2019年5月15日(水) 13:30 〜 15:00 第4会場 (2F Room B-2)

Organizer: Tin Myo Han(Myanmar General Practitioners’ Society, Myanmar)
Chair: Zorayda Leopando(Philippine Academy of Family Physicians, Philippine), Tin Myo Han(Myanmar General Practitioners’ Society, Myanmar)
Speaker/Facilitator: Tin Myo Han(Myanmar General Practitioners’ Society, Myanmar), May Thin Zar(Taung-gyi GPs Society, Myanmar)

Non communicable diseases (NCDs), which include cardiovascular diseases, diabetes, cancer, chronic respiratory diseases are global public health problems with increasing trends. Empowering individuals, families, communities and societies for them to be involved in activities for the prevention and care of NCDs is crucial to mitigate burden of NCDs. Improving health literacy is basic requisite for empowering people and developing their personal skills and capacity to make informed decisions about health including NCDs. Thus, in implementing Alma-Ata declaration, empowering individuals and communities is also included as one of driven factors to achieve the success of primary health care. First, empowering individuals and communities and its effects on mitigation of NCDs and three levels of health literacy for better management of NCDs – core health literacy, engaged health literacy and Influential health literacy, will be presented in this workshop,. Then, a brainstorming session will be carried out with workshop’ participants to determine “Role of primary care physicians to improve health literacy of their patients and its effect on empowering in prevention and care of NCDs. The results of the brainstorming will be shared with all workshop participants

2019年5月15日(水) 13:30 〜 15:00 第7会場 (1F Room C-1)

Organizer: Satang Supapon(Royal College of Family Physician of Thailand, Thailand)
Chair: Supattra Srivanichakorn(The general practitioner/Family physician association of Thailand/Royal College of Family Physician Thailand, Thailand)
Presenter: Satang Supapon, Sairat Noknoy(Royal College of Family Physician of Thailand, Thailand)

Empathy and healing are essential skills for family doctors to provide comprehensive care to patients. It’s about perceiving and understanding patient’s feelings and his/her internal psychological process. These are humanistic skills that family doctors use themselves to deal with emotional and spiritual illness. Approaching and dealing with patient’s feeling is not only “understanding” patients’ context and their rationalization, but doctors should really “feel” the internal process of patient’s mind. To achieve this, Family doctors have to learn to cultivate a healing power inside.
Empathy and healing training challenge the trainers to design teaching method which could develop sensing skills; “feeling the patient” without thinking or judging by using their own thought or mind. Effective training method should incorporate Transformative/ Contemplative learning to naturally enhance mindful practice, emotional sensitivity, and compassionate expression. It’s expected that this method will make the healer response to patient’s emotional distress in a helpful way and with confidence. How to train advance skills of deep listening, empathic communication, and basic counselling will be introduced and practiced, in this workshop.

2019年5月15日(水) 13:30 〜 14:15 第8会場 (1F Room C-2)

Organizer/Facilitator: Keiichiro Narumoto(Hamamatsu University School of Medicine/Shizuoka Family Medicine Residency, Japan)
Speaker: Keiichiro Narumoto(Hamamatsu University School of Medicine/Shizuoka Family Medicine Residency, Japan), Meagan Wong(University of Washington, Valley Family Medicine, USA), Moriya Iwaizumi(Department of Laboratory Medicine, Hamamatsu University School of Medicine, Japan), Misaki Fukue(Clinical and Molecular Genetics Center, Hamamatsu University Hospital, Japan)

Lay people have become more knowledgeable about the genetics in cancer through mass media and the internet, which compels family physicians (FPs) to increase their genetic literacy with basic counseling skills. FPs have an essential role in ensuring that patients and their families properly receive preventive care (counseling, cancer screening tests and referral to genetics experts) according to family history-based cancer risk. However, recent mixed methods study in Japan reveals that only a few FPs have provided genetic counseling or made a referral to genetics experts for familial tumors, and that FPs are in a dilemma between uncertainty about the clinical genetics and concerns about the anxiety that a discussion might create. This workshop will provide practical resources and decision-making tools to enhance patient-doctor communication about the genetics of cancer and help FPs become more confident in (1) explaining the basis of clinical genetics of cancer in the way patients can understand, (2) obtaining family history of cancer with a focus on the genetics of cancer, (3) identifing the risk of cancer based on family history, (4) discussing recommended cancer screening tests according to cancer risk, and (5) making an appropriate referral to genetic medicine experts.

2019年5月15日(水) 13:30 〜 15:00 第9会場 (2F Room I)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月15日(水) 15:30 〜 17:00 第9会場 (2F Room I)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月16日(木) 08:30 〜 10:00 第9会場 (2F Room I)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月16日(木) 10:30 〜 12:00 第9会場 (2F Room I)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月15日(水) 13:30 〜 15:00 第10会場 (2F Room J)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月15日(水) 15:30 〜 17:00 第10会場 (2F Room J)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月16日(木) 08:30 〜 10:00 第10会場 (2F Room J)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月16日(木) 10:30 〜 12:00 第10会場 (2F Room J)

Organizer: Shelly Rodrigues(California Acaddemy of Family Physicians, USA)
Chair: Christopher Dowrick(Professor, Primary Medical Care, University of Liverpool and Chair, WONCA Working Party for Mental Health, UK), Ryuki Kassai(Professor and Chair, Department of Community and Family Medicine, Fukushima Medical University, Japan)
Presenter: Jay W. Lee(Director of Primary Care, CareMore Health, USA), Cindy Lo-Kuen Lam(Danny D.B Ho Professor, Family Medicine, and head of the Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong), Jillian Benson(Medical Educator, GPEx, clinician at Doctors Health SA and member of the WONCA Working Party for Mental Health, Australia), Shelly Rodrigues(California Acaddemy of Family Physicians, USA), Christopher Larrison(Founder, Healthcare Performance Consulting, Inc., USA)

