Messages from ‘TOKYO Generalist Alliance’ members Facilities: Discover their unique features, learning environment, and the qualities they look for in future team members

Komagome Hospital Program

Komagome Hospital | Naoko Kubota

The program at Komagome Hospital focuses on oncology, infectious diseases and palliative care. Trainees are actively involved in patient care from the initial consultation, collaborating with other specialists and departments to manage cases from diagnosis to treatment and palliative care. In complex cases, trainees acquire the ability to develop optimal solutions through multidisciplinary discussions. There is also extensive experience with rare diseases, contributing to the accumulation of J-OSLER cases. Our team has a general surgery division, allowing trainees to learn about acute abdomen and minor surgical procedures; it offers an academic environment despite being a community hospital. After completion of the program, trainees can design a training plan tailored to their future, building on a foundation in hospitalist or primary care careers whilst deepening their expertise in areas such as infectious diseases, oncology and palliative care.

Matsuzawa Hospital Program

Matsuzawa Hospital | Takuto Ishida

Matsuzawa Hospital leverages its unique feature—a comprehensive clinical program within a psychiatric hospital—to train doctors who can bridge the gap between mental and physical healthcare. Whether you wish to integrate mental health care into your daily practice, tackle the treatment of physical illnesses within a psychiatric setting, engage in community development in collaboration with local authorities, or devote yourself to education—there is no single path to a career here. Knowledge of psychiatry is a ‘versatile skill’ that can be applied not only to clinical practice but also to education, organizational management and patient safety. Capitalizing on this strength, we have established a mentoring system that enables you to develop the skills required in your chosen field.

Tokyo Business Clinic Program

Tokyo Business Clinic | Sho Naito

[Maximise your market value as a physician at the forefront of metropolitan primary care]
The greatest appeal of our program lies in the opportunity to practice ‘metoropolitan primary care’—supporting a diverse range of people, including business professionals, expatriates, travelers and students—in major urban hubs such as Marunouchi, Otemachi, Tokyo Station, Ueno Station and Chiba Station. In addition to acquiring clinical skills as a general practitioner, you will cultivate a multifaceted perspective unique to our organization, including healthcare management (taught by MBA holders), IT and digital transformation (DX) development, marketing, data science, and occupational medicine. Upon completion of the program, a wide range of career paths beyond the traditional medical field will open up, including roles as a clinician in general practice clinics or as a hospital-based general practitioner, as well as opportunities in healthcare management, founding pharmaceutical or medical ventures, and working in government or public health. We operate a shift-based system and offer a comprehensive support structure tailored to your lifestyle. Why not aim to become a unique leader who combines clinical excellence with the management skills to lead the next generation of healthcare?

Juntendo University Hospital Program

Juntendo University Hospital | Mizue Saita

The Department of General Medicine at Juntendo University is committed to the philosophy of ‘supporting life’, pledging to provide wholehearted support not only to patients but also to the lives of our trainee doctors. We foster professional growth by offering advanced clinical practice that draws on the abundance of cases available at a university hospital, alongside a systematic program of academic research training designed to lead to the award of a degree. With a team of several full-time infectious disease specialists on staff, we are able to manage complex infectious disease cases whilst offering training tailored to the specialism of sports primary care. Working within a team-based medical environment where diverse specialists collaborate, you will broaden your perspective as a general practitioner and build a career that spans your entire professional life.

Institute of Science Tokyo Hospital Program

Institute of Science Tokyo Hospital | Toru Yamada

The Department of General Medicine at Institute of Science Tokyo Hospital is characterized by a flexible training program that allows trainees to develop their careers by moving between the roles of family physician and hospitalist. At the university hospital, trainees collaborate with specialist departments to gain extensive experience ranging from acute conditions and challenging diagnostic cases to perioperative management. Furthermore, through partnerships with some of the nation’s leading training facilities, we offer a comprehensive training program covering everything from acute internal medicine to community and home-based care. Upon completion, we support a variety of career paths, including subspecialty training, postgraduate study and study abroad, and provide ongoing career support tailored to individual aspirations.

Dōzen Hospital and Dōzenkai Clinic Program

Dōzen Hospital and Dōzenkai Clinic | Masahiko Ogasawara

The greatest appeal of this program is that it offers training at a ‘community hospital integrated with the local area’—something not found in large hospitals. You will gain practical experience by seamlessly working across four distinct settings: outpatient clinics, inpatient wards, home care and the local community. Upon completion, you will be able to chart your future path from a wide range of options, including roles at our community hospitals located throughout the country. We place great emphasis on leadership and management training, and we are fully committed to supporting your career as a general practitioner who will lead the way in community healthcare.

NTT Medical Center Tokyo Program

NTT Medical Center Tokyo Program | Ryuichiro Sasae

In our hospital's General Medicine program, you will develop a broad range of clinical skills while building international competence through exposure to diverse cases at a busy urban acute care hospital. A distinctive feature of our program is its comprehensive clinical training, spanning emergency medicine to international healthcare, including the care of patients from diverse cultural and linguistic backgrounds.Upon completion of the program, you will be well prepared to pursue a career as a general practitioner. In addition, the program provides a strong foundation for a variety of career paths, including international medicine, medical education, and other areas of academic or clinical practice. We are committed to supporting each trainee in shaping a career that aligns with their individual goals and aspirations.

