Ministerial Ordinance on Schools and Training Schools for Public Health Nurses, Midwives and Nurses

Ministerial Ordinance on Schools and Training Schools for Public Health Nurses, Midwives and Nurses (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of August 10, 1951 English

Ministerial Ordinance on Schools and Training Schools for Public Health Nurses, Midwives and Nurses (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of August 10, 1951) Revision Ministerial Ordinance No. 3 of September 18, 1951 Ministerial Ordinance No. 1 of February 11, 1952 Ministerial Ordinance No. 2 of October 6, 1956 Ministerial Ordinance No. 1 of March 3, 1964 Ministerial Ordinance No. 1 of November 30, 1967 Ministerial Ordinance No. 1 of December 26, 1968 Ministerial Ordinance No. 3 of October 15, 1969 Ministerial Ordinance No. 1 of February 25, 1971 Ministerial Ordinance No. 1 of January 10, 1976 Ministerial Ordinance No. 1 of August 1, 1978 Ministerial Ordinance No. 1 of March 29, 1989 Ministerial Ordinance No. 1 of March 30, 1994 Ministerial Ordinance No. 1 of August 26, 1996 Ministerial Ordinance No. 1 of March 24, 1997 Ministerial Ordinance No. 1 of July 23, 1998 Ministerial Ordinance No. 1 of March 26, 1999 Ministerial Ordinance No. 5 of December 27, 1999 Ministerial Ordinance No. 2 of March 29, 2000 Ministerial Ordinance No. 5 of December 20, 2000 Ordinance of the Ministry of Education, Science and Culture No. 80 of November 27, 2001 Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of February 22, 2002 Ministerial Ordinance No. 1 of March 26, 2003 Ministerial Ordinance No. 4 of March 31, 2004 Ministerial Ordinance No. 1 of March 31, 2006 Ministerial Ordinance No. 2 of December 25, 2007 Ministerial Ordinance No. 1 of January 8, 2008 Ministerial Ordinance No. 2 of April 1, 2010 Ministerial Ordinance No. 1 of January 6, 2011 2

(Purpose of This Ministerial Ordinance) Article 1 (1) The designation of schools designated by the Minister of Education, Culture, Sports, Science and Technology pursuant to the provisions of paragraph (1) of Article 19, paragraph (1) of Article 20, paragraph (2) of Article 21 or paragraph (1) of Article 22 of the Act on Public Health Nurses, Midwives and Nurses (Act No. 203 of July 30, 1948, hereinafter referred to as the Act ), universities designated by the Minister of Education, Culture, Sports, Science and Technology pursuant to the provisions of paragraph (1) of Article 21 of the Act, public health nurse training schools, midwife training schools or nurse training schools designated by the Minister of Health, Labour and Welfare pursuant to the provisions of paragraph (1) of Article 19, paragraph (2) of Article 20 or paragraph (3) of Article 21 of the Act, or assistant nurse training schools designated by prefectural governor pursuant to the provisions of paragraph (2) of Article 22 of the Act (hereinafter referred to as Assistant Nurse Training School ) shall be governed by the provisions of this Act, except as provided by the Order for Enforcement of the Act on Public Health Nurses, Midwives and Nurses (Act No. 386 of 1953, hereinafter referred to as the Order ). (2) Schools provided in the preceding paragraph shall refer to schools prescribed in the provision of Article 1 of the School Education Act (Act No. 26 of 1947) and special training colleges attached thereto prescribed in the provision of Article 124 of the said Act, or miscellaneous schools prescribed in the provision of paragraph (1) of Article 134 of the said Act. (Standards for Designation of Public Health Nurse Schools and Training Schools) Article 2 The standards concerning schools stipulated in item (i) of Article 19 of the Act and public health nurse training schools stipulated in item (ii) of the said Article (hereinafter referred to as Public Health Nurse School and Training School ) specified by an ordinance of the competent ministry stipulated in Article 11 of the Order shall meet the following requirements. (i) The requirements for admission to schools or training schools shall be that persons shall fall under any of the items of Article 21 of the Act. (ii) The duration of study shall be one year or longer. (iii) The contents of the education shall equal or exceed the contents listed in Appended Table 1. (iv) It shall have teachers suitable for the contents of the education prescribed in Appended Table 1, and three or more of them shall be full-time teachers who are 3