*Members only

This workshop is the second in a series. The first workshop was held at WONCA, Seoul, October 2018. Our master faculty, co-chaired by Drs. Christopher Dowrick, UK and Ryuki Kassai, Japan, will lead the workshops for 25 +/- trainees on improving care of patients with depression and anxiety. The workshops are interactive, with didactic content, small-group work, videos, exercises, practice and discussions. They include cases and tools. The trainees will then commit to teaching at least two one-hour clinical sessions in their home countries as a way to expand and improve mental health care. Our other faculty members inlcude Drs. Cindy Lam, Hong Kong; Jay Lee, USA; and Jillian Benson, Austrialia. Shelly Rodrigues and Chris Larrison will also faciliate sessions during the workshop. Our trainees will have at least four webianrs after this live workshop to support additional education for better care of patients.

2019年5月15日(水) 13:30 〜 15:00 第11会場 (2F Room K)

Organizer: Mary Beth MacIsaac(Expert Committee on Quality Care RACGP, RACGP, Australia)
Facilitator / Expert Panel: Katrina McLean(Expert Committee on Post Fellowship Education RACGP; Bond University, Australia), Mark Morgan(Chair of Expert Committee on Quality Care RACGP; Bond University, Australia), Frank Jones(Past President, RACGP, Australia), Felicity Goodyear-Smith(University of Auckland, New Zealand)
Facilitator: Michael Tam(RACGP Expert Committee-Quality Care, Australia), Manabu Saito(Director, Rural Generalist Program/CEO, GENEPRO/Adjunct Senior Lecturer, James Cook University/Devision of Medical Education, Juntendo University Faculty of Medicine, Japan)

Background
Have you ever participated in a quality improvement initiative that didn’t quite live up to its title? Do you think you could do a better job? Here’s your chance.
Aims
Triple-loop learning involves taking corrective actions (first loop), thinking about reasons for corrective actions (second loop), and thinking about the way in which the learning occurred (third loop). This workshop aims to engage clinicians to think about their own health systems and what encourages or discourages quality improvement. Participants will design their own quality improvement initiatives. The workshop outputs may lead to a peer-reviewed publication.

Method
After a 10 minute presentation on behaviour change theory and triple-loop learning, participants will spend 15 minutes in facilitated small groups examining barriers and enablers to quality improvement in their own healthcare systems. In the next 45 minutes these groups will design their own solutions. The quality improvement initiatives designed by the small groups will be shared and discussed by the expert panel at conclusion.
Results
Learn how to implement real change in your own healthcare setting. Find out how other countries’ quality improvement systems work.
Conclusion
Participants will have a tangible quality improvement system idea applicable to their own workplace setting.

2019年5月15日(水) 14:15 〜 15:00 第8会場 (1F Room C-2)

Organizer/Chair: Tomoko Sairenji(University of Washington, USA)
Facilitator: Kenya Ie(St. Marianna University/Kawasaki Municipal Tama Hospital, Japan), Tomoki Matsumoto(Aso-Iizuka Hopsital, Japan)

Mentorship is critical for physician career development, however we often do not learn the skills to be successful at mentorships. This workshop is intended for trainees and junior physicians who are in exploratory or beginning stages in their careers, and seeking to develop or further mature in their mentorship relationships.
We will use career development survey results conducted on early-career Japanese physicians to perform a needs assessment and to better guide content. Participants will learn key features of successful mentorship relationships, various mentorship structures (multiple, peer, group, etc), and mentee skills that will make their relationships fruitful and satisfying. We will also cover distance-mentorships, as not everyone has easily accessible mentors, and these can also be extremely effective. We will explore methods of creating formal mentorship relationships, such as mentorship program development. These skills should be readily transferable regardless of where the participants envision their future careers, whether it be in a primarily clinical setting, academic setting, or in research. There will be time for individual and small group work to start brainstorming where and how they can apply learned skills in the real-life setting.

2019年5月15日(水) 15:30 〜 17:00 第7会場 (1F Room C-1)

Organizer/Chair: Yeung-Shan, Samuel WONG(Chinese University of Hong Kong, Hong Kong)
Facilitator: Yeung-Shan, Samuel WONG, Kam-Pui Eric, Lee(Chinese University of Hong Kong, Hong Kong)

Evidence shows that mindfulness-based interventions are effective for improving mental health. For example, mindfulness-based cognitive therapy is now established as one of the recommended non-pharmacological interventions for people with recurrent depression. In this workshop, a brief update on current evidence for mindfulness-based interventions for both mental and physical health problems, including recent research with respect to the benefits on reducing burnout among health professionals (primary care doctors) will be presented. The brief presentation will be followed by an experiential component with a “taste” session on one of the mindfulness practices such that participants can gain a better understanding on what is taught during the popular 8-week mindfulness-based cognitive therapy/mindfulness-based stress reduction programme.

Objectives & Learning Outcomes:
At the end of the session, participants will be able to
• describe the most up-to-date evidence on the use of mindfulness-based interventions on common health problems
• describe the potential benefits of using mindfulness skills in doctor-patient communications and for reducing burnout among health professionals

2019年5月15日(水) 15:30 〜 16:15 第8会場 (1F Room C-2)

Organizer: Greg Irving(Univeristy of Cambridge, UK)
Chair: Greg Irving(Univeristy of Cambridge, UK), Ai Oishi(University of Edinburgh, Japan, UK )

There is considerable variations in consultation length around the world and it is concerning that about 50% of the global population spend 5 min or less with their family physician. Such a short consultation length is likely to adversely affect patient healthcare and physician workload and stress. In a recent systematic review we ientified 179 studies from 111 publications covering ~28 million consultations in 67 countries. Average consultation ranged from 48 s in Bangladesh to 22.5 min in Sweden. We found significant associations between consultation length and healthcare spending per capita, admissions to hospital with ambulatory sensitive conditions such as diabetes, primary care physician density, physician efficiency and physician satisfaction.
In this workshop we will:
1) Describe the findings from our systematic review undertaken in English, Japanese, Spanish, Portuguese and Russian languages which was supplemented with data from the WHO International Rational Use of Drug Programme and a survey WONCA members
2) Offer personal stories of the experience of family doctors from selected countries covering a range of different consultation lengths
3) Discuss the current evidence base are related to consultation length and explore the value of each added minute with participants
4) Explore the implications of long and short consultation for practice and policy.

