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Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees

Author

Listed:
  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, Shimane 699-1221, Japan)

  • Yoshinori Ryu

    (Community Care, Unnan City Hospital, Shimane 699-1221, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, Shimane 690-0823, Japan)

Abstract

Family medicine is vital in Japan as its society ages, especially in rural areas. However, the implementation of family medicine educational systems has an impact on medical institutions and requires effective communication with stakeholders. This research—based on a mixed-method study—clarifies the changes in a rural hospital and its medical trainees achieved by implementing the family medicine educational curriculum. The quantitative aspect measured the scope of practice and the change in the clinical performance of family medicine trainees through their experience of cases—categorized according to the 10th revision of the International Statistical Classification of Disease and Related Health Problems. During the one-year training program, the trainees’ scope of practice expanded significantly in both outpatient and inpatient departments. The qualitative aspect used the grounded theory approach—observations, a focus group, and one-on-one interviews. Three themes emerged during the analysis—conflicts with the past, driving unlearning, and organizational change. Implementing family medicine education in rural community hospitals can improve trainees’ experiences as family physicians. To ensure the continuity of family medicine education, and to overcome conflicts caused by system and culture changes, methods for the moderation of conflicts and effective unlearning should be promoted in community hospitals.

Suggested Citation

  • Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees," IJERPH, MDPI, vol. 18(11), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6122-:d:569809
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    References listed on IDEAS

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    1. Ryuichi Ohta & Yoshinori Ryu & Daisuke Kataoka & Chiaki Sano, 2021. "Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    2. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
    3. Ryuichi Ohta & Yoshinori Ryu & Takuji Katsube & Chiaki Sano, 2020. "Rural Homecare Nurses’ Challenges in Providing Seamless Patient Care in Rural Japan," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    4. Nak-Jin Sung & Yong-Jun Choi & Jae-Ho Lee, 2018. "Primary Care Comprehensiveness Can Reduce Emergency Department Visits and Hospitalization in People with Hypertension in South Korea," IJERPH, MDPI, vol. 15(2), pages 1-11, February.
    5. Ryuichi Ohta & Yoshinori Ryu & Jun Kitayuguchi & Chiaki Sano & Karen D. Könings, 2021. "Educational Intervention to Improve Citizen’s Healthcare Participation Perception in Rural Japanese Communities: A Pilot Study," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    6. Hopman, Petra & de Bruin, Simone R. & Forjaz, Maria João & Rodriguez-Blazquez, Carmen & Tonnara, Giuseppe & Lemmens, Lidwien C. & Onder, Graziano & Baan, Caroline A. & Rijken, Mieke, 2016. "Effectiveness of comprehensive care programs for patients with multiple chronic conditions or frailty: A systematic literature review," Health Policy, Elsevier, vol. 120(7), pages 818-832.
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    Cited by:

    1. Ryuichi Ohta & Chiaki Sano, 2022. "Bedside Teaching in Rural Family Medicine Education in Japan," IJERPH, MDPI, vol. 19(11), pages 1-9, June.
    2. Kasumi Nishikawa & Ryuichi Ohta & Chiaki Sano, 2022. "Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    3. Ryuichi Ohta & Satoko Maejma & Chiaki Sano, 2022. "Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    4. Nozomi Nishikura & Ryuichi Ohta & Chiaki Sano, 2021. "Effect of Residents-as-Teachers in Rural Community-Based Medical Education on the Learning of Medical Students and Residents: A Thematic Analysis," IJERPH, MDPI, vol. 18(23), pages 1-12, November.
    5. Ryuichi Ohta & Chiaki Sano, 2022. "Reflection in Rural Family Medicine Education," IJERPH, MDPI, vol. 19(9), pages 1-9, April.
    6. Nurhira Abdul Kadir & Heike Schütze & Kathryn M. Weston, 2021. "Educating Medical Students for Practice in a Changing Landscape: An Analysis of Public Health Topics within Current Indonesian Medical Programs," IJERPH, MDPI, vol. 18(21), pages 1-11, October.

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