Editorial

Special Articles

This paper analyzes into what is Common Disease for hospital generalists and with

Generalist teachers
consortium

Common Disease

what perspective and structure instruction should be given. As a result of thought

Featuse of common disease in general clinical hospital wards

tumor, chronic organ disease, diabetes mellitus, and psychiatric disorder. Moreover, it

given to this theme using statistics of name of admission disease demographic

statistics, number of deaths, index such as DALY of wards of general medicine, it was
discovered that other than infectious disease that was consciously examined, it was
important to provide comprehensive care to patients and elderly with malignant

was also found that there existed a certain level of diagnostically dicult cases and

Recommendation

in Japan and points for consideration for education

adverse drug reactions specific to hospital generalists. Hence, treatment cannot be

completed withmedical care within wardand since continuous care is required

Case Conference & Lecture

Kenta Sato

even after release from hospital and due to the fact that there are numerous complex

General Practice and Medical Education Center, Hokkaido Kin-ikyo (GPMEC)

cases which cannot be completed through diagnosis and treatment of disease of

Recommendations

internal medicine, as for instructions on quality of assessment, points in addition to

number of experienced cases and severity of illness, combination of various eld of

practice and continous involvement with patients with complex medical background,

natural history and period of illness is essential from an educational standpoint.

Interview

Special Articles

DALY

Clinical Practice
Recommendation
Medical Education Practice
Report

Report

GPMEC
General Practice and Medical Education Center, Hokkaido Kin-ikyoGPMEC

Hokkaido Kin-ikyo Sapporo Hospital. the department of internal medicine

003-0804 4 1 9-22
E-mailDr.kenta.sato@gmail.com

02

307_00-0..indd 002-003

Special Articles03

13.3.19 5:57:34 PM

Editorial

Box 1

Generalist teachers
consortium

30.9

60

6.9

41.8

31-6044.2

13.7

6-146.9

2.7

3-95.2

4.5

3-85.2

1.9

2-84.3

COPD

7.3

1.9

2-74.1

4.2

2.9

3-54.0

VTE/PTE

Recommendation

11.5

1.1

1-114.9

1.4

6.5

1-73.6

AIHA/ITP

3.5

4.6

1-53.0

4.2

10.9

4-115.0

4.5

1.5

2-52.0

2.1

1.5

1-21.2

2.1

1.1

1-21.1

0.8

10.3

Case Conference & Lecture

Interview

WHO DALY

Special Articles

2 2 1 3

DKA

60

307
/15

73

80.3

73-80

15

30

15-30

1147 / 263 /

Clinical Practice
Recommendation

Box 1

30

2011 5 Box

2 36 3

Medical Education Practice

Report

606 14 2 11

4 11

1 81 5

COPD

60
70 80 30

WHO DALY
6
DALYdisability-adjusted life year

Report

Years of Potential Life Lost

Years Lived with Disability

HIV/AIDS

DALY

04

307_00-0..indd 004-005

Special Articles05

13.3.19 5:57:34 PM

Editorial

Box 2

Box 3

DALY

DALY

12.5

9.9

2.2

5.4

35.7

28.5

1.6

Generalist teachers
consortium

2.5

1.3
2.0

Box 4

DALY

10
8

19.5

15.5

COPD

1.7

1.4

COPD

12.4

9.9

Recommendation

2.9

2.3

5.9

4.8

Case Conference & Lecture

5.2

4.2

125.3

Interview

Box 1 Box 1

5 6

1.919.2

1.9

20.3

4.3

8.4 5.0
13.4
2.3

CHFCOPDCKDCHCND

13.8

/15.9 32.0/
36.3

3.3 1.8 0.3/

5.1

ACSStroke

1.6 2.1 35.7/8.5

3.7

7.04.1 0.1/
/
7.9/1.3

3.01.4
15.5

1.9 2.7