2019年5月15日(水) 15:30 〜 17:00 第11会場 (2F Room K)

Organizer: Bárbara Margarida Pinho Chaves(Agrupamento de Centros de Saúde do Baixo Vouga Nutricion and Exercise Study Group – Portuguese Association of Family Medicine Medical Psychology Institute – Faculdade de Medicina da Universidade de Coimbra, Portugal)
Speaker: Ana Margarida Soares Adão(Agrupamento de Centros de Saúde do Baixo Vouga Consultation on smoking cessation of Family Health Unit Flor de Sal, Portugal), Bárbara Margarida Pinho Chaves(Agrupamento de Centros de Saúde do Baixo Vouga Nutricion and Exercise Study Group – Portuguese Association of Family Medicine Medical Psychology Institute – Faculdade de Medicina da Universidade de Coimbra, Portugal), Carine Alves Silva(Agrupamento de Centros de Saúde do Baixo Vouga Nutricion and Exercise Study Group – Portuguese Association of Family Medicine Medical Psychology Institute – Faculdade de Medicina da Universidade de Coimbra, Portugal), André Torres Cardoso(Agrupamento de Centros de Saúde do Baixo Vouga Nutricion and Exercise Study Group – Portuguese Association of Family Medicine Medical Psychology Institute – Faculdade de Medicina da Universidade de Coimbra, Portugal)

Women attain numerous benefits from physical activity during pregnancy. However, due to physical changes that occur during pregnancy, special precautions are needed.
Health benefits include reduced risk of excessive gestational weight gain and conditions such as gestational diabetes, preeclampsia, preterm birth, varicose veins, and deep vein thrombosis. Psychological benefits include reduced fatigue, stress, anxiety, and depression, as well as improved well-being. From a public health perspective, women who are active during pregnancy are more likely to continue physical activity during postpartum.
Health professionals have a fundamental in education to promote lifestyles such as the practice of regular physical exercise.
It is important to inform women of the beneficial aspects of physical exercise in the well-being of the pregnant and baby in an attempt to encourage the onset and maintenance of regular physical activity.
Guidelines on physical activity during pregnancy provide recommendations for health professionals as to whether to prescribe physical activity and if so, in what manner.

Objectives:
• Benefits versus risks of exercise in pregnancy
• General guidelines on physical exercise in pregnancy
• Frequency, duration, intensity and types of trainning
• Contraindications to exercise during pregnancy
• Exercise and preparation for childbirth
• Physical exercise and perinatal mental health
• Clinical cases

2019年5月16日(木) 08:30 〜 10:00 第11会場 (2F Room K)

Organizer/Speaker/Psychodrama Group Leader: Derya Iren Akbiyik(Ankara Diskapi Yildirim Beyazit Research and Training Hospital, Turkey)

Occupatioanl stress, burnout and coping with the psychological burden of the illnesses are important and prevalent phenomena among family physicians. As they have fundamental responsibilities in patient care, it is extremely important that they feel well physically and psychologically. Carrying the burden of their patients’ illness in different aspects as a health service provider often cause serious difficulties in family physicians personal lives.
Psychodrama is an action method, usually conducted as groups, in which people carry scenes from their lives, dreams, phantasiess or makeup stories and share those with the other members to be able to express unexpressed feelings, reach to emotioanl catarsis, gain new understandings, increase awareness on specific issues, develop more satisfying behaviors.
The workshop is planned as a short psychodrama group work targeting to notice and cope with any kind of psychological burden which family physicians carry during their daily practice.
A similar version of this session was presented at 21st Wonca World Conference of family members in 2016 in Rio de Jenario/Brasil. The title was “The use of psychodrama group therapy in psrimary care against the burden of chronic illness either for the patients and for the physicians”

The workshop is planned to work with a group of health professionals (preferably family physicians) limited to 16-18 people and a psychodramatist group leader (workshop chair).

2019年5月16日(木) 10:30 〜 12:00 第3会場 (2F Room B-1)

Organizer/Chair: Val Wass(Chair WONCA Working Party on Medical Education, UK)
Speaker: Robin Ramsay(Programme Coordinator , Masters in Family Medicine, University of Edinburgh, UK)
Facilitator: Greg Irving(Clinical lecturer. Dept of public Health and Primary Care, Cambridge University, UK), Noriyuki Takahashi(Department of Education for Commnity-Oriented Medicine, Nagoya University Graduate School of Medicine, Japan)

Background: The Lancet report on Health Professionals for the New Century (2010) calls for new educational strategies to produce a workforce appropriate for population needs. The Astana Declaration 2018 emphasises even more our social responsibility to address health inequities and develop sustainable primary care. Yet curriculum change is proving frustratingly slow. We remain entrenched in specialty hospital based “silo” driven, often tertiary care orientated, education. We need integrated more community-based teaching where issues key to patient needs such as social accountability and social determinants of health can be learnt.

Workshop / Symposium objectives: To explore interactively what we mean by social accountability, why it is important and share experience of how it can be learnt in the context of Family Medicine.


