平成30年のACP日本支部総会で「レターの書き方ワークショップ（片岡 裕貴先生)」に一般参加者として参加しました。当日の課題であったAnnals of Internal Medicineへのレター投稿がアクセプトされ、2019年2月号（Annals of Internal Medicine • Vol. 170 No. 3 • 5 February 2019 218 ）に掲載されました。課題となった論文に対して計4本のレターが日本から掲載されています。一つは片岡先生が共著者のもの、そしてもう一つは私が参加したグループによるものです。後の2つも当日のワークショップの課題として提出されたものである可能性が高いと考えます（未確認）。このことは、ACP日本支部総会のワークショップのレベルの高さを示す具体例の一つになるかと思いますし、またニュースバリューもあるかと思いご報告する次第です。
INDIA PROJECT Two members of the IECP, Tetsuya Makiishi and Takahiko Tsutsumi participated in the ACP India Chapter annual congress held in Lucknow, India from August 31th to September 2nd, and provided lectures to enhance the interrelationship between the two chapters.
HAWAII PROJECT The committee has received one applicant for the externship in Hawaii under the supervision of Dr. Jinichi Tokeshi, clinical professor of Family Medicine at the University of Hawaii, John A. Burns School of Medicine. The committee has supported the candidates’ CV and personal statement before submission. The externship is planned in January, 2019. One of the IECP members will be assigned as a mentor to support the candidate before, during, and after the externship.
What We Were Already Working On
FLORIDA PROJECT By the courtesy of Dr. Jerald Stein, well known for his dedication to medical education in Japan, a three-week externship program at the University of Florida was offered to two members of the ACP Japan chapter. The committee has been involved in a selection process for this program. Their externships are planned in early 2019.
DOMESTIC PROJECT We are having a seminar focusing on how to get into a clinical training program overseas, mainly the US, at the end of November in Osaka.
What We Initiated
We started to interact with the ACP India Chapter as mentioned above to seek for the possibility to establish an exchange externship program between the two chapters in future years.
We started to support the externship program at the University of Florida as mentioned above.
What We Plan To Work On
We plan to continue and further develop each PROJECT mentioned above.
We plan to create a network among the members of the ACP to facilitate sharing information and know-how about working overseas as a physician.
A Seminar focusing on how to get into a clinical training program overseas
Department of Infectious Diseases, Kameda Medical Center Emiri Muranaka
A Seminar focusing on how to get into a clinical training program overseas held at the Aijinkai Rehabilitation Hospital on November 25th was a great success. There were 11 motivated attendees including medical students and young doctors from all over Japan.
The seminar kicked off with opening remarks from IEPC chairman, Dr. Tetsuya Makiishi. He welcomed attendees to our seminar, introducing them on our latest activities, including externship programs in Hawaii and Florida.
After his remarks, Dr. Yuji Yamada, who had just completed residency, described the details of residency training in the US and how to study English effectively.
The next session was given by Dr. Takahiko Tsutsumi, which was on mentoring young doctors who want to get into clinical training in the US. He told them how to prepare to get into and survive US residency. ※Oral presentation and so on.
The last talk was given by Dr. Mitsuya Katayama, who gave a presentation about the process of fellowship application and what the infectious diseases fellowship in US is like. He described the typical daily workflow, yearly rotation schedule, and differences between Japan and US in infectious disease practice and fellowship programs.
There was mutual agreement among them with a positive message: “Getting into a clinical training program overseas is tough, but not impossible.” All the attendees were motivated and listened to the lecturer with their eyes shining.
The last session was a highly clinically relevant workshop about the problem representation, a one-sentence summary that highlights the defining features of a case. The “one-liner” statement is used to summarize the patient’s case on rounds in the US.
A post-event survey was administered to all participants. We posed the question, “Did this seminar meet your expectations?” The overall consensus on this question was a resounding, “yes,” as 100% of attendees indicated that this seminar did meet their expectations.
Overall, the majority of attendees found the workshop to be of value, and met their expectations. We will work to not only meet, but exceed attendees’ expectations in the future.
The 3rd American College of Physicians India Chapter Congress was held from August 31th to September 2nd in Lucknow, the capital of Uttar Pradesh, the most populous state in India. The theme of the congress was “Practicing wellness to prevent illness”. On behalf of the International Exchange Program Committee (IECP) at the ACP Japan Chapter, Dr. Tsutsumi and I participated this meeting.
