Grappling with the Problems of Training in Community Medicine / 日本農村医学会雑誌

ABSTRACT

　　Under the system of initial-phase clinical on-the-job training for newly accredited physicians, the part for community medicine became a compulsory subject in 2010. Then our hospital began to accept residents and trained them in community medicine in coordination with acute phase hospitals from 2011. The core of this training consists of “experience at places of livelihood” and “linkage of medical care with welfare,” and training is performed according to a program that centers on projects evolved outside the hospital and also on recovery phase rehabilitation wards. Our programs were designed to educate the need for coordination between medical care and welfare so that trainees could turn their attention to “living” as the endpoint beyond “life and organs.”　　With a “surge in the wave of population” just around the corner, it has become increasingly important to work for coordination (initial-phase and final-phase coordination) between acute phase hospitals and post-acute hospitals and also between medical institutions for chronic diseases and care at home and facilities. That said, it has now become an urgent task to train “physicians required for the society.” It is necessary for the Japanese Association of Rural Medicine to take in training for community medicine as one of its important tasks and strive for its improvement in the training and its standardization and to appeal its importance to the society.