14th May 2005

Hideo Takayanagi, Senior Managing DirectorJapan Association of Clinical Engineering Technologists

OVERVIEW OF PRESENT & FUTURE CE OVERVIEW OF PRESENT & FUTURE CE IN JAPAN IN JAPAN

OVERVIEW OF PRESENT & FUTURE CE OVERVIEW OF PRESENT & FUTURE CE IN JAPAN IN JAPAN

Agenda

1. History & Current Status of CE in Japan

2. Definition & Duties of CE in Japan

3. Situation of CE in Japan

4. Current issues of CE’s Activities in Japan

5. Existing Challenges of CE in Japan

6. Future of CE in Japan

1.1. History & Current Status of CEHistory & Current Status of CE in Japan in Japan

1.1. History & Current Status of CEHistory & Current Status of CE in Japan in Japan

・ Improvement of Medical & Engineering Technologies(Technology)　　　　　　 (ex. Rapid growing of medical support by artificial organs )

・ Substantial increase of ESRD patients in hemodialysis (HD) field　 Safe and appropriate operation/application of HD machine　 Need of more HD specialists and CEs operating artificial heart &

lung ・ Strict requirements for safe & appropriate operation of all medical　 equipments

　 Need of more specialists ・ Requests for specialists from medical field 　

Growing need & number of CE

Establishment of CE

Administrative Milestone of CE

1987 “Clinical Engineering Law”“Clinical Engineering Law” was promulgated by MHLW　　　　 ( Ministry of Health, Labour and Welfare)

1990 Professional organization JACET JACET was founded　　　　 ( Japan Association of Clinical Engineering Technologists )

2002 JACET was certified by MHLW ascertified by MHLW as a public utilities corporation

2. Definition & Duties of CE in Japan2. Definition & Duties of CE in Japan 2. Definition & Duties of CE in Japan2. Definition & Duties of CE in Japan

Clinical Engineer: ・ Licensed by the Government (MHLW)Licensed by the Government (MHLW)・ Under “ the Clinical Engineering Law”Under “ the Clinical Engineering Law”

Main 　 Duties : Operation of life-support medical equipmentslife-support medical equipments

Check & maintenance workCheck & maintenance work

Direct medical actions to patientsDirect medical actions to patients

Blood & drug injection to patients

Blood sampling of patientsElectronic care to patients

Care to patientsCare to patients 　　　　　　

　　　　　　　　　　　 Cooperation with doctors, nurses and other medical　　　　　　　　　　　 stuff to take team approachteam approach

Definition

Life-Support Equipments:Life-Support Equipments: Biogenic functional support of respiratory, circulation

and metabolism with life-support equipments and others

Check & Maintenance Work:Check & Maintenance Work:including clean-up, adjustment, change of

consumables, inspection before & after the use of equipments

3.3. Situation of CE in JapanSituation of CE in Japan 3.3. Situation of CE in JapanSituation of CE in Japan

No. of Licensed CE:20,05420,054 (as of March 2005)(1,343 were newly licensed in March 2005)

Actually working CE:approximately 12,00012,000

Member of JACET:approximately 7,0007,000 (as of March 2005)

CE at Work

34

3028

8

00

5

10

15

20

25

30

35

%

２１－３０

３１－４０

４１－５０

５１－６０ <

６１

Age

37

97 7

1

5

21

13

0

5

10

15

20

25

30

35

40

%

Bloo

d Pu

rifica

tion

Resp

irato

r

Heart R

elated

Operatio

n Roo

m ICU

Hype

rbarac

Mainte

nanc

e

Others

CE Breakdown by J ob

4. Current Issues of CE Activities 4. Current Issues of CE Activities in Japanin Japan

4. Current Issues of CE Activities 4. Current Issues of CE Activities in Japanin Japan

・ Jobs not clearly defined by LawJobs not clearly defined by Law

・ No public remuneration guaranteedNo public remuneration guaranteed

・ DutiesDuties including sanction of phlegm and blood drawing are not legally are not legally

admitted admitted

・ Insufficient education periodInsufficient education period

・ Lack of understanding of CE’ jobs in medical institutionsLack of understanding of CE’ jobs in medical institutions

5. Existing 　 Challenges 　 of CE in Japan

5. Existing 　 Challenges 　 of CE in Japan

・・ Longer & continuous education/trainingLonger & continuous education/training

・・ Clear legal definitionsClear legal definitions

・・ Enhance CE’s position in LSS at medical institutionsEnhance CE’s position in LSS at medical institutions

・・ Improve skillImprove skill by Certification Systemby Certification System

・・ More central ME control centers at medical institutionsMore central ME control centers at medical institutions

・・ Cooperation with industries in the development of safer & advanced Cooperation with industries in the development of safer & advanced

LSSLSS

・・ OthersOthers

－ For Safer Medical Equipments Operation－

6. Future of CE in Japan6. Future of CE in Japan 6. Future of CE in Japan6. Future of CE in Japan

・・ Continuous efforts towards safe operation of LSSContinuous efforts towards safe operation of LSS

・・ Legal enhancement of CE’s dutiesLegal enhancement of CE’s duties

・・ Authoritative specialists to LSS at medical Authoritative specialists to LSS at medical institutionsinstitutions