Chandler Chapman, University of North Carolina at Chapel Hill

My global Advanced Pharmacy Practice Experience (APPE) at Keio University in Japan was a transformative journey that deepened my understanding of pharmacy practice through a global lens. Over the course of the rotation, I had the opportunity to engage with healthcare professionals across hospitals, community pharmacies, academic institutions, and regulatory agencies. This diverse exposure allowed me to explore the cultural, clinical, and technological dimensions of Japanese pharmacy practice. Here are some highlights from my rotation!

One of the most impactful aspects of my experience was witnessing Japan's community-first approach to healthcare. Pharmacists play a vital role in home visits, neighborhood wards, and patient education, fostering strong relationships and continuity of care. I was especially moved by the respect and infrastructure dedicated to elderly care, which reflects Japan's cultural values and holistic approach to aging.

Through lectures and site visits, I gained insight into Japan's universal healthcare system and its emphasis on accessibility and public health. The challenges Japan faces--particularly in caring for an aging population--mirror those in many developed countries, offering valuable lessons in policy and system design.

Japan's cautious approach to medication regulation and its integration of traditional Kampo medicine alongside Western pharmacotherapy stood out. I was impressed by the use of advanced technologies such as robotics and AI in pharmacy operations, which enhance safety and efficiency. Visits to the Pharmaceuticals and Medical Devices Agency (PMDA) and academic institutions highlighted Japan's commitment to culturally relevant pharmacovigilance and innovation.

The rotation showcased the evolving role of pharmacists in Japan, especially in Health Support Pharmacies where pharmacists are empowered to provide chronic disease management and public health services. I also observed the potential for growth in inpatient pharmacy roles, particularly in clinical research and multidisciplinary collaboration.

Keio University's emphasis on original research and its integration into pharmacy education was inspiring. I had the privilege of working in the Integrative Clinical Pharmacology Laboratory, where I experienced a collaborative and mentorship-driven environment. The focus on population-specific research reinforced the importance of culturally attuned evidence-based practice.

Overall, this experience has reshaped my perspective on pharmacy practice and global health. The hospitality of Keio University students and faculty, the thoughtfully designed rotations, and the cultural immersion made this APPE both professionally enriching and personally memorable. I am grateful for the opportunity and look forward to applying these insights in my future career.

どうもありがとうございます！