Methodology: Within the available time. after brief introductions, we will agree what is meant by social accountability and present any relevant evidence. Small group discussions (or presentations) will allow participants to share their experience and ideas to develop common themes for plenary discussion. Outcomes will be circulated to the attendees and ongoing work carried out online to produce a strategy document to strengthen Family Medicine training.

Outcome: WONCA guidance document on developing social accountability for undergraduate and postgraduate family medicine education.

2019年5月16日(木) 10:30 〜 12:00 第11会場 (2F Room K)

Organizer/Chair: Pak Yean Cheong, Lee Gan Goh(YLL School of Medicine, National University of Singapore, Singapore)
Presenter: Yi Yong PHUA (YLL School of Medicine, National University of Singapore, Singapore)

This workshop presents an extended consultation model to arrive at a formulation of the reasons for encounter that augment the diagnosis, useful especially in complex and chaotic cases. A case study of a patient with poorly controlled diabetes due to psycho-social issues is used to illustrate the principles. Video recordings of role-play are used to demonstrate the extended skills. Participants would then work out the formulation and integrative bio-psychosocial interventions.

The history is extended into the consultation period itself to understand the ideas, concerns & expectations (I.C.E.) of the patient and how it may interact with the I.C.E. of the doctor. The physical examination is extended by reflective communication (Active Listening). The investigation is extended by Socratic inquiry to understand the patient’s salient feelings, thinking and behavior.

With both idiographic and nomothetic perspectives in an enlarged open Johari window and a time-line of salient events, a formulation (4 Ps) of the Predisposing, Precipitating, Perpetuating and Protective issues can be understood. Eclectic counselling techniques may then be used with biomedical management to target the maladaptive psycho-social issues. A book The Extended Consultation Talk Matters! is used as course manual. (187 words)
Reference: Cheong PY Goh LG Ong CP Ser JS The extended Consultation: Talk matters! Singapore: Wens Holdings PL; 2017. ISBM 978-981-11-3221-6

2019年5月16日(木) 15:30 〜 17:00 第4会場 (2F Room B-2)

Organizer: Rojanasak Thongkhamcharoen(Maesot General Hospital, Thailand)
Facilitator: Supattra Srivanichakorn(President of General practionners/Family phisicians Association of Thailand, Thailand)
Speaker: Rojanasak Thongkhamcharoen(Maesot General Hospital, Thailand), Patama Gomutbutra(Palliative care unit. Department of Family Medicine, Faculty of Medicine,Chiang Mai university, Thailand), Attakorn Raksasataya(Karunruk Palliative Care Center, SV building Fl.18, Srinakarind hospital, Faculty of Medicine, Khon Kaen University, Thailand)

Palliative care intends to improve the quality of life for life limiting illness patients and family. The evidence is growing that an early palliative care approach would benefit people. Family practitioners (FPs) provide care of people along their entire family life cycle. They have more chances to encounter palliative care patients. This implies that much of the care would not be met by ‘specialist’ palliative care but by other generalist healthcare providers. Opioids are the most essential drugs in pain and symptom management in palliative care. Consequently, opioids management are crucial skills that generalist need to develop.
Workshop will provide participants to confidently prescribe opioids in ambulatory care and home care settings through an interesting case , series of minilecture and interactive group discussion. Selecting appropriate opioids for individual patients, managing opioid drug therapy, opioid rotation and continuous subcutaneous syringe driver infusion (CSSI) for last hour of life management at home setting are provided in this workshop.
Limitation: The workshop will provide Thai context-based palliative care management, the practical mangement of opioids in primary care depend on national policy, opioids availabilty and opioids regulation in each country.

2019年5月16日(木) 15:30 〜 17:00 第9会場 (2F Room I)

Organizer: Maham Stanyon(Imperial College London, UK)
Facilitator: Daisuke Kato(Dept of Family Medicine, Mie University Graduate School of Medicine, Japan), Kentaro Asakura(Daifuku Clinic, Kenseikai, Japan), Sonia Tsukagoshi(RCGP Junior International Committee, UK), Maham Stanyon(Imperial College London, UK)

Giving constructive feedback is an essential part of teaching and training. In an increasingly globalised world, with events such as the Tokyo Olympic Games approaching, working with international colleagues and giving culturally competent feedback is becoming a necessity.
This workshop is a joint UK-Japan collaborative initiative to explore cultural considerations in feedback communication in Primary Care. Suitable for all levels in training and delivered in English, this workshop uses active learning and facilitated discussion with active participation encouraged but not mandatory.
The workshop aims to give participants:
• An appreciation of how communication and behaviours may vary between cultures in a clinical setting
• An understanding and chance to apply socio-cultural frameworks including Lewis’ behavioural dimensions framework and Hall’s theory of high and low context communication to feedback scenarios
• An opportunity to reflect on the impact of giving/being given feedback/behaving in a style that is different to your preferred style
• A chance to reflect on how understanding cultural influences in communication may improve inter-cultural collaboration in primary care
We hope to be able to use our experience of the UK and Japan to compare and contrast two very different cultures to deliver an inclusive and thought-provoking workshop.

2019年5月16日(木) 15:30 〜 16:15 第10会場 (2F Room J)

Organizer/Chair: Julie Chen(The University of Hong Kong, Hong Kong SAR, China)
Facilitator: Julie Chen, Esther YU(The University of Hong Kong, Hong Kong SAR, China)

Clinical reasoning is a key skill that medical students begin to learn from an early stage of their education. It is a complex process that includes problem identification, problem synthesis and problem solving to a diagnosis. Typically, this may be learned by working through paper cases and from bedside teaching over the course of medical education and training. In this highly interactive workshop we share our experience of using a novel approach called team-based learning (TBL) to help medical students learn and develop their clinical reasoning skills in family medicine. TBL uses a structured, game-based, collaborative approach to learning stimulates students to acquire, share and apply knowledge. It also brings fun and competition to the learning process which can lead to a higher level of motivation and better outcomes. Participants in this highly interactive workshop will have a hands-on opportunity to experience TBL from a student perspective, learn the process, and consider its application in their own settings.

