医学部臨床実習カリキュラムの改革、新しい外科専門医制度の導入に伴い、教育・研修内容の質とアウトカムが問われる時代になりました。また患者の倫理に配慮しながら可能な限り安全に外科教育を行うためには、これまで臨床現場で行われてきた“on the job”トレーニングだけでは不十分である、という考えは常識になりつつあります。したがってこれからの外科指導責任者は、外科教育に対する知識、すなわち教育カリキュラム作成、評価法、指導方法などに精通することが求められます。

北米では約40年前に外科教育学会が設立され、外科教育者の育成および外科教育をテーマとした研究が本格的に始まりました。現在ではこの外科教育学会は北米外科領域において重要な役割を果たすまでに発展しました。私たちの教室では、若手外科医が技術を向上させながら将来の不安なくキャリアアップし、その結果患者へ安全な外科治療を提供できることを目的とした、我が国初の「外科教育グループ」を組織しました。

外科教育グループでは、卒前・卒後外科教育カリキュラム作成、外科領域の各種セミナー企画、日本外科教育研究会主催　(http://www.surgicaleducation.jp) など学内外の外科教育に関わる実務に加えて現在、日本の外科教育をリードすべく、新しい外科教育手法やシステム構築をテーマとした様々な研究を行っています。

また2018年より、私たちの外科手術および外科教育の知識・技術を駆使して海外貢献するために、Global Surgical Educationプロジェクトを立ち上げました。その第一歩として、ネパールのChitwan Medical Collegeと連携した教育プログラム開発に取り組んでいます。

私たち外科教育チームの活動、研究内容に興味のある方はいつでもご連絡ください。

現在進行中の研究課題

1.腹腔鏡下鼠径ヘルニア修復術の遠隔シミュレーショントレーニング（2021-2023年度科研研究費：若手研究）

2.手術トレーニングおよびナビゲーションへ向けた術中意思決定情報分析(2021-2023年度科研研究費：基盤C)

3.3Dシミュレーションシステムによる高難度吻合技術教育および評価ツールの開発(2021-2023年度科研研究費：基盤C)

4.Global Surgeryに関するシステマティックレビュー

5.Global Surgical Educationプロジェクト

6.腹部外傷治療におけるシミュレーショントレーニング効果の検討

7.緊急症例における外科医の術前準備に関する質的研究

8.若手外科医とエキスパートの術前準備の差についてのシステマティックレビュー

学術的出版リスト(2014~)

論文

2023年に出版

1.Mizunuma K, Kurashima Y, Poudel S, et al. Surgical skills assessment of pancreaticojejunostomy using a simulator may predict patient outcomes: A multicenter prospective observational study. Surg (2023). 2023 March 30
https://doi.org/10.1016/j.surg.2023.02.027

2.Yokoyama S, Kurashima Y, Ieiri S, et al. Comprehension of fundamental knowledge about pediatric endoscopic surgery: a cross-sectional study in Japan. Surg Endosc. 2023. 2023 March 22
https://doi.org/ 10.1007/s00464-023-09975-y

2022年に出版

3.Kiriyama K, Poudel S, Kurashima Y, et al. Development of a systematic telesimulation curriculum for laparoscopic inguinal hernia repair. Glob Surg Educ. 1,52 (2022).
https://rdcu.be/cXYYC

4.Kurashima Y, Kitagami H, Teramura K, et al. Validation study of a skill assessment tool for education and outcome prediction of laparoscopic distal gastrectomy. Surg Endosc. 2022. 2022 May 16.
https://doi.org/10.1007/s00464-022-09305-8

5.Poudel S, Kurashima Y, Hirano S. Establishing the Japanese Association for Surgical Education: Our experience of promoting systematic surgical education in Japan. Glob Surg Educ. 1, 16 (2022). 2022 April 12
https://rdcu.be/cLdTE

6.Teramura K, Imai S, Watanabe Y et al. Development of a performance rubric for transanal endoscopic rectal purse-string sutures. Tech Coloproctol. 2022 Feb;26(2):109-115.
https://link.springer.com/article/10.1007/s10151-021-02545-1

2021年に出版

7.Murakami M, Poudel S, Bajracharya J, et al. Support for Introduction of Pediatric Endosurgery in Nepal as Global Pediatric Surgery: Preliminary Needs Assessment Survey. J Laparoendosc Adv Surg Tech A. 2021 Dec;31(12):1357-1362
https://doi.org/10.1089/lap.2021.0307

8.Kondo A, Watanabe Y*, Ishida M, et al. Particle size distributions in surgical smoke generated by advanced energy devices: a meaningful perspective from an experimental study in the time of COVID-19. Annals of Surgery. In Press. *Contributed equally.
https://www.doi.org/10.1097/SLA.0000000000004807

9.Kurashima Y, Hirano S, Yamaguchi S. Can general surgeons perform laparoscopic surgery independently within 10 years of training? A nationwide survey on laparoscopic surgery training in Japan. Surg Today. 2021
https://doi.org/10.1007/s00595-020-02218-w

