Clinical clerkships (clinical practice) at Mie University Hospital Department of Family Medicine/Mie University Graduate School of Medicine Department of Family Medicine are provided at medical facilities in community, which is a unique program in Japan.
Clinical Clerkships (fifth year)
In the clinical clerkship at our department, medical student learns medical treatment and family medicine that meet the needs of people in community. They actually experience family medicine in community for one year. In other words, under the cooperation of community training facilities, students will be able to use “patient-centered medical methods,” “family-oriented primary care,” “community-oriented primary care”, “interprofessional collaboration,” and “diagnostic collaboration.” Efforts to experience such long-term family medicine practices are very advanced, and strategies are needed to promote students’ learning.
For example, we prepare tools such as iPad to use the Internet for e-learning so that students can access to learning resources even in remote areas. In addition, we make consideration to verbally exchange the similarities and differences in each community holding reflecting meeting on the mid- and last day of the program. Furthermore, we evaluate using our portfolio so that students themselves can reflect on (self-reflection) and lead to their self-study.
Students who have completed the Clinical Clerkship which has above mentioned ideas, are able to explain the function and roles of primary care, importance of providing care based on their background, importance of hospital-clinic or clinic-clinic collaboration, and importance of interprofessional collaboration. They will understand the importance of and understand the importance of dealing with individual patient issues as well as activities that take into consideration with family and the whole community.
Longitudinal Regional Community Curriculum (LRCC)
LRCC is a three- or four-month medical practice for community medicine while staying in community. Unlike traditional large-hospital-centered practice, students can take advantage of the long-term/stay in community, experience local medical problems, and participate and practice literally in community medicine. The way of such practice is raising effect in all over the world. However, it is still not common and it is a very advanced initiative in Japan.
Through this advanced approach, we hope that students will learn not only simple skills but also practical clinical ability.