Kyoto University Hospital Report of the Activities in Bhutan October, 2013 - March, 2016 MoU Signing Ceremony, October 29, 2013 Kyoto University Hospital 54 Kawaharacho, Shogoin, Sakyo-ku Kyoto,606-8507, JAPAN TEL : +81-(0)75-751-3111 (Reception) 京都大学医学部附属病院 Kyoto University Hospital KYOTO UNIVERSITY FOUNDED 1897 ブータン英文_表紙1-4e.indd 1 16/03/18 15:58 Kyoto University Hospital Report of the Activities in Bhutan CONTENTS 1. Message from the Director - Prof. Nobuya Inagaki - ……………………………………………………… P1 2. Message from the ex-Director - Prof. Michiaki Mishima - ……………………………………………… P1 3. Clinical Practice and Field Medicine in Bhutan - Prof. Kozo Matsubayashi - ………………………… P2 4. Contribution Dr. Kinzang P. Tshering President, Khesar Gyalpo University of Medical Sciences of Bhutan - … P2 5. Message from Chairperson, KUH-Bhutan Medical Exchange Working Group - Prof. Shuichi Matsuda - ……………………………………………………………………………………… P3 6. Message from Chairperson, KUH-Bhutan Medical Exchange Subcommittee - Associate Prof. Hideaki Okajima - ………………………………………………………………………… P3 7. Outline and the Condition of Medical Service in the Kingdom of Bhutan - …………………………… P4 8. Kyoto University Hospital Delegation ………………………………………………………………………… P5 9. Reports of Activities in Bhutan - ……………………………………………………………………………… P7 1st team - Department of Hepatobiliary Pancreatic Surgery and Transplantation - ……………………………… P8 1st and 2nd teams - Sae Maeda, Nursing Department - ……………………………………………………………………………………………… P9 1st and 3rd teams - Kanami Muramoto, Nursing Department - …………………………………………………………………………… P10 2nd team - Department of Surgery - ……………………………………………………………………………………………………………………………………… P11 2nd and 3rd teams - Department of Gastroenterology and Hepatology - ……………………………………………………… P12 2nd team - Yoko Takahashi, Nursing Department - …………………………………………………………………………………………………… P13 3rd team - Department of Urology - ……………………………………………………………………………………………………………………………………… P14 3rd and 5th teams - Ayuko Ishii, Nursing Department - …………………………………………………………………………………………… P15 4th team - Department of Nephrology - ……………………………………………………………………………………………………………………………… P16 4th team - Department of Pediatrics - …………………………………………………………………………………………………………………………………… P17 4th and 5th teams - Yoko Nishi, Nursing Department - ……………………………………………………………………………………………… P18 5th team - Department of Orthopedic Surgery - ……………………………………………………………………………………………………………… P19 5th team - Department of Cardiovascular Medicine - ………………………………………………………………………………………………… P20 6th team - Department of Primary Care and Emergency Medicine - ………………………………………………………………… P21 Kyoto University Hospital ……………………………………………………………………………………………………………………… 6th team - Clinical Radiology Service Unit - P22 Report of the Activities in Bhutan 6th and 7th teams - Department of Respiratory Medicine - …………………………………………………………………………………… P23 October, 2013 - March, 2016 6th team - Shizuoka Children’s Hospital - …………………………………………………………………………………………………………………………… P24 6th team - Ai Matsuyama, Nursing Department - …………………………………………………………………………………………………………… P25 Published in March, 2016 6th team - Ikumi Ueda, Nursing Department - ………………………………………………………………………………………………………………… P26 Offi ce of Secretarial Work and Information Service Kyoto University Hospital 7th team - Department of Diagnostic Pathology - ………………………………………………………………………………………………………… P27 54 Kawaharacho, Shogoin, Sakyo-ku, 606-8507, Japan 7th team - Department of Otolaryngology - ……………………………………………………………………………………………………………………… P28 TEL : +81-(0)75-751-4334 7th team - Microbiology Laboratory, Department of Clinical Laboratory - ………………………………………………… P29 7th team - Department of Infection Control and Prevention - ……………………………………………………………………………… P30 10. Our Exchanges - Prof. Shinji Uemoto, Dean of the Graduate School of Medicine and the Faculty of Medicine - … P31 ブータン英文_表紙1-4e.indd 2 16/03/23 13:55 Kyoto University Hospital Report of the Activities in Bhutan 1. Message from the Director in achievement such as establishing two medical specialist interns at each surgical department. Furthermore, we have actively strived to provide education, such as a lecture course on basic life support (BLS) and promotion of "5S activities" to keep things tidy and in Prof., Director of order, which we plan to continue. Additionally, from 2016, we plan Kyoto University Hospital to dispatch our nutritionist from our hospital to JDW Hospital in order to support the nutrition guidance at the hospital as well as to Nobuya Inagaki invite the medical staff from the Kingdom of Bhutan so as to provide them training. Before my speech regarding the activity report on Kyoto University On the other hand, working with the doctors and nurses and Hospital in the Kingdom of Bhutan, I first would like to serving patients in the medical environment of the Kingdom