qualified as public health nurses and one of the full-time teachers shall be a chief related to an instruction department. (v) The number of students or pupils for which a school or a training school conducts classes for one class subject shall be 40 or below. However, this shall not apply in cases where a school or a training school achieves the full educational effects, in light of class methods, facilities and equipment, and other miscellaneous educational conditions. (vi) It shall have a sufficient number of exclusive common classrooms for classes conducted simultaneously. (vii) It shall have libraries and exclusive practical training rooms. (viii) It shall have necessary machines, instruments, specimens, models and books for the educational purpose. (ix) It shall be possible to use adequate facilities as practical training facilities to conduct the practical training prescribed in Appended Table 1, and an adequate practical training coach shall conduct training during the said practical training. (x) Full-time clerical employees shall be assigned. (xi) The methods of management and maintaining operation shall be reliable. (xii) It shall not treat students, pupils or persons who intend to become same disadvantageously for the reason of not intending to work or working at a specific medical institution, such as making it a condition to intend to work or work at a specific medical institution for admission to a school or a training school. (Standards for Designation of Midwife Schools and Training Schools) Article 3 The standards concerning schools stipulated in item (i) of Article 20 of the Act and midwife training schools stipulated in item (ii) of the said Article (hereinafter referred to as Midwife School and Training School ) specified by an ordinance of the competent ministry stipulated in Article 11 of the Order shall meet the following requirements. (i) The requirements for admission to schools or training schools shall be that persons shall fall under any of the items of Article 21 of the Act. (ii) The duration of study shall be one year or longer. (iii) The contents of the education shall equal or exceed the contents listed in Appended Table 2. (iv) It shall have teachers suitable for the contents of the education prescribed in Appended Table 2, and three or more of them shall be full-time teachers who are 4

qualified as midwives and one of the full-time teachers shall be a chief related to an instruction department. (v) The number of students or pupils for which a school or a training school conducts classes for one class subject shall be 40 or below. However, this shall not apply in cases where a school or a training school achieves the full educational effects, in light of class methods, facilities and equipment, and other miscellaneous educational conditions. (vi) It shall have a sufficient number of exclusive common classrooms for classes conducted simultaneously. (vii) It shall have libraries and exclusive practical training rooms. (viii) It shall have necessary machines, instruments, specimens, models and books for the educational purpose. (ix) It shall be possible to use adequate facilities as practical training facilities to conduct the practical training prescribed in Appended Table 2, and an adequate practical training coach shall conduct training during the said practical training. (x) Full-time clerical employees shall be assigned. (xi) The methods of management and maintaining operation shall be reliable. (xii) It shall not treat students, pupils or persons who intend to become same disadvantageously for the reason of not intending to work or working at a specific medical institution, such as making it a condition to intend to work or work at a specific medical institution for admission to a school or a training school. (Standards for Designation of Nurse Schools and Training Schools) Article 4 (1) The standards concerning universities stipulated in item (i) of Article 21 of the Act, schools stipulated in item (ii) of the said Article, and nurse training schools stipulated in item (iii) of the said Article (hereinafter referred to as Nurse School and Training School ), which intend to establish a course to educate persons falling under paragraph (1) of Article 90 of the School Education Act (including persons enrolled by universities based on the said Act pursuant to item (ii) of Article 90 of the said Act) specified by an ordinance of the competent ministry stipulated in Article 11 of the Order shall meet the following requirements. (i) The requirements for admission to schools or training schools shall be that persons shall fall under paragraph (1) of Article 90 of the School Education Act (includes persons enrolled by universities under the said Act pursuant to paragraph (2) of Article 90 of the said Act). (ii) The duration of study shall be three years or longer. 5

