JADECOM Fellowship and Exchange

Two snow capped mountains  photos side by side surrounded by nature
Mount Hood (also known as "Oregon Fuji") overlooking Portland, OR, USA (above right) and Mount Fuji overlooking Tokyo, Japan (above left).

Overview

OHSU Family Medicine and Japan Association for Development of Community Medicine (JADECOM) have a long-standing partnership based on friendships and a shared commitment to advance the health of communities in Oregon and Japan. The seeds of a partnership with JADECOM began in 2000, when Dr. Robert Taylor, then the chair of OHSU Family Medicine, met with Dr. Takashi Yamada at a Primary Care Conference in Okinawa, Japan. Since this partnership’s inception, more than 170 students, residents and faculty participated in the exchange and the numbers continue to grow.

JADECOM is a large healthcare network that operates hospitals and clinics across Japan and uniquely focuses its mission on supporting communities facing medical care shortages, especially in rural areas. OHSU Family Medicine’s partnership with JADECOM started more than two decades ago and expanded with the generous contributions of JADECOM to establish an Endowed Professorship in 2017.

Together we aim to better the health of our communities through improving workforce education and studying innovative approaches using the practice-based research network. At the center of this program is an ongoing relationship based on mutual respect that allow us to learn from both Oregon and Japan.


Meet the team

Headshot of Ben Cox wearing a blue shirt

Ben Cox: Mr. Cox joined OHSU Family Medicine in 1993 as Finance Director and Clinical Administrator. In July 2007, his wife, Sharon and he visited JADECOM in Tokyo for the first time. Dr. Taylor had discussed a possible exchange program and asked if he could manage the program with Dr. Hayes. Since then, he and his wife have hosted close to 150 students, residents, staff, faculty and family from Japan. In return, OHSU Family Medicine has sent many students, residents, faculty and family to Japan.

Group of people smiling and wearing formal clothes in an office
OHSU Leadership, Family Medicine Leadership and JADECOM Leadership at the celebration in 2018.

2018 JADECOM Endowment Ceremony

In 2018, during an External Advisory Committee Meeting in October, the JADECOM endowment ceremony was held to honor Dr. Daisuke Yamashita, M.D., as the endowment scholar. JADECOM president, Fumimaro Takaku, M.D., and JADECOM CEO, Michiyasu Yoshiara, M.D., visited from Japan for the celebration and gave the congratulatory speech at this special event.


JADECOM Research Fellowship

The JADECOM-OHSU Family Medicine Research fellowship started in 2017 when JADECOM established the endowed professorship. The program aims to support further growth of primary care research and quality improvement, which will support improving the community's health in Japan. The program provides foundational training in primary care research to JADECOM clinicians. The activities are based on the JADECOM-PBRN established in 2018 by the first fellow Dr. Mochizuki. The JADECOM-PBRN connects over 50 clinics located in rural communities. Selected JADECOM faculty come to OHSU Family Medicine in Oregon for two years to learn primary care research, conduct research projects, attend conferences, and visit sites to expand their research skills and knowledge.

Headshot of JADECOM Fellow Hiroto Inoue with blue polo shirt and fall leaves behind him

Current Fellow: Hiroto Inoue, M.D.

  • Fellowship Years: Sept. 2023 - Present (Current Fellow)
  • Research Theme: Measuring Team Development, Team-Based Care
  • Publications: In progress

2022: 2023 Fellow: Wataru Sasaki, M.D.

  • Research Theme: Work satisfaction of Primary Care clinicians in the rural area
  • Publications: In progress

OHSU Family Medicine - JADECOM Exchange Program

JADECOM runs one of the largest and oldest Family Medicine programs (also known as General Medicine in Japan). Below are the different exchange program opportunities between OHSU Family Medicine and JADECOM. 

Rotation details

JADECOM faculty can visit OHSU Family Medicine for a two-week exchange. Faculty have individual learning activities tailored to their area of interest, attend weekly conferences with OHSU faculty and residents. 


OHSU Family Medicine and JADECOM Partnership Timeline of Events

The seeds of a partnership with JADECOM began in 2000, when Dr. Robert Taylor, then the chair of Family Medicine, met with Dr. Takashi Yamada at a Primary Care Conference in Okinawa, Japan. The connection between these two programs expanded with the next chair Dr. John Saultz, who invited Dr. Yamada to an ACGME Conference while Dr. Saultz was leading the committee. The two programs began exchanging residents and faculty including the current department chair Dr. Jen DeVoe, then a resident soon after. Mr. Ben Cox worked diligently to cultivate the exchange by partnering with Family Medicine faculty at the time, Dr. Meg Hayes. The formal exchange contract was signed in 2008. JADECOM established the JADECOM Endowed Professorship in 2017 with a ceremony being held in 2018, which involved Dr. Fumimaro Takaku, JADECOM Chairman, and Dr. Micihiyasu Yoshiara, JADECOM President appointing Dr. Daisuke Yamashita to the endowed professorship. The JADECOM Research Fellowship started in 2017. Dr. Mochizuki established the JADECOM Practice Based Research Network in 2018.

