((F  H  0޽h ? ffD3f80___PPT10.V0  F>(  r  S     r  S D ]}    <ȵ< }\ >  H  0޽h ? ffD3f80___PPT10. K$  $(  r  S  P   r  S    H  0޽h ? ffD3f80___PPT10.QP9X0  0(  x  c $ P   x  c $   H  0޽h ? ffD3f80___PPT10.;J% %%p23|%(  |" " 3| #"2&" | <?^  a570   @` | < ? ^ a530   @` | <?  b1010   @` | <8?  cTotal   @` | <?^   a400   @` | < ? ^  a100   @`  | <L?   `30   @`  | <?   Digital exam., Anoscopy&    @`  | <*?^   `30   @`  | <3? ^  a100   @`  | <5?   a100   @` | <E?    CT0MRI$    @` | <G?^   `30   @` | <$Q? ^  a100   @` | <Z?   a200   @` | <0c?   f Ultrasound     @` | <Xl?^   `10   @` | <xd? ^  `30   @` | <Hv?   `80   @` | <?   yPolypectomy,EMR   @` | <h?^`  `50   @` | <?`^  a100   @` | < ?`  a300   @` | <?`  mTotal Colonoscopy   @` | <?^A` `50   @` | <?A^` a100   @` | <?A` a300   @` | <?A` h Barium Enema     @` | <?^"A ba!b   @`  | <(?"^A ba!a   @` !| <?"A ``!   @` "| <?"A lInvestigations   @``B #| 0o ?""ZB $| s *1 ?AAZB %| s *1 ?``ZB &| s *1 ?  ZB '| s *1 ?  ZB (| s *1 ?  ZB )| s *1 ?  ZB *| s *1 ?  `B +| 0o ?`B ,| 0o ?"ZB -| s *1 ?"ZB .| s *1 ?"ZB /| s *1 ?^"^`B 0| 0o ?"X 1| 0M  `! Internal Medicine,Radiology a!a Surgery, colorectal a!b Surgery, anal29 2 Lc L _ 2| < ?"w YMinimum requiement to apply for coloproctology specialty accreditation (JSCP)(Z( 2Zg@       H | 0޽h ? ̙33  !"X(   P` 3 #"*PPPPPP   <l?!P` a230   @`  <"? !` a120   @`  <-? ` cTotal   @`  <'?! P a200   @`  <9? ! `50   @`  <@?   h Anal surgery     @`   <P?!p P  `10   @`   <R? p !  `10   @`   <8[?p   Colostomy,enterostomy   @`   <l?! Pp  `10   @`   <p]? !p  `30   @`  <n?  p  lRectal resection   @`  <t?!P  `10   @`  <D? !  `30   @`  <<?  e Colectomy     @`  <?!P ba!b   @`  <? ! ba!a   @`  <?  qSurgical procedures   @``B  0o ?PZB  s *1 ?PZB  s *1 ? P ZB  s *1 ?p Pp ZB  s *1 ? P ZB  s *1 ?P`B  0o ?`P``B  0o ?`ZB  s *1 ?  `ZB  s *1 ?!!``B  0o ?PP`  0z Z Ra!a Surgery,colorectal a!b Surgery,anal2 2 *c * W " 0̺G: OMinimum requiement to apply for coloproctology specialty accreditation (JSCP) 8O( 2OL        H  0޽h ? ̙33$  0,$(  ,r , S Z P   r , S H   H , 0޽h ? ffD3f80___PPT10.@S^  H@`(  x  c $P P   x  c $ p  LB  c $DLB  c $D) D) H  0޽h ? $  $(  r  S 0 P   r  S  2  H  0޽h ? ffD3f80___PPT10.0W8  R(  l  0A P??m P  <tC 3Number of colorectal specialty training unit (JSCP)44 4   <]SW G318  H  0޽h ? ̙33 VN(  l  0A N?? N   < 8Numbers of accredited coloproctology specialists (JSCP)99&   RB  s *D)/  0D9 G75%    <mwg <    <V ZP  G25%    < Z H1457  H  0޽h ? ̙33;  {(  l  0A R??O R  0twG LSuccess rate of the test for coloproctology specialty accreditation (JSCP)MM&  !   < d I(%)  H  0޽h ? ̙33  0 p(  p p <D2  p There are many coloproctology training units or hospitals (318). The quality of the training should be reevaluated. Success rate in the examination was mostly over 95% . The result can reflect  easy examinations . The level of examinations should also be reevaluated. &    p 0%S   p.Unfortunately, JSCP is not a government approved corporation or a foundation . Therefore, we do not have the right to officially advertise our names as coloproctology specialists. Should we challenge on the difficult task to make our society government approved organization??