Abstract
Divisions of General Practice are seated in university hospitals and residency training hospitals for the purpose of primary care education. Contents of practice and education are various, but these divisions have roles to train students and residents for basic clinical skills corroborated by psychosomatic medicine. Education of communication skills is very important and it is made up of empathy with imagination, insight into anxiety, consideration of life environment, understanding of patients' long-term life and assessment of care resources. We should put a special emphasis on therapeutic self maturity through practice for difficult patients.