| May 1982-March 1989 | Clinical and research assistant in the Department of Neurosurgery,
        the University of Tokyo Hospital (Director Prof. K Takakura). Including 3 year
        rotation in the Department of Neurosurgery, Mitsui Memorial Hospital (Director;
        Dr. Takanori Fukushima) 1984-1987 | 
    
      | July 29, 1988 | Japanese Board of Neurological surgeon | 
    
      | April 1989-December 1990 | Clinical Fellowship in the Department of Neurosurgery, Mayo
        Clinic (Director; Prof. T M Sundt Jr.) | 
    
      | April 1995-December 1995 | Skull base Fellowship/Instructor in the Department of Neurosurgery,
        George Washington University (Director; Prof. LN. Sekhar) | 
    
      | January, 1996-June, 1996 | Chief Resident Associate in Neurosurgery, Mayo Clinic | 
    
      | July, 1996-December, 1996 | Stereotactic and Radiosurgery Fellow at the Mayo Clinic (Director:
        Prof. Robert J. Coffey) | 
  
  
    
      | January 1991-March 1995 | Resident fellow in the Department of Neurosurgery, Mayo Clinic (Director; Prof. D G Piepgras) | 
    
      | January, 1997-May,1997 | Director of Neurosurgery at the Teraoka Memorial Hospital, Hiroshima, Japan (President: Akira Teraoka, MD) | 
    
      | June, 1997 | Visiting Fellow for Endoscope Assisted & Minimally Invasive Surgery at the Department of Neurosurgery, University of Mainz, Germany (Director: Prof. A Perneczky) | 
    
      | June, 1997-Aug.31, 1998 | Assistant Professor at the Department of Neurological Surgery George Washington University (Chairman: Laligam N. Sekhar, MD): Co-Director Spine Center George Washigton University Medical Center | 
    
      | February 5, 1998-Aug. 31, 1998 | Clinical Assistant Professor Departement of Neurosurgery University of Maryland (Chairman: Howard Eisenberg, MD) | 
    
      | May 1998-Aug. 31, 1998 | Co-director Minimally invasive cranial base surgery training center and laboratory | 
    
      | Sept.1, 1998- May 15, 2001 | Assistant professor, Director of Neurosurgery ward | 
    
      | May 16, 2001-March 31,2006 | Associate Professor Department of Neurosurgery, University of Tokyo (Chairman: Takaaki Kirino, MD, PhD) | 
    
      | April 1,2006-Dec. 2012 | Director, Department of Neurosurgery and Stroke Unit, NTT Medical Center Tokyo | 
    
      | Jan 1, 2013-March 30, 2023 | Professor & Chairman, Department of Neurological Surgery, Nippon Medical School, Faculty of Medicine | 
    
      | April 1, 2019-March 30, 2023 | Dean, Graduate School of Medicine, Nippon Medical School | 
    
      | April 1, 2023- | Professor, Emeritus, Nippon Medical School, Senior Neurosurgeon, Teraoka Memorial Hospital, Head, Teraoka Geriatric Health Care Center |