&    p < I O )   RB p s *D/d/RB p s *DRB  p s *D d   p <.y 8 PProblems $  H p 0޽h ? ffD3f80___PPT10.AP  ~vL(  L L <J  j&The followings are additional slides! '' ' H L 0޽h ? ffD3f80___PPT10.wDf0  00(  x  c $\1 P   x  c $02   H  0޽h ? ffD3f80___PPT10.0W8   "(     " #"2&PPPSPP   <;?@ cpoint   @`  <@?@ !Attendance of scientific meetings"" "  @`  < Q?@ j10"   @`R  <[?@ P1Japan Society of Coloproctology (JSCP)))>      @`  <^?  i1"   @`^  <o?  \7Other educational seminars on coloproctology//>      @`   <@y?j  i2"   @`L   <?j  J6Research meetings on coloproctology&&>      @`   <? j  i3"   @`R   <? j  P5Local small meetings on coloproctology))>      @`   <Ț?8   i3"   @`  <ج?8   64Other meetings that includes symposia or panel discussions on coloproctologyUU>  D    @`  <x?Y8  i5"   @`  <?Y8  *3(1)Local meetings of coloproctology (2)Education seminar of JSCP$H+>    #  @`  <?Y i5"   @`  <<?Y 62(1)Japan Medical Association (2)International meetings of coloproctology PN>  ?    @``B  0o ?ZB  s *1 ?YYZB  s *1 ?8 8 ZB  s *1 ?  ZB  s *1 ?j j ZB  s *1 ?`B  0o ?  `B  0o ? ZB  s *1 ? `B  0o ? tB  61 ?"tB  61 ?"@@  <( ?"V w!Requirements for recertification &" 2"g  "   < ?"  i(1) Scientific meetings" 2c  H  0޽h ? ̙33g  `!!8(  8 ~ <  8# #"*LP<  8 <?< 1Scientific papers on coloproctology 0000000000000(ISN,ISBN)0first author:20 points co-author:5 pointsiin          +  @` 8 <?< 02Other journals 0000000000 top author: 5 pomts, co-author :2 points FFV         @`h 8 <L? <  6Other local meetings speaker:3 points, co-author:1pointAA$  ?  @`" 8 <$ ? <  05Local meetings of JSCP $    @`v 8 <?n <  4National meetings 0 speaker: 5 points, co-author:2points C/$  A  @`" 8 <'?<n  03International meetings $    @`ZB  8 s *o ?<ZB  8 s *o ? < ZB  8 s *o ?ZB  8 s *o ?<<ZB  8 s *1 ?<ZB 8 s *1 ?<ZB 8 s *1 ? < ZB 8 s *o ?  `B 8 0o ? ZB 8 s *o ?< < `B 8 0o ?<< ! 8 <h, ?"^ 9(2) Scientific papers and presentations on coloproctology$:( 2:c&+   et 0 P 83 #"  8 B8 ?"0 P k presentations   @` 8 B; ?"0  dpapers   @`tB 8 61 ?"0 tB 8 61 ?"0 zB 8 <o ?"0P PzB 8 <o ?"00PtB 8 61 ?"  PzB 8 <o ?"   8 <Ew !Requirements for recirtification 2! 2! 2    LB 8 c $D LB  8 c $D0  0 LB !8 c $D  H 8 0޽h ? ̙33X   (X(  (r ( S O P   r ( S xI   , ( <|:/f dMay 25th 2003, 8:00 ~ 15:30 in Tokyo program chairman :Dr.Junichi Iwadare 172 participants@@      H ( 0޽h ? ffD3f80___PPT10. Ms  #(  l  0A ,??m ,  <Uc 5Number of trainers of coloproctology specialty (JSCP)66&   H  0޽h ? ̙330  D0(  Dx D c $e P   x D c $Hf   H D 0޽h ? ffD3f80___PPT10.0W8  H@p(  x  c $dn P   x  c $8o @`  LB  c $DLB  c $D D H  0޽h ?   _W(  r  S \{ P   r  S 0|     <W,w W/This type of accreditation was finished in 2002 0 H  0޽h ? ffD3f80___PPT10.cm0  0(  x  c $D P   x  c $   H  0޽h ? ffD3f80___PPT10.;.0  z(  r  S  P     0`}, XI Internal Medicine 207 (15%) IIa Colorectal Surgery 976 (69%) IIb Anal Surgery (Proctology) 233 (16%) total 1416 @;  6  j LB  c $DPPLB  c $D I H  0޽h ? ffD3f80___PPT10.t $(    0DP0 +Training curriculum for the first two years&, 2,g ,   0Т @@ ^The first year  2a    04 `   _The second year  2a  X  0   Hl ?"" internal medicine 2 months: 8 28 #2c  X  0 X  0   H ?"  gemergency 2 months$( 2c  X  0@   H ?"@  surgery 2 monthT( 2ggg  X  00  Hػ ?"` kanesthesiology 2 month$( 2c  X  0`  H ?"` surgery 2 monthT( 2ggg  X  0 0    Ht ?" Pk  ninternal medicine 2 month$( 2c  X  0 P P    H ?" P R  2gynecology, psychiatry community medicine 3 month$3( 23c 3 X  0 P   Hp ?" P k  gpediatrics 2 month$( 2c  X  0     H ?"  k  ~elective 2 month>( 2 gg  X  0  q  H ?"   9internal medicine or surgery (sub-specialities) 3 monthh:8 P2cggg&#        T ?" yinternal medicine 2 months" c    <W dOmiya Medical Center, Jichi Medical School 00 +  H  0޽h ? ̙33   P 4(  4x 4 c $ `   x 4 H ?" z Chairman of the Board of Director Directors (15) Congress President Congress Vice-president Councilors (361) Honorary Members Special Members Members (5674)$( 2c   4 HT ?"0o 0The Board of Director Council General Meeting"1( 21a 1  4 TG {H  ?"p@@  J" c   4 N ?"@P 4 N ?" P  4 N ?"   4 TG{HQ/ ?"  J" c    4 TD'GtHO ?"   J" c    4 N ?" H 4 0޽h ??04 4 4 ffD3fS  ]SUS`iixR(  xN p 4 x3 #"^R}rrrr  x < '?7G  aA   @` x <8'?p G7 aA   @` x <'? Gp  aA   @` x <)'?G  rFunctional disorders   @` x <0+'?7  aB   @` x <4'?p 7 aA   @`  x <C'? p  aA   @`  x <F'?  pUlcerative colitis   @`  x <\O'?7  aB   @`  x <tX'?p 7 aB   @`  x <da'? p  aB   @` x <xq'?  |Crohn s disease   @` x <{'?7p G da!b   @` x <}'?p p7G da!a   @` x <<~'? pp G b`!   @` x <l'?p G j categories     @` x <'?7  aC   @` x <0'?p 7 aB   @` x <'? p  aA   @` x <'?  pInfectious colitis   @` x <|'?7 f aC   @` x <'?p 7f aC   @` x <'? p f aC   @` x <'? f uIntestinal tuberculosis   @` x <x'?7f 9 aC   @` x <h'?p f79 aC   @` x <'? fp 9 aB   @` x <(?f 9 nIschemic colitis   @` x <l (?79   aC   @`  x <D(?p 97  aC   @` !x <'? 9p   aB   @` "x <(?9   rDrug induced colitis   @` #x <.(?7   aB   @` $x < 8(?p  7  aA   @` %x <@(?  p  aA   @` &x <C(?  Diverticular disease     @` 'x <4M(?7   aA   @` (x <\(?p 7  aA   @` )x <^(? p  aA   @` *x <g(?  oColorectal polyps   @` +x <w(?7   aC   @` ,x <y(?p 7  aC   @` -x <X(? p  aC   @` .x <(?  aFAP   @` /x <|(?7a 4 aA   @` 0x <(?p a74 aB   @` 1x <@(? ap 4 aC   @` 2x <(?a 4 Rectal prolapse&    @` 3x <D(?7 a aA   @` 4x <(?p 7a aB   @` 5x <(? p a aC   @` 6x <(? a j Anal fissure     @` 7x <X(?7  aA   @` 8x <h(?p 7 aA   @` 9x <(? p  aC   @`  :x <)?  Anal fistula , Perianal abscess  &     @` ;x <l )?7  aA   @` x <h)?  h Hemorrhoid     @` ?x <t.)?7  aC   @` @x <H7)?p 7 aC   @` Ax <@)? p  aC   @` Bx <C)?  Ano-rectal malformations   @` Cx <H;)?7B  aC   @` Dx <\)?p B 7 aC   @` Ex <])? B p  aC   @`  Fx <f)?B  ,Hirschsprung s disease    @` Gx <\w)?7e B  aA   @` Hx <h)?p e 7B  aA   @` Ix <)? e p B  aA   @` Jx <)?e B  k Rectal cancer   @` Kx <,)?7 e  aA   @` Lx < )?p 7e  aA   @` Mx <)? p e  aA   @` Nx <е)? e  j Colon cancer     @``B Ox 0o ?p pZB Px s *1 ?e e ZB Qx s *1 ?B B ZB Rx s *1 ? ZB Sx s *1 ? ZB Tx s *1 ? ZB Ux s *1 ? ZB Vx s *1 ?a a`B Wx 0o ?4 4`B Xx 0o ?p4ZB Yx s *1 ? p 4ZB Zx s *1 ?p pp 4ZB [x s *1 ?7p74`B \x 0o ? p 4tB ]x 61 ?"  