A descriptive study of junior residents’ encounters with patients presenting various signs, symptoms, and diseases during initial postgraduate general practice/family medicine training in Japan
Background:In 2020, 29 signs/symptoms as well as 26 diseases/disorders to be encountered during initial postgraduate training were defined in Japan. The purpose of this study was to determine the extent to which junior residents can encounter the signs/symptoms and diseases/disorders during general...
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| Published in | FUKUSHIMA JOURNAL OF MEDICAL SCIENCE p. 24-00040 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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Japan
THE FUKUSHIMA SOCIETY OF MEDICAL SCIENCE
2025
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| Abstract | Background:In 2020, 29 signs/symptoms as well as 26 diseases/disorders to be encountered during initial postgraduate training were defined in Japan. The purpose of this study was to determine the extent to which junior residents can encounter the signs/symptoms and diseases/disorders during general practice/family medicine training.Methods:Junior residents who participated in general practice/family medicine training for four weeks between 2019 and 2022 were:enrolled in the study. They were each assigned to one of five medical institutions with full-time family doctors in Fukushima Prefecture. The rate of participants who encountered each sign/symptom and disease/disorder, as well as the number of signs/symptoms and diseases/disorders each participant encountered, were defined as outcomes and analyzed descriptively.Results:Ninety junior residents participated in the study. More than half of the participants encountered 11 out of the 29 signs/symptoms, and each participant encountered an average of nine signs/symptoms. As for diseases/disorders, more than half of the participants encountered 11 out of the 26 diseases/disorders, with an average of 11 per participant.Conclusion:General practice/family medicine training provided the junior residents with the opportunity to experience a wide range of signs/symptoms and diseases/disorders. |
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| AbstractList | Background:In 2020, 29 signs/symptoms as well as 26 diseases/disorders to be encountered during initial postgraduate training were defined in Japan. The purpose of this study was to determine the extent to which junior residents can encounter the signs/symptoms and diseases/disorders during general practice/family medicine training.Methods:Junior residents who participated in general practice/family medicine training for four weeks between 2019 and 2022 were:enrolled in the study. They were each assigned to one of five medical institutions with full-time family doctors in Fukushima Prefecture. The rate of participants who encountered each sign/symptom and disease/disorder, as well as the number of signs/symptoms and diseases/disorders each participant encountered, were defined as outcomes and analyzed descriptively.Results:Ninety junior residents participated in the study. More than half of the participants encountered 11 out of the 29 signs/symptoms, and each participant encountered an average of nine signs/symptoms. As for diseases/disorders, more than half of the participants encountered 11 out of the 26 diseases/disorders, with an average of 11 per participant.Conclusion:General practice/family medicine training provided the junior residents with the opportunity to experience a wide range of signs/symptoms and diseases/disorders. In 2020, 29 signs/symptoms as well as 26 diseases/disorders to be encountered during initial postgraduate training were defined in Japan. The purpose of this study was to determine the extent to which junior residents can encounter the signs/symptoms and diseases/disorders during general practice/family medicine training. Junior residents who participated in general practice/family medicine training for four weeks between 2019 and 2022 were:enrolled in the study. They were each assigned to one of five medical institutions with full-time family doctors in Fukushima Prefecture. The rate of participants who encountered each sign/symptom and disease/disorder, as well as the number of signs/symptoms and diseases/disorders each participant encountered, were defined as outcomes and analyzed descriptively. Ninety junior residents participated in the study. More than half of the participants encountered 11 out of the 29 signs/symptoms, and each participant encountered an average of nine signs/symptoms. As for diseases/disorders, more than half of the participants encountered 11 out of the 26 diseases/disorders, with an average of 11 per participant. General practice/family medicine training provided the junior residents with the opportunity to experience a wide range of signs/symptoms and diseases/disorders. |
