WONCA Lecture
Venue 1 (Act City Hamamatsu: Main Hall)
Continuity of care in times of continuous change
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Continuity of the personal relationship between patient and doctor is the active agent in family medicine. In times of disruption, the principle of continuity is at risk as the hallmark of family medicine. The talk will describe the value base of the discipline and discuss how current trends may challenge operationalizing of the basic principles of family medicine in clinical practice as well as in education and research. How can family doctors work out a strategy to meet the trends of fragmentation of medicine, commercialization and digitalization of health service delivery in their daily work?
（WONCA Immediate Past President）
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Biography
Dr. Anna Stavdal is an esteemed Family Doctor based in Oslo, Norway, where she has been providing compassionate care to patients since 1989. In addition to her clinical practice, she holds the position of Associate Professor at Oslo University, where she actively contributes to the education and training of future healthcare professionals. With primary areas of interest in health systems and the core values of family medicine, she is a passionate advocate for family medicine and primary care and she actively engages in public debates, sharing her expertise through columns and speaking engagements.
Dr. Stavdal’s leadership roles within family medicine organizations since 1994 demonstrate her commitment to advancing the field on various levels. She has held influential positions in Norwegian, Nordic, European, and global family medicine organizations. Notably, Dr. Stavdal has assumed the prestigious position of President of the World Organization of Family Doctors (WONCA) from November 2021. Since November 2023 she holds the office of Immediate Past President. Her role as the head of this global organization underscores her ability to shape and guide initiatives that promote family medicine worldwide.
WONCA Symposium
Venue 1 (Act City Hamamatsu: Main Hall)
Future Vision of WONCA APR for the Promotion of Family Medicine in the Asia-Pacific Region
| Chairperson | ： | Machiko Inoue (Professor, Department of Family and Community Medicine, Hamamatsu University School of Medicine) Nobutaka Hiroka (Saitama Medical University) |
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Outline
The Japan Primary Care Association (JPCA) has been a member organization of the World Organization of Family Doctors (WONCA) since 1985, and is active in the Asia-Pacific Region (APR) of the seven regions of the world; in 2005 and 2019, the WONCA APR Conference was held in Kyoto, hosted by the JPCA. In the Asia-Pacific region, the importance of family medicine in primary health care is increasingly recognized, but each country has a different specialty system and position in the health care system, and the challenges they face are diverse. In 2023, Dr. Brian Chang of Taiwan was elected President of WONCA APR, Dr. Aileen Riel-Espina of the Philippines was elected Honorary Secretary, and Dr. Tesshu Kusaba, President of JPCA, was elected Honorary Treasurer. In this symposium, President Brian Chang and Dr. Aileen Riel-Espina will be invited to discuss the future promotion of family medicine in the Asia-Pacific region in their respective roles. First, presentations will be made on the history, current issues, and future direction of family medicine in each country, and then opinions will be exchanged on what vision WONCA APR has for the future promotion of family medicine in this region. Dr. Anna Stavdal from Norway, past President of WONCA, will also share her comments on family medicine in the Asia-Pacific region based on her experience of leading activities on a global scale and her own experience in her native Scandinavian country. The four participants will discuss from a global and long-term perspective. Through these discussions, we hope to engage participants in thinking about challenges and visions for the future of the Asia-Pacific region.
（WONCA APR President）
（WONCA APR Hon. Secretary）
（Japan Primary Care Association／WONCA APR Hon. Treasurer）
Dr. Anna Stavdal
（WONCA Immediate Past President）
Conference Joint Program 2
Exhibition and Event Hall
What brings you to JPCA?? We welcome new visitors and international visitors!!