 Since this partnership’s inception, more than 170 students, residents and faculty participated in the exchange and the numbers continue to grow.

  • 2000: Former OHSU Family Medicine (FM) Chair, Robert Tayler, M.D., presented at the Japan Primary Care Association Conference in Okinawa, where he met Takashi Yamada, M.D. and Manabu Yoshimura, M.D.
  • 2001: Takashi Yamada, M.D., and Yasuhiro Asai, M.D., from JADECOM visited OHSU and the partnership between OHSU FM and JADECOM started. Dr. Taylor visited Japan in August and the Japan-U.S. Exchange Symposium was held.
  • 2002: Motoharu Fukushi, M.D., visited OHSU. JADECOM accepted OHSU FM resident, Rebecca Kennedy, for three-week rotation in June. Dr. Taylor visited Japan and gave a presentation in August. OHSU FM resident Andrew Mendenhall had a three-week rotation at JADECOM in December.
  • 2003: In July, JADECOM accepted OHSU FM resident, Jennifer DeVoe, M.D., D.Phil, OHSU Family Medicine Chair, for a two-week rotation in Japan. In August, Dr. Taylor, and Former Vice Dean, Anita Taylor, visited Japan and gave presentations. Junji Kinoshita, M.D., and Shigeki Funakoshi, M.D., visited OHSU in December.
  • 2004, In July, Ted Chaplain, OHSU FM resident, had JADECOM rotation for two weeks. In August, Dr. Taylor, and Former Vice Dean, Anita Taylor, visited Japan again and gave presentations. In October, FM resident, Jennifer Vine, had two-week rotation at JADECOM. In November, Osamu Murobayashi, M.D. and Takaaki Suzuki, M.D., had four-week rotation at OHSU.
  • 2005: In May, OHSU FM resident, Deidre Donovan, had a three-week rotation at JADECOM. In July, OHSU FM resident, Mike La had a four-week rotation at JADECOM. In November, the former chair, John Saultz, M.D., visited Japan and gave a presentation at a JADECOM sponsored event.
  • 2006: In February, JADECOM sent Sen Otomo, M.D., and Hiroki Yoneda, M.D., to OHSU. In July, David Adler, M.D., from OHSU visited Japan and had site visits and gave lecture at JADECOM facilities.
  • 2007; In February, Drs. Yamada and Yoshimura visited OHSU again. In November OHSU FM resident, Subramaniam Seetharaman, had a tree-week rotation at JADECOM facilities. In October, JADECOM sent their resident Masahisa Amano to OHSU for three months.
  • 2008: In March, JADECOM-OHSU training agreement was set. In April, JADECOM sent their resident Koji Matsushita to OHSU for a three-month rotation. In July, former JADECOM program leading doctor, Meg Hayes, M.D., associate professor, visited Japan and had site visits and gave lectures at JADECOM facilities. In December, CEO Michiyasu Yoshiara, M.D., Takashi Yamada, M.D., Executive Director, Hiroaki Koike, M.D., Junji Kinoshita, M.D., and Yasushi Fujirai, M.D., visited OHSU.
  • 2009: JADECOM resident, Maiko Kakinuma, had an OHSU rotation between April – June, another resident, Manabu Kamio, had a rotation from July – September.
A group of five JADECOM and OHSU Leaders sitting in front of a conference banner, smiling and posing for the camera. All are wearing professional attire, with a mix of formal and business-casual clothing.
JADECOM and OHSU Family Medicine leaders’ dinner meeting in early 2000s.