2019年5月16日(木) 15:30 〜 17:00 第11会場 (2F Room K)

Organizer/Chair: Alison Begg(GP and Medical educator, Royal New Zealand College of General Practice, New Zealand)
Facilitator: Alison Begg(GP and Medical educator, Royal New Zealand College of General Practice, New Zealand), Upeksha Settinayake(Royal New Zealand College of General Practice, New Zealand)

This is a practical workshop aimed at developing your ability to facilitate small groups of peers to discuss challenges in the doctor/patient relationship.

Once we have become reasonably competent with biomedical medicine our relationships with patients often become the most demanding aspect of clinical work. In the absence of a trained facilitator, peer group discussion tends to focus on biomedical aspects of practice.

A group of us have been working on educating interested GPs to become “peer facilitators” for non-biomedical cases when the need arises. This has evolved from our experience in teaching communication skills and leading Balint groups.

This experiential session will involve theoretical presentation, demonstration and opportunity for practice in groups of 7-10 people. We will reflect on our experiences in these groups and to plan how we can integrate this learning into groups we are currently involved with – or would like to develop.

2019年5月17日(金) 08:30 〜 09:15 第9会場 (2F Room I)

Organizer: Jasna Vucak(DNOOM Društvo nastavnika opće/obiteljske medicine, Croatia)
Chair: Jasna Vucak(DNOOM Društvo nastavnika opće/obiteljske medicine, Croatia), Biserka Bergman Marković(DNOOM Društvo nastavnika opće/obiteljske medicine, Croatia)
Presenter: Mario Sammut(EURACT, Malta), Val Wass(WONCA Working Party on Education, RCGP Medical Director for Europe, UK), Vanja Lazić, VdGM, Croatia)

In order to respond to rapid changes in medical knowledge, it is necessary to actively involve teachers inside, as well as, outside academia. Bearing in mind that purpose, in Croatia, the activity of the teachers' society is aimed at providing permanent training for all general and family medicine practitioners through the provision of continuous courses, on-line education, the issuance of manuals and the organization of the annual congress enable all GPs in general / family medicine to continue their education in the most accessible way.
The aim of the workshop is to show achieved in Croatia and to encourage participants to review similar activities in their countries. The work would be organized in small groups with a joint conclusion and the proposal of an optimal CME organization.

2019年5月17日(金) 08:30 〜 09:15 第10会場 (2F Room J)

Organizer: Ryohei Goto(University of Tsukuba, Japan)
Chair: Manabu Yoshimura(University of Miyazaki, Japan)
Speaker/Facilitator: Junji Haruta(Faculty of Medicine, University of Tsukuba, Japan), Sachiko Ozone(Faculty of Medicine, University of Tsukuba, Japan)

[Background]
In a super-aging society, community-based rehabilitation needs to function interprofessionally in order to support those who wish to live life on their own terms. The process of providing rehabilitation in hospital settings mainly constitutes giving instruction (physician; P), receiving instruction (rehabilitation professionals; R), rehabilitation intervention (R), and evaluation (P and R); however, the roles of physicians and rehabilitation professionals in community-based rehabilitation remain ambiguous. Therefore, to establish integrated community care systems, an understanding of their roles in community-based rehabilitation should be deepened.
[Purpose]
To deepen the understanding of physicians’ roles based on the concept of community-based rehabilitation.
[Target participants]
Primary care physicians and other healthcare professionals who are interested in community-based rehabilitation.
[Contents]
First, tasks introduce community-based rehabilitation. Second, participants discuss the difference between community-based and hospital rehabilitation. Third, participants discuss the roles and value of primary care physicians in community-based rehabilitation. We hope that this process will help participants understand how primary care physicians and other healthcare professionals can promote interactions in community-based rehabilitation.

2019年5月17日(金) 08:30 〜 10:00 第11会場 (2F Room K)

Organizer/Chair/Speaker: Evelyn Van Weel-Baumgarten(Radboudumc, Nijmegen, Netherlands)
Facilitator: Chiaki Mishima(Aoba urban clinic, Medical cooporation Platanus / International Committee, Japan Primary Care Association, Japan), Naomi Takasawa(Hoshiyokozuka Clinic / The Department of Community and Family Medicine, Fukushima Medical University, Japan), Ryuji Suzuki(Shirakawa Satellite for Teaching And Research STAR in General Medicine, Fukushima Medical University, Japan)

Adequate patient centered communication between professionals and patients has a positive impact on health-outcomes and can be trained effectively. Many medical curricula and other healthcare professions training programs therefore include longitudinal, helical, integrated communication skills training in their programs with both classroom training and workplace learning. However transfer from classroom to clinical practice is difficult, and skills deteriorate if no feedback on actual communication is provided to learners and doctors which fits with that local context of clinical practice. Giving helpful constructive and non-judgmental feedback is a skill that deserves training. This workshop focusses on the skills and techniques of providing effective feedback and can be used in any (cultural) context. The workshop will be interactive throughout: after an interactive introduction it will contain a mini presentation and discussion, a short video of a primary care consultation will precede a demo of feedback which will be used to elicit feedback rules with the audience in a playful way, using brainstorming in pairs and summarizing in plenary, Participant role-play will provide an opportunity to practice feedback in small groups of three. A final discussion will bring everything together and the workshop will finish with formulating learning points and take home messages.

