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Purpose <p>Surgical outcomes have improved remarkably through specialist experience and certification; however, regional physicians have limited opportunities to publish because of the lack of accessible databases. The aim of this study was to examine whether establishing a large-scale database in regional areas could enhance academic output and thus support specialist certification.</p> Methods <p>The databases of a university hospital and several regional general hospitals were unified in 2016. The period before database unification was termed the early period (E period) and that after unification was termed the late period (L period). The number of specialist certifications acquired was compared between the periods.</p> Results <p>The numbers of the following increased from the E period to the L period: academic presentations (86 vs. 186), publication of original articles (3 vs. 64), cases analyzed (5 vs. 20), papers written by new authors (2 vs. 20), Endoscopic Surgical Skill Qualification System-certified surgeons (2 vs. 12), and Board-certified Surgeons in Gastroenterology (2 vs. 12). Moreover, the mean number of years of clinical experience that it took for specialist qualifications to be obtained decreased from 14 years in the E period to 9 years in the L period.</p> Conclusions <p>Establishing a database across regional areas promoted the presentation and publication of research by early-career clinicians, thereby supporting the development of medical specialists.</p>

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Utility of establishing a unified regional database for enhancing academic output and specialist certification in Japan

  • 期刊论文

  • 发表日期：

    2026年3月5日

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  • Tetsuro Tominaga,
  • Shintaro Hashimoto,
  • Yuma Takamura,
  • Hiroki Katayama,
  • Mariko Yamashita,
  • Keisuke Noda,
  • Shoko Tei,
  • Rika Ono,
  • Mitsutoshi Ishii,
  • Makoto Hisanaga,
  • Kaido Oishi,
  • Masaaki Moriyama,
  • Fumitake Uchida,
  • Toshio Shiraishi,
  • Masaki Kunizaki,
  • Akiko Fukuda,
  • Takashi Nonaka,
  • Keitaro Matsumoto

摘要

Purpose

Surgical outcomes have improved remarkably through specialist experience and certification; however, regional physicians have limited opportunities to publish because of the lack of accessible databases. The aim of this study was to examine whether establishing a large-scale database in regional areas could enhance academic output and thus support specialist certification.

Methods

The databases of a university hospital and several regional general hospitals were unified in 2016. The period before database unification was termed the early period (E period) and that after unification was termed the late period (L period). The number of specialist certifications acquired was compared between the periods.

Results

The numbers of the following increased from the E period to the L period: academic presentations (86 vs. 186), publication of original articles (3 vs. 64), cases analyzed (5 vs. 20), papers written by new authors (2 vs. 20), Endoscopic Surgical Skill Qualification System-certified surgeons (2 vs. 12), and Board-certified Surgeons in Gastroenterology (2 vs. 12). Moreover, the mean number of years of clinical experience that it took for specialist qualifications to be obtained decreased from 14 years in the E period to 9 years in the L period.

Conclusions

Establishing a database across regional areas promoted the presentation and publication of research by early-career clinicians, thereby supporting the development of medical specialists.