tB ^x 61 ?"  tB _x 61 ?"  tB `x 61 ?"  tB ax 61 ?"9 9tB bx 61 ?"f ftB cx 61 ?" tB dx 61 ?"G GtB ex 61 ?" tB fx 61 ?" tB gx 61 ?"  hx <) ?"  HASufficient experience and knowledge BAt least small number of clinical experiences, but sufficient knowledge is required CNo clinical experience can be accepted,but sufficient knowledge is required 4 2ccT  %  V  P - ix H) ?"U  %JSCP specialist training curriculum F% 2 %gc%  H x 0޽h ? ̙33 fx\}pT?fx !,M! Z2`H h[ڌZkaZi1ı_c-L:L;*lϹof $(;{y~wKΜx,x S0d (TRʿk=VN|0u oN [y?Z1wɎbslq #ɵ\flE=㮿,F}@~.e(LߍmX7}mR? H ] "i9O| i:R% L|Ff!9H"U#FA4WɿdCϳ\qݟÈEl PTT4i*L~uGHHuH bHW@/E|~e/KQOxr#铲1|3qR3זN] uA90a#G@i =}= m]N| uewgbH [wsWD]3_tcb*Ulzg5R ʼ,] |rNJn Ɩ;:dRz8*M [9E6$Cy俙!w%į1 w խճ̞[ZgBVw{ u1wy|gC6)<\4lvfg| P][_⛝h󩨻\z!OzzeDF}i XˆhKR7pFJ;o_:O[Gޕn.7VZ->Cgz\2A!'O$3"

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EntrydO)@pj PicturesjCurrent UserMSummaryInformation(;U      !"#$%&'()*+,-./0123456789:n<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdeikmopqrstuy  !"#$%&PowerPoint Document(jDocumentSummaryInformation80 '_FGraham NewsteadGraham Newstead՜.+,D՜.+,   $, 4 3On-screen Show,自治医大附属大宮医療センターj% -TimesOsaka 平成明朝Times New RomanMS PゴシックArialPulseMicrosoft Graph グラフfStandards for subspecialty training and accreditation in coloproctology -- The Japanese approach -- +The Japan Society of Coloproctology (JSCP)Number of Members of JSCPCommittees of JSCPTThe establishment of accreditation for coloproctology specialty in Japan (JSCP) Coloproctology specialty accreditation without examinations 1990 (For senior surgeons who had already had sufficient training for coloproctology) -2002RelationshipsSlide 8QMinimum requirement of surgical cases for the qualification of general surgery Slide 107Categories of coloproctology specialist accreditation JRequirements to apply for colo-proctology specialist examination – (1)KRequirements to apply for colo-proctology specialist examination – (2) BRequirements of hospitals for coloproctology specialist training Slide 15h.Chart.80&Microsoft Graph 000P-000 MSGraph.Chart.80&Microsoft Graph 000R7000 MSGraph.Chart.80&Microsoft Graph 000/ 0DTimes00 RomanLLLr Ԗb0ԖDOsaka00 RomanLLLr Ԗb0Ԗ Ds^bfg00 RomanLLLr Ԗb0Ԗ0DTimes New RomanLLLr Ԗb0Ԗ@D-3 00000 RomanLLLr Ԗb0Ԗ2PDArial00 RomanLLLr Ԗb0Ԗ B .  @n?" dd@  @@`` LT/) [ j4##F  #%)&30)*-. /01678:;>?@ ABCD E F"GIJK"$Tal5"$ur mAB-vQL"$30jt\!U6"$(n`tPcPD`v$$$$$r$g\Oy Eki 0AA@f3f@8w g4BdBdc b0:&ppp@ ʚ;4ʚ;<4ddddh0<4BdBdh0 80___PPT10 pp? %9C8eStandards for subspecialty training and accreditation in coloproctology -- The Japanese approach -- "fd((&9   OFumio Konishi Department of Surgery, Omiya Medical Center Jichi Medical School  P ;0*The Japan Society of Coloproctology (JSCP)++(&   1940 : The Japan Society of Proctology was founded. 