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Department of Hepatobiliary Pancreatic Surgery
Department of Hepatobiliary Pancreatic Surgery(Graduate School of Medicine) | Japanese |  Index
Seiji Kawasaki, MD
Chairman of the department of Gastro-intestinal Surgery and Chief of Hepatobiliary Pancreatic Surgery
 Department Guide
 Our department offers patients with hepatobiliary-pancreatic disease the seamless integration of medical, surgical and radiologic expertise. We have a legacy of close collaboration among clinical specialists, including hepatologists, gastroenterologists, hepatobiliary surgeons, diagnostic and pathology experts, advanced-care nurses, social workers, and patient support staff affiliated with the program.

 Since Hepatobiliary Pancreatic department has been founded in October, 2002, our department has performed 626 hepatectomies, 162 pancreatoduodenectomy, and 41 liver transplants (all of which have been living donor transplants using left lobe graft) until February, 2009, and has cared for thousands of patients with Hepatobiliary pancreatic disease. In hospital death after hepatectomy included only two cases (postoperative mortality rate was 0.3%). Five-year post-transplant survival for the same period was 94% for adults, compared to 70.5% nationally, and 91% for pediatric transplants, compared to 83.2 nationally.

 Information about Medical Education
 Focus on the Juntendo MD curriculum combines basic science and clinical experience with in-depth study and independent research through the Scholarly Concentrations.

Juntendo has a tradition of recruiting students who have passionate interests and vast creativity. It is our mission to develop and direct our students’ skills and passion so they can become outstanding clinicians who improve the health of the world’s people through research, innovation, and leadership. We are committed to ensuring that each graduate has fully explored his/her potential as a student and a scholar. To this end, key goals of the curriculum are the melding of 21st century laboratory and medical sciences, and helping each student build in-depth expertise in an area of personal, scholarly interest. Following an intensive process to delineate the core knowledge every medical student requires, an exciting medical curriculum has been developed to meet these goals. The expansion of the information and learning environment at Juntendo supports this curriculum as part of the transforming role of technology and information resources in academic medicine.

Institutional Goals
 The following goals for the MD degree program of the Juntendo University School of Medicine were noted and foster their capacity to make discoveries and lead innovation in the science and practice of medicine:
  1. To assure excellence in clinical medicine with emphasis on: Understanding the traditional and emerging areas of biomedical and clinical sciences, including the etiology, prevention, diagnosis, and treatment of disease
    Understanding the scientific theory and methodology that form the basis of medical discoveries
    Utilizing opportunities to explore research and teaching, both broadly defined, in various branches of medicine, with access to the full resources of Juntendo University
    Using technology to manage information and knowledge effectively and efficiently
  2. To develop effective communication skills with patients, colleagues, and the public
  3. To promote leadership training in the various branches of medicine
  4. To promote ethical and moral behavior, the humane and caring practice of medicine, and a sense of obligation to improve the health of the public
  5. To promote delivery of health care that appropriately responds to the social, cultural, and health system context within which the care is delivered
  6. To teach the skills necessary to sustain a lifetime of learning
 Information About the Residency Program
 The mission of the Juntendo University Hospital digestive surgical residency program is to attract the best possible individuals, and to train them through clinical exposure and through formal and informal conferences to be outstanding clinical surgeons.

 To accomplish this mission, the department has developed a residency program based on mutual trust and respect between the residents and staff. We feel that surgical residents are mature adults who come to Juntendo University Hospital because of a sincere desire to become excellent digestive surgeons. They are well-motivated and don't require a rigid set of rules. Rather, they are required only to take good care of their patients, carry out their responsibilities with honesty and integrity, and to take responsibility for themselves. We believe this philosophy has resulted in a relaxed atmosphere with excellent esprit de corps.
 Operative Experience
 The breadth and depth of surgical experience in the residency program is extensive. All residents obtain more than adequate experience to meet the requirements of the Japan Surgical Society and the experience in complex major cases is particularly strong. Operative experience is progressive and begins in the first year, with advancement in complexity of cases with experience.
 While the major thrust of the residency is clinical experience, there are numerous conferences as well. Each service has a weekly morbidity and mortality conference which all residents and staff attend. There are clinical case conferences weekly for Gastrointestinal Surgery, Surgical Oncology, and pathology. The Chief of the Department, Dr. Kawasaki, holds weekly conference on Monday and Thursday morning, both for education and communication.
 The surgical residency at digestive surgery of Juntendo University Hospital consists of three clinical years encompassing the broad range of surgery. All residents complete the requirements for certification by the Japan Surgical Society. The residency is one of graded responsibility with adequate supervision at all levels. Due to the flexibility of the residency with respect to research experience, there is some flexibility in clinical rotations, but the accompanying table gives a general outline of rotations at various years. It should be noted that almost all of the rotations are at Juntendo University Hospital, which is thought to improve quality control of the educational experience.
 3rd grade after graduation
 Rotation to the department of Hepatobiliary Pancreatic Surgery (4 months), Coloproctological Surgery (4 months), and Esophageal & Gastroenterological Surgery (4 months)
 4th grade after graduation
 Rotation to the department of Cardiovascular Surgery (1.5 months), Pediatric Surgery (1.5 months), General Thoracic Surgery (1.5 months) and Breast & endocrine Surgery (1.5 months). Rotations to outside hospitals are in place only when they provide a particular experience which is essential to the resident (6 months)
 5th grade after graduation
 Rotations to outside hospitals are in place only when they provide a particular experience which is essential to the resident (12 months).
 Residency Contact Information
Yoichi Ishizaki, MD
Department of Hepato-biliary Pancreatic Surgery
2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan
E-mail: ishizaki@juntendo.ac.jp

Required application materials:
  1. 500-word personal statements
  2. Dean's letter
  3. Curriculum vitae
  4. Three (3) names of supporting references are required in the application form (communication with them requesting letters of recommendation is the responsibility of the applicant)

Department of Hepatobiliary Pancreatic Surgery(Graduate School of Medicine) | Japanese |  Index
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