Leaving home early in the morning of August 30, we arrived in Lucknow in the middle of the night. It became the next day when we got to a hotel after a short drive from the airport. It was a muggy night. We could see a couple of cows roaming on the street from a car window. The hotel was located alongside a main street, and had extensive grounds surrounded by tall fences. There were several security guards in front the gate, who asked a few questions to a driver and checked inside the trunk before our car got to the building. Despite after a long travel and coziness of the room, I couldn’t fall asleep easily. I mused over the days I spent in India 26 years ago.
The reason why Dr. Tsutsumi and I came to India originated from a short conversation with Dr. Muruganathan, the Governor of the ACP India Chapter, at the ACP Japan Chapter meeting held in Kyoto, back on June this year. At that time, and until now, the members of the IECP have been discussing what new programs and seminars it could offer. Through the discussion, the idea of an exchange externship program with international chapters of the ACP (chapters outside the United States) came across, and it seemed really nice to us. Having heard that the Governor of the India Chapter was being invited to the meeting, I talked to him to convey the idea at the reception revenue.
“Sounds great. No problem, I think. Let’s do it.” He replied quickly with a big simile on his face.
To be honest, I didn’t expect that things went well so easily. The next day I emailed him a thank-you note. The day after next he replied me to invite me to the India Chapter annual meeting to be held three months later. Actually, I have ever been to India 26 years ago. It was when I was a medical college student. Back in 1992 summer, I backpacked across India for a month on my own. The experience I had during the travel was so impressive, or more correctly put, it was so shocking that it has been a part of my life since then. So, when I read the mail, I definitely thought it was an opportunity I could not miss. After exchanging several emails regarding the schedule and a content of the lecture they want us to deliver in the meeting, Dr. Tsutsumi and I were finally and formally invited to participate in it. I was assigned a talk on the following topic: Is microalbuminuria an indication for RAAS blockade therapy in patients with normal blood pressure? My summer of 2018 was spent preparing for it.
The congress was really great. All sessions were held in English. The topics covered were ranging widely, from clinical research conducted by medical students to up-to-date, clinically relevant theme presented by professors from both inside and outside India. There were also a webinar presented by three physicians from Mayo Clinic, the theme of which was the role of the hospitalist in this day and age. I was amazed by their eagerness to learn the problems that we face and discuss how to deal with them by sharing information with half a dozen invited physicians from abroad. They were from the United States, the United Kingdom, the United Arab Emirates, Bangladesh, Bulgaria, and Japan. In fact, the panel discussion entitled “Challenges and solutions of medical practice” held for this purpose was I thought one of the highlights of this congress. Dr. Tsutsumi participated as one of panelists and commented clearly and sharply about the issues Japan faces. He also did a perfect presentation in his lecture about Japanese medicine in overaging society.
Furthermore, we really appreciated their hospitality. There was a buffet-style reception dinner on the second day of our stay. It was a warm and cozy atmosphere. All participants were talking each other in a relaxed mood. We had a fun time talking with other participants and enjoying a little spicy Indian food. During our stay in India, every single participant and organizer was always nice and kind to us. India warmly welcomed me back.
The experience we had with distinguished colleagues in the India Chapter will be valuable assets to the IEPC. Besides being able to deepen the friendship with them, we could understand the health care environment in India and could also inspect the situation of a big city in India from security perspective, for the planned exchange externship program between the two chapters. Based on them, the IEPC now starts to prepare for its success.
I would like to end my report by showing appreciation to all the people who were involved in my attendance to the congress, to the members of the IECP, to my colleagues in Japan, and to my family. Namaste!
米国フロリダ州のUniversity of Florida, Department of Medicineの内科系専門科で，3週間のエクスターン研修ができます。現地でのプログラムを監修頂くのは日本でも長い指導歴をお持ちのDr. Jerald Stein（スタイン先生）です。米国の一流の内科系臨床研修プログラムを見学できる貴重な機会であり、将来米国での臨床研修を考えている若手医師、米国式臨床研修システムを日々の指導に取り入れたいと考えている指導医クラス、そして米国の臨床研修システムを肌で感じてみたい全ての方に最適です。当委員会メンバーが研修前から研修者をサポートします。