| ArticleNumber | 24-00040 |
| Author | Ishii, Atsushi Mori, Fuyuto Kanke, Satoshi Toyoda, Yoshihiro Hoshi, Goro Nakamura, Koki Kanto, Kanako |
| Author_xml | – sequence: 1 fullname: Nakamura, Koki organization: Center for Medical Education and Career Development, Fukushima Medical University – sequence: 2 fullname: Kanke, Satoshi organization: Fukushima Centre for General Physicians, Fukushima Medical University – sequence: 3 fullname: Ishii, Atsushi organization: Kashima Hospital – sequence: 4 fullname: Mori, Fuyuto organization: Kitakata Centre for Community and Family Medicine – sequence: 5 fullname: Hoshi, Goro organization: Hoshi Yokozuka Clinic – sequence: 6 fullname: Kanto, Kanako organization: Hobara Central Clinic – sequence: 7 fullname: Toyoda, Yoshihiro organization: Fukushima Centre for General Physicians, Fukushima Medical University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40268410$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1111/tct.12224 10.5694/j.1326-5377.2007.tb00934.x 10.31128/AJGP-03-20-5274 10.5387/fms.2022-35 10.1136/bmj.326.7397.1019 10.3109/0142159X.2010.513404 10.1080/14739879.2015.11494326 |
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| References | 12. Anderson K, Haesler E, Stubbs A, Molinari K. Comparing general practice and hospital. Clinical Teacher, 12(1):8-13, 2015. 8. Ministry of Health, Labour and Welfare. Objectives, Strategies, and Evaluation in Residency Training [https://www.mhlw.go.jp/content/10800000/ishirinsyokensyu_guideline_2020.pdf] (in Japanese) [https://www.mhlw.go.jp/content/10800000/000719078.pdf] (in English) (Accessed 25 April 2024.). 6. Japan Primary Care Association. New Family Medicine Expert Training Program [https://www.shin-kateiiryo.primary-care.or.jp/endorsement] (in Japanese) (Accessed 25 April 2024.). 7. Nakamura K, Kanke S, Ishii A, et al. Impact of general practice / family medicine training on Japanese junior residents:a descriptive study. Fukushima J Med Sci, 69(2), 2023. 10. Ministry of Health, Labour and Welfare. Overview of FY2022 Medical Fee Revision -Home Medical Care- [https://www.mhlw.go.jp/content/12400000/000920430.pdf] (in Japanese) (Accessed 25 April 2024.). 11. Andrewartha J, Allen P, Hemmings L, Dodds B, Shires L. Escape to the country Lessons from interviews with rural general practice interns. Australian Journal of General Practice, 49(9):606-611, 2020. 2. Kung K, Lam A, Wong KW, et al. Family medicine internship training:Importance for Hong Kong’s primary care. Hong Kong Medical Journal, 18(2):167-169, 2012. 1. World Organization of Family Doctors. The contribution of family medicine to improving health systems a guidebook from the World Organization of Family Doctors. 2nd ed. Radcliffe Publishing Ltd, London, 2013. 14. Takamura A, Ie K, Takemura Y. Overcoming challenges in primary care education:A trial of a longitudinal integrated clerkship in a rural community hospital setting in Japan. Education for Primary Care, 26(2):122-126, 2015. 15. Fuse C, Itoh T, Matsumura T, Aizawa J, Tajima K. Contents of long-term community-based medical training that affect students’ consciousness: Analysis of a student questionnaire. Monthly Community Medicine, 35(3):255-263, 2021. 13. Martin AA, Laurence CO, Black LE, Mugford BV. General practice placements for pre-registration junior doctors:Adding value to intern education and training. Medical Journal of Australia, 186(7):346-349, 2007. 9. Valentine N, McCombe I, Mugford B. Clinical exposure of interns during a general practice placement. Australian Family Physician, 44(6):393-396, 2015. 3. Kjaer NK, Kodal T, Qvesel D. The role of general practice in postgraduate basic training. Medical Teacher, 32(10):e448-e452, 2010. 5. Scallan S. Training for general practice in the foundation programme:lessons from the pre-registration house officer experience. Education for Primary Care, 16:256-264, 2005. 4. Illing J, Van Zwanenberg T, Cunningham WF, Taylor G, O’Halloran C, Prescott R. Preregistration house officers in general practice:Review of evidence. British Medical Journal, 326(7397): 1019-1022, 2003. 11 12 13 14 15 1 2 3 4 5 6 7 8 9 10 |
