わが国の脳血管内治療医養成の体制

Training and Specialists Qualification System for Neuroendovascular Therapists in Japan

Point

・日本脳神経血管内治療学会専門医は，筆記・口頭・実技試験の審査により認定される，基本診療領域の専門医をベースとした技術認定資格である．

・専門医取得のためには，認定研修施設などにおいて一定のカリキュラムをこなし，資格認定に必要な知識と経験を積むことが求められる．

・日本専門医機構の定義では，専門医は十分な知識・経験をもち，標準的な医療の実践と情報提供ができる医師とされ，指導医は専門医に教育指導ができることとされている．

・学会認定としての指導医には，専門医への技術，戦略に関する助言や指導に加えて，脳血管内治療学を極め，学会の発展への貢献や学術活動におけるリーダーシップをとることも求められる．

　The specialist qualification system of the Japanese Society for Neuroendovascular Therapy was initiated in 2000. The qualified title is ranked as the technical specialist based on the fundamental clinical societies. After completing the training curriculum mainly programmed in the authorized institutes, the examinees are inspected with a triple-tiered comprehensive style using written, oral, and practical tests. Although the overall passing rate is not very high（50-60%）, we are holding more than 1,700 specialists and 400 upper-level specialists designated as trainers and consultants in 2022. According to the definition of the organization of specialist authorization, enough knowledge and experience are required for the specialist to practice the standard treatments and offer adequate patient information. The education and training of the specialists are important duties for upper-level supervisors. In our qualification system, upper-level supervisors are strictly inspected and are requested to have a bigger potential to contribute to the development of the society and to take the lead on academic activity as well as clinical work. All qualified specialists should master “neuroendovascular therapeutics” and always brush up on themselves. In the recent rapid progress of our field, the effort to get the newest information about trends and consensus is essential to achieve the most effective and safest treatments.