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Activities of the Young Primary Care Doctors Organization

of the Japan Primary Care Association For Developing Primary Care in Japan

In Japan, primary care is undeveloped compared to manyother countries. For a long time, only specialists were trained atmedical schools and primary care physicians gained their

knowledge during their regular daily work.

In 2004 a new matching system was established to selecta hospital for primary residency following graduation frommedical school, and also to choose municipal hospitalsresidents can do their training, including primary care training.Before 2007 there were few primary care programs, but in thatyear some 66 residency programs were established( table 1).

In 2004, representatives of residents, recent residencygraduates of the Japanese Academy of Family Medicine andyoung family medicine doctors in the association agreed thefollowing principles: 1) to study and learn primary care, 2) toattempt to overcome daily problems and concerns, 3) to shareknowledge and thoughts with other young physicians.

In 2010, the Japan Primary Care Association joined with theJapanese Academy of Family Medicine, the JapaneseAssociation of Primary Care, and the Japanese Association ofGeneral Medicine to form a national specialist association. Inthe same year, the 4thYoung Primary Care DoctorsOrganization of the Japan Primary Care Associationestablished links with the organization. Our members havediverse backgrounds (a family physician at a university, afamily physician at a private clinic, a family medicine resident,a generalist at a public hospital and a general medicine

resident), and we believe our organizations diversity could beimportant in developing primary care in Japan.

The activities of the 4th

Young Primary Care DoctorsOrganization are 1) supporting young doctors projects,including annual medical seminars with young physicians(figure1) and medical educational seminars (a project involving80 medical schools in Japan) (figure 2, 3), 2) supporting thePCAT (Primary Care for All Teams) project to translate specialmedical information for physicians in the Tohoku area, followingthe earthquake(table 2, 3), 3) encouraging medical schoolstudents and young residents to become generalists & toinform residency programs about family medicine, primary careand general medicine by making portfolios and answeringquestions, 4) showing our activities on our internet blog(http://blog.livedoor.jp/pc_wakate/), 5) writing about medicaltopics with case reports in a monthly primary care medicalmagazine.

Primary care physicians are in demand to support the medical

care system in Japan and to work with specialists. We believeour activities may contribute to the development of primarycare in Japan.

H. YOSHIMOTOa, K. KINJOb, M. UIc, T. TOId and K. SATOe

a Department of Family Medicine, Mie University School of Medicine & Graduate School of Medicine, Japanb Department of Family Medicine, Aso-Iizuka Hospital, Iizuka-Kaita Family Medicine Residency Program, Japanc Department of Emergency and General Medicine, Tokyo Metropolitan Tama Medical Center, Japand Department of Family Medicine, Centre for Family Medicine Development, Japanese Health and Welfare Co-operative Federation, Japane Department of General Practice, General Practice and Medical Education Center, Hokkaido Kin-Ikyo, Japan

Figure 2:

A project involving 80medical schools in Japan

For students interested in

general medicine This projectstarted in April 2011. 32 seminarswere held at 26 universities(shown by flags in the figurebelow), and about 1,000 medicalstudents attended last year. Thereare 80 medical schools in Japan,so we want to hold seminars in allmedical schools in the next yearor two. Unfortunately, there wereno seminars in Tohoku last year.(Big earthquakes occurred in theTohoku area.)

Figure 1:

Annual medical seminarswith young physicians

About 180 young primary care physiciansattend these seminars. All planning, designand management of these seminars is doneby the young doctors themselves.

Table 1:

The number of residency programs /Residents (cumulative)

Both the number of family medicine residency programs andthe number of residents has gradually increased. On average,80 residents register and start residency each year in Japan.

Figure 3: The staff of this projectWe separate Japan into 8 regions.Seminars are planned and managedby each regions staff.

Table 2,31)

Support project to translatemedical information forphysicians in the Tohoku areaWe translated to Japanese 4 articlesfrom UpToDate, 1 article fromAmerican Family Physician (Disaster-Related Physical and Mental Health: ARole for the Family Physician JOHN R.FREEDY et al, March 15, 2007), 100articles about common diseases fromDynaMed(partial translation), 31

articles from Patient EducationReference Center (EBSCO Publisher),and 2 articles about alcohol from theWorld Health Organization. The mostfrequently accessed content wasTreatment of radiation injury in the

adult provided by UpToDate inEnglish, Biology and clinical features ofradiation injury in adults in Japanesetranslational articles.

figure 4

Members of the Young Primary Care Doctors Organizationin Japan

Table 2Change of number of access to UpToDate in 2011

Table 3Number of access to UpToDate Japanese translation

Reference1) E. Nango, H. Yoshimoto et al; The Role of the Medical Information Database in Managingthe East Japan Disaster, 19th Cochrane Colloquium, Madrid, Spain, 2011 (Poster)