Report on the 5th Japan-Korea Primary Care Exchange Programme / 日本プライマリ・ケア連合学会誌

The Japan-Korea Primary Care Exchange Programme, which is an international project held by the Japan Primary Care Association and Korean Academy of Family Medicine, provides young family physicians opportunities to visit annual conferences and training programs each year. This article reports the history and several topics that Japanese delegates in 2018 learned about in Korea regarding family medicine: "Outpatient Department" "Health Information Systems" "Healthcare System for the Rapidly Aging Population," and "The Current Situation and Issues in Long-term Care Insurance."

Report on the First 5 Years of the "Generalist 80 Universities Angya Project" / 日本プライマリ・ケア連合学会誌

The Young Primary Care Doctors' Organization of the Japan Primary Care Association (JPCA) launched the "Generalist 80 Universities Angya Project" in 2011 to increase contact between generalists and medical students or residents interested in general hospital medicine, family medicine and primary care. The project targeted students interested in family medicine, primary care and hospital general medicine who do not participate in nationwide seminars. The project helps medical students and residents hold voluntary seminars at their university campus about family medicine, primary care and hospital general medicine. From 2011 to 2016, the project supported 129 seminars attended by 3,569 people at 63 universities. A questionnaire survey on 11 seminars between September 2013 and February 2014 revealed that 66% of medical students had never participated in JPCA family medicine summer seminars for students and residents. By holding seminars at university campuses, we targeted different participants from those at the nationwide seminar.

Continuous Lidocaine Infusion Is Effective for the Management of Refractory Cancer Pain in a Patient with Terminal Phase: Case Report

<p>Introduction: Lidocaine has an analgesic effect by inhibitory action for peripheral nervous system. It is effective for the refractory pain of neuropathic, even a high amount of opioid injection may not relieve pain, resulting in neuropathic cancer pain or adverse effects of morphine. Case Report: A 51-year-old woman had esophageal cancer with severe refractory pain of neuropathic. The pain was not relieved by increasing the dose of opioid because of adverse effects and morphine intolerance. Continuous lidocaine infusion decreased the frequency and the extent of pain and the dose of opioid. The patient didn’t show any symptoms of an adverse effect by this lidocaine treatment. Conclusion: This treatment may be useful for refractory pain of neuropathic in a patient having morphine intolerance with terminal phase.</p>