Shizuoka Prefectural Hospital Organization

Shizuoka General Hospital◼ About 1 hour from Tokyo and about 2 hours from Osaka by JR Tokaido Shinkansen Line (Hikari); about 50 minutes
from Numazu and about 75 minutes from Hamamatsu by JR Tokaido Main Line
◼ About 25 minutes from in front of JR Shizuoka Station by bus; get off at Shizuoka General Hospital, etc. from buses
operating on Kenritsu-Byoin Takamatsu Line, Karase Line and Kamiashiarai Line
◼ About 15 minutes by taxi from in front of JR Shizuoka Station◼ If coming in private vehicles, use hospital parking lot (paid).

4-27-1 Kita Ando, Aoi-ku, Shizuoka City, Shizuoka Prefecture 420-8527 Japan

Mission

Shizuoka General Hospital is dedicated to providing
high quality holistic medical care that is reliable andgives peace of mind to all patients.

Director’s Greetings

Yasuhiko Konishi, President

Principles and Policy⚫ We will provide heartfelt medical care based on informed medical
information, standing in the position of people receiving the medicalcare.
⚫ As a core hospital in the prefecture, we will engage in highlysophisticated and advanced medical care and support local community
medical services.
⚫ We will proactively take charge of policy-based medical care such as
emergency medical care, disaster medical treatment, medical services
for outlying areas, and tuberculosis medical treatment.
⚫ We will train high-quality human resources who will lead medical care in
the future.
⚫ We will strive toward creating a comfortable working environment andachieving sound hospital management that is highly transparent.

Vision for the next 10 years

Shizuoka General Hospital provides high-quality medical care as the prefecture's core hospital.
Medical centers, such as the Gastroenterology Center, Respiratory Center, Diabetes, Endocrinology
and Metabolism Center, Renal Center, Women and Children's Center, Motor Function Center, andSensory Function Center, provide advanced medical care. Regarding "cancer," one of the three majordiseases, various clinical departments, the Chemotherapy Center, the Palliative Care Center, etc.
form the Oncology Department, while the Cardiovascular Disease Department and the Neurology
Center provide highly acute care for "cardiac diseases” and "cerebrovascular diseases,” respectively.
The Advanced Emergency Medical Center serves as a fortress for critical care emergencies byreceiving doctor helicopters.
Our hospitals have excellent medical staff and guarantee a high quality of medical services. I am surethat you know that nurses are always standing by close to patients. Pharmacists, radiology
technicians, and clinical engineering technicians, for example, are also working actively in operatingrooms and hospital wards. Before and after surgery, rehabilitation technicians, dietitians, andlaboratory technicians work directly with patients. Our hospital's mission is to open up the future withall hospital employees striving for the best possible medical services.

⚫ Heartfelt and professional medical care is provided in “every position”
and “every department.”⚫ Shizuoka General Hospital is recognized throughout Japan as one of
the leading hospitals in the country.
⚫ All employees, including physicians, nurses, and medical staff, workwith enthusiasm and smiles.
⚫ Our next generation is growing up, and the human resources
development (education) system is in operation to support the nextgeneration.

Department of Medical
Genetics

Genome Medical Center

Department of Clinical
Genome Medicine
Department of Genomic
Medical Support“Genetic counseling” and other genetic-related medical
services are provided in cooperation with various
specialized departments and external medical institutions.

Department of Chemotherapy and Oncology

Cancer Medical CareTo ensure that patients are comfortable with receiving cancer
chemotherapy, physicians, nurses, pharmacists, certified
psychologists, and dietitians provide medical care.

Attending closely to each and every patient

Department of Hematology

Shizuoka General Hospital is the only cancer treatment base hospital (advanced type) in the Shizuoka area.
Using high-performance diagnostic equipment such as PET and cutting-edge equipment such as surgicalrobots, the hospital provides individualized treatment for various types of cancer, including surgery,chemotherapy, radiotherapy, and genetic diagnosis.
As a general hospital, we have extensive experience in cancer treatment for elderly patients and patientswith complications, and patients are referred to us not only from the Chubu (central) area but also from allover the prefecture.
A sterile ward has been in operation since August 2019.
Transplants are treated in a specialized area in the ward called
the Stem Cell Transplantation Unit (SCTU)

Gastroenterology Center

Department of Gastroenterology Department of Gastroenterology
Surgery
Internal Medicine

Regardless of whether a patient has a benign,malignant, or acute disease, gastroenterologists,
gastroenterological surgeons , and oncologists work
together to provide the best treatment and advanced
medical care for the patient.

Respiratory Center

Department ofRespiratory Medicine

Department ofRespiratory Surgery

Focusing mainly on lung cancer, which is one of themost common type of cancer, our services cover awide range from treatment of pneumonia, diffuse lungdisease, pneumothorax, bronchial asthma, COPD,respiratory failure, and active pulmonary tuberculosis.

Radiology Department

Department ofRadiology

Department of Nuclear
Medicine

In the Radiology Department, professional staff
systematically perform various imaging examinations
and radiotherapy, which are indispensable in today's
medical care.