2019年5月17日(金) 09:15 〜 10:00 第9会場 (2F Room I)

Globally, older population is growing and the number of older persons in the world is projected to be 2.1 billion in 2050 by United Nations report. In this advanced aging society, family practitioners often encounter elderly patients with cognitive impairment. It is a vital skill of family practitioners to make correct diagnosis of cognitive impairment in eldery patients and initiate appropriate intial management. But often it is challenging when to order tests to rule out “treatable dementia” or to identify specific types of dementia even though you are able to tell it is “dementia”.
In this workshop, we would like to have group discussion of several cognitive impairment cases and make diagnosis of dementia type in each case. In each group, we will have a US board certified geriatricians as a facillitator. In this discussion, we will review; how to evaluate cognitive impairment by history and physical, as a primary care provider when and what kind of test we need to order for the diffrentiation of treatable dementia and how to differentiate dementia types in each case senario.
We are excited to see family medicine doctors from all over the world and let’s challenge the clinical scenario with us!

2019年5月17日(金) 09:15 〜 10:00 第10会場 (2F Room J)

Organizer: Pedro Subtil de Paula(SOBRAMFA – Medical Education and Humanism, Brazil)
Facilitator: Helia Miyoko Umebayashi Hirose(Hospital e Maternidade São Cristóvão, Brazil), Shin Yoshida(Iizuka Hospital and Kaita Hospital- Dept. Of General Practice, Japan)
Co-author: Helia Miyoko Umebayashi Hirose(Hospital e Maternidade São Cristóvão, Brazil), Marco Aurelio Janaudis(SOBRAMFA – Medical Education and Humanism, Brazil)

INTRODUCTION: Palliative care demands open mind and heart for all those who take care of persons facing terminal illness. Cultural and religious background plays an essential role on those questions. On that context, ignoring the family is agreat mistake on our 10- year experience on palliative care on a private hospital in São Paulo - Brazil.
We will mention the following religious systems: Catholic and Protestant Christianism, Buddism, Xyntoism, Islam and Kardencist Spiritism.
OBJECTIVES: 1) To Highlight the importance of keeping open-hearted and open-minded and an active listening of the context of the patient, considering the complex patient+family as the real whole patient that has to be heard and to be taken care of.
2) To give brief essential data about the concepts of the main religious systems related to death.
STRUCTURE: The workshop will be done in 3 phases:
1) Brief explanation: cultural diversity in palliative and primary care. At this moment we will also collect some difficulties experienced by the audience on their practice. 15’.
2) A quiz about the main religions and pallitive care will be distributed to the participants. 10’.
3) We will give the results of the quiz and comment about the importance of knowing those concepts on dialoging to the complex patient+family. 10’.
Conclusion: Open for questions and conclusion summarizing. 10’.

2019年5月17日(金) 13:30 〜 15:00 第4会場 (2F Room B-2)

Organizer: Maham Stanyon(Imperial College London, UK)
Facilitator: Maham Stanyon(Imperial College London, UK), David Jameson(Junior International Committee, UK), Yasumi Shibata(Shizuoka Family Medicine Training Programme, Japan), Naoki Miyahara(Okinawa Prefectural Hospital, Japan), Sophie Redlin(General Practitioner, UK), Fusako Kurata(Tsukuba University, Japan), Mako Nikawa(Keiju Medical Center, Japan)

Independent to healthcare system, there is a palpable shift to a more explicit and co-ordinated collaboration between those who serve the healthcare system and those who are served by it. Central to this concept, termed ‘social accountability’ is the idea that through contributing to sustainable, effective and equitable healthcare, clinicans can more effectively address the health concerns relevent to their population. This concept can have many interpretations depending on the structure, culture and societal beliefs of the local community. This international, interactive workshop looks at the varying definitions of social accountability from the Edingburgh Declaration 1998, the WHO and the Global Concensus on social accountability and how these concepts may be applied to yur practice. In small groups each facilitated by a native English speaker and a native Japanese speaker, we will consider the challenges in healthcare systems to implementing a socially accountable approach and explore how to develop ways of overcoming these barriers.

2019年5月17日(金) 13:30 〜 15:00 第5会場 (1F Room D)

Organizer: Erfen Gustiawan Suwangto(The Rajakumar Movement (TRM), Indonesia)
Chair: Erfen Gustiawan Suwangto(The Rajakumar Movement (TRM), Indonesia), Tesshu Kusaba(JPCA, Japan)
Facilitator: Siti Shuhaizam(The Rajakumar Movement (TRM), Malaysia), Sut Yee(The Rajakumar Movement (TRM), Hongkong)

In the 4th industrial revolution, young doctors are facing challenges in how using IT progress in real cllinical setting. This disruptive process is running fast and should be anticipated by young doctors. One of the best approaches in dealing with this issue is by working on technopreunership. The basic competency is getting started with entrepreunership. Entrepreunership spirit is not only about owning a business, but also integrating various kinds of innovations to be real implemented. As long as a young doctor has innovation in their daily works, they have already had entrepreunership spirit. In fact, young doctors are still lacking of entrepreunership training. Thus, this workshop will fill the gap by stimulating young doctors to become entrepreuners. Further systematic training after this workshop will be needed. However, this workshop maybe one of the first exposure for young doctors to think about getting into entrepreunership field. This workshop will stimulate young doctors about their new ideas and how to make basic business plan. They will also get assignments that can be followed after the workshop. By following their assignments, they can be continously encouraged to realize their business plan.

