2025 Volume 65 Issue 2 Pages 126-130
The author has accumulated six years of clinical experience at a university hospital and an additional two years in the psychosomatic medicine department of a community general hospital, placing him in an intermediate position between junior and senior practitioners. Comparing the clinical practices at these two institutions, the presenter frequently encountered cases in a community hospital, struggling to determine the appropriate approach or lacking confidence in treatment plans. In psychosomatic medicine, the optimal approach often depends not only on the specific characteristics of the disease but also on the psychosocial background of each patient. Such knowledge cannot be fully acquired from textbooks alone ; experiential learning is essential. Each time the presenter encountered challenging cases, senior colleagues in the medical department provided support, gradually providing advice to younger physicians.
In this paper emphasizes the importance of sharing knowledge and experience in psychosomatic medicine to establish an “All-Japan” framework from a clinical perspective. Initiating a discussion forum through case conferences and bringing together psychosomatic medicine specialists across generations helps in achieving this. A case involving a teenage female patient initially brought to the emergency department due to a hyperventilation attack and subsequently treated for anorexia nervosa is presented as an example from the presenter’s clinical experience.
