Lessons learned in developing family medicine residency training programs in Japan

Area of Science:

• Medical Education
• Family Medicine Development
• Healthcare Systems Research

Background:

• Family medicine is an emerging discipline in Japan, with general medicine departments adopting family medicine approaches.
• Several Japanese medical schools and training hospitals are initiating residency programs in general medicine.

Purpose of the Study:

• To identify key lessons from pioneers of Japanese family medicine residency programs.
• To inform the development of future family medicine residency training in Japan.

Main Methods:

• Qualitative research utilizing in-depth interviews with program chairs, directors, and faculty.
• Data analysis through immersion/crystallization to identify recurring themes and representative quotations.

Main Results:

• Limited understanding of family medicine principles among stakeholders.
• Challenges in developing a standardized core curriculum.
• Recommendations include early undergraduate engagement, emphasis on clinical skills, and community-based training.

Conclusions:

• Organizational change in medical education is challenging but achievable.
• Lessons learned offer valuable insights for establishing family medicine residency programs.
• Complexity science principles may guide the application of these lessons in diverse settings.