Toho University Omori Medical Center Program

Toho University Omori Medical Center | Yoshinori Sasaki

At the Toho University Medical Center’s Center for General Medicine and Acute Care, you can gain a cross-disciplinary understanding of emergency medicine, general medicine and infectious diseases, dealing with the diverse range of cases typical of an urban university hospital. By providing continuous care for patients from the emergency room to inpatient wards, you will develop a broad range of clinical skills. We place great emphasis on diagnostic reasoning based on medical history and physical examination, as well as ‘Clinical Courage’—the commitment to thoroughly consider what is best for the patient. Aiming to balance the roles of a university hospital as both a research institution and a teaching hospital for beginners, we actively conduct research whilst devoting significant effort to education. Our goal is to train general practitioners who possess both clinical and research capabilities.

Tokyo Medical Center Program

Tokyo Medical Center | Yasuhiro Yamada

The appeal of the Department of General Internal Medicine at Tokyo Medical Center lies in its ‘soft power’: the diversity of our supervising physicians and their passion for education. Our 11 supervising physicians hold specialist qualifications across a wide range of fields, including general internal medicine, infectious diseases, cardiology, haematology and family practice, and they provide guidance that draws on their respective areas of expertise, such as clinical reasoning, physical examination, journal club sessions and family medicine. In the 2024 academic year, we discharged 1,666 patients and cared for between 90 and 100 inpatients at any given time, providing an environment where you can learn deeply from an overwhelmingly diverse range of cases. Furthermore, as the Chair and Board Members of the Japanese Society for Humanitude are based here, it is possible to study the ‘Humanitude’ care methodology in depth. Our department celebrated its 40th anniversary in 2026. Our graduates are active in a wide range of fields, including university hospitals, community hospitals, clinics, home care and new private practices, so you are sure to find a role model that suits you. We invite you to join us in honing your skills and growing together!

Keio University Hospital Program

Keio University Hospital | Atsushi Haruta

Keio University’s Specialist Training program in General Medicine offers the opportunity to gain in-depth knowledge of both the advanced diagnostic techniques available at the university hospital and community & emergency care at affiliated facilities. Its most distinctive feature is the opportunity to simultaneously experience ‘approaches toward diagnosis in challenging cases’ and ‘interdisciplinary clinical research’. Upon completion, graduates have access to a wide range of career paths, including not only roles as hospitalist or family physician, but also as clinical researchers, educators, and opportunities for study abroad. Through a flexible career support system tailored to individual aspirations, we cultivate professionals who will lead the next generation of healthcare.

Kawakita Center for Family Medicine Program

Kawakita Center for Family Medicine | Masaki Shiota

The General Medicine and Family Medicine Specialist Training program at the Kawakita Center for Family Medicine, in collaboration with Kawakita General Hospital—which provides high-volume acute care—builds the clinical foundations essential for primary care through training in home visits, outpatient clinics and hospital wards. Furthermore, Suginami Ward, where the center is located, is an urban community with people from diverse backgrounds—of age, household structure, economic status and nationality—living together. This environment allows trainees to practically develop a comprehensive perspective and management skills of interprofessional collaboration. To date, we have trained 15 family medicine specialists, who are now active as general practitioners in various regions and at our hospital. We support trainees in their ‘path beyond residency’ across a variety of settings—such as clinics and hospital wards—where they can thrive as general practitioners!

Tokyo-Kita Medical Center Program

Tokyo-Kita Medical Center | Satoru Okada

Our hospital is a 350-bed general hospital, and the Department of General Medicine is responsible for approximately 100 beds—accounting for 80% of internal medicine admissions. Our clinical practice places a strong emphasis on evidence-based medicine (EBM) and the application of family medicine principles. With a large number of residents in general practice and staff members, we offer an environment where colleagues of a similar age can learn and grow together. Upon completion of our General Medicine program, the vast majority of trainees remain with us to pursue certification as specialists in family medicine or hospital medicine. After obtaining their specialist qualifications, many go on to work as staff members involved in training at our hospital, or at hospitals and clinics within Japan Association for Development of Community Medicine(JADECOM), of which we are a member of. If you are interested in learning general medicine in Tokyo, please do come and visit us.

Itabashi Central General Hospital Program

Itabashi Central General Hospital | Yusuke Yasumoto

The General Medicine program at Itabashi Central General Hospital trains generalist based on the ‘Extensivist’ model. In other words, we aim to develop doctors who not only provide acute care—including emergency and intensive care—but also gain experience in home care and community-based integrated care wards, enabling them to determine where each patient can receive the most appropriate medical treatment and care. Upon completion of the program, graduates go on to become hospitalist, family physician, or specialize in their respective fields. We hold an annual Homecoming Day, allowing us to continue growing together as colleagues throughout our careers.

Yamato Clinic Program

Yamato Clinic | Shinta Mizuno

Have you heard of Community Integrated Care Wards? Through this program, you will have the opportunity to learn about healthcare practice within the context of everyday life whilst working at a home-visit clinic (Yamato Clinic) that supports daily living, and a Community Integrated Care Ward (Ouchinikaero Hospital) that bridges daily life and medical care. Whilst our greatest strength lies in the theory and practical training of Advance Care Planning (ACP), we also place a strong emphasis on developing individuals capable of managing organizational operations. We welcome those who wish to reflect on patients’ ways of life together, those seeking new challenges, and those keen to build a team with warm-hearted colleagues.