Training  World-­‐class    Family  Medicine  Specialists!!

Shizuoka  Family  Medicine  (SFM)  Training  Program

The  Shizuoka  Family  Medicine  Training  Program  is  a  world-­‐class  family  physician  training  program  that  prepares  family  physicians  who  can  work  especially  in  group  pracAce.    We  strive  to  train  family  medicine  specialists  who  can  be  a  primary  care  physician  for  the  enAre  family,  revive  community  health,  and  effecAvely  provide  care  in  the  super-­‐aging  society.    

SFM  Program’s  8  Features • A  family  medicine  training  program  managed  by  two  ciAes  and  one  town  of  Shizuoka  Prefecture  (Iwata-­‐City,  Kikugawa-­‐City,  and  Mori-­‐Town)  

❶  Supported  by  the  Local  Government

• Excellent  training    and  teaching  system  that  produces  family  medicine  specialists  who  can  provide  care  of  wide  breadth  and  of  high  quality  

❷ Excellent  Training  and  Teaching  System

• SFM  has  the  support  of  Dr.  Michael  FeRers  and  the  other  aRending  physicians  at  the  Department  of  Family  Medicine  at  the  University  of  Michigan  (UM)  for  training  SFM  residents.  UM  Family  Medicine  was  ranked  3rd  in  the  US  in  2009  for  its  excellence  and  its  naAonal  reputaAon  in  family  medicine.  

• Program  residents  have  the  opportunity  to  parAcipate  in  family  medicine  training  and  ConAnuing  Medical  EducaAon  courses  at  UM.

❸ Supported  by  the  Department  of  Family  Medicine  at  the  University  of  Michigan  

• SFM  trains  skilled  family  medicine  specialists  who  can  provide  care  not  only  of  internal  medicine  and  home  visits,  but  also  of  the  wide  breadth  as  in  the  US  so  they  can  serve  as  a  primary  care  physician  for  the  enAre  family.  Training  breadth  includes  internal  medicine,  psychosomaAc  medicine,  pediatric  medicine,  obstetrics  and  gynecology,  surgery,  orthopedic  medicine,  dermatology  and  emergency  medicine.      

❹  Training  World-­‐class  Family  Physicians

•  Physicians  who  can  work  especially  in  a  group  pracAce,  not  in  a  solo  pracAce.   •  Physicians  who  can  support  the  elderly  to  “age  well”  (aging  healthy  with  a  purpose  in  life)  and  “age  in  place”  (aging  while  living  a  life  of  your  own  in  a  familiar  place)

•  Physicians  who  can  contribute  to  revival  of  community  healthcare  by  providing  inpaAent  care  to  paAents  uAlizing  open  access  system  and  providing  up  to  level  1.5  emergency  medical  care

❺  Training  Family  Medicine  Specialists  Who  can  EffecAvely  Provide  Care  in  the  Community

• Training  in  family  medicine  clinic  • Training  in  2  community  hospitals  and  1  regional  hospital  

❼ Family  Friendly  Residency  Program

• Possible  to  do  preliminary  residency  training  at  Iwata  City  Hospital,  and  conAnue  seamlessly  in  specialty  training  in  the  family  medicine  specialist  course  

❽  ConAnuous  Training  from  Preliminary  Residency  through  Advanced  Training  Available

❻  Excellent  Training  Environment

• SFM  provides  training  curriculum  considerate  of  female  physicians’  needs  and  helps  with  the  placement  of  their  children  in  day  care  so  they  can  be  trained  to  be  family  medicine  specialists.    

Shizuoka  Prefecture

The  Iwata-­‐City,  Kikugawa-­‐City,  Mori-­‐Town    Family  Medicine  Training  Liaison  Council  

Family  Medicine  Training  Project  

Board Secretariat  in    Iwata  City  Hospital  Family  Medicine  

Training  Program    CommiRee

University  of  

Michigan

Japan  InsAtute  of  Family  

Medicine  (General  Inc.  FoundaAon)

Iwata-­‐City  Iwata  City  Hospital  **************  Kikugawa-­‐City  

Kikugawa  General  Hospital  

**************  Mori-­‐Town  

Morimachi  Public  Hospital

Shizuoka  (Iwata-­‐City・Kikugawa-­‐City・Mori-­‐Town)  Family  Medicine  Training  Project

Shizuoka  Family  Medicine  Training  Program  Staff

Leadership Program  Director,  General  ARending  Physician：                                                                            Tsukasa  Tsuda（Professors  Emeritus  of  Mie  University)

ARending  Physician:  Kiyoshi  Sano  （Former  Clinical  Assistant  Professor,  Department  of  Family  Medicine,  University  of  Michigan）