2019年5月17日(金) 13:30 〜 15:00 第9会場 (2F Room I)

Organizer: Amanda Howe(Immediate Past President Wonca / Norwich Medical School, University of East Anglia, UK)
Chair: Aileen Espina(Chair of the Wonca Working Party on Women and Family Medicine, Phillipines)
Lead Presenter: Amanda Howe(Immediate Past President Wonca / Norwich Medical School, University of East Anglia, UK)
Group Facilitator: Amanda Barnard(Australian National University, Canberra and past Chair WWPWFM, Australia)

Our Wonca research study took two years. We found that people valued but did not know the literature about psychological resilience
- They recommended more use of these concepts in training and in practice
- Rehearsing scenarios where things could go wrong helped with planning and support, which is crucial to resilience and to workforce retention
- Legislation, skilled human resource expertise, and clear practical procedures are all important
- Flexible working can keep people in work, whereas rigid expectations which ignore people’s health and pwersonal needs risk losing people from the workplace.
- Gendered expectations of women doctors as the main carers in the home also need to be consciously addressed, and managed.
- Individual mentorship and named links during transitions may be very important.
All these findings will be examined in detail in an interactive setting in the workshop. We shall use typical scenarios to help participants think through how they would address some of these issues as individual professionals, clinic colleagues, and in their professional settings.
Outcomes – all participants will be able to take new insights and findings back to their own work settings, and will be able to use the slides / toolkit and scenarios for helping their colleagues also to learn from this ongoing work.

2019年5月17日(金) 13:30 〜 15:00 第10会場 (2F Room J)

Organizer: Tomohisa Oku(Suwa central hospital, Japan)
Chair: Tomohisa Oku(Suwa central hospital, Japan), Keita Kondo(Hujita Health Univercity, Japan)
Presenter: Tesshu Kusaba(The Hokkaido Centre for Family Medicine, Japan), Kei Miyazaki(Mie Family practice center - Takachaya, Japan)

Primary care has both localness and universality. These two are mutually complementary rather than antinomic. Participants in this workshop have two experiences. 1) They learn the representative philosophy of Japan and examine the relationship with clinical setting. 2) They learn educational TIPS from Japanese traditional culture including tea ceremony and judo etc. They enjoy local culture, philosophy and history, and then explore the universality useful for primary care providers in the world. It is another purpose to deepen mutual understanding among world family physicians through this action.
[Keyword] form, thoughtfullness, mindfullness, inperfections, attitude learning

2019年5月17日(金) 13:30 〜 14:15 第11会場 (2F Room K)

Organizer: Jill Benson(WONCA Working Party on Mental Health (WWPMH), Australia)
Speaker/Chair: EMILY KIRKPATRICK(OCEANIA CHAIR & CHIEF REPRESENTATIVE AUSTRALIA FOR THE RAJAKUMAR MOVEMENT YOUNG DOCTORS, GPEx SA, Australia), Jill Benson(WONCA Working Party on Mental Health (WWPMH), Australia)

The 21st century family physician is one who is adaptable, resilient, reflective and professional. Transitioning from the hospital system to community medicine can be a very steep learning curve for junior doctors, with much uncertainty at play. Mental health concerns of junior doctors are increasingly publicized, especially in the Australian media. As a medical community we need to ensure that we are supporting junior doctors as they embark on the community medicine pathway, by teaching a skill set of the following:
• Accepting Feedback
• How to learn from things that don’t go as planned
• Resilience
• How to stay on top of all the things that need to be done
• Professionalism
• How to act like a doctor even when you don’t feel like it
• Self-care
• How to look after yourself when your job is to look after everyone else
• Studying
• And in the end you’ve just got to make sure you’re learning as much as you can……and also to pass the exams, if applicable

This workshop aims to assist junior doctors with adapting to a growth mindset and utilising workplace based learning, as well as providing educators with the tools to guide junior family physicians into community practice.

2019年5月17日(金) 14:15 〜 15:00 第11会場 (2F Room K)

Organizer: Akira Ohya(Mimihara General Hospital General Medichine, Japan)
Chair: Masanari Komatsu(Kagoshima Seikyo Hospital, General Medicine, Japan), Yuko Takeda(Juntendo University Faculty of Medichine, Japan)
Presenter: Satoshi Suzuki(Tone Chuo Hospital GIM, Japan), Haruki Imura(Amagasaki Medical Co-op Hospital, General Internal Medicine, Japan), Yukinori Harada(Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Japan), Junki Mizumoto(Ehime Prefectural Central Hospital General Medicine, Japan)

As primary care providers, we recognize the importance of clinical approach based on the Bio-Psycho-Social model, to assure patient centeredness and remind us about health advocacy. However, it is easy to overlook a patients' social history and background of his/her life.
In order to improve awareness about social determinants of health (SDH), we have developed the concept of "social vital signs (SVS)". This mnemonic is a tool to remind the provider of the important questions to ask, and to encourage a provider to take a history related to micro and meso level of SDH. The SVS is composed of 7 items.
H: human network/relationships
E: employment, income
A: activities that make one’s life worth living
L: literacy and learning environment
T: taking adequate food, shelter and clothing
H: health care system
+
P: patient preference and values

In this workshop, we will briefly introduce SDH and the definition of terms to serve as a baseline, then there will be case-based small group discussions where participants will apply the SVS. The workshop will end with a large group discussion about options for introducing and implementing SVS in their local context.

2019年5月17日(金) 15:30 〜 17:00 第9会場 (2F Room I)

Organizer/Chair: Matteo Mannucci(Spanish Scientific Society of Family Physicians (SEMFYC), Spain)
Speaker: Juan Ortega Perez(Spanish Scientific Society of Family Physicians (SEMFYC), Spain), Enrique Ferrer Mygind(Spanish Scientific Society of Family Physicians (SEMFYC), Spain)

At the beginning of the session we will have a look at the most important problems
with difficult patients. We will also explain the most common kinds of them and
how to handle common situations. Then we skip and focus the attention of
ourselves, doctors, and how can we be good/bad influence for patients.
After that we would like to do a role play in with the audience can experience the
issues learned during the exposition, playing as doctors and as patients.
We hope people attending this workshop return to their homes with the sensation
they can apply the “ticks” learned during the session in their daily consultation and
avoid unpleasant situations with patients, so communication between them could
lead to the aim of our work, listen, treat, heal and help.