1944-49 : suspended 1962 : changed to the Japan Society of Coloproctology 1987: became a member of the Japanese Association of Medical Science (JAMS) 1990: accreditation of coloproctology specialty was established 2003: the 58th Congress of JSCP (Nagoya)0 Z  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ Z2Z   &vE-d{    !  "  @5Number of Members of JSCP*g$   PowerPoint Document(jDocumentSummaryInformation8Root EntrydO)9E~ PicturesjCurrent UserMSummaryInformation(;U      !"#$%&'()*+,-./0123456789:n<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdeopqrstuyz  !"#$%'_FGraham NewsteadGraham Newstead՜.+,0   $, 4 3On-screen Show,自治医大附属大宮医療センターj% -TimesOsaka=2Committees of JSCP  Editorial board of the official Journal Terminology committee Medical insurance committee Stoma rehabilitation committee International committee Specialty accreditation committee Chairman :Professor H.Isomoto Educational committee Others .PF2     *#SThe establishment of accreditation for coloproctology specialty in Japan (JSCP) BTI   (&(   J1988: provisional committee for planning of colorectal specialist qualification (Prof.Yasutomi) 1989: approved by the Japanese association of medical specialty accrediatation 1990: 24 accreditation committee members nominated (JSCP), chairman  Prof.Yasutomi 1990: 327 specialists and trainers were nominated among the fellows (councilors) of the society 1992: the first test for coloproctology specialist Z`LT)-4V   B  L   {    E: Coloproctology specialty accreditation without examinations 1990 (For senior surgeons who had already had sufficient training for coloproctology) -2002r)      ZL  |     Those who graduated from medical school and licensed before 1984. At least 8 years membership of JSCP Clinical experience of coloproctology that satisfied the minimum requirements of the coloproctology specialty accreditation. L  0    6, Relationships   ! PMinimum requirement of surgical cases for the qualification of general surgeryQQ  Q jMinimum number of surgical cases 350 Minimum number of surgical cases as the operator 120 kk k  -Abdominal 50 Breast 10 Lung 10 Cardio-vascular 10 Peripheral vascular 10 Head, neck,endocrine 10 Pediatric 10 Trauma 10 Laparoscopic 10 ..&  x "5+6Categories of coloproctology specialist accreditation "75((&   Requirements to apply for colo-proctology specialist examination  (1)HH$&  ) At least 6 years clinical training of coloproctology in a specialist training unit. Alternatively, at least 3 years clinical training of coloproctology after qualified as a general surgeon or physician At least five years membership period of JSCP Reports on the details of clinical experience at the training hospitals of coloproctology ,WZr'  V  2  {   1'Requirements to apply for colo-proctology specialist examination  (2) ,IG$$(2  )  Attendance at at least two annual meetings of JSCP in the past 5 years. Attendance at at least three other meetings on coloproctology in the past 5 years. At least two presentations or publications on coloproctology as the first author in the past 7 years.   