Koki Kato
@kokikatokk.bsky.social
Director of a GP Practice in Japan, GP, MPH, Master of FamMed, with extended role in palliative home care, interested in advanced generalist care and narrative approach.
https://www.linkedin.com/in/koki-kato-9638361b7/
https://www.linkedin.com/in/koki-kato-9638361b7/
I’ve written a short essay for BJGP Life: “When Care Feels Solitary.”
Sometimes we continue to care when little seems to change, and that care can feel solitary.
Perhaps carrying something ourselves is not quite the same as carrying it alone.
#GeneralPractice #FamilyMedicine
Sometimes we continue to care when little seems to change, and that care can feel solitary.
Perhaps carrying something ourselves is not quite the same as carrying it alone.
#GeneralPractice #FamilyMedicine
When care feels solitary – BJGP Life
bjgplife.com
September 24, 2026 at 11:45 AM
I’ve written a short essay for BJGP Life: “When Care Feels Solitary.”
Sometimes we continue to care when little seems to change, and that care can feel solitary.
Perhaps carrying something ourselves is not quite the same as carrying it alone.
#GeneralPractice #FamilyMedicine
Sometimes we continue to care when little seems to change, and that care can feel solitary.
Perhaps carrying something ourselves is not quite the same as carrying it alone.
#GeneralPractice #FamilyMedicine
Metabolic dysfunction-associated steatotic liver disease in primary care: an international Delphi consensus - The Lancet Primary Care www.thelancet.com/journals/lan...
Metabolic dysfunction-associated steatotic liver disease in primary care: an international Delphi consensus
Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common
chronic liver disease worldwide, with general practitioners and family doctors (collectively
referred to as GPs) pla...
www.thelancet.com
September 3, 2026 at 3:48 AM
Metabolic dysfunction-associated steatotic liver disease in primary care: an international Delphi consensus - The Lancet Primary Care www.thelancet.com/journals/lan...
What does it mean for an author to say “Yes” to AI-assisted writing?
I wrote for the Journal of Medical Ethics Blog about how my own experience of writing with AI led me to think about authorship, continuity, trust, and why an author’s approval has a history.
blogs.bmj.com/medical-ethi...
I wrote for the Journal of Medical Ethics Blog about how my own experience of writing with AI led me to think about authorship, continuity, trust, and why an author’s approval has a history.
blogs.bmj.com/medical-ethi...
An author’s approval has a history - Journal of Medical Ethics blog
By Koki Kato English is not my first language, so generative artificial intelligence (AI) can be particularly helpful when I write academic papers in English. It can make my sentences clearer, more co...
blogs.bmj.com
August 25, 2026 at 8:52 AM
What does it mean for an author to say “Yes” to AI-assisted writing?
I wrote for the Journal of Medical Ethics Blog about how my own experience of writing with AI led me to think about authorship, continuity, trust, and why an author’s approval has a history.
blogs.bmj.com/medical-ethi...
I wrote for the Journal of Medical Ethics Blog about how my own experience of writing with AI led me to think about authorship, continuity, trust, and why an author’s approval has a history.
blogs.bmj.com/medical-ethi...
Sometimes generative AI makes my writing better and my argument worse.
My new paper in JME Practical Bioethics:
Kato K. What authorship recognises: meaningful approval in the age of generative AI. JME Practical Bioethics. 2026;2:e000333. doi.org/10.1136/jmep...
My new paper in JME Practical Bioethics:
Kato K. What authorship recognises: meaningful approval in the age of generative AI. JME Practical Bioethics. 2026;2:e000333. doi.org/10.1136/jmep...
What authorship recognises: meaningful approval in the age of generative AI
Earp and colleagues ask what authorship is, or should be, in the age of generative artificial intelligence (AI). 1 They propose addressing this question by considering the purposes that authorship is ...
doi.org
August 24, 2026 at 11:37 PM
Sometimes generative AI makes my writing better and my argument worse.
My new paper in JME Practical Bioethics:
Kato K. What authorship recognises: meaningful approval in the age of generative AI. JME Practical Bioethics. 2026;2:e000333. doi.org/10.1136/jmep...
My new paper in JME Practical Bioethics:
Kato K. What authorship recognises: meaningful approval in the age of generative AI. JME Practical Bioethics. 2026;2:e000333. doi.org/10.1136/jmep...