(iii) The contents of the education shall equal or exceed the contents listed in Appended Table 3. (iv) It shall have teachers suitable for the contents of the education prescribed in Appended Table 3, and eight or more of them shall be full-time teachers who are qualified as nurses and one of the full-time teachers shall be a chief related to an instruction department. (v) The number of students or pupils for which a school or a training school conducts classes for one class subject shall be 40 or below. However, this shall not apply in cases where a school or a training school achieves the full educational effects, in light of class methods, facilities and equipment, and other miscellaneous educational conditions. (vi) It shall have a sufficient number of exclusive common classrooms for classes conducted simultaneously. (vii) It shall have libraries and exclusive practical training rooms and home nursing practical training rooms. However, practical training rooms may be used as home nursing practical training rooms. (viii) It shall have necessary machines, instruments, specimens, models and books for the educational purpose. (ix) It shall be possible to use adequate facilities as practical training facilities to conduct the practical training prescribed in Appended Table 3, and an adequate practical training coach shall conduct training during the said practical training. (x) Full-time clerical employees shall be assigned. (xi) The methods of management and maintaining operation shall be reliable. (xii) It shall not treat students, pupils or persons who intend to become same disadvantageously for the reason of not intending to work or working at a specific medical institution, such as making it a condition to intend to work or work at a specific medical institution for admission to a school or a training school. (2) The standards concerning a Nurse School or a Training School which intends to establish a course to educate assistant nurses who have engaged in the practice for more than three years after obtaining licensure, or assistant nurses who have graduated from a high school or secondary educational school specified by an ordinance of the competent ministry stipulated in Article 11 of the Order shall meet the following requirements. However, the provisions of item (x) shall not apply to a school or training school which intends to establish a course stipulated in the preceding paragraph. 6

(i) The requirements for admission to schools or training schools shall be that an assistant nurse shall have engaged in the practice for more than three years after obtaining licensure, or have graduated from a high school or secondary educational school. However, the requirements for admission to correspondence education courses of schools or training schools shall be that an assistant nurse shall have engaged in the practice for more than 10 years after obtaining licensure. (ii) The duration of study shall be two years or longer. (iii) The contents of the education shall equal or exceed the contents listed in Appended Table 3-2. (iv) It shall have teachers suitable for the contents of the education prescribed in Appended Table 3-2, and seven or more of them shall be full-time teachers who are qualified as nurses and one of the full-time teachers shall be a chief related to an instruction department. (v) The number of students or pupils for which a school or a training school conducts classes for one class subject shall be 40 or below. However, this shall not apply in cases where a school or a training school achieves the full educational effects, in light of class methods, facilities and equipment, and other miscellaneous educational conditions. (vi) It shall have a sufficient number of exclusive common classrooms for classes conducted simultaneously. (vii) It shall have libraries and exclusive practical training rooms and home nursing practical training rooms. However, practical training rooms may be used as home nursing practical training rooms. (viii) It shall have necessary machines, instruments, specimens, models and books for the educational purpose. (ix) It shall be possible to use adequate facilities as practical training facilities to conduct the practical training prescribed in Appended Table 3-2, and an adequate practical training coach shall conduct training during the said practical training. (x) Full-time clerical employees shall be assigned. (xi) The methods of management and maintaining operation shall be reliable. (xii) It shall not treat students, pupils or persons who intend to become same disadvantageously for the reason of not intending to work or working at a specific medical institution, such as making it a condition to intend to work or work at a specific medical institution for admission to a school or a training school. 7

(3) The standards concerning a Nurse School or Training School which intends to establish a course to educate nurses in a high school and an advanced course of the said high school (hereinafter referred to as an Advanced Course in this paragraph) specified by an ordinance of the competent ministry stipulated in Article 11 of the Order shall meet the following requirements (i) A high school and an Advanced Course shall conduct consistent education to train nurses. (ii) The duration of study of an Advanced Course shall be two years or longer. (iii) The contents of the education shall equal or exceed the contents listed in Appended Table 3-3. (iv) It shall have teachers suitable for the contents of the education prescribed in Appended Table 3-3, and eight or more of them shall be full-time teachers who are qualified as nurses and one of the full-time teachers shall be a chief related to an instruction department. (v) The number of students or pupils for which a school or a training school conducts classes for one class subject shall be 40 or below. However, this shall not apply in cases where a school or a training school achieves the full educational effects, in light of class methods, facilities and equipment, and other miscellaneous educational conditions. (vi) It shall have a sufficient number of exclusive common classrooms for classes conducted simultaneously. (vii) It shall have libraries and exclusive practical training rooms and home nursing practical training rooms. However, practical training rooms may be used as home nursing practical training rooms. (viii) It shall have necessary machines, instruments, specimens, models and books for the educational purpose. (ix) It shall be possible to use adequate facilities as practical training facilities to conduct the practical training prescribed in Appended Table 3-3, and an adequate practical training coach shall conduct training during the said practical training. (x) Full-time clerical employees shall be assigned. (xi) The methods of management and maintaining operation shall be reliable. (xii) It shall not treat students, pupils or persons who intend to become same disadvantageously for the reason of not intending to work or working at a specific medical institution, such as making it a condition to intend to work or work at a specific medical institution for admission to a school or a training school. 8