| References_xml | – reference: 5. Scallan S. Training for general practice in the foundation programme:lessons from the pre-registration house officer experience. Education for Primary Care, 16:256-264, 2005. – reference: 15. Fuse C, Itoh T, Matsumura T, Aizawa J, Tajima K. Contents of long-term community-based medical training that affect students’ consciousness: Analysis of a student questionnaire. Monthly Community Medicine, 35(3):255-263, 2021. – reference: 2. Kung K, Lam A, Wong KW, et al. Family medicine internship training:Importance for Hong Kong’s primary care. Hong Kong Medical Journal, 18(2):167-169, 2012. – reference: 9. Valentine N, McCombe I, Mugford B. Clinical exposure of interns during a general practice placement. Australian Family Physician, 44(6):393-396, 2015. – reference: 1. World Organization of Family Doctors. The contribution of family medicine to improving health systems a guidebook from the World Organization of Family Doctors. 2nd ed. Radcliffe Publishing Ltd, London, 2013. – reference: 3. Kjaer NK, Kodal T, Qvesel D. The role of general practice in postgraduate basic training. Medical Teacher, 32(10):e448-e452, 2010. – reference: 6. Japan Primary Care Association. New Family Medicine Expert Training Program [https://www.shin-kateiiryo.primary-care.or.jp/endorsement] (in Japanese) (Accessed 25 April 2024.). – reference: 14. Takamura A, Ie K, Takemura Y. Overcoming challenges in primary care education:A trial of a longitudinal integrated clerkship in a rural community hospital setting in Japan. Education for Primary Care, 26(2):122-126, 2015. – reference: 12. Anderson K, Haesler E, Stubbs A, Molinari K. Comparing general practice and hospital. Clinical Teacher, 12(1):8-13, 2015. – reference: 4. Illing J, Van Zwanenberg T, Cunningham WF, Taylor G, O’Halloran C, Prescott R. Preregistration house officers in general practice:Review of evidence. British Medical Journal, 326(7397): 1019-1022, 2003. – reference: 7. Nakamura K, Kanke S, Ishii A, et al. Impact of general practice / family medicine training on Japanese junior residents:a descriptive study. Fukushima J Med Sci, 69(2), 2023. – reference: 8. Ministry of Health, Labour and Welfare. Objectives, Strategies, and Evaluation in Residency Training [https://www.mhlw.go.jp/content/10800000/ishirinsyokensyu_guideline_2020.pdf] (in Japanese) [https://www.mhlw.go.jp/content/10800000/000719078.pdf] (in English) (Accessed 25 April 2024.). – reference: 13. Martin AA, Laurence CO, Black LE, Mugford BV. General practice placements for pre-registration junior doctors:Adding value to intern education and training. Medical Journal of Australia, 186(7):346-349, 2007. – reference: 10. Ministry of Health, Labour and Welfare. Overview of FY2022 Medical Fee Revision -Home Medical Care- [https://www.mhlw.go.jp/content/12400000/000920430.pdf] (in Japanese) (Accessed 25 April 2024.). – reference: 11. Andrewartha J, Allen P, Hemmings L, Dodds B, Shires L. Escape to the country Lessons from interviews with rural general practice interns. Australian Journal of General Practice, 49(9):606-611, 2020. – ident: 2 – ident: 12 doi: 10.1111/tct.12224 – ident: 5 – ident: 1 – ident: 10 – ident: 15 – ident: 13 doi: 10.5694/j.1326-5377.2007.tb00934.x – ident: 11 doi: 10.31128/AJGP-03-20-5274 – ident: 7 doi: 10.5387/fms.2022-35 – ident: 4 doi: 10.1136/bmj.326.7397.1019 – ident: 3 doi: 10.3109/0142159X.2010.513404 – ident: 6 – ident: 9 – ident: 8 – ident: 14 doi: 10.1080/14739879.2015.11494326 |
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| Snippet | Background:In 2020, 29 signs/symptoms as well as 26 diseases/disorders to be encountered during initial postgraduate training were defined in Japan. The... In 2020, 29 signs/symptoms as well as 26 diseases/disorders to be encountered during initial postgraduate training were defined in Japan. The purpose of this... |
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| Title | A descriptive study of junior residents’ encounters with patients presenting various signs, symptoms, and diseases during initial postgraduate general practice/family medicine training in Japan |
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