Reassurance is not simply about giving the right answer.
In my latest essay in the British Journal of General Practice (BJGP), I reflect on why understanding the patient’s existing story may matter before our explanations can become meaningful.
bjgp.org/content/76/7...
#BJGP #MedicalGeneralism
In my latest essay in the British Journal of General Practice (BJGP), I reflect on why understanding the patient’s existing story may matter before our explanations can become meaningful.
bjgp.org/content/76/7...
#BJGP #MedicalGeneralism
Correct, but not reassuring
I recently bought a new car. The old one was traded in, the paperwork was signed, and I assumed the matter was finished. Then a vehicle tax bill arrived in my name.
> “Before we can reassure, we may ...
bjgp.org
August 1, 2026 at 8:50 AM
Reassurance is not simply about giving the right answer.
In my latest essay in the British Journal of General Practice (BJGP), I reflect on why understanding the patient’s existing story may matter before our explanations can become meaningful.
bjgp.org/content/76/7...
#BJGP #MedicalGeneralism
In my latest essay in the British Journal of General Practice (BJGP), I reflect on why understanding the patient’s existing story may matter before our explanations can become meaningful.
bjgp.org/content/76/7...
#BJGP #MedicalGeneralism
Correct, but not reassuring
I recently bought a new car. The old one was traded in, the paperwork was signed, and I assumed the matter was finished. Then a vehicle tax bill arrived in my name.
> “Before we can reassure, we may ...
bjgp.org
August 1, 2026 at 8:50 AM
Reassurance is not simply about giving the right answer.
In my latest essay in the British Journal of General Practice (BJGP), I reflect on why understanding the patient’s existing story may matter before our explanations can become meaningful.
bjgp.org/content/76/7...
#BJGP #MedicalGeneralism
In my latest essay in the British Journal of General Practice (BJGP), I reflect on why understanding the patient’s existing story may matter before our explanations can become meaningful.
bjgp.org/content/76/7...
#BJGP #MedicalGeneralism
Why does safety netting work?
In my latest Letter in the British Journal of General Practice (BJGP), I argue that safety netting depends not only on what clinicians say, but on the doctor–patient relationship already built through continuity of care.
bjgp.org/content/76/7...
#BJGP #PrimaryCare
In my latest Letter in the British Journal of General Practice (BJGP), I argue that safety netting depends not only on what clinicians say, but on the doctor–patient relationship already built through continuity of care.
bjgp.org/content/76/7...
#BJGP #PrimaryCare
The relational dimension of safety netting
I read with great interest the study by Edwards et al on safety-netting communication during telephone consultations.1 Their careful analysis provides valuable insights into when and how safety-nettin...
bjgp.org
August 1, 2026 at 8:48 AM
Why does safety netting work?
In my latest Letter in the British Journal of General Practice (BJGP), I argue that safety netting depends not only on what clinicians say, but on the doctor–patient relationship already built through continuity of care.
bjgp.org/content/76/7...
#BJGP #PrimaryCare
In my latest Letter in the British Journal of General Practice (BJGP), I argue that safety netting depends not only on what clinicians say, but on the doctor–patient relationship already built through continuity of care.
bjgp.org/content/76/7...
#BJGP #PrimaryCare
New paper published in Journal of Evaluation in Clinical Practice.
We explore how Communities of Practice can support GPs in developing advanced generalist medicine, drawing on the Japanese concept of Shu–Ha–Ri.
onlinelibrary.wiley.com/share/author...
#MedicalEducation #GeneralPractice #ShuHaRi
We explore how Communities of Practice can support GPs in developing advanced generalist medicine, drawing on the Japanese concept of Shu–Ha–Ri.
onlinelibrary.wiley.com/share/author...
#MedicalEducation #GeneralPractice #ShuHaRi
onlinelibrary.wiley.com
July 8, 2026 at 9:45 PM
New paper published in Journal of Evaluation in Clinical Practice.
We explore how Communities of Practice can support GPs in developing advanced generalist medicine, drawing on the Japanese concept of Shu–Ha–Ri.
onlinelibrary.wiley.com/share/author...