| Chairperson | ： | Taro Miura Yuki Honda Ryosuke Hayashi Kazuya Nagasaki |
| Facilitator | ： | Ai Murayama, Shinya Yamada Yuki Otsuka, Gemmei Iizuka Ryoya Nishigoori, Humiya Sakai Aoi Urano, Kokoro Ichihara Yurina Kimura, Makiko Kodama Tomie Suda, Ai Yoshino Masumi Ogushi, Makoto Kaneko Keiko Aoki, Ken Goda Nakajima Koichi, Tatenobu Yoshimochi Mizuki Yamazaki |
Conference Joint Program A
Venue 11 (Seminar & Exchange Center 4F, Room 401)
Measurement and improvement of the incidents and accidents in the clinics
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Biography
Professor Andrew Carson-Stevens is an academic general practitioner and health services researcher leading research into how health and social care organisations learn from unsafe care experienced by patients and families. He leads the Patient Safety Research Group (the 'PISA group'), and is Research Director, at the Division of Population Medicine, School of Medicine, Cardiff University. Professor Carson-Stevens' research is supported by major funders and includes: investigating the nature and burden of avoidable harm in healthcare; identifying patient safety priority areas from analysis of routine patient safety data (e.g., case notes, incident reports, patient surveys); methodological innovation for sharing learning from investigating patient safety incidents; and, patient safety measurement (taxonomy development).
Professor Carson-Stevens is a long-standing adviser to the World Health Organization on patient safety and a methodological adviser to the OECD Working Group for Patient-reported Safety Outcomes. He is Honorary Professor at the Australian Institute of Health Innovation, Macquarie University, Australia (2016 –) and Adjunct Professor at Queen's University, Canada (2019 –) where he supervises doctoral students. -
Outline
Patient Safety Initiatives in Primary Care Worldwide
The World Health Organization (WHO) defines patient safety as "the prevention of errors and adverse patient outcomes associated with health care" and has made its realization a key issue in health care. Patient safety in the primary care setting has been a global black box, but research on this topic has been on the rise in recent years. Specifically, a variety of problems have been reported, including errors and falls in vaccination, medication administration, diagnosis, information sharing, and patient verification. Among these, vaccination errors occur about 0.05% of the time, medication errors occur about 1.6 million times per year, and one in nine emergency room admissions is associated with a drug-related adverse event. Additionally, 5% of outpatients experience diagnostic errors, and approximately 50% of patients are concerned about them.
According to a study on patient safety in clinics, which aims to eliminate these problems, "Individual education, communication, reflection, and teamwork are important from normal times, as decisions are more often left to individuals than in hospitals, and the use of incident reports is as important as in hospitals.
In this program, Dr. Andrew Carson-Stevens, Professor of Patient Safety at Cardiff University, UK, who teaches incident report reporting and improvement, will speak on how to improve patient safety in primary care medical institutions from an international perspective. Dr. Carson-Stevens will provide an international perspective on how to improve patient safety in primary care healthcare organizations. -
Outline
Preventing burnout and promoting the well-being of healthcare professionals is an important issue in the medical community, both nationally and internationally. Among other things, the experience of a medical accident can be a trigger for burnout. It is well known that medical accidents can lead to psychological and physical problems for healthcare professionals, such as loss of confidence, isolation, flashbacks, insomnia, depression, and anxiety. Since 2000, healthcare professionals who have experienced medical accidents have been referred to as "second victims" and are those who should be cared for. Harvard-affiliated hospitals in the U.S. have developed and implemented a peer support program to assist those who have experienced medical trauma, and the program is spreading throughout the U.S. and internationally. Dr. Jo Shapiro, an invited speaker for this joint session with the Japan Society of Clinical Safety, is an otolaryngology surgeon who established the first in-house peer support program at Brigham & Women's Hospital around 2006. She said, "If medical professionals are burned out, they cannot perform well. In order to provide safe, high-quality care to patients, it is imperative that organizations improve their environments and systems to prevent burnout. In Japan, primary care facilities (clinics and small and medium-sized hospitals) do not have a well-developed patient safety system compared to large hospitals. However, healthcare professionals who are involved in errors and incidents in their daily practice may have suffered a great deal of psychological damage. We would like to take this opportunity to gain insight and inspiration from Dr. Shapiro's presentation on how to care for those involved in medical errors and how to promote well-being of healthcare professionals to achieve patient safety.
