Coronavirus disease 2019 (COVID-19) has spread rapidly in Japan. The purpose of this study was to report the clinical experience of our COVID-19 patients early in the pandemic and lessons from our experience. An outpatient fever clinic was established on April 7. Admission of COVID-19 patients was started on July 23. Between April 7 and September 30, there were 364 walk-in outpatients and emergency patients with fever. Polymerase chain reaction test for SARS-CoV-2 RNA or COVID-19 antigen test were performed in all patients, and all results were negative. Twenty patients with COVID-19 were admitted to a newly established dedicated COVID-19 ward. They were discharged well. There were no cases of nosocomial infection at our hospital. Length of hospitalization was correlated with serum ferritin level at admission, serum CRP level at admission, and age. More than half the patients experienced psychological stress, and COVID-19 specialized nurses experienced some stress. It is essential to set up the medical system for COVID-19 according to the trends of the disease. Creation of our original database and our “problem notebook” were useful for treatment and care of COVID-19 patients as well as for mental care of nurses.

Objective: Basic communication skills are essential in all health personnel, including pharmacists. All junior pharmacists at Kurashiki Central Hospital undergo communication training, which is given by a clinical psychologist. In order to evaluate the outcomes of this training, we analyzed self-evaluation data for changes in professional communication skills, awareness and behavior before and after training.Methods: Training consisted of a lecture on communication skills with patients by a clinical psychologist and consequent role-play activities using a script. We conducted a self-evaluation questionnaire of pharmacist-patient interactions before and after training,from which we analyzed changes in self-evaluation. Each participant rated their own communication skills from 1 to 10 and both professional awareness and behavior from 1 to 5.Results: There was a statistically significant improvement in the mean rating for communication skills 3 months (6.47±1.23) and 9 months (6.68±1.08) after training compared to the same ratings before (4.85±1.49) and 1 month (5.45±1.60) after training (p＜0.01). Participants reported that lecture topics on silence, blank facial expressions, and lack of empathy to patients were particularily useful in improving their professional awareness skillset.Conclusion: Our study showed that the training enabled participants to extend their empathy and better estimate the personal feelings of patients. Communication skills training by a clinical psychologist seems especially useful for improving the basic communication skills in the pharmacist.