9.7

CommonDisease

30 10 9
4 5 2
4 5 2

PALY

5.9/

/19.9

4.0

0.0

Box

DALY 1

Special Articles

Box 1 DALY
5

DALY

COPD

Clinical Practice
Recommendation

DALY

Box

Medical Education Practice

Report
Report

3 ERICU

COPD

06

307_00-0..indd 006-007

Special Articles07

13.3.19 5:57:34 PM

Editorial

Box 5

CH

CKD

CHF

300

1.6

1330

2.1

Generalist teachers
consortium

250

19.5

COD 2600

COPD COPD

530

1.7

24.6 1

CND ATDVD

200

Recommendation

2610 24.6

HBV HCV
HBV 130 150
15
HCV 150 200

20 GFR 60ml/ /1.73m2 1 16

45 2-3
250 13

COPD 14
17

QOL

Case Conference & Lecture

Interview

Special Articles

ACLS ISLS

10 12

Clinical Practice
Recommendation

Hospitalist

ICU

COD

Medical Education Practice

Report

Chronic Organ DiseaseCOD

Report

Chronic Heart FailwreCHF

Chronic Obstrnctive Plnmonary

DiseaseCOPD

Chronic Kidony DiseaseCKD

Chronic

HepatitisCH

Chronic Nerral DiseaseCND

Box

08

307_00-0..indd 008-009

Special Articles09

13.3.19 5:57:35 PM

Editorial
Generalist teachers
consortium
Recommendation
Case Conference & Lecture
Interview
Special Articles

Box 6

CGA

Health promotion / Disease prevention

Chronic Care ModelEnd of Life CareContinuity of Care

Simple-Complicated
-Complex
-Chaotic
Complex ~ Chaotic

Box 6

Simple/Complicated/Complex/Chaotic

EBM

EBM

EBM

Clinical Practice
Recommendation

Medical Education Practice

Report

Box

Report

Box

BOX6

10

307_00-0..indd 010-011

Special Articles11

13.3.19 5:57:35 PM

Editorial

Box 7

Box 8

Generalist teachers
consortium
Recommendation
Case Conference & Lecture

web

1 Box 12

1 AMI

DVD CPAP

1 Web

Web tool

UpToDateDynamed AHA

EBM
web

PDF

O the

job

SNS

Special Articles

1 ACLS

IPW

Clinical Practice
Recommendation

1 1

Interview

XpECG

1 3

Web

1 3

DVD
Web Dropbox IT

Common

1 3
ACS

1 ACS

Medical Education Practice

Report
Report

2 1

1 2

http//www.primary-care.or.jp/nintei/generalist_sinki.html
2
2012
3
http//www.jichi.ac.jp/hospital/top/outline/report01.html
4 1 4
2025
http//www.mhlw.go.jp/shingi/2006/09/dl/s0927-8e.pdf
5 23
http//www.mhlw.go.jp/toukei/saikin/hw/jinkou/geppo/nengai11/kekka03.html#k3_2

12

307_00-0..indd 012-013

Special Articles13

13.3.19 5:57:35 PM

Editorial

6WHO Health statistics and health information systems.

Metrics Disability-ADjusted Life YearDALY
http//www.who.int/healthinfo/global_
burden_disease/metrics_daly/en/

Generalist teachers
consortium

7 DALY http//www2.ttcn.ne.jp/honkawa/2050.html
8
ACLS AHA 2010 American Heart Association

9
ISLS
ISLS

Recommendation

2006
102011
http//www.j-circ.or.jp/guideline/pdf/JCS2011_ogawah_h.pdf
11Secondary stroke prevention
http//www.bpac.org.nz/magazine/2010/march/docs/bpj26_stroke2_pages38-43.pdf

Case Conference & Lecture

12Care of Stroke Survivors

http//www.bpac.org.nz/magazine/2010/april/docs/bpj_27_stroke_pages_42-51.pdf
13DynamedHeart failure
14Respirology. 2004 Nov94458-65.COPD in Japan the Nippon COPD Epidemiology

Interview

study. Fukuchi Y. et,al.

15 2011. 2011
16CKD 2012. 2012
17http//www.mhlw.go.jp/kokoro/speciality/

Special Articles

detail_recog.html

Clinical Practice
Recommendation

2012

vol. 1 2012
2012

Medical Education Practice

Report

http//www.primary-care.or.jp/nintei/generalist_sinki.html

Report

http//www.sogo-s-igakukai.hosp.kyushu-u.ac.jp/

14

307_00-0..indd 014-015

13.3.19 5:57:36 PM