2020年に出版

10.Hashimoto D, Poudel S, Hirano S, Kurashima Y et al. Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey. Surg Today. 2020 Dec;50:1585-1593.
https://doi.org/10.1007/s00595-020-02037-z

11.Watanabe Y, et al. An Unmodulated Very-Low-Voltage Electrosurgical Technology Creates Predictable and Ultimate Tissue Coagulation: From Experimental Data to Clinical Use. Surg Innov 2020
https://doi.org/10.1177/1553350620904610

12.Poudel S, et al. Are graduating residents sufficiently competent? Results of a national gap analysis survey of program directors and graduating residents in Japan. Surgery Today. March 3, 2020.
https://link.springer.com/article/10.1007/s00595-020-01981-0

2019年に出版

13.Madani A, Grover ., & Watanabe Y. Measuring and Teaching Intraoperative Decision-Making Using the Visual Concordance Test. JAMA Surg. 2020;155(1):78-79.
http://doi.org/10.1001/jamasurg.2019.4415

14.Yokoyama S, et al. Evaluation methods and impact of simulation-based training in pediatric surgery: a systematic review. Pediatr Surg Int. 2019 Oct;35(10):1085-1094.
https://www.ncbi.nlm.nih.gov/pubmed/31396735

15.Mathis R, Watanabe Y et al. What are the skills that represent expert-level laparoscopic suturing? A Delphi Study. Surg Endosc. 2020 Mar;34(3):1318-1323.
https://www.ncbi.nlm.nih.gov/pubmed/31214806

16.Mizota T, et al. Development of a fundamentals of endoscopic surgery proficiency-based skills curriculum for general surgery residents. Surg Endosc. 2020 Feb;34(2):771-778.
https://www.ncbi.nlm.nih.gov/pubmed/31102077

17.Poudel S, et al. A snapshot of surgical resident training in Japan: results of a national-level needs assessment survey. Surg Today. 2019 Oct;49(10):870-876.
https://www.ncbi.nlm.nih.gov/pubmed

18.Poudel S, et al. Identifying the Essential Portions of the Skill Acquisition Process Using Item Response Theory. J Surg Educ 2019. 2019 Jul-Aug;76(4):1101-1106.
https://doi.org/10.1016/j.jsurg.2019.01.015

19.Kurashima Y, et al. Development of a novel tool to assess skills in laparoscopic gastrectomy using the Delphi method: the Japanese operative rating scale for laparoscopic distal gastrectomy (JORS-LDG). Surg Endosc. 2019 Dec;33(12):3945-3952.
https://www.ncbi.nlm.nih.gov/pubmed/30756172

2018年に出版

20.Yokoyama S, et al. Identifying the needs for teaching fundamental knowledge of laparoscopic surgery: a cross-sectional study in Japan. Surg Endosc. 2019 Jul;33(7):2242-2248.
https://www.ncbi.nlm.nih.gov/pubmed/30350098

21.Mizota T, et al. Surgeons see anatomical structures faster and more accurately compared to novices: Development of a pattern recognition skill assessment platform.Am J Surg. 2019 Feb;217(2):222-227.
https://www.ncbi.nlm.nih.gov/pubmed/30482478

22.Poudel S, et al. Development of a novel training system for laparoscopic inguinal hernia repair. Minim Invasive Ther Allied Technol. 2018 Sep 11:1-7.
https://www.ncbi.nlm.nih.gov/pubmed/30204525

23.Bilgic E, Endo S, Lebedeva E, Takao M, McKendy KM, Watanabe Y, Feldman LS, Vassiliou MC. A scoping review of assessment tools for laparoscopic suturing. Surg Endosc. 2018 Jul;32:3009-3023.
https://www.ncbi.nlm.nih.gov/pubmed/29721749

24.Bilgic E, Takao M, Kaneva P, Endo S, Takao T, Watanabe Y, McKendy KM, Feldman LS, Vassiliou MC. Development of a Model for the Acquisition and Assessment of Advanced Laparoscopic Suturing Skills Using an Automated Device. Surg Innov. 2018 Jun;25(3):286-290.
https://www.ncbi.nlm.nih.gov/pubmed/29557252

2017年に出版

25.Mizota T, et al. Step-by-step training in basic laparoscopic skills using two-way web conferencing software for remote coaching: a multicenter randomized controlled study. Am J Surg. 2018 Jul;216(1):88-92.
https://www.ncbi.nlm.nih.gov/pubmed/29268939

26.McIlhenny C, Kurashima Y, et al. General surgery education across three continents. Am J Surg. 2018 Feb;215(2):209-213.
https://www.ncbi.nlm.nih.gov/pubmed/29246406

27.Poudel S, et al. Educational system based on the TAPP checklist improves the performance of novices: A multicenter randomized trial. Surg Endosc. 2018 May;32(5):2480-2487. 
https://www.ncbi.nlm.nih.gov/pubmed/29124407

2016年に出版

28.Poudel S, et al. Impact of 3D in the training of basic laparoscopic skills and its transferability to 2D environment: a prospective randomized controlled trial. Surg Endosc 2017;31:1111-1118
https://www.ncbi.nlm.nih.gov/pubmed/27351662

