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Given that coordination with other medical departments is vital for treatment, a high level of interpersonal and technical skills needs to be demonstrated to form the axis for medical treatment. One objective of the specialist certification system is the grooming of leaders as gynecologic oncologists while instructing trainees. The most distinguishing feature of <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> gynecologic oncologists is that they need experience in more than 150 invasive cancer treatments, including more than 100 operations within the last 3\u20135 years. As for performance of surgery, at least 30 operations, including 15 radical hysterectomies, are required. Since surgical methods, including laparoscopic surgery, are undergoing a radical change, and increasing numbers of patients are undergoing radiotherapy for invasive cervical cancer, a review of the necessary requirements is critical. It is important to foster new leaders who are research\u2010oriented. Now is the time for marked reform with the new specialist certification system being introduced by the <jats:styled-content style=\"fixed-case\">Japanese<\/jats:styled-content> Medical Specialty Board. <jats:styled-content style=\"fixed-case\">Japan<\/jats:styled-content> has the advantage of offering medical services at a much lower cost because of its national health insurance system. However, specialists are currently not receiving clear benefits befitting their efforts, and the question of how to maintain their motivation is an issue for the future. For these purposes, I believe securing incentives is a critical issue for specialists.<\/jats:p>","DOI":"10.1111\/jog.12970","type":"journal-article","created":{"date-parts":[[2016,3,18]],"date-time":"2016-03-18T11:48:49Z","timestamp":1458301729000},"page":"481-488","source":"Crossref","is-referenced-by-count":5,"title":["Changing state of gynecologic oncologist specialty in <scp>Japan<\/scp>"],"prefix":"10.1111","volume":"42","author":[{"given":"Takuma","family":"Fujii","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Fujita Health University, School of Medicine  Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,14]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Japan Society of Gynecologic Oncology. [Cited 13 Oct 2015]. 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