若手医師は周麻酔期看護師の存在をどのようにとらえているか：麻酔科専攻医，初期研修医，医学生へのアンケート

How Young Physicians Perceive the Role of Perioperative Nurses：A Survey of Anesthesiology Fellows, Interns, and Medical Students

要旨

　麻酔科医不足と医師の働き方改革を背景に，本学では周麻酔期看護師（perianesthesia nurse：PAN）とのタスク・シフト/シェアを進めてきた。本研究では，医学生，初期研修医，麻酔科専攻医を対象に，PANの存在に対する認識を無記名アンケートで調査した。多くの回答者がPANとの協働は麻酔科医不足対策として有効と認識していた一方，仕事や教育機会が奪われるとの懸念も一部に認められた。患者のリスクに応じた業務の棲み分けや，実際に教育機会が奪われているのかなどの検証が必要と考えられた。

　Background：Against the backdrop of anesthesiologist shortages and physician workstyle reforms, our university has been advancing task shifting/sharing with perianesthesia nurses（PANs）. Concerns were subsequently raised about the potential impact of PANs on junior physicians.

　Methods：We investigated medical students’, residents’, and anesthesiology fellows’ perceptions of PANs via an anonymous questionnaire.

　Results：A total of 113 responses to the questionnaire were received. Many（72％）of the respondents recognized collaboration with PANs as an effective measure to address the anesthesiologist shortage. However, some expressed concerns that PANs might take work（n＝10）or educational opportunities away（n＝30）from the respondents.

　Conclusions：These results indicate that it is necessary to（ⅰ）establish task allocations for PANs, medical students, residents, and anesthesiology fellows that are based on patient risks, and（ⅱ）verify whether any work or educational opportunities are actually being taken away.