2019年5月17日(金) 15:30 〜 16:15 第10会場 (2F Room J)

Organizer: David Jameson(RCGP Junior International Committee, UK)
Chair: David Jameson, Sonia Tsukagoshi(RCGP Junior International Committee, UK)

A cornerstone of General Practice is the patient relationship. A longitudinal, personal and caring relationship is valued by both patients and doctors. Personal Continuity is a fundamental part of this relationship. It improves health outcomes, reduces hospital admissions, controls healthcare costs and improves patient satisfaction. Due to changes in society, professional practice and healthcare system organisation continuity is under threat like never before. Preserving and improving continuity will require sharing ideas and best practice from around the world and creating bespoke solutions for individual healthcare systems. This interactive workshop will explore the evidence on why continuity is important to general practice, why it is under threat across the world, and how we can learn from each other and work together to create solutions to improve continuity in a sustainable way for the future.

2019年5月17日(金) 15:30 〜 16:15 第11会場 (2F Room K)

Organizer: Helen Susan Crawley(Royal College of General Practitioners UK, UK)
Chair: Val Wass(Emeritus Professor of Medical Education, Keele University, UK)
Facilitator: Helen Susan Crawley(Royal College of General Practitioners UK, UK)
Speaker: Myint Oo(General Practitioners' Society at Myanmar Medical Association, Myanmar)
Facilitator/Role player: Khin Soe(Quality Improvement Co-ordinator, Meikhtila Quality Circle, Myanmar), Peter Saunders(Royal College of General Practitioners Clinical Lead for Quality Improvment, Myanmar)
Speaker: Taku Matsunaga(Shizuoka Family Medicine Program, Japan)

In Japan and Myanmar, as in many other countries, quality improvement and assurance processes are at an early stage of development. Some quality improvement and assurance activity is occurring in individual practices or localities, but national frameworks, standards or goals have not been set.
This workshop aims to model how quality can be improved at a local level using simple quality improvement tools including audit, significant event analysis, identifying learning needs, and writing practice development plans. These tools can bring immediate benefit to patients and practitioners, as well as preparing the practice should goals and standards be agreed at a national level.
In Japan, some clinicians are auditing the care they provide, including patient satisfaction, but there are no national systems or standards.
In Myanmar, the GP Society and Ministry of Health and Sports requested support from the Royal College of General Practitioners to develop quality improvement in General Practice. Pilot quality indicators were developed and RCGP ran quality improvement workshops in Mandalay Division. The Myanmar GPs then set up local quality circles to continue their learning, to involve other colleagues in quality improvement, to reduce professional isolation and to identify and address local resource issues.
[Outcome]
By the end of this sessions participants will have identified a specific learning need and made a SMART (specific, measurable, achievable, relevant and timely) plan to address this need. Participants will have become familiar with tools such as significant event analysis that can be used to identify their learning needs.

2019年5月17日(金) 16:15 〜 17:00 第10会場 (2F Room J)

Organizer: Moey Kirm Seng Peter(SingHealth Polyclinics, Singapore)
Presenter: Moey Kirm Seng Peter, Hu Peilin, Ng Chung Wai, Fang Hao Sen Andrew(SingHealth Polyclinics, Singapore)

Games are engaging. Children and adults are familiar with the characters and the settings of their favourite video/arcade games. Serious Games can combine the engaging nature of games to bring across serious topics, Medical being one of the topics. Japan is famous for video/arcade games, such as Nintendo, Sega, Sony, Taito, Capcom, Konami, SNK (just to name a few). Thus, this is an ideal topic for a Medical Conference in Japan.
In this session, there will be a short presentation to introduce Serious Games and open the minds of the audience to the possibilities of the combination of Games and Medicine (patient care/medical education). Some examples of Serious Games in Medical and other fields will be introduced.
Participants will then be split into discussion groups to think of a Medical Problem (or use one of a few problems that will be proposed), discuss what an ideal game would be to tackle the problem, and share with the audience.
Finally, a Family Physician (Dr Peter Moey) will share his experience in App Creation (without coding) with the audience. This is to inspire Doctors to try their hands at Game App creation (without coding).

2019年5月17日(金) 16:15 〜 17:00 第11会場 (2F Room K)

Organizer: Wee-Sian Woon(Royal Prince Alfred Sexual Health Service, Sydney, Australia)
Chair: William Chi Wai Wong(Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong)
Presenter: Wee-Sian Woon(Royal Prince Alfred Sexual Health Service, Sydney, Australia), William Chi Wai Wong(Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong)

Men who have sex with men (MSM) are a very diverse group with specific heatlh needs compared to their hetrosexual counterparts.

This symposium will cover case studies illustrating the different health issues of MSM from an Australian and Hong Kong perspective.

There will be opportunities for audience members to discuss the situation in their own countries and take away knowledge and apply prinicples in their repsective countries.

Firstly the symposium will cover why MSM are an often hidden and vulnerable group which face stigma and disrcrimination.

There will be a focus on sexual health and HIV covering sexual history-taking, STI screening, and an introduction to Pre-exposure Prophylaxis. Other issues covered include recretaional drug and alcohol issues, mental health, partner violence, and the older gay man.

There is a need for the GP, as a generalist, to deliver patient-centered care which is non-judgemental and comprehensive to MSM for their overall health and well-being.

With my experience of working in a sexual health clinic and delivering care to MSM in Australia, I hope to share my knowledge and will be joined by the symposium chair Associate Professor William Chi Wai Wong from The University of Hong Kong who conducts research in this area.