#MedicalEducation #GeneralPractice #ShuHaRi
We explore how Communities of Practice can support GPs in developing advanced generalist medicine, drawing on the Japanese concept of Shu–Ha–Ri.
onlinelibrary.wiley.com/share/author...
#MedicalEducation #GeneralPractice #ShuHaRi
onlinelibrary.wiley.com
July 8, 2026 at 9:44 PM
New paper published in Journal of Evaluation in Clinical Practice.
We explore how Communities of Practice can support GPs in developing advanced generalist medicine, drawing on the Japanese concept of Shu–Ha–Ri.
onlinelibrary.wiley.com/share/author...
#MedicalEducation #GeneralPractice #ShuHaRi
We explore how Communities of Practice can support GPs in developing advanced generalist medicine, drawing on the Japanese concept of Shu–Ha–Ri.
onlinelibrary.wiley.com/share/author...
#MedicalEducation #GeneralPractice #ShuHaRi
Reposted by Koki Kato
A lovely piece Koki. It opens up all kinds of questions about the value we place on reassurance (as opposed to listening, questioning, or any responses that are attentive rather than automatic.)
June 28, 2026 at 7:36 PM
A lovely piece Koki. It opens up all kinds of questions about the value we place on reassurance (as opposed to listening, questioning, or any responses that are attentive rather than automatic.)
📢 New in BJGP Life
Correct, but Not Reassuring
Sometimes a consultation is medically correct, yet the patient leaves without feeling reassured.
That familiar gap became the starting point for this essay.
bjgplife.com/correct-but-...
Correct, but Not Reassuring
Sometimes a consultation is medically correct, yet the patient leaves without feeling reassured.
That familiar gap became the starting point for this essay.
bjgplife.com/correct-but-...
June 27, 2026 at 7:16 AM
📢 New in BJGP Life
Correct, but Not Reassuring
Sometimes a consultation is medically correct, yet the patient leaves without feeling reassured.
That familiar gap became the starting point for this essay.
bjgplife.com/correct-but-...
Correct, but Not Reassuring
Sometimes a consultation is medically correct, yet the patient leaves without feeling reassured.
That familiar gap became the starting point for this essay.
bjgplife.com/correct-but-...
June 27, 2026 at 7:14 AM
📢 New in BJGP Life
Correct, but Not Reassuring
Sometimes a consultation is medically correct, yet the patient leaves without feeling reassured.
That familiar gap became the starting point for this essay.
bjgplife.com/correct-but-...
Correct, but Not Reassuring
Sometimes a consultation is medically correct, yet the patient leaves without feeling reassured.
That familiar gap became the starting point for this essay.
bjgplife.com/correct-but-...
How do clinicians learn to notice what they usually take for granted?
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 37(3–4), 176–179. doi.org/10.1080/1473...
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 37(3–4), 176–179. doi.org/10.1080/1473...
Using ethnographic fieldwork to cultivate situational awareness
In primary care settings, clinicians’ awareness of the situations surrounding physician–patient interactions is crucial for clinical reasoning and decision-making. However, there are limited opport...
doi.org
June 18, 2026 at 2:58 PM
How do clinicians learn to notice what they usually take for granted?
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 37(3–4), 176–179. doi.org/10.1080/1473...
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 37(3–4), 176–179. doi.org/10.1080/1473...
Our new paper is out:
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 1–4. doi.org/10.1080/1473...
We explored a novel way to teach situational awareness in primary care training.
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 1–4. doi.org/10.1080/1473...
We explored a novel way to teach situational awareness in primary care training.
Using ethnographic fieldwork to cultivate situational awareness
In primary care settings, clinicians’ awareness of the situations surrounding physician–patient interactions is crucial for clinical reasoning and decision-making. However, there are limited opport...
doi.org
April 14, 2026 at 10:48 PM
Our new paper is out:
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 1–4. doi.org/10.1080/1473...
We explored a novel way to teach situational awareness in primary care training.
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 1–4. doi.org/10.1080/1473...
We explored a novel way to teach situational awareness in primary care training.
Using ethnographic fieldwork to cultivate situational awareness
In primary care settings, clinicians’ awareness of the situations surrounding physician–patient interactions is crucial for clinical reasoning and decision-making. However, there are limited opport...
doi.org
April 14, 2026 at 10:47 PM
Our new paper is out:
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 1–4. doi.org/10.1080/1473...