29.Watanabe Y, et al. Psychometric Properties of the Global Operative Assessment of Laparoscopic Skills (GOALS) using Item Response Theory. Am J Surg. 2017;213:273-276 
https://www.ncbi.nlm.nih.gov/pubmed/27776756

30.Bilgic E*, Watanabe Y*, et al. Multicenter Proficiency Benchmarks for an Advanced Laparoscopic Surgery Curriculum. Am J Surg 2017;213:217-221 *co-primary author 
https://www.ncbi.nlm.nih.gov/pubmed/27776755

31.Kurashima Y, et al. Systematic Review of the Implementation of Simulation Training in Surgical Residency Curriculum. Surgery Today 2017;47:777-782
http://link.springer.com/article/10.1007/s00595-016-1455-9

32.Watanabe Y, et al. Don’t Fix It If It Isn’t Broken: A Survey of Preparedness for Practice among Graduated Fellows. Surg Endosc 2017;31:2287-2298
https://www.ncbi.nlm.nih.gov/pubmed/27743124

33.Poudel S., et al. Evaluation of hands-on seminar for reduced port surgery using fresh porcine cadaver model. J Minim Access Surg. 2016;12:214-219
https://www.ncbi.nlm.nih.gov/pubmed/27279391

2015年に出版

34.Kurashima Y, et al. Where do we start? The first survey of surgical residency education in Japan. Am J Surg 2016;211:405-410
http://www.sciencedirect.com/science/article/pii/S0002961015005668

35.Poudel S., et al. Development and validation of a checklist for assessing recorded performance of laparoscopic inguinal hernia repair. Am J Surg, 2016;212:468-474
https://www.ncbi.nlm.nih.gov/pubmed/26750607

36.Watanabe Y, et al. New Models for Advanced Laparoscopic Suturing: Taking It to the Next Level. Surg Endosc 2016;30:581-587
https://www.ncbi.nlm.nih.gov/pubmed/26017911

37.Watanabe Y, et al. Surgeons Have Knowledge Gaps in the Safe Use of Energy Devices: a Multicenter Cross-Sectional Study. Surg Endosc 2016;30:588-592
https://www.ncbi.nlm.nih.gov/pubmed/26017912

38.Watanabe Y, et al. A Systematic Review of Performance Assessment Tools for Laparoscopic Cholecystectomy. Surg Endosc 2016;30:832-844
https://www.ncbi.nlm.nih.gov/pubmed/26092014

39.Bilgic E*, Watanabe Y*, et al. Reliable assessment of Performance in Surgery: A practical approach to Generalizability Theory. J Surg Educ 2015; 72:774-775 *co-primary author
https://www.ncbi.nlm.nih.gov/pubmed/26117079

2014年に出版

40.Watanabe Y, et al. Camera navigation and cannulation: validity evidence for new educational tasks to complement the Fundamentals of Laparoscopic Surgery Program. Surg Endosc 2015; 29:552-557
https://www.ncbi.nlm.nih.gov/pubmed/25034381

著書

1.Yusuke Watanabe, et al. (2019). Objective metrics in the simulation of minimally invasive surgery In Daniel B. Jones, M.D., Steven Schwaitzberg, M.D. (Eds.), Operative Endoscopic and MIS. CRC Press; 2019 Chapter 30, 184-187.
https://www.amazon.co.jp/dp/B07PH29C8P/ref=cm_sw_r_oth_api_i_UDpnDb8CP3A2J

2.Mizota T, et al. Fundamentals of Robotic Surgery. In: Palazzo F, editor. Fundamentals of General Surgery. Springer; 2018 Chapter 16, 215-225
https://www.springer.com/gp/book/9783319756554

1.Global Operative Assessment for Laparoscopic Skills- Groin Hernia (GOALS－GH)：
腹腔鏡下鼠径ヘルニア修復術技能評価表。指導医による直接評価に適している。
（⇒ GOALS-GH和訳（PDFが開きます））

2.TAPPチェックリスト：腹腔鏡下鼠径ヘルニア修復術（TAPP法）技能評価チェックリスト。
ビデオ評価に適している。
（⇒ TAPPチェックリスト（PDFが開きます））

3.TAPP教育ビデオ：TAPPチェックリストに基づいた手術教育ビデオ（https://www.youtube.com/watch?v=gc1MULyp11g&t=1271s)

4.Japan Operative Rating Scale- Laparoscopic Distal Gastrectomy (JORS-LDG)：
腹腔鏡下幽門側胃切除術の技能評価表。各手順の確認および評価用。
（⇒ JORS-LDG評価シート（PDFが開きます））

5.SAGES FUSE　ハンズオンセミナー（http://www.surgicaleducation.jp/fuse.html）

• 2016-2018：溝田知子 (Department of Surgery, Indiana University School of Medicine, IN, US)
• 2015-2016：サシーム パウデル（Surgical Education Research Fellowship: Association for Surgical Education）
• 2012-2015：渡邊祐介（Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, Canada）
• 2009-2012：倉島庸（Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University, Canada）