Group of people smiling and wearing formal clothes in an office
OHSU Leadership, Family Medicine Leadership and JADECOM Leadership at the celebration in 2018.
  • 2010The OHSU – JADECOM contract was signed and the JADECOM exchange program became official. In July, JADECOM residents, Makiko Miura and Tomoyuki Maeda, came to OHSU for a three-month rotation. In August, Meg Hayes, M.D., had site visits and gave lectures at JADECOM facilities. In September, seven JADECOM leaders, Drs. Yoshiara, Yamada, Koike, Kinoshita, Fujirai and other two, visited OHSU for a week. JADECOM residents Tsubasa & Hiroko Nozawa came to OHSU for three-month training in October. In November, Robert Ross, M.D., former Cascades East residency director, and Robert Law, M.D. had site visits and gave lectures at JADCOM facilities.
  • 2011: In January, JADECOM resident, Takenori Hibino, came to OHSU for a three-month rotation, and Yuji Ito, M.D., visited OHSU. Seven JADECOM leaders visited OHSU. JADECOM made a $10,000 donation for naming the medical director room at the OHSU Family Medicine South Waterfront Clinic the “Sakura Room.” In April, Dr. Daisuke Yamashita traveled to Onagawa, Japan to help JADECOM Onagawa Hospital after the Tohoku Earthquake and Tsunami. In April, the JADECOM student program began with eight medical students from Japan had two-week rotations at OHSU. July – September, JADECOM resident, Hirofumi Namiki, had an OHSU rotation.
  • 2012: In February, JADECOM donated $10,000 for the naming at the OHSU Family Medicine Scappoose Clinic the “Fuji Room”. In March, nine JADECOM leaders visited OHSU. In April, Scott Fields, M.D., former vice-chair, visited JADECOM, had site visits and gave lectures and exchange the commemorative plaques for 10th anniversary of our partnership. In June, Dr. Meg Hayes and Dr. Sean Robinson, OHSU resident, at the time, visited Japan. And in the same month, Dr. Atsushi Takayama, Japanese resident from Yamaguchi, Japan had a one-week clinical observation at OHSU. In July Dr. Ayako Okano had a three-month rotation at OHSU. In August, Dr. Eishu Nango, JADECOM faculty, had an OHSU rotation. In fall, JADECOM delegation, Drs. Yoshiara, Yamada, Orimo and Ota, and Mr. Omura, visited OHSU. Dr. Ota extended stay and had site visits in Klamath Falls. In October, JADECOM resident, Yoshitaka Hamada, had a three-month rotation at OHSU, and Bruin Rugge, M.D., current vice chair of clinical operations, and Ben Cox, visited Higashidori Community Medical Center in Aomori, and then visited Onagawa Hospital where the Tohoku earthquake and tsunami hit. In November, Dr. Robert Taylor and Anita Taylor visited Gifu University and Nishi-agatsuma Welfare Hospital. 14 medical students had two-week rotations at OHSU.
  • 2013: In January, three physicians from Yamaguchi, Japan, Drs. Masanori Harada, Ryota Sato and Kazuo Nakayasu, had rural site visits, and Drs. Sato and Nakayasu had a one-week clinical observations at OHSU. Dr. Sachiko Fukumi from Yokosuka Uwamachi Hospital had a three-month rotation at OHSU starting from January. In July, Dr. Meg Hayes and Ben Cox visited Gifu University. In July, JADECOM resident, Dr. Haruko Yokoyama, came to OHSU for a three-month rotation. In August, Dr. Shuichi Yokota had one-month rotation and Dr. Yoshinori Suzuki had one-month rotation in September. In October, JADECOM residents, Akiko Kusumoto, had one-month rotation and Takuji Shirabe had a three-month rotation at OHSU, and they also went to Klamath Falls to participate in the ALSO class Dr. Meg Hayes lead there. 13 medical students had two-week OHSU rotations. In October, former chair, Dr. John Saultz, Dr. Roger Garvin, Dr. Daisuke Yamashita, STFM Executive Director Stacy Brungardt, OHSU resident Eric Chen and medical student Wes Baker attended JADECOM Generalist Forum and had site visits.
  • 2014: In June, JADECOM resident Sayo Hotta had one-month rotation at OHSU. In July, Dr. Keigo Koizumi came to OHSU to participate in JADECOM faculty program and had rotation for 2.5 months. From mid-August through mid-September, JADECOM faculty, Dr. Tetsuo Kato, had clinical observations with us. In September, OHSU resident Erica Pettigrew had a two-week OHSU rotation and at the same time, Fran Biagioli, M.D. and Ben Cox visited Japan to give lectures and have site visits. In October, JADECOM faculty, Hiroshi Nagasaka, M.D., had a one-month rotation and JADECOM resident Akihiko Yonenaga had one-month rotation from October – December. OHSU Family Medicine hosted 11 Japanese medical students for two-week rotations this year.
  • 2015: JADECOM resident, Kenji Iida, had a one-month rotation at OHSU in March. OHSU medical student, Hans Han, had a JADECOM rotation in Japan in April. In June, Dr. Steve Wahls and Ben Cox visited Japan, gave lectures and visited JADECOM community hospital/clinic. Dr. Yuji Ito, who leads OB/GYN care in JADECOM, visited OHSU in August. In September OHSU resident, Jade Koide, had two-week rotation at JADECOM facilities in Japan. In October JADECOM leaders, Drs. Yoshiara, Yamada, Umeya and Tamai, and Mr. Makuta, visited OHSU. OHSU Family Medicine hosted 14 Japanese medical students this year.