PET Imaging Center

Palliative Care Center

Department of
Palliative Medicine

Department of Palliative
Care and Support

We work with attending physicians and ward staff to alleviate
symptoms such as pain, respiratory distress, anxiety anddelirium.

Doctor car/helicopter

We provide medical services by dispatching a “doctor car,” anemergency vehicle for dispatching doctors, and by operatinga firefighting helicopter like a doctor helicopter to quickly
provide medical care at the scene together with theemergency medical team.

Paramedics

Emergency Medical Care
We provide acute medical care and respond to serious medical
conditions 24 hours a day, 365 days a year in the community.

They assist doctors and nurses in medical treatment. Whenrequested, they may be dispatched in a doctor car to work in
the field.

Critical Care / Emergency Operating Room

Designated as an advanced emergency and critical center, we accept patients with cardiovascular andcerebrovascular diseases, post-cardiac arrest syndrome, severe infectious diseases, multiple trauma, as well
as special diseases such as severe burns and acute intoxication.
In addition, the hospital is equipped with advanced medical facilities and beds dedicated to emergency andcritical care and is capable of handling a wide range of medical needs, from primary care to intensive careafter hospitalization.

Advanced Emergency and Critical Care Center / ER

Intensive Care Center / Intensive Care Ward (ICU/HCU)

We always accept emergency patients withpredictability, readiness, and immediacy, and strive
to work as a team to save lives as quickly aspossible. We are also on standby to respond toemergency calls within the hospital.

It is the only intensive careward in the hospital,
equipped with advanced
medical equipment, andproviding intensive care thatincorporates the opinions ofmany job types in order toprovide holistic medical care.

Department of Cardiovascular Internal Medicine

We are actively introducing new treatments and technologies such as transcatheter
aortic valve implantation (TAVI), percutaneous edge-to-edge mitral valve repair(MitraClip), introduction of circulatory support pump catheter (IMPELLA), andcertification of percutaneous atrial septal device facilities.

Neurology Center

Cardiovascular Medicine

Department ofNeurology

Department of
Neurosurgery

Reducing patient burden and providing more advanced medical care
The Cardiovascular Disease Center works on treatment, aiming at reducing the rate of mortality due to cardiac
and cerebrovascular diseases.
Cardiovascular imaging and treatment rooms, cerebrovascular imaging from the Advanced Emergency andCritical Care Center. The treatment rooms and CCU (Cardiac Care Unit) are connected by a dedicated elevator toprovide emergency care for cardiac and cerebrovascular diseases.
We provide acute treatment of cerebrovascular diseases and cerebral
endovascular treatment (catheterization), as well as various central nervous
system diseases (excluding mental disorders), peripheral nerve diseases, andmuscular diseases that require specialized treatment.

Department of Cardiovascular Surgery
Aiming at helping patients return (towork) as soon as possible, we are
actively incorporating robotic cardiac
surgery and other procedures.
The center is capable of performing
all types of heart surgery, including
cardiac surgery, aortic surgery,peripheral vascular surgery, and left
ventricular assist surgery for severe
heart failure, and is available 24 hours
a day for emergencies.

Department of Anesthesiology /Department of Pain Clinic

With one of the highest number ofsurgeries in the prefecture and manyof them highly difficult, thedepartments play a very importantand responsible role in protecting thesafety of patients' lives.

Department ofNephrology

Department of Cardiac Rehabilitation Kidney Center

The program provides guidance andeducation on exercise therapy,
lifestyle modification, etc. to patients
suffering from heart disease.

Department of Kidney
Research

Department of Urology

We provide medical and surgicaltreatments that occur in the kidney
and urinary organs from dialysis andkidney transplantation to roboticsurgery.

Department of Diabetic
Tract Medicine

Department ofEndocrinology
Department ofOtorhinolaryngology, Headand Neck Medicine

Diabetes and Endocrinology/Metabolism Center

Sensory Function Center

We provide sophisticated and advanced diabetes care anddiagnostic treatment of endocrine disorders to prefectural residents,
backed by a wealth of research results.

In the Department of Ophthalmology and the Department ofOtorhinolaryngology, Head and Neck Medicine, we provide medical
services that support the community.

Department of Dental and Oral Surgery

Department of Formation Surgery

Specializing in surgical treatment of the jaw and oral cavity, we arealso involved in the management of the oral cavity in theperioperative period.

We treat a wide range of plastic surgical diseases, includingreconstructive surgery after resection of malignant tumors, trauma,
intractable ulcers, and adhesive contractures.

Department of Dermatology

Psychiatry Division

We provide proactive treatment of chronic diseases and emergency
trauma, as well as occupational, physical, and speech therapy in avariety of settings.

The number of skin biopsies per year is about 1,000, which isoutstanding in the prefecture. Many advanced diagnostic methods
are used for diagnosis.

The hospital provides care for psychiatric symptoms andpsychological problems of hospitalized patients; a ward for physicalcomplications is scheduled to open in April 2023.

