Juntendo University, Tokyo, established in 1838.

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Department of Coloproctological Surgery

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Introduction

About Our Department

 The department of coloproctological surgery focuses on practice, research and education of coloproctological diseases in addition to general gastroenterological surgery. Our mission is to contribute all our efforts to our patients and to cure coloproctological diseases.

Education for Medical Student

 Surgical education for medical students begins in the second year of medical school. First, medical students learn the definition of ‘clean’ and ‘dirty’ in surgery, methods of suturing and knot tying, intravenous injection and cardiopulmonary resuscitation. Every student practices repeatedly until these basic skills are completely mastered.
 Integrated lectures in surgery begin in the second half of the third year. We provide lectures on colorectal diseases focusing on diagnosis and surgical treatment, acute abdomen, hernial diseases, proctological diseases and post-surgical complications.
 From the second half of the fourth year, students partake in small-group clinical training called "Bed-side learning (BSL)." In this clinical training (also called "core training"), students join a team of clinicians on the wards. Students evaluate pre-diagnostic examinations including imaging, blood tests and physical examinations, and they present on their patients during our morning conference. Students also scrub in as surgical assistants in the OR.
 From the second half of the fifth year to the sixth year, students can choose to do rounds on coloproctological surgery again as their elective. Students join clinical teams to further improve their knowledge and skills through training that go beyond BSL which simulate the experience of first-year residents.

Education for Residents

 Clinical residents in their early stages are assigned to clinical teams as surgeons-in-charge. Residents assess patients on wards, make presentations in preoperative conferences, scrub in for surgeries as surgical assistants, and learn diseases and treatments through managing post-surgical patients. Residents also learn to treat emergency patients and to perform minor surgical procedures under the instruction of senior physicians.
 After the initial stages of clinical residency, surgical residents round not only the department of gastroenterological surgery, but all surgical departments within the hospital including cardiovascular surgery, pulmonary surgery, pediatric surgery, breast surgery, upper and lower GI tract surgery and liver & pancreaticobiliary surgery. Clinical residents in their latter stages learn general and specialized surgery including special techniques such as endoscopy at our university hospital and associated facilities.
 Residents are encouraged to join and present at conferences and seminars to acquire the latest knowledge and techniques to eventually obtain specialist or instructor certification in their specialty.

Graduate School

 Our research focuses on colorectal cancer, which is rapidly increasing in Japan. We actively collaborate with both clinical and basic medical research departments. Although graduate students can choose to focus only on research activities, we encourage them to pursue their clinical career as a surgeon as well as a researcher. We encourage graduate students to collaborate with other departments within our university and study at other domestic and overseas institutions.
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