  • 2016: in January, Dr. Manabu Yoshimura, professor and former JADECOM faculty, and Dr. Taku Miura from University of Miyazaki visited OHSU. In June, Drs, John Saultz, Scott Fields, Meg Hayes and Daisuke Yamashita, Ben Cox and Chi Naruse visited Japan for the JADECOM 30th anniversary and attended the 7th Japan Primary Care Association Annual Conference under president Dr. Takashi Yamada and held in Asakusa, Tokyo. Dr. Saultz presented at the conference. OHSU residents, Carl Rasmussen, and Anthony Cheng also attended, and they extended their stays to have a two-week rotation at JADECOM facilities. In August, Japanese resident, Hiroko Yamada, came through the JADECOM program and completed a one-month rotation at OHSU. In October, the first External Advisory Committee Meeting was held at OHSU and JADECOM leaders, Drs. Yoshiara, Yamada, Fujiwara and Nishimura, and Mr. Makuta, also flew to Enterprise, OR, with Megan McGhean,  FM Department Administrator, and Ben Cox for a site visit. In the same month, Dr. Yosuke Inoue, JADECOM resident director, visited Klamath Falls, Dr. Kai Yokota from Yamaguchi had two-week rotation at OHSU. OHSU Family Medicine received 11 Japanese medical students from JADECOM for two-week rotations at OHSU.
  • 2017: In May, OHSU residents, Alison Herson, and Matthew Chan, had a two-week rotation in Japan. In May, Dr. Masahiro Nishimura, and in June, Takeshi Takahashi, visited OHSU for two-week rotations for JADECOM faculty program. In June, Dr. Jen DeVoe, Dr. Hans Han, and Ben Cox, visited Japan. In July and August, JADECOM resident, Myonge Oh visited OHSU. In October, JADECOM visiting research fellowship. began  with Dr. Takahiro Mochizuki, as the first fellow. The program runs for two years. Also, the first OHSU Tour Group of JADECOM faculty and members visited OHSU and had a rural site visit in Klamath Falls. OHSU resident, Jason Kroening-Roche, had a two-week rotation in Japan. In October, the External Advisory Committee Meeting was held at OHSU. OHSU Family Medicine hosted JADECOM resident, Hiroto Inoue, at OHSU in October and November. In December, JADECOM faculty, Yuta Suganami, visited for two weeks. OHSU Family Medicine hosted 14 Japanese medical students this year for two-week rotations.
  • 2018: In February, OHSU Family Medicine hosted Dr. Wataru Sasaki through the JADECOM faculty program for two weeks. In April, JADECOM faculty, Dr. Naoki Fujiwara, visited OHSU. In May, Dr. Shintaro Kosaka, visited through JADECOM faculty program. JADECOM resident, Koichiro Matsumoto, had a one-month rotation at JADECOM in June. In the same month, Dr. Robert Tayler and Anita Tayler, Daisuke Yamashita, and Cascades East resident, Nick West, visited Japan. In July – August, OHSU Family Medicine hosted JADECOM resident, Takashi Kodama, at OHSU. In August, a tour group from JADECOM came to OHSU and had a site visit in Enterprise. In September, OHSU resident Lisa Kipersztok had a two-week rotation at JADECOM. In October, Cascades East Residency Director, Joyce Hollander-Rodriguez, M.D., and Ben Cox, gave lectures and had site visits in Japan. We had an External Advisory Committee Meeting in October and on October 8, the JADECOM endowment ceremony was held to honor Dr. Daisuke Yamashita becaming the endowment scholar. JADECOM president, Fumimaro Takaku, M.D., and JADECOM CEO, Michiyasu Yoshiara, M.D., visited from Japan and gave the congratulatory speech at this special event. OHSU Family Medicine hosted 16 Japanese medical students from JADECOM this year.
  • 2019: in March, the first JADECOM research fellow, Dr. Takahiro Mochizuki, received his first grant for Advanced Care Planning research project from the Sasagawa Memorial Health Foundation. In May, OHSU Family Medicine had the first NP visit, Nanako Tsukui, had a two-week rotation at OHSU, and Cascades East resident, Dallas Swanson, had OHSU rotation in Japan. In June, a tour group from JADECOM visited OHSU and Enterprise, OR. In July, Dr. Elizabeth Powers and Nic Powers from Enterprise, OR, and Ben Cox, visited Japan. In August, the second visiting research fellow, Dr. Masahiro Nishimura, started his two-year program at OHSU. In October, JADECOM leadership team,Drs. Michiyasu Yoshiara, Takashi Yamada, Yasushi Fujirai, Yosuke Inoue and Hidenori Uda, and Mr. Makuta, visited OHSU for an External Advisory Committee Meeting. In October – November, JADECOM resident, Jo Miyana, had an OHSU rotation. Dr. Anna Tamai, the exchange program director, visited OHSU. 17 Japanese medical students from JADECOM came for two-week OHSU rotations.

