The pulmonary pathologist shortage in Japan
Kazuyoshi Imaizumia,b Mutsuo Yamayaa,c Takafumi Sudaa,d Takeshi Isobea,e Tetsuro Ohdairaa,f Shinobu Osanaia,g Tomotaka Kawayamaa,h Naomi Kunichikaa,i Hiroyuki Sanoa,j Yoko Shibataa,k Masaharu Shinkaia,l Etsuko Tagayaa,m Hirofumi Chibaa,n Hisako Matsumotoa,o Takeshi Kanekoa,p
aThe Planning Committee of the Japanese Respiratory Society
bDepartment of Respiratory Medicine, Fujita Health University
cDepartment of Advanced Preventive Medicine for Infectious Disease, Tohoku University Graduate School of Medicine
d2nd Division, Department of Internal Medicine, Hamamatsu University School of Medicine
eDepartment of Internal Medicine, Division of Medical Oncology and Respiratory Medicine, Shimane University Faculty of Medicine
fDepartment of Respiratory Medicine, National HospitalOrganization Nishiniigata Chuo Hospital
gCardiovascular, Respiratory and Neurology Division, Department of Internal Medicine, Asahikawa Medical University
hDivision of Respirology, Neurology, and Rheumatology, Department of Medicine, Kurume University School of Medicine
iDepartment of Internal Medicine, Japanese Red Cross Yamaguchi Hospital
jDepartment of Respiratory Medicine and Allergology, Kindai University, Faculty of Medicine
kDepartment of Pulmonary Medicine, Fukushima Medical University School of Medicine
lClinical Trial Development and Research Center, Tokyo Shinagawa Hospital
mFirst Department of Medicine, Tokyo Women’s Medical University, School of Medicine
nDepartment of Respiratory Medicine and Allergology, Sapporo Medical University School of Medicine
oDepartment of Respiratory Medicine, Kyoto University Graduate School of Medicine
pDepartment of Pulmonology, Yokohama City University Graduate School of Medicine
To elucidate current problems in clinical pulmonary pathology, the Planning Committee of the Japanese Respiratory Society (JRS) conducted a questionnaire survey of pathologists (pulmonary pathology specialists) who work in JRS-authorized facilities. The response rate was 10.5% (94 pathologists). Of these, 86% noticed a shortage of pulmonary pathology specialists and 71% felt that the number of young pulmonary pathologists has not been increasing. They also pointed out an overall shortage of pathologists, the difficulty of pulmonary pathology, and a lack of mentors as possible reasons. Notably, 65% of specialists had had some experience of doubting the pathological diagnosis made in other hospitals. In Japan, the number of pulmonary pathology specialists is seriously low. The JRS should develop emergency strategies for educating and training young pulmonary pathologist candidates in conjunction with the Japanese Society of Pathology.
Pulmonary pathology Respiratory medicine Pathologist shortage
Received 14 Mar 2020 / Accepted 5 Jun 2020
AJRS, 9(5): 311-318, 2020