... surgery.Possible impact of changes in initial clinical training systemJapan introduced a new clinical training system in 2004,and this will probably affect physicians' career choices in the future. ... clinical training system in 2004.Under the new system, physicians are required to experi-ence a clinical rotation in the fields of general internalmedicine, general surgery, emergency medicine, ... [13,14] and more inclined tochange jobs [15]. In Japan, HPs' working conditions, in terms of workinghours, job stress and risk of lawsuits, are generally moreintense than those of OPs. Therefore,...