F    D  +  $ARequirements of hospitals for coloproctology specialist trainingBB(&    At least 15 beds for patients with colorectal or anal diseases At least 200 investigations of colon, rectum and anus in a year. Alternatively, at least 100 surgical operations of colorectal or anal surgery in a year At least one qualified trainer of coloproctology>  b     ?44Representative questions in the previous oral tests 55( 5 AWhat is the appropriate management of obstructing cancer of the colon and rectum ? How do you select the method of treatment for T1 colorectal cancers? How do you treat the patients with pouchitis? How do you treat the patients with intractable anal pain? What is the indication of surgery for chronic constipation? BZB&   ~ 3)Examination Feesd   Cost in Dollars American Board of Colon and Rectal Surgery $ 1600 Japanese specialty accreditation of $ 93 Coloproctology (JSCP) (+ $ 370) . 2bb&  6  Recertification : every 5 years!! ! Reports on the details of clinical practice on coloproctology in the past 5 years Attendance at meetings on coloproctology in the past 5 years Publications and presentations in the past 5 years $@0  /  J 0&  .$8-  F;   ORecertification : every 5 years (attendance of meetings and publishing papers)&P (0  P P Specialist of coloproctology: 30 points Trainer of coloproctology: 50 points@       B7  >3,Education seminar of JSCP (once in a year) "-+(( - ^Diagnosis and treatment of Crohn s Disease Surgical treatment of ulcerative colitis Problems of low anterior resection of the rectum Selection of treatment for hemorrhoids   /%  D9ORecertification : every 5 years (attendance of meetings and publishing papers)&P (0  P P Specialist of coloproctology: 30 points Trainer of coloproctology: 50 points@     4*Recertification feed   Duration(years) Fees American board of Colon and Rectal 10 years $ 950 Surgery Japanese accreditation 5 years 000 $ 93 of coloproctology (JSCP) \  /bb$bbbX6        9/^Requirements of the applicants for coloproctology specialty accreditation without taking test(_K  2#  -  Those who graduated from medical school and licensed before 1984. At least 8 years membership of JSCP Clinical experience of coloproctology that satisfies the minimum requirements of the coloproctology specialty accreditation. L  0    % ;Requirements for trainers of colorectal specialist training<<( < A specialist of coloproctology accredited by JSCP At least 4 years experience as a specialist of coloproctology Coloproctology as the major clinical practice Research activity of coloproctology t  D    6   <1BNumbers of accredited specialists of coloprcotology (JSCP) 2002CC( C A6Organization of JSCP g$     M 0 `!!8(  8 ~ <  8# #"*LP<  8 </ ?< 1Scientific papers on coloproctology 0000000000000(ISN,ISBN)0first author:20 points co-author:5 pointsiin          +  @` 8 < ?< 02Other journals 0000000000 top author: 5 pomts, co-author :2 points FFV         @`h 8 < ? <  6Other local meetings speaker:3 points, co-author:1pointAA$  ?  @`" 8 <h ? <  05Local meetings of JSCP $    @`v 8 < ?n <  4National meetings 0 speaker: 5 points, co-author:2points C/$  A  @`" 8 <賄 ?<n  03International meetings $    @`ZB  8 s *o ?<ZB  8 s *o ? < ZB  8 s *o ?ZB  8 s *o ?<<ZB  8 s *1 ?<ZB 8 s *1 ?<ZB 8 s *1 ? < ZB 8 s *o ?  `B 8 0o ? ZB 8 s *o ?< < `B 8 0o ?<< ! 8 <  ?"^ 9(2) Scientific papers and presentations on coloproctology$:( 2:c&+   et 0 P 83 #"  8 B\Ƅ  ?"0 P k presentations   @` 8 B τ  ?"0  dpapers   @`tB 8 61 ?"0 tB 8 61 ?"0 zB 8 <o ?"0P PzB 8 <o ?"00PtB 8 61 ?"  PzB 8 <o ?"   8 <҄ w !Requirements for recertification 2! 2! !  LB 8 c $D LB  8 c $D0  0 LB !8 c $D  H 8 0޽h ? ̙33rXBٝ7X.F1 平成明朝Times New RomanMS PゴシックArialPulseMicrosoft Graph グラフfStandards for subspecialty training and accreditation in coloproctology -- The Japanese approach -- +The Japan Society of Coloproctology (JSCP)Number of Members of JSCPCommittees of JSCPTThe establishment of accreditation for coloproctology specialty in Japan (JSCP) Coloproctology specialty accreditation without examinations 1990 (For senior surgeons who had already had sufficient training for coloproctology) -2002RelationshipsSlide 8QMinimum requirement of surgical cases for the qualification of general surgery Slide 107Categories of coloproctology specialist accreditation JRequirements to apply for colo-proctology specialist examination – (1)KRequirements to apply for colo-proctology specialist examination – (2) BRequirements of hospitals for coloproctology specialist training Slide 15 Slide 165Representative questions in the previous oral tests Examination Fees!Recertification : every 5 years Slide 20 Slide 21 Slide 22 Slide 23 Slide 24PRecertification : every 5 years (attendance of meetings and publishing papers) Slide 26 Slide 27-Education seminar of JSCP (once in a year) Slide 29PRecertification : every 5 years (attendance of meetings and publishing papers)Recertification fee_Requirements of the applicants for coloproctology specialty accreditation without taking test<Requirements for trainers of colorectal specialist trainingCNumbers of accredited specialists of coloprcotology (JSCP) 2002 Slide 35Organization of JSCP Slide 37  Fonts UsedDesign TemplateEmbedded OLE Servers Slide Titles% Slide 165Representative questions in the previous oral tests Examination Fees!Recertification : every 5 years Slide 20 Slide 21 Slide 22 Slide 23 Slide 24PRecertification : every 5 years (attendance of meetings and publishing papers) Slide 26 Slide 27-Education seminar of JSCP (once in a year) Slide 29PRecertification : every 5 years (attendance of meetings and publishing papers)Recertification fee_Requirements of the applicants for coloproctology specialty accreditation without taking test<Requirements for trainers of colorectal specialist trainingCNumbers of accredited specialists of coloprcotology (JSCP) 2002 Slide 35Organization of JSCP Slide 37  Fonts UsedDesign TemplateEmbedded OLE Servers Slide Titles%4 $,