We explored a novel way to teach situational awareness in primary care training.
Kato, K., Miyachi, J., & Shimazono, Y. (2026). Using ethnographic fieldwork to cultivate situational awareness. Education for Primary Care, 1–4. doi.org/10.1080/1473...
We explored a novel way to teach situational awareness in primary care training.
Littleton, K., & Mercer, N. (2013). Interthinking: Putting talk to work (1st ed.). Routledge. doi.org/10.4324/9780...
Interthinking: Putting talk to work | Karen Littleton, Neil Mercer | T
Through using spoken language, people are able to think creatively and productively together. This ability to ‘interthink’ is an important product of our
doi.org
April 9, 2026 at 11:27 PM
Littleton, K., & Mercer, N. (2013). Interthinking: Putting talk to work (1st ed.). Routledge. doi.org/10.4324/9780...
The narrative approach does not solely dominate conversations during GP consultations. Narrative is integrated with the normative. GPs also express their opinions.
April 9, 2026 at 11:21 PM
The narrative approach does not solely dominate conversations during GP consultations. Narrative is integrated with the normative. GPs also express their opinions.
There is a term called ‘interthinking’. It refers to the process by which ideas develop through conversation and coalesce into a shared understanding.
Reflection sessions for GP trainees contain elements of social constructivism, and interrhinking is one such element.
Reflection sessions for GP trainees contain elements of social constructivism, and interrhinking is one such element.
April 9, 2026 at 10:44 PM
There is a term called ‘interthinking’. It refers to the process by which ideas develop through conversation and coalesce into a shared understanding.
Reflection sessions for GP trainees contain elements of social constructivism, and interrhinking is one such element.
Reflection sessions for GP trainees contain elements of social constructivism, and interrhinking is one such element.
It’s my great honour to be awarded the 1st place in the policy pitch contest in the WONCA Asia-Pacific Region 2026, Iloilo!
April 8, 2026 at 8:44 AM
It’s my great honour to be awarded the 1st place in the policy pitch contest in the WONCA Asia-Pacific Region 2026, Iloilo!
Greenhalgh T. (1999). Narrative based medicine: narrative based medicine in an evidence based world. BMJ (Clinical research ed.), 318(7179), 323–325. doi.org/10.1136/bmj....
Narrative based medicine in an evidence based world
This is the last in a series of five articles on narrative based medicine
In a widely quoted riposte to critics who accused them of naive empiricism, Sackett and colleagues claimed that “the practice...
doi.org
March 4, 2026 at 9:42 AM
Greenhalgh T. (1999). Narrative based medicine: narrative based medicine in an evidence based world. BMJ (Clinical research ed.), 318(7179), 323–325. doi.org/10.1136/bmj....
To hear the genuine voice, one must listen within the other. Yet to hear the inner voice, one must act from without. But this is not a method of digging something out from the outside.
January 28, 2026 at 1:53 PM
To hear the genuine voice, one must listen within the other. Yet to hear the inner voice, one must act from without. But this is not a method of digging something out from the outside.
When attempting to be objective in observation, the observer's subjectivity becomes a bias, so one strives to exclude it.
January 28, 2026 at 1:51 PM
When attempting to be objective in observation, the observer's subjectivity becomes a bias, so one strives to exclude it.
'Characters are the product of the writer's imagination - and the reader's. These two strong dynamics create characters in literature.
October 5, 2025 at 10:27 AM
'Characters are the product of the writer's imagination - and the reader's. These two strong dynamics create characters in literature.
Inductive Foraging.
The first part of the medical interview is to let the patient narrate and retain the information that comes out of it.
The first part of the medical interview is to let the patient narrate and retain the information that comes out of it.
October 5, 2025 at 1:59 AM
Inductive Foraging.
The first part of the medical interview is to let the patient narrate and retain the information that comes out of it.
The first part of the medical interview is to let the patient narrate and retain the information that comes out of it.
Temporality in phenomenology (how one is anchored within the present, which is imbued with specific meaning by past experiences and an anticipated future) is related to intertextuality in literary theory.
October 4, 2025 at 12:20 AM
Temporality in phenomenology (how one is anchored within the present, which is imbued with specific meaning by past experiences and an anticipated future) is related to intertextuality in literary theory.