Obstetrics and gynecology (OB/GYN)
department ward (LDR)

Pathology Division

Full medical system totreat various diseases

Department ofOphthalmology

The mission of this hospital is to be a first-class hospitalin the fields of advanced, specialized, and special medicalcare and acute medical care, and to support the securingof local medical care.
Wide-ranging and diverse medical departments support
medical care in the region with their specialties.

General Medical Care Center

Department of General
Internal Medicine

We are asked for our opinions on various complaints on a daily
basis and respond to them. Although there are many cases that are
difficult to diagnose and cannot be confirmed, we are making efforts
Department ofevery day.
Department of
Obstetrics andGynecology and Pediatrics Center

Gynecology
Department ofBreast Surgery

Women’s Medicine
Department ofPediatrics

We deal with various diseases related to women and children.
Robotic surgery is also actively performed for some diseases.

Motor Function Center

Department ofOrthopedics

The OB/GYN ward was renovated in 2018.

Department of
Rehabilitation Medicine

Department of
Diagnostic Pathology

Department of MolecularPathology

We are striving to improve the quality of pathological diagnosis bycontrolling the accuracy of immunostaining and introducing new
antibodies.

List of Specialized Medical Departments◼ Department of Internal Medicine◼ Department of Emergency Medicine◼ Department of PsychosomaticMedicine◼ Department of Psychiatry◼ Department of CardiovascularInternal Medicine◼ Department of CardiovascularSurgery◼ Department of Nephrology◼ Department of Urology◼ Department of Diabetes andEndocrinology◼ Department of Neurology◼ Department of Neurosurgery◼ Department of Gastroenterology
Surgery◼ Department of Gastroenterology
Internal Medicine◼ Department of Respiratory Medicine◼ Department of Respiratory Surgery◼ Department of Obstetrics andGynecology◼ Department of Breast Surgery◼ Department of Pediatrics◼ Department of Orthopedics◼ Department of RehabilitationMedicine◼ Department of Cardiac Rehabilitation◼ Department of Ophthalmology◼ Head and Neck, Ear and Nose Clinic◼ Department of Hematology◼ Department of Dermatology◼ Department of Formation Surgery◼ Department of Dental and OralSurgery◼ Department of Anesthesiology◼ Department of Radiology◼ Department of Diagnostic Pathology◼ Department of Oncology

Physician Training

Nurse Training

We are committed to educationand medical research

Pharmacist Training

Basic policy: To understand the philosophy of the hospital, to always put
ourselves in the shoes of those who receive medical care, to acquire basic primarycare medical skills (knowledge, attitude, and skills) to become physicians who cancontribute to community medical care, and to develop an excellent character as aphysician.
This hospital, which is a core training hospital, plays a central role in providing anappropriate education and training system to foster excellent resident physiciansin cooperation with cooperating clinical hospitals (psychiatric hospitals, regionaland remote area hospitals, and hospitals specializing in pediatrics) andcooperating training facilities (medical care hospitals, geriatric healthcare
facilities, healthcare centers, and clinics).

Medical Skill-Up Center (MSC)

Hearing CenterWe are working on early detection and rehabilitation ofchildren with hearing loss, and are also making efforts todisseminate this information. We have concluded a joint
research agreement with NTT Communication Science
Laboratories, aiming at clarifying the mechanism by whichhearing is acquired from electrical signals and the process ofbrain development in a broad sense.

Research Support Center

It was established for the purpose of having students
learn and further improve their skills in daily clinicalpractice using various types of medical educational
equipment and high-performance simulators.

We are a "clinical medical research institute" that conducts
clinical research to extend the healthy life expectancy of theresidents of Shizuoka Prefecture. We have established anenvironment that allows conducting both clinical and research
work at the same time and have also been designated as a
Grants-in-Aid for Scientific Research Institution by the Ministryof Education, Culture, Sports, Science and Technology.

Many teams are actively working in our hospital.
Team medical care refers to “the provision of medical carethat accurately responds to the patient's situation by having awide variety of medical staff engaged in medical care shareobjectives and information based on their respective highlevels of expertise and cooperate and complement each otherwhile sharing the tasks.”

Hospitals are supported by awide variety of job types.

◼ Infection ControlTeam◼ Nutrition SupportTeam◼ Oral Care Team◼ Dementia CareTeam◼ Palliative CareTeam◼ Long-Term-CareRequiring Patients
SupportManagement Team◼ Arrhythmia Team◼ Stroke Team

Many staff members with different specialties in a variety of fields gather in the hospital.
With many job types involved in the care of a single patient, we seek to provide better careand treatment for each patient by utilizing the perspectives of various positions.
Even though many patients have complex diseases and are at high risk, staff from many
professions support this general hospital by utilizing their own areas of expertise.

Pharmacists

Clinical Laboratory Technician

Medical Radiology Technician

Speech-Language Pathologist

Physical Therapist◼ Bedsore
Countermeasures Team◼ Swallowing
Countermeasures Team
◼ Lower Limbs ReliefTeam◼ Critically Ill Patients
Support Team
◼ Diabetes Dialysis
Prevention Team◼ Miction Care Team◼ Psychiatric Liaison
Team◼ FLS (Fracture Liaison
Service) Team

Occupational Therapist