(Standards for Designation of Assistant Nurse Schools and Training Schools) Article 5 The standards concerning schools stipulated in item (i) of Article 22 of the Act (hereinafter referred to as Assistant Nurse Schools ) specified by an ordinance of the competent ministry stipulated in Article 11 of the Order and standards concerning Assistant Nurse Training Schools specified by an ordinance of the competent ministry stipulated in Article 18 of the Order shall meet the following requirements. (i) The requirements for admission to schools or training schools shall be that persons shall fall under Article 57 of the School Education Act, or shall be the latter term of a secondary educational school. (ii) The duration of study shall be two years or longer. (iii) The contents of the education shall equal or exceed the contents listed in Appended Table 4. (iv) It shall have teachers suitable for the contents of the education prescribed in Appended Table 4, and five or more of them shall be full-time teachers who are qualified as nurses and one of the full-time teachers shall be a chief related to an instruction department. (v) The number of students or pupils for which a school or a training school conducts classes for one class subject shall be 40 or below. However, this shall not apply in cases where a school or a training school achieves the full educational effects, in light of class methods, facilities and equipment, and other miscellaneous educational conditions. (vi) It shall have a sufficient number of exclusive common classrooms for classes conducted simultaneously. (vii) It shall have libraries and exclusive practical training rooms. (viii) It shall have necessary machines, instruments, specimens, models and books for the educational purpose. (ix) It shall be possible to use adequate facilities as practical training facilities to conduct the practical training prescribed in Appended Table 4, and an adequate practical training coach shall conduct training during the said practical training. (x) Full-time clerical employees shall be assigned. (xi) The methods of management and maintaining operation shall be reliable. (xii) It shall not treat students, pupils or persons who intend to become same disadvantageously for the reason of not intending to work or working at a specific medical institution, such as making it a condition to intend to work or work at a specific medical institution for admission to a school or a training school. 9

(Special Exception for Standards of Designation) Article 5 (2) Concerning Public Health Nurse Schools and Training Schools, Midwife Schools and Training Schools, Nurse Schools and Training Schools, or Assistant Nurse Schools and Training Schools (hereinafter referred to as Public Health Nurse, etc., Schools and Training Schools in this paragraph), which intend to receive more than one registration of Public Health Nurse, etc., Schools and Training Schools, notwithstanding the provisions of Article 2 through the preceding Article, if it is deemed that the education would not be impeded, libraries prescribed in item (vii) of Article 2, item (vii) of Article 3, item (vii) of paragraph (1) of Article 4, item (vii) of paragraph (2) of the said Article, item (vii) of paragraph (3) of the said Article, or item (vii) of Article 5 (hereinafter referred to as Libraries in this paragraph) may be used as Libraries of the Public Health Nurse, etc., Schools or Training Schools to receive the designation, and practical training rooms prescribed in item (vii) of Article 2, item (vii) of Article 3, item (vii) of paragraph (1) of Article 4, item (vii) of paragraph (2) of the said Article, item (vii) of paragraph (3) of the said Article, or item (vii) of Article 5, or home nursing practical training rooms prescribed in item (vii) of paragraph (1) of Article 4, item (vii) of paragraph (2) of the said Article, or item (vii) of paragraph (3) of the said Article (hereinafter referred to as Practical Training Rooms, etc. in this paragraph) may be used as Practical Training Rooms of the Public Health Nurse, etc., Schools or Training Schools to receive the designation. (Special Exception for Standards of Designation) Article 6 (1) With regard to the application of the provision of paragraph (1) of Article 2 to a Public Health School or Training School which is a Nurse School or Training School having obtained the designation as a school or training school establishing the course provided in the provisions of paragraph (1) of Article 4, which intends to teach its students or pupils the contents of the education prescribed in Appended Table 1 and 3 in a single curriculum, persons shall fall under any of the items of Article 21 of the Act shall be replaced with persons shall fall under paragraph (1) of Article 90 of the School Education Act (including persons enrolled by a university based on the said Act pursuant to the provisions of paragraph (2) of Article 90 of the said Act.) (2) With regard to the application of the provision of paragraph (1) of Article 3 to a Midwife School or Training School which is a Nurse School or Training School having obtained the designation as a school or training school establishing the course provided in the provisions of paragraph (1) of Article 4, which intends to teach its students or 10