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Biography
JO SHAPIRO, MD, FACS, is an associate professor of Otolaryngology-Head and Neck Surgery at Harvard Medical School. She is a consultant for the Massachusetts General Hospital Department of Surgery and Principle Faculty for the Center for Medical Simulation in Boston. In 2008, she founded the Brigham and Women’s Hospital Center for Professionalism and Peer Support, where she served as the director for over 10 years. In 2018, Harvard Medical School gave her the Shirley Driscoll Dean’s Award for the Advancement of Women’s Careers. She continues to educate and assist organizations in developing specific programmatic and educational approaches to patient safety and clinician wellbeing, such as peer support, disclosure and apology, professionalism initiatives, and conflict management. Dr. Shapiro received her B.A. from Cornell University and her M.D. from George Washington University Medical School. Her general surgery training was at the University of California, San Diego, and then UCLA. She did her otolaryngology training at Harvard, followed by a year of a National Institute of Health Training Grant Fellowship in swallowing physiology. She was a faculty member in the Department of Surgery at BWH for over 35 years. Her clinical expertise was in oropharyngeal dysphagia.
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Outline
This is an interest group session of Dr Kaizen Project (DKP). DKP is the exchange programme between Junior International Committee of Royal College of General Practitioners(RCGP) and international committee of Japan Primary Care Association(JPCA). Elected Japan and UK GP trainees or GP qualified within five years are going to present their collaborative Kaizen project in their practice site and motivate you to develop global perspectives through exchange experiences in primary care. This is an English session with some translation as needed. Please come to join!
| Speaker | ： | Andrew Carson-Stevens Takuya Aoki Shintaro Kosaka Hiroyuki Kojin |
Conference Joint Program 3
Venue 2 (Act City Hamamatsu: Concert Hall)
Patient safety initiatives in primary care in the world
| Chairperson | ： | Shintaro Kosaka Masaru Kurihara |
| Speaker | ： | Andrew Carson-Stevens（Cardiff University） |
Conference Joint Program 8
Venue 1 (Act City Hamamatsu: Main Hall)
Healthcare Provider Wellbeing: Peer support as a powerful initiative
| Chairperson | ： | Machiko Inoue (Professor, Department of Family and Community Medicine, Hamamatsu University School of Medicine) Hiroyuki Kojin (University of Yamanashi) |
Educational Lecture 8
Venue 6 (Congress Center 4F,Conference Room 41)
How can the Narrative Approach be implemented in Japanese primary care?
| Chairperson | ： | Koki Kato |
| Speaker | ： | John Launer (NHS in London) Akira Naito Junichiro Miyachi |
Symposium 2
Venue 3 (Congress Center 2F, Conference Room 21)
Lessons from the U.S. Primary Care Sports Physician
| Chairperson | ： | Tomoki Kobayashi |
| Speaker | ： | Yuka Kobayashi（Medical College of Wisconsin） Ayano Hamai Takayuki Komatsu |
Symposium 22
Venue 3 (Congress Center 2F, Conference Room 21)
Frontline of Nurse Practitioners in Primary Care in Asia
| Chairperson | ： | Michiko Moriyama Kazuya Honda |
| Speaker | ： | Chieko Yao Heng-Hsin Tung（President, Taiwan Association of Nurse Practitioners, Distinguished Professor, College of Nursing, National Yang Ming Chiao Tung University） Choi Hanna（Assistant Professor, Deptment of Nursing Science, Nambu University, South Korea） |
Interest Group 7
Venue 13 (Seminar & Exchange Center 5F, Room 51)
Interest Group of the Exchange Programme for young doctors between JPCA and RCGP, Dr Kaizen Project
| Chairperson | ： | Nobutaka Hiroka Tomohiro Arai |
| Speaker | ： | Shin Yoshida Hiroaki Watanabe Daisuke Kato Shogo Kawada Itsumi Tanaka Takayuki Ando Ryunosuke Kitaoka Stephen Woolford |