A group of people smiling
OHSU Resident visiting Japan as part of the partnership with JADECOM
  • 2020: In February, JADECOM resident, Eiji Kawasaki, visited OHSU for a four-week rotation . OHSU resident, Stuart Zeltzer, went to Japan and had a two-week rotation at JADECOM facilities. OHSU Family Medicine had five Japanese medical students. In mid-March, the exchange program was suspended due to COVID-19. However, JADECOM visiting research fellow, Dr. Masahiro Nishimura, continued his research project at OHSU from home. In November, there was a virtual External Advisory Committee Meeting with JADECOM leaders. JADECOM medical student, Derek Wiseman, participated in an online JPCA conference.
  • 2021: In December, there was another virtual External Advisory Committee Meeting with JADECOM leaders. Dr. Masahiro Nishimura, JADECOM visiting research fellow, completed his project at OHSU and returned to Japan.
  • 2022:In September, Dr. Wataru Sasaki came to OHSU as the next JADECOM visiting research fellow and started his one-year program. In November, Cascades East resident, Cole Puffer, had a two-week rotation in Japan.
  • 2023: In January, the next virtual External Advisory Committee Meeting with JADECOM leaders occurred. In May, Deb Cohen, PhD, vice chair of research and Daisuke Yamashita, M.D., visited Japan, gave presentations, and had site visits. At the same time, OHSU residents, Brooke Bachler, and Ryan Nesbit Deane, had two-week rotations in Japan. In June, OHSU resident, Lindsay Thimmig, had a two-week rotation at JADECOM facilities and Megan McGhean, Family Medicine Department Administrator, and Ben Cox gave presentations and had site visits. In July and August, JADECOM faculty, Genki Oyama, had an OHSU rotation. He was the first doctor from JADECOM who visited for a clinical observation post-COVID. In September, Dr. Wataru Sasaki completed his one-year research program at OHSU and returned to Japan, and Cascades East resident, Derek Wiseman visited Japan for a two-week rotation. New fellow, Dr. Hiroto Inoue, started at OHSU in October. Japanese junior resident, Yuri Terunuma, had a one-week rotation at OHSU in October. In November, JADECOM leaders visited OHSU for an External Advisory Committee Meeting and had a site visit in Madras. In the same month, Japanese junior resident Tomoki Maruyama arrived for a one-week OHSU rotation. In December, OHSU resident, Tiantian White, visited Japan for her two-week JADECOM rotation. In December – January, OHSU hosted JADECOM resident, Yuri Yoshimura. She was the first JADECOM resident to have a rotation in Madras.
  • 2024: In January, JADECOM resident, Sakiko Omura, had a three-week rotation at OHSU. In February, Dr. Robert Jackman from Cascades East went to Japan to give his presentation and had rural site visits. In February – March, JADECOM faculty, Mami Kondo, had an eight-week rotation at OHSU. In April, Japanese junior resident, Chihiro Tsusu, had a one-week rotation at OHSU. In late May – early June, Hillsboro resident, Dione Fernandez, had OHSU rotation in Japan. She was the first one to have the rotation from the Hillsboro Residency Program. In June, OHSU resident, Eric Ardman, had a two-week rotation in Japan. They participated in the Japan Primary Care Association (JPCA) Annual Conference with Dr. Daisuke Yamashita. Dr. Yamashita also had site visits at JADECOM facilities and meeting with JADECOM leaders. Later in June, Dr. Jinnell Lewis, the Three Sisters Residency Director, visited Japan, gave a presentation, and had site visits at JADECOM facilities. In July, JADECOM resident, Ayaka Tokuda, had one-month rotation and JADECOM junior faculty, Shotaro Kawabata, had two-month faculty in September and October. OHSU Residency Director, Joe Skariah, DO, attended a JADECOM residency meeting in Kansai area, and OHSU resident, Shayma Waldbaum, had a two-week rotation at JADECOM. Miharu Nagamine, Jichi Medical University student, was scheduled for a one-month rotation at OHSU in November.
Group of people smiling in a rural setting
OHSU Family Medicine Faculty visiting Japan.