Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 41(4): 155-165 (2025)
doi:10.9794/jspccs.41.155

ReviewReview

働き方改革委員会企画ダイバーシティ時代の小児循環器医療のあり方を考えようWork Style Reform Committee Project: “Considering the Future of Pediatric Cardiovascular Care in the Age of Diversity

1日本小児循環器学会 働き方改革委員会JSPCCS Work Style Reform Committee ◇ Tokyo, Japan

2北海道大学大学院医学研究院 小児科Department of Pediatrics, Hokkaido University Graduate School of Medicine ◇ Hokkaido, Japan

3新潟大学大学院 医歯学総合研究科 小児科学分野Department of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences ◇ Niigata, Japan

4北海道大学病院 小児科Department of Pediatrics, Hokkaido University Hospital ◇ Hokkaido, Japan

5長野県立こども病院 循環器小児科Department of Pediatric Cardiology, Nagano Children’s Hospital ◇ Nagano, Japan

6長野県立こども病院 移行期医療支援センターTransitional Care Support Center, Nagano Children’s Hospital ◇ Nagano, Japan

7長野県立こども病院 エコーセンターEchocardiographic Center, Nagano Children’s Hospital ◇ Nagano, Japan

8大阪母子医療センター 心臓血管外科Department of Cardiovascular Surgery, Osaka Womenʼs and Childrenʼs Hospital ◇ Osaka, Japan

9福岡市立こども病院 循環器科Pediatric Cardiology, Fukuoka Children’s Hospital ◇ Fukuoka, Japan

10京都府立医科大学 小児心臓血管外科Department of Pediatric Cardiovascular Surgery, Kyoto Prefectural University of Medicine ◇ Kyoto, Japan

11まり こどもクリニック港南台Mari Child Clinic Konandai ◇ Kanagawa, Japan

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前 済生会横浜市東部病院 こどもセンター長Former Director of the Children’s Center, Saiseikai Yokohama-shi Tobu Hospital, Kanagawa, Japan

発行日:2025年11月30日Published: November 30, 2025
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2024年4月,医師に対する時間外労働の上限規制が適用され,「医師の働き方改革」がいよいよ本格始動した.これは,過重労働に依存してきた従来の医療提供体制を見直し,持続可能で質の高い医療を構築するための歴史的な転換点である.こうした社会的背景を受けて,第60回日本小児循環器学会総会・学術集会では,働き方改革委員会による委員会企画セッション「ダイバーシティ時代の小児循環器医療のあり方を考えよう」が開催された.本セッションでは,働き方改革の実践に取り組む4施設から具体的な報告がなされ,多様性を尊重した医療現場のあり方について活発な議論が交わされた.本稿は,登壇した4名の演者に原稿を依頼し,セッションの内容を論文化したものである.医療現場におけるダイバーシティ推進や男女共同参画の課題,そしてその先にあるべき医師の働き方の姿を問い直す一助となることを目指す.医療の質と安全を守るためには,誰もが無理なく働き続けられる環境づくりが不可欠である.本稿を通じて,多様な人材が活躍し得る医療の未来像を,読者の皆様とともに考えていきたい.

In April 2024, Japan implemented new regulations that will be capping doctors’ overtime work hours, marking the full-scale launch of the “Work Style Reform for Doctors.” This marks a pivotal step toward revising the long-standing medical delivery system, which has relied heavily on excessive workloads, and in moving toward a sustainable and high-quality healthcare framework. Therefore, the 60th Annual Meeting of the Japanese Society of Pediatric Cardiology and Cardiac Surgery conducted a special session organized by the Committee on Work Style Reform entitled, “Rethinking Pediatric Cardiology in the Era of Diversity.” Herein, four institutions who have been actively implementing reformed initiatives, shared their practices, thereby sparking discussions on diverse approaches to achieving work–life balance for professionals in pediatric cardiovascular care. This study compiles the contributions from all presenters and offers a written record of the session’s insights. It aimed to re-examine physicians’ work styles, considering diversity promotion and gender equity in the clinical setting. Ensuring healthcare quality and safety requires a workplace in which everyone can continue to work without bearing unreasonable burdens. We envision a future in which various professionals can thrive in truly inclusive medical environments.

Key words: work style reform for doctors; diversity and gender equity; task shifting and task sharing; psychological safety; pediatric cardiovascular care

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This page was last modified on 2025-12-17T10:38:08.000+09:00


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