title: [Issues related to national university medical schools: focusing on the low wages of university hospital physicians].
abstract: University hospitals, bringing together the three divisions of education, research, and clinical medicine, could be said to represent the pinnacle of medicine. However, when compared with physicians working at public and private hospitals, physicians working at university hospitals and medical schools face extremely poor conditions. This is because physicians at national university hospitals are considered to be "educators." Meanwhile, even after the privatization of national hospitals, physicians working for these institutions continue to be perceived as "medical practitioners." A situation may arise in which physicians working at university hospitals-performing top-level medical work while also being involved with university and postgraduate education, as well as research-might leave their posts because they are unable to live on their current salaries, especially in comparison with physicians working at national hospitals, who focus solely on medical care. This situation would be a great loss for Japan. This potential loss can be prevented by amending the classification of physicians at national university hospitals from "educators" to "medical practitioners." In order to accomplish this, the Japan Medical Association, upon increasing its membership and achieving growth, should act as a mediator in negotiations between national university hospitals, medical schools, and the government.
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Takamuku
mesh_terms: D017048:Health Care Costs; D006785:Hospitals, University / Q000191:economics*; D006801:Humans; D007564:Japan; D010820:Physicians / Q000191:economics* / Q000458:organization & administration / Q000706:statistics & numerical data; D012456:Salaries and Fringe Benefits / Q000191:economics* / Q000706:statistics & numerical data / Q000639:trends; D012577:Schools, Medical / Q000191:economics*; D012955:Societies, Medical; D000078329:Workforce