ARending  Physician:  Yosuke  Fujioka（Former  Clinical  Lecturer,  Department  of  Family  Medicine,  University  of  Michigan）  

ARending  Physician:  Keiichiro  Narumoto（Former  Faculty  Development  Fellow,  Department  of  Family  Medicine,  University  of  PiRsburgh）

Supervisor  of  Hospital  Training：        Masahiko  Terada（Assistant  Hospital  Director,  Iwata  City  Hospital）

     Hajime  Futami（Assistant  Hospital  Director,  Kikugawa  General  Hospital）

　　　　　　　　　　　  Masaki  Nakamura  (Hospital  Director,  Morimachi  Public  Hospital）

Residents Tomohiro  Arai:（PGY  3,  graduate  of  Yamanashi  Medical  University） Yoshiari  Uchibori（PGY  3,  graduate  of  Mie  University) Hironobu  Nakane（PGY  3,  graduate  of  Aichi  Medical  University）　 Shinji  Tsunawaki（PGY  3,  graduate  of  Yamaguchi  University）

CollaboraEon  with  the  University  of  Michigan  • Dr.  Michael  FeRers  and  other  aRending  physicians  at  the  Department  of  Family  Medicine  at  the  University  of  Michigan  (UM)  provide  training  support  for  SFM  residents.    • UM  Family  Medicine  was  ranked  3rd  in  the  US  in  2009  for  its  excellence  and  its  naAonal  reputaAon  in  family  medicine.    • SFM  residents  have  the  opportunity  to  parAcipate  in  family  medicine  training  and  ConAnuing  Medical  EducaAon  courses  at  UM.

Family  Medicine  Specialist  That  SFM  Strives  To  Train

Group  PracEce  Primary  Emergency    Medical  Care  

Pediatric  Care

Adult  and  Elderly    Medical  Care

Home  Care  

Ob/Gyn  Care

System  of  Training  with  3  Hospital  CooperaAon  in  Shizuoka  Prefecture  

Iwata  City  Hospital    Acute  Care,  

Secondary～TerAary  Emergency  Care  Obstetrics  and  Gynecology  Care,    Pediatric  Care,  other  specialty  care    

(See  conAnuity  Family  Medicine  paAents    once  a  week  (Half  Day  Back)  in    

Kikugawa  and  Morimachi  Family  Health  Center).

Morimachi  Public  Hospital    &    

Morimachi  Family  Health  Center  Family  Medicine  OutpaAent  Training,    

Home  Medical  Care,    Health  Check-­‐ups,    and  InpaAent  Care

Kikugawa  General    Hospital,    

Kikugawa  Family  Health  Center Family  Medicine  OutpaAent  Training,    

Obstetrics  and  Gynecology,  and    Care  for  Kokoro  (mind)    

Health  Check-­‐ups,  and  InpaAent  Care

University  of    Michigan  

（Short-­‐term  Training    in  the  US）

Group  PracAce  at  the  Family  Health  Center  Ager  compleAon

家庭医療専門医養成プログラム

                                                                                                                                                                                                                                                                               

Family  Medicine  Specialty  Training  Curriculum

　 APR   MAY   JUN   JUL   AUG   SEP   OCT   NOV   DEC   JAN   FEB   MAR  

Specialized  training

OrientaEon  

Family  Medicine   Internal  Medicine   Surgery  Pediatrics  ・  NICU   Obstetrics   Gynecology  

1st  Year   Ultrasonography,  (ER)   Half  day  back、  ＥＲ  training  

Half  day  back  Pediatric  ER  

Half  day  back  Gynecology  ER  

Specialized  training

Internal  Medicine1  

Internal  Medicine2  

Internal  Medicine3   Orthopedics   Obstetri

cs   Family  Medicine   Pediatrics  

2nd  Year   Endoscopy,  Half  day  back、  ER  training  

Half  day  back、  ER,      Obstetric  ER   Endoscopy,  (ER)   Half  day  back,  ER,  

Pediatrics  Department  ER  

Specialized  training Family  Medicine  

3rd  Year  Psychiatry(2/week)  Radiology(1week)  

Dermatology    Urology  (2/week)  

Ophthalmology  Otolaryngology(2/week)   ElecEve  

Home for the aged

Activity Center

Group Home

Family Health Center

Key  Regional  Hospital  

20 Open Bed

Prevention ・Medical Care

Emergency Outpatient

Support

Private Practitioner

Private Practitioner

Private Practitioner

Small-scale, multifunctional

facilities

Community Clinial Pass

Home Nursing Station

Family  Health  Center

Cooperation of diagnosis and

treatment Home care

Family Medicine Center and Community Health Network

Initial emergency outpatient

Care