pupils the contents of the education prescribed in Appended Table 1 and 3 in a single curriculum, persons shall fall under any of the items of Article 21 of the Act shall be replaced with persons shall fall under paragraph (1) of Article 90 of the School Education Act (including persons enrolled by a university based on the said Act pursuant to the provisions of paragraph (2) of Article 90 of the said Act.) (Matters Specified, etc., in Application Form for Designation) Article 7 (1) The application form prescribed in Article 12 of the Order shall bear the following matters (except the matters listed in item (x) for a Public Health Nurse School and Training School, a Midwife School and Training School, a Nurse School and Training School, an Assistant Nurse School or an Assistant Nurse Training School established by a local government (including an incorporated municipal university prescribed in the provisions of paragraph (1) of Article 68 of the Local Independent Administrative Agency Act (Act No. 118 of 2003))). In this case, with regard to Public Health Nurse Schools and Training Schools, the name of medical specialty, the patient admission capacity, and the yearly total number of admitted patients, outpatients and child births for the last two years in item (ix) shall be replaced with the number of full-time doctors and public health nurses, and doctors and public health nurses who hold another post concurrently. (i) The name and address of the establisher (in the case of a juridical person, the name and location of the main business office) (ii) The name (ii) The Location (iv) The date of establishment (v) The school regulations (vi) The name of the president (vii) The names of teachers, subjects in their charges, and whether the teachers are full-time or hold another post concurrently (vii) The use and area of each room of the school buildings (ix) The name, location and name of the organizer (including a juridical person) of the practical training facility, and the name of medical specialty, the patient admission capacity, and the yearly total number of admitted patients, outpatients and child births for the last two years (in case where there are two or more facilities, it shall be specified for each facility.) (x) The budget for revenue and expenditures and the fiscal plan for the next two years. 11

(2) The written document prescribed in Article 12 of the Order as applied mutatis mutandis by replacing the terms pursuant to the provision of Article 21 of the Order shall bear the matters listed in items (ii) through (ix) of the preceding paragraph. (3) The following documents shall be attached with the application form prescribed in paragraph (1) or the written document prescribed in the preceding paragraph. (i) Resumes of president and teachers (ii) Structure drawings and floor plans of the school buildings (iii) A list of machines, instruments, specimens, models and books for teaching and practical training purposes (iv) The written approval of the organizer of the practical training facility concerning practical training at the said practical training facility. (Approval for Changes or Matters Requiring Notification) Article 8 (1) The matters specified by an ordinance of the competent ministry stipulated in paragraph (1) of Article 13 of the Order (including cases where it is applied mutatis mutandis pursuant to the provisions of Article 20 of the Order and applied mutatis mutandis by replacing the terms pursuant to the provisions of Article 21 of the Order) shall be the matters listed in item (v) of paragraph (1) of the preceding article (limited to matters concerning courses, duration of study, curricula, enrollment capacity of the school or training school), matters listed in item (viii) of the said paragraph, or a practical training facility. (2) The matters specified by an ordinance of the competent ministry stipulated in paragraph (2) of Article 13 of the Order (including cases where it is applied mutatis mutandis pursuant to the provisions of Article 20 of the Order and applied mutatis mutandis by replacing the terms pursuant to the provisions of Article 21 of the Order) shall be the matters listed in item (i) through (iii) of paragraph (1) of the preceding article or the matters listed in item (v) of the said paragraph (except the matters concerning courses, duration of study, curricula, enrollment capacity of the school or training school). (Matters Requiring Report) Article 9 The matters specified by an ordinance of the competent ministry stipulated in Article 14 of the Order (including cases where it is applied mutatis mutandis pursuant to the provisions of Article 20 of the Order and applied mutatis mutandis by replacing the terms pursuant to the provisions of Article 21 of the Order) shall be the following. (i) The number of students or pupils in each grade in the said school year 12

