1. Training World-class Family Medicine Specialists!! Shizuoka Family Medicine (SFM) Training Program

2. The Shizuoka Family Medicine Training Program is a world-class family physician training program that prepares family physicians who can work especially in group practice. We strive to train family medicine specialists who can be a primary care physician for the entire family, revive community health, and effectively provide care in the super-aging society.

3. SFM Program’s 8 Features A family medicine training program managed by two cities and one town of Shizuoka Prefecture (Iwata-City, Kikugawa-City, and Mori-Town) ❶ Supported by the Local Government Excellent training and teaching system that produces family medicine specialists who can provide care of wide breadth and of high quality ❷ Excellent Training and Teaching System SFM has the support of Dr. Michael Fetters and the other attending physicians at the Department of Family Medicine at the University of Michigan (UM) for training SFM residents. UM Family Medicine was ranked 3 rd in the US in 2009 for its excellence and its national reputation in family medicine. Program residents have the opportunity to participate in family medicine training and Continuing Medical Education courses at UM. ❸ Supported by the Department of Family Medicine at the University of Michigan SFM trains skilled family medicine specialists who can provide care not only of internal medicine and home visits, but also of the wide breadth as in the US so they can serve as a primary care physician for the entire family. Training breadth includes internal medicine, psychosomatic medicine, pediatric medicine, obstetrics and gynecology, surgery, orthopedic medicine, dermatology and emergency medicine. ❹ Training World-class Family Physicians Physicians who can work especially in a group practice, not in a solo practice. Physicians who can support the elderly to “age well” (aging healthy with a purpose in life) and “age in place” (aging while living a life of your own in a familiar place) Physicians who can contribute to revival of community healthcare by providing inpatient care to patients utilizing open access system and providing up to level 1.5 emergency medical care ❺ Training Family Medicine Specialists Who can Effectively Provide Care in the Community Training in family medicine clinic Training in 2 community hospitals and 1 regional hospital ❼ Family Friendly Residency Program Possible to do preliminary residency training at Iwata City Hospital, and continue seamlessly in specialty training in the family medicine specialist course ❽ Continuous Training from Preliminary Residency through Advanced Training Available ❻ Excellent Training Environment SFM provides training curriculum considerate of female physicians’ needs and helps with the placement of their children in day care so they can be trained to be family medicine specialists.

4. Shizuoka Prefecture The Iwata-City, Kikugawa-City, Mori-Town Family Medicine Training Liaison Council Family Medicine Training Project Board Secretariat in Iwata City Hospital Family Medicine Training Program Committee University of Michigan Japan Institute of Family Medicine (General Inc. Foundation) Iwata-City Iwata City Hospital ************** Kikugawa-City Kikugawa General Hospital ************** Mori-Town Morimachi Public Hospital Iwata-City Iwata City Hospital ************** Kikugawa-City Kikugawa General Hospital ************** Mori-Town Morimachi Public Hospital Shizuoka (Iwata-City ・ Kikugawa-City ・ Mori-Town) Family Medicine Training Project

5. Shizuoka Family Medicine Training Program Staff Leadership Program Director, General Attending Physician ： Tsukasa Tsuda （ Professors Emeritus of Mie University ) Attending Physician: Kiyoshi Sano （ Former Clinical Assistant Professor, Department of Family Medicine, University of Michigan ） Attending Physician: Yosuke Fujioka （ Former Clinical Lecturer, Department of Family Medicine, University of Michigan ） Attending Physician: Keiichiro Narumoto （ Former Faculty Development Fellow, Department of Family Medicine, University of Pittsburgh ） Supervisor of Hospital Training ： Masahiko Terada （ Assistant Hospital Director, Iwata City Hospital ） Hajime Futami （ Assistant Hospital Director, Kikugawa General Hospital ） Masaki Nakamura (Hospital Director, Morimachi Public Hospital ） Residents Tomohiro Arai: （ PGY 3, graduate of Yamanashi Medical University ） Yoshiari Uchibori （ PGY 3, graduate of Mie University) Hironobu Nakane （ PGY 3, graduate of Aichi Medical University ） Shinji Tsunawaki （ PGY 3, graduate of Yamaguchi University ）

6. Collaboration with the University of Michigan Dr. Michael Fetters and other attending physicians at the Department of Family Medicine at the University of Michigan (UM) provide training support for SFM residents. UM Family Medicine was ranked 3 rd in the US in 2009 for its excellence and its national reputation in family medicine. SFM residents have the opportunity to participate in family medicine training and Continuing Medical Education courses at UM.

7. Family Medicine Specialist That SFM Strives To Train Group Practice Primary Emergency Medical Care Pediatric Care Adult and Elderly Medical Care Home Care Ob/Gyn Care

8. System of Training with 3 Hospital Cooperation in Shizuoka Prefecture Iwata City Hospital Acute Care, Secondary ～ Tertiary Emergency Care Obstetrics and Gynecology Care, Pediatric Care, other specialty care (See continuity Family Medicine patients once a week (Half Day Back) in Kikugawa and Morimachi Family Health Center). Morimachi Public Hospital & Morimachi Family Health Center Family Medicine Outpatient Training, Home Medical Care, Health Check-ups, and Inpatient Care Kikugawa General Hospital, Kikugawa Family Health Center Family Medicine Outpatient Training, Obstetrics and Gynecology, and Care for Kokoro (mind) Health Check-ups, and Inpatient Care University of Michigan （ Short-term Training in the US ） Group Practice at the Family Health Center After completion

9. 家庭医療専門医養成プログラム Family Medicine Specialty Training Curriculum APRMAYJUNJULAUGSEPOCTNOVDECJANFEBMAR Specialized training Orientati on Family Medicine Internal Medicine Surgery Pediatrics ・ NICU ObstetricsGynecology 1st Year Ultrasonography, (ER) Half day b ack 、 ＥＲ training Half day back Pediatric ER Half day back Gynecology ER Specialized training Internal Medicine1 Internal Medicine2 Internal Medicine3 Orthopedics Obstetri cs Family Medicine Pediatrics 2nd Year Endoscopy, Half day back 、 ER training Half day back 、 ER, Obstetric ER Endoscopy, (ER) Half day back, ER, Pediatrics Department ER Specialized training Family Medicine 3rd Year Psychiatry(2/week) Radiology(1week) Dermatology Urology (2/week) Ophthalmology Otolaryngology(2/week) Elective

10. Home for the aged Activity Center Group Home Family Health Center Key Regional Hospital 20 Open Bed Prevention ・ Medical Care Emergency Outpatient Support Private Practitioner Small-scale, multifunctional facilities Community Clinial Pass Home Nursing Station Family Health Center Cooperation of diagnosis and treatment Home care Family Medicine Center and Community Health Network Initial emergency outpatient Care