Miyazaki, the birthplace of Kanehiro Takaki who said 'Treat the patient, not the disease,' is the holy land for general practitioners.

The manga 'The 19th Medical Record: Akira Tokushige's Consultation' (illustrated by Katsuhito Fujiya, medical concept by Takeshi Kawashita) deals with general practitioners.

Takino, an orthopedic surgeon in his third year as a doctor, had aimed to be a 'doctor who can cure anything,' which had been his dream since he was a child.

However, he realizes that such a doctor does not exist anywhere.

But, triggered by the examination of a certain patient, he decides to request a transfer from orthopedics to work under Dr. Tokushige in the 'Department of General Medicine.'

The opening narration of the first volume of the manga is like poetry.

Highly developed modern Japanese medicine
has created '18' specialized fields

Therefore, everyone who is called a doctor today
is a specialist who has mastered their respective field

Each specialty is finely, deeply, and further subdivided
And such is their expertise that
even among doctors,
there are times when one cannot
read the medical records of other departments

It is no exaggeration to say that
diseases in a certain field
cannot be diagnosed and treated
unless one is a specialist in that field

For the sake of
'efficient and error-free diagnosis',
it is customary to
refer (consult) cases outside one's own specialty
to other departments

However, that
if one step goes wrong,
can become a hotbed
for 'patient shuffling'

Amidst such circumstances,
the Japan Medical Specialty Board
established the Department of General Medicine
as the
'19th specialty that does not specialize in a specific organ'
It is like a

'gatekeeper'
to each department...
As my senior says,

it is also often
mocked as a 'sorting role'

The 'family doctor' proposed by the Japan Medical Association and the Four Hospital Organizations in 2013 states the following:

A doctor who can be consulted about anything,
is well-versed in the latest medical information,
can introduce specialists and specialized medical institutions when necessary,
and is a familiar and reliable
doctor with comprehensive capabilities who supports community medicine, health, and welfare

I believe that such doctors should be trained and deployed by developing a 'one village, one general practitioner' movement, similar to the 'one village, one product' movement that Governor Hiramatsu of Oita Prefecture used to run.
I apologize for comparing it to a product...

In the first place,are there manga in the medical school library?If they aren't there,
I might want them to put 'The 19th Medical Record' on the shelves first.Maybe.

'Treat the patient, not the disease,' by Kanehiro Takaki, the founder of The Jikei University School of Medicine and a native of Miyazaki Prefecture, is truly a motto for general practitioners!

Miyazaki is indeed the birthplace of the general practitioner.

The government's Regulatory Reform Promotion Council is asking the Ministry of Health, Labour and Welfare to consider adding the Department of General Medicine, which is the only one of the 18 basic medical specialty areas not permitted to be advertised, to the list of advertisable subjects.

The Ministry of Health, Labour and Welfare will,
from the perspective of facilitating access to medical care for patients with diverse problems that transcend specific organs or diseases who wish to see a doctor who provides general medical care,
while taking into account the opinions of academic organizations related to medicine and medical technology,
consider adding the Department of General Medicine to the list of advertisable medical departments,
and reach a conclusion.

A conclusion will be reached within 2025!

Ifthe Department of General Medicine can be advertised at each medical institution, it is expected to be a groundbreaking reform and an innovation in medical care.

While the evolution of medicine has been through subdivision,
many stakeholders have realized that,
conversely, integration and generalization
make community medicine work better.
Above all, there are patient needs.

I heard from a professor of public health at the University of Occupational and Environmental Health who came to Miyazaki for a lecture that in Canada, nearly half of the graduates of the medical school atMcGill University, which has the longest tradition, aim to become general practitionersto meet patient needs.
It has become a global trend.

It seems the wind is blowing for general practitioners.

'The path runs through all ages.'

These are the words of Dr. Kanehiro Takaki.

The University of Miyazaki Faculty of Medicine also began public recruitment for a professor of the Department of General Medicine on January 16, 2025.
The deadline is March 14, 2025.

General practitioners who have a desire to train medical students in the holy land of Miyazaki, please take on the challenge!