of congratulate the birth of the prince between His Majesty King Bhutan is a precious experience which cannot be provided through Jigme Khesar Namgyel Wangchuck and Her Majesty Queen Jetsun merely working in our hospital, and I expect that our medical staff's Pema. "learning", "thinking", "handling issues", and "acting" in a different In October 2013, our hospital, Kyoto University Hospital, signed an environment from Japan will enrich their medical activities also at MOU with the Ministry of Health in Bhutan and University of Kyoto University Hospital. Medical Sciences of Bhutan and dispatched our 1st team of medical This book reports the activities of our medical staff who have staff, including doctors, nurses, and clinical examination worked in the Kingdom of Bhutan. The reports are mainly made by technicians based on the MOU. Since then, we have continuously doctors, nurses, and clinical examination technicians who were sent provided medical support to the Kingdom of Bhutan by dispatching to Bhutan. However, their dispatch has been supported by many of our medical staff. Recently, we dispatched the 7th team, and the the medical staff from various departments, such as the number of our medical staff who has been dispatched has reached departments of pharmacy, infection control and prevention, approximately 70 people. surgery, and administrative offi ce. Therefore, one can say that this In this project, the medical staff from our hospital perform clinical book reports the united activities of the Kyoto University Hospital activities at hospitals and medical camps in the Kingdom of Bhutan medical staff in Bhutan. and and at the same time support the establishment of a program to At Kyoto University Hospital, we would like to continue this project train medical specialists at Jigme Dorji Wangchuck National and we hope that the activities by the dispatched medical staff will Referral Hospital (JDW Hospital) to solve the shortage of doctors in improve the relationship between Kingdom of Bhutan and our the Kingdom of Bhutan. Presently, training programs for internal hospital, and eventually Japan. medicine, surgery, and pediatrics have been established, resulting 2. Message from the ex-Director deepened the knowledge of each other as a precious experience. Furthermore, research by the team members also led to a new objective to utilize our exchange to help the people in Bhutan establish medical schools and create specialized training programs Prof., ex-Director of for each medical department. In Bhutan, doctors have been trained Kyoto University Hospital in overseas medical schools. Furthermore, even after graduations, the doctors receive specialized trainings for each medical Michiaki Mishima department for 5 to 10 years. This has led to substantial lack of doctors; the number of doctors in Bhutan is approximately 25 In October 2013, Kyoto University signed an MOU on equal doctors per 100 thousand people, compared to approximately 230 partnership with the Ministry of Health of the Kingdom of Bhutan doctors per 100 thousand people in Japan. In Bhutan, the (hereinafter called “Bhutan”) and the University of Medical government hopes to solve this problem by opening medical Sciences of Bhutan. The MOU was signed with the aim to dispatch schools and creating specialized training programs for each medical care staff, such as doctors and nurses, to Bhutan, in order medical department. The medical staff dispatched from Kyoto to help nurturing young doctors in Bhutan, along with an University Hospital will also help this plan. opportunity for the Kyoto University Hospital’s medical staff to As stated in the following report by Prof. Matsubayashi, Bhutan and think about “happiness” in the country which values Gross National Kyoto University have maintained friendly relationship for more Happiness (GNH) under limited conditions, thus to establish a than half a century through exchanges. This report on the medical reciprocal and mutually advantageous relationship. care activities by the Kyoto University Hospital staff can be one of Since the dispatch of the 1st team of doctors and nurses to Bhutan such reports on our exchanges. in October 27, 2013, Kyoto University has dispatched 7 teams to As Kyoto University Hospital, we hope to continue our cooperation provide medical care as of March 2016. The details will be reported with Bhutan, through activities such as inviting medical staff from in the next and succeeding pages by the team members who visited Bhutan so as to expand our activities. Bhutan. I believe that each member, through the exchange with the I sincerely hope to maintain this relationship. doctors and nurses in Bhutan along with trials and errors, 1 2016ブータン王国派遣隊活動報告_e.indd 1 16/03/18 10:55 Kyoto University Hospital