After appointed to the post of governor, I was taken by surprise to know that governors have wide range of missions and now I’m feeling heavy responsibilities. However, as the three great predecessors, Drs. Kiyoshi Kurokawa, Shotai Kobayashi and Fumiaki Ueno, had set the right track, I believe that all I have to do is to go forward on the same track.
It has been 23 years since I became a member of ACP. Time flies! In those days, I was a co-chair of a committee of the Association of FJSIM (Fellows of Japanese Society of Internal Medicine) to encourage FJSIMs to join ACP, so Japanese Society of Internal Medicine (JSIM) was a close society with us in the beginning. I think ACP Japan Chapter and JSIM should cooperate in the future again because the purpose of the two organizations is the same. The first cooperation of the two entities was realized this year as a joint session for students and residents in the annual meeting of JSIM. I hope we will have chances to cooperate again and I will make efforts to achieve that aim.
Thank you for everything you do for our chapter and for our profession.
All the best,
Kenji Maeda, MD FACP
Governor, American College of Physicians, Japan Chapter
What we have desired for a long time will come true soon. We will have a joint session at the Annual Meeting of Japanese Society of Internal Medicine in April 2019. JSIM is a large medical society, holding more than 100,000 members. They took aim at ACP, acknowledging our ability to attract and to inspire young generation, such as residents and students. The Scientific Committee, chaired by Dr. Hamaguchi, is entirely in charge of planning the project. This is truly a remarkable accomplishment in the history of our Chapter. We already had collaborative events with Society for Clinical Epidemiology and Japanese Society of Hospital General Medicine. We will continue to cooperate with other medical organizations for mutual benefit.
Internationally, we also had conspicuous achievements. Our representatives joined ACP India Chapter meeting, and vice versa. One of the members of our Chapter, Dr. Mikio Hayashi, has received International Fellowship Exchange Award. This is highly competitive award, and he was elected with very high score among more than 30 nominees. The International Exchange Program Committee, chaired by Dr. Makiishi, has been more active than ever. They newly secured positions in Hawaii and Florida, and young members with high ambition will certainly get great opportunities.
The Japan Chapter is a small organization with 1,300 members. Even though we have many talented members internally, we should not be isolated. Instead, we will communicate, cooperate and collaborate with others of excellence. A Japanese word “Wa” denotes harmony, which is historically the greatest virtue of Japanese. We gotta have “Wa” nationally and internationally for our future.
My term as the Governor for ACP Japan Chapter will end in a few months. I would like to thank you all for this opportunity to serve you for four years. Your continuous contribution and support will make the Chapter more successful in the future.
もう一つ忘れてはならない点があります．世界の医療はValue Based Medicineへと急速に舵を切り始めました．患者の価値観は重視されて当然ですが，患者を含めた社会の価値観も同様に大切です．つまりコストの問題です．医療資源は有限です．患者の自己負担だけでなく，社会全体の負担を真剣に考えないと，国の財政が破綻する恐れが出るほど医療費は高騰しています．これは一つの国だけでなく，われわれの地球が破滅する危険さえ感じられます．世の中の学会は新規診療技術の開発に没頭しています．一部の患者はその恩恵にあずかっていることは喜ばしいのですが，臨床応用された新しい高価な技術が医療費高騰の一因でもあります．多くの学会はそれぞれの分野の新規技術を何とか承認させて国庫負担にさせることで，学会の存在感をアピールしようとしているだけです．世の中も「新しい医療＝よい医療」という勘違いに気づいていません．ACPの示している姿勢は正反対です．Value Based MedicineのACP流解釈がHigh Value Careであり，ここでは患者のアウトカム改善と同時にコスト意識が重視されています．ACPのHigh Value Care Initiativeは臨床医，教育者，患者に具体的なウェブ情報を提供し，コストを抑えたよい医療（多くは新しくはない）を実践することを支援しています．
2018年7月17日発行のAnnals of Internal Medicine誌に、ACP日本支部から投稿した記事が掲載されました。インパクトファクターの高いジャーナルですので、なかなか得難い名誉なことです。今回は元記事をFacebookに紹介してくださいましたPRCの委員の先生の他に、コメントを寄せてくださいました萩野昇先生にもAuthorとしてご参加いただきました。一方でLetterのAuthorは人数が限られていますので、公開後に議論にご参加いただいた先生のみで議論内容を確認して投稿いたしました。