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How a problem-based learning approach could help Japanese primary care physicians: a qualitative study.

Masayasu Seki1, Yasuki Fujinuma2, Masato Matsushima3

  • 1Division of General Medicine, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.

International Journal of Medical Education
|December 27, 2019
PubMed
Summary

Primary care physicians in Japan need better training. This includes addressing a lack of re-education programs and improving undergraduate and postgraduate medical education for essential communication skills.

Keywords:
continuing professional developmentfocus groupgeneral practitionerjapanprimary careproblem-based learning

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Area of Science:

  • Medical Education
  • Primary Care Physician Training

Background:

  • Many primary care physicians in Japan lack formal specialist training.
  • Transitioning physicians require structured re-education programs.

Purpose of the Study:

  • To identify the specific training needs of Japanese primary care physicians without prior formal training.
  • To inform the development of a relevant family medicine training program.

Main Methods:

  • Focus group interviews were conducted with seven primary care physicians.
  • The problem-based learning approach was utilized in the training program.
  • The Steps for Coding and Theorization method was applied for data analysis.

Main Results:

  • A significant lack of standardized re-education programs for physicians entering primary care was identified.
  • Current undergraduate and postgraduate medical education in Japan offers insufficient primary care training.
  • Continuing professional development should incorporate essential communication skills, attitudes, and behaviors for primary care.

Conclusions:

  • The study highlights critical areas for improvement in primary care physician retraining programs in Japan.
  • Integrating communication, attitudes, and behaviors is crucial for effective primary care practice.
  • Further investigation into broader re-education needs and emphasizing primary care in medical curricula is recommended.