Japanese Medical Society of Primary Care, the Japanese home medical treatment society, and three societies of Japanese, integrated diagnosis and treatment Medical Science Association were born and merger Shite and the Japanese primary care union society were born in this April. The 1st science meeting is held in this June. The activity of the inside and this academic society to which integrated medicine and family physician's materiality is specified as a supporter of the primary care in the future is paid to attention.
The specialist system related to the problem of a current medical treatment and the primary care was started, and I asked Mr. Masatsugu of Maesawa who assumed the position of the founder president of the union society the ideal way of the society management in the future.
About when was the merger of three societies discussed to begin with?
The 30th science meeting of Japanese Medical Society of Primary Care was held in May, 2007. The Japan Medical Association was discussing the review of the continuing education for pharmacists system, and there was a cooperation request at three societies. I think that it is a start that the story that three societies are asunder and good came out by the process of the argument.
――" "When the president of the Japanese primary care union society is assumed the position, and it exists , saying that "Attained to the merger by sinking one's differences and attaching to Daido" (The homepage of this academic society is seen). "Minor difference" Or, what is "Daido"?
In the medical treatment, a special differentiation advances more and more. The resident also has the desire "If he or she is not a serious illness academy where the specialist becomes complete, it is not possible to look after scrupulously". The medical treatment field cannot also appeal to this for the materiality of the primary care. The desire that the common point on these medical practices should appeal a little more might be the strongest though various languages like the home medical treatment, the community medicine, and the comprehensive medical care, etc. are used.
――Then, , saying that "Minor difference". The difference of three societies is whereabouts?
Japanese Medical Society of Primary Care starts the internal medicine department and the pediatrics department by the mother's body by the gathering for the spot medicine person, includes the ophthalmology department, dermatology, and the otorhinolaryngology, etc. , and teachers of a variety of diagnosis and treatment departments belong though it relates to details of the establishment of each academic society. There is a difference in the method of the diagnosis and treatment though there is a common point "Tomohito medical treatment". Next, show and educating for a young person such as medicals and resident doctor as "Specialist of the primary care" and "Family physician" started from the idea of necessity though the Japanese home medical treatment society though the expression "Specialist of the horizontal type" had been done to "Specialist of the vertical type according to the organ".
――It originally has the expertise in Japanese Medical Society of Primary Care, and there are a lot of teachers that the way of expanding skirts of a mountain to the occasion is done as for the practice etc.
This is more abundant. Though it is certain that the desire that the common point looks after not only the body in an Tomohito medical treatment but also the mind is very strong.
――However, the methodology to inherit it to the next generation is difficult.
Yes. "Primary care medicine" and "Family physician" It cannot be understood that the doctor view is not presented easily. It was a current vulnerability.
――There is a difference by the hospital in the role that "Integrated diagnosis and treatment part" plays though at the Japanese, integrated medical treatment society, there seem to be a lot of teachers of the hospital work.
The specialist becomes complete in the hospital. The role that "Integrated diagnosis and treatment part" plays there has "Minor difference" by the hospital ..the difference, and waiting there... If there is a hospital that examines all patients of the first medical examination, it is various as the patient with whom a patient alone who doesn't understand the department that doesn't have the letter of introduction and consults a physician is examined or the diagnosis doesn't take side by other diagnosis and treatment departments is examined. Moreover, the example of the integrated diagnosis and treatment part's bearing an educational function such as Osamu I is not few.
――Then, at when that the evil of a special differentiation has occurred do you think?
Is the 1990's though it thinks the evil to have gone out in the 1980's though it is difficult to say a clear punctuation?It thinks in having actualized specialist's arrogance in such shape though the medical error came to be put in question in the latter half of the especially 1990's.
There is a problem of "Take care" when seeing from another angle. I think the proportion became in halves almost though the death is received by either the hospital or staying 1976. The hospital intention on the patient side became strong since those days. "Family function" weakened on the other hand, and the family nursing was not able to be expected. In addition, the weariness of the system was made alive and well though the new medical practice training system started in 2004.
――How do you see the training system as an ideal way of the training of doctors?
The number of my dispensary members is seen to be increased and the diagnosis and treatment results and idea's of connecting with the raise research bottom line are seen by the university dispensary. There was sensorium "Select a big tree for your shelter" also on resident doctor's side.
I graduate in 1971. ｢Is it in the university hospital, and does really become study of the medical practice?I want to experience a lot of cases in the training hospital. ｣It went out of the desire at once besides the university though it was unusual at that time. A present young doctors also had been holding the doubt in the training of the university hospital before making to requiring, and the matching system might be introduced by the new medical practice training system, and it be made alive and well all at once.
I think that the place in which it changes too much a little rapidly is a problem though there is no new medical practice training system as an idea when it makes a mistake in it. It fell into the doctor deficiency at the university, and doctor's "Repatriation" etc. occurred.
However, two years of initial training were the methods in Touhoku University and Nagoya University trained in the hospitals other than the university conventionally. It is desirable in the meaning of putting initial technology for the resident doctor to train in abundant points of the case. Is it not a problem and Sho that it is therefore ..current medical practice training system.. suddenly for the reason "..university hospital.. very" negative?
――Then, how do you think an evil advanced by a special differentiation to be appearance now though it asks again?
There is sized two horn Kina problem, and one is a medical care for the elderly. It has plural troubles, and "Ladder" does the senior citizen the medical practitioner. A day turns round plural diagnosis and treatment departments in the debt even if going to the hospital. The whole is looked after by the medical treatment of "Hashed". (It was introduced by the revision in 2008. )I think that there was a conception that synthesizes and is medical there though the criticism went out to "Senior citizen synthesis diagnosis and treatment fee of latter half of the year". One doctor examines the entire one patient even if it says from the point of the quality of medical care, the performance, and health care cost, and shape of consulting the specialist when it is necessary is still desirable.
It embarrasses it by doctor's repatriation sending it the doctor in a small and medium-sized hospital, and in particular, in the governmental hospital according to the university hospital though another relates to the problem of the doctor deficiency. For instance, the physician causes and the warpage is caused there in having arranged circulatory organs, the respiratory apparatus, digestive organs, etc. and the specialist one by one in the hospital of 5 or 6 people. Originally, it makes it to the weakness in such a small and medium-sized hospital though the outpatient and hospitalization should function in both syntheses and internal medicine departments. It can be said that the evil that doesn't neatly promote a doctor who synthesizes and is the internal medicine department will be caused around here.
――It is necessary that an advanced, special medical treatment and the supporter etc. of the rudimentary medicine also train furthermore while an integrated medicine the family physician is necessary. How do you think about the ideal way of training in that?
I think that gradual division of a specialist and an integrated medicine, etc. is necessary though it is necessary to esteem each doctor's idea even if it doesn't strictly decide it like Britain. The country discusses by the medical treatment field and I Soda, etc. , and decides that 30 percent, 40 percent, and an integrated medicine and the family physician are 50 percent, etc.
――Will do it to be graduate or be initial training completion time?
In the regimen, my specialty will be ascertained while experiencing variety widely in two years of initial training. It is possible to judge when graduating, and to train about two years after Sots and a special course, an integrated course, and to divide if the education in front of Sots is enhanced in the future.
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