Introduction: We conducted 3 surveys to elucidate the current status of Women's Health (WH) training in Japanese General Practice Residency Programs, and the opinions that the residency program directors and learners have about the training.Methods: Three questionnaire surveys were conducted during Aug-Nov, 2015. Subjects of the surveys were residency program directors (Survey 1), resident physicians (Survey 2) and medical students (Survey 3).Results: Survey 1 (response rate 42.7%): Regarding the programs, 6.8% and 38.9% provided compulsory WH rotations and selective rotations, respectively. Of the respondents, 71.4% wished to improve WH training, whereas 68.0% noted barriers, including the shortage of teaching physicians, and lack of understanding by teaching physicians regarding the needs and objectives of WH training. Survey 2 (response rate 45.8%): Of the residents, 14.5% and 27.9% had compulsory and selective WH rotations, respectively. The WH training was reported to be insufficient by 57.8% of the respondents. Survey 3 (response rate 85.4%): Of the medical students, 97% desired WH training and 97.7% wished to practice WH in the future.Conclusion: Our surveys revealed WH training in current Japanese General Practice Residency Programs to be inadequate, and both trainers and trainees desired further improvement of their training programs.

  To examine the status of pharmaceutical industry support for junior residency education in Japan, we performed a questionnaire survey of 445 residency program directors （response rate, 76%）.
1） Fifty-one percent of respondents thought that industry support was necessary for education, and 28% did not believe that industry support negatively affects residents’ prescribing behaviors.
2） Twelve percent said their institutions had a curriculum for physician-industry relationships. Ten percent prohibit residents from meeting with pharmaceutical representatives, and 30% ban gifts from industry.
3） Fifty-one percent reported that they had pharmaceutical industry-sponsored in-hospital educational events for residents, and 73% reported that they had industry-sponsored in-hospital educational events which residents were allowed to attend.
4） Program directors’ belief that industry support was necessary for education predicted that programs would receive such support.

A 67-year-old man with Stage IV gastric cancer (cT3N2M1) received chemotherapy. However, he had progressive disease and then, received palliative care. One day, he was admitted for difficulty in body movement. He had severe anemia (Hb: 3.4 g/dl) caused by tumor bleeding and needed frequent blood transfusions. Palliative radiotherapy (RT) was conducted to control the bleeding. However, hemostasis was not achieved despite daily palliative RT and blood transfusions. Gastrointestinal endoscopy showed oozing blood from gastric cancer and his Hb levels dropped to 2.8 g/dl. Transcatheter arterial embolization (TAE) with gelatin sponge was performed as salvage therapy. TAE was effective and his Hb levels improved to 8.0 g/dl, and he was discharged from the hospital. RT is an effective modality for gastric bleeding control in gastric cancer. However, salvage therapy is sometimes needed but difficult to conduct. TAE was effective salvage therapy in this case.