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Volume 28 (1997)
- Issue 6 Pages 397-
- Issue 5 Pages 263-
- Issue 4 Pages 197-
- Issue 3 Pages 141-
- Issue 2 Pages 67-
- Issue 1 Pages 5-
Volume 28, Issue 6
Displaying 1-8 of 8 articles from this issue
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Takanobu IMANAKA1997 Volume 28 Issue 6 Pages 397-399
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (434K) -
Masahiro IGARASHI1997 Volume 28 Issue 6 Pages 401-404
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSGeneral medicine does not select patient and his problem, and is concerned with the same patient for a long time. We think together with patient and share joys and sarrows with him in order to solve his problems towards the final outcome that he expects, and pursue the quality of solving process and his satisfaction with special regards for dynamics of his family and community.
The characteristics of general medicine in comparison with differentiated medicine, basic requisites, frequently used tools, favorite jobs and the future of general medicine were described. Specific need to develop own tool for “integration”, initiative role of general medicine in medical education and the systems which support general medicine were mentioned.
Several matters which should be seeked in the education and training of general medicine was discussed.View full abstractDownload PDF (421K) -
Nobutaro BAN1997 Volume 28 Issue 6 Pages 405-410
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDepartment of general medicine (DGM) could play important roles in clinical practice, education and research. Particularly in clinical education, DGM could take a leadership in various areas both in undergraduate and graduate education setting. Among them basic clinical competence education and primary care education are two major areas in which DGM can demonstrate it's leadership. I herewith proposed a curriculum for two areas.View full abstractDownload PDF (679K) -
Suminobu ITO, Makoto AOKI1997 Volume 28 Issue 6 Pages 411-415
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe have an outpatient department and a ward (52 beds) in the department of general internal medicine of the Second Tokyo National Hospital. During the rotation of interns for 8 weeks, interns are taught outpatient management by clinical educators one-on-one basis in the clinic, in addition to inpatient management on the wards, and series of lectures on the general internal medicine, emergency medicine and psychosocial issues. We have a residency program from PGY 3 through PGY 5, which emphasizes outpatient continuous management throughout residency. Our residents present their outpatient cases at the daily outpatient conference that all of us would attend. There are 17 graduates of our residency, many of whom are now clinical educators not only in our hospital but also in the university hospitals and teaching hospitals. Research on the way of training rotation of interns by the national hospitals group suggested superiority of the super-rotate training system of the intern. The residency of general internal medicine would become more important not only for the training of primary care physicians but for the training of clinical educators.View full abstractDownload PDF (696K) -
Tsuguya FUKUI1997 Volume 28 Issue 6 Pages 417-420
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSBoth specialties of general internal medicine and general medicine have been launched at university hospitals and accredited teaching hospitals in 1970's in Japan. Although both were intended to embody holistic medicine in the era of progressive fragmentation of medicine, the former was the attempt from the very center of excessive fragmentation of internal medicine and the latter, request from the general public seeking for more general approach. The future development of both primary care oriented specialties depend on the realization of quality general practice attracting young physicians of next generation into these fields.
Current curriculums employed in both specialty education are driving the shift of the site of clinical education, i. e., from ward to ambulatory clinic.View full abstractDownload PDF (673K) -
Masaji MAEZAWA1997 Volume 28 Issue 6 Pages 425-429
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSJapan is trying to reform the social system because of aged population and changes in constitution of diseases. According to recent amendment of the law of community health, municipal offices got much more competence to manage health care activities. Primary care physicians need to have knowledge and technique for community health care.
The devision of general practice must take the responsibility not only in compensating for the lack of highly specialized medical education and medical care system, but also in producing physician capable for coping with changes of social systems. Especially, trainees in this division should learn clinical preventive medicine, and join some activities of community health and social services in community during their postgraducate clinical training periods.View full abstractDownload PDF (719K) -
Seiji YAMASHIRO, Shunzo KOIZUMI1997 Volume 28 Issue 6 Pages 431-435
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSGeneral Internal Medicine, as well as Family Medicine, plays an important role in the primary care of North America. General internists in Canada are virtually hospital-based physicians. However, most general internists in the United States are community-based primary care physicians. Although the system in both countries are different, the training of General Internal Medicine is very similar. General internists comprehensively manage patients with complex illnesses such as one with difficult diagnoses, multiproblem or chronic illness. In addition to basic clinical knowledge and skills, they teach students and residents clinical epidemiology, evidence based medicine and clinical decision making.View full abstractDownload PDF (711K) -
Saburo UCHIYAMA, Yukari MATSUYAMA1997 Volume 28 Issue 6 Pages 437-443
Published: December 25, 1997
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe studied the increase in difficulty in gaining admission to medical schools over the past 5 years (1991 through 1995). In private medical schools, the diffierence between maximal and minimal difficulty in gaining admission decreased slightly by the upgrade of lower group, although the difference did not change in state and public medical schools. The correlation coefficient and rank correlation coefficient between the above variables and reported achievements in life science research were determined. A weak positive correlation was found.View full abstractDownload PDF (735K)
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