(ii) The number of graduates in the previous school year (iii) An overview of the implementation status of the education in the previous school year (Matters Specified in Application Form, etc., for Rescission of Designation) Article 10 The application form prescribed in Article 17 of the Order (including cases where it is applied mutatis mutandis pursuant to the provisions of Article 20) and the written document prescribed in Article 17 of the Order which is applied mutatis mutandis by replacing the terms pursuant to the provision of Article 21 of the Order (including cases where it is applied mutatis mutandis pursuant to the provision of Article 20 of the Order) shall bear the following matters. (i) The reasons for intending to receive rescission of the designation (ii) The scheduled date to receive rescission of the designation (iii) In a case where there are current students or pupils, measures to be taken for them (Matters Specified in Application Form for Designation of Assistant Nurse Training School) Article 11 (1) The application form prescribed in Article 19 of the Order shall bear the matters listed in each item of Article 7 (except the matters listed in item (x) for a public Assistant Nurse Training School.) (2) The written document prescribed in Article 19 of the Order as applied mutatis mutandis by replacing the terms pursuant to the provision of Article 21 of the Order shall bear the matters listed in items (ii) through (ix) of paragraph (1) of Article 7. (3) The documents listed in each item of paragraph (3) of Article 7 shall be attached with the application form prescribed in paragraph (1) or the written document prescribed in the preceding paragraph. Article 12 through 16 Deleted (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 2 of 2000) Supplementary Provisions Article 17 This Ministerial Ordinance shall come into effect as of September 1, 1951. (Special Exception for Requirements for Admission to Public Health Nurse School or Training School) Article 18 Notwithstanding the provisions of item (i) of Article 2, designated special training colleges prescribed in the provision of Article 124 of the School Education Act, miscellaneous schools prescribed in the provision of paragraph (1) of Article 134 of the 13

said Act, or Public Health Nurse Training Schools may enroll a person prescribed in paragraph (1) of Article 51 of the Act, a person who has received licensure from the Minister of Health, Labour and Welfare pursuant to paragraph (3) of Article 51 of the Act, a person prescribed in paragraph (1) of Article 53 of the Act, or a person who has received licensure from the Minister of Health, Labour and Welfare pursuant to paragraph (3) of Article 53 of the Act. (Special Exception for Requirements for Admission to Midwife School or Training School) Article 19 Notwithstanding the provisions of paragraph (1) of Article 3, designated special training colleges prescribed in the provision of Article 124 of the School Education Act or miscellaneous schools prescribed in the provision of paragraph (1) of Article 134 of the said Act may enroll a person prescribed in paragraph (1) of Article 52 of the Act, a person who has received licensure from the Minister of Health, Labour and Welfare pursuant to paragraph (3) of Article 52 of the Act, a person prescribed in paragraph (1) of Article 53 of the Act, or a person who has received licensure from the Minister of Health, Labour and Welfare pursuant to paragraph (3) of Article 53 of the Act. (Special Exception for Requirements for Admission to Nurse School or Training School) Article 20 Notwithstanding the provisions of paragraph (1) or (3) of Article 4, designated special training colleges prescribed in the provision of Article 124 of the School Education Act, or miscellaneous schools or Nurse Training Schools prescribed in the provision of paragraph (1) of Article 134 of the said Act (except courses which educate assistant nurses who have engaged in the practice for three years or more after obtaining licensure or assistant nurses who have graduated a high school or secondary educational school) may enroll a person prescribed in paragraph (1) of Article 53 of the Act, a person who has received licensure from the Minister of Health, Labour and Welfare pursuant to paragraph (3) of Article 53 of the Act, a person who has graduated a secondary educational school pursuant to the prior provisions, or a person who has passed examinations under the Vocational Training School Entrance Examination Regulations. (Special Exception for Requirements for Admission to Assistant Nurse School or Training School) 14

Article 21 Notwithstanding the provisions of item (i) of Article 5, Assistant Nurse Schools or Assistant Nurse Training Schools may enroll a person who has graduated a senior course of national elementary school under the old National Elementary School Ordinance or who has completed a two-year course of a secondary educational school pursuant to prior provisions. (Special Exception for Full-time Teachers Qualified as Public Health Nurses) Article 22 A person prescribed in paragraph (1) of Article 51 of the Act may serve as a full-time teacher qualified as a public health nurse prescribed in item (iv) of Article 2 for the time being after September 1, 1951. (Special Exception for Full-time Teachers Qualified as Midwives) Article 23 A person prescribed in paragraph (1) of Article 52 of the Act may serve as a full-time teacher qualified as a midwife prescribed in item (iv) of Article 3 for the time being after September 1, 1951. (Special Exception for Full-time Teachers Qualified as Nurses) Article 24 A person prescribed in paragraph (1) of Article 53 of the Act may serve as a full-time teacher qualified as a midwife pursuant to the provisions of item (iv) of paragraph (1) of Article 4, item (iv) of paragraph (2) of the said Article, or item (iv) of Article 5 for the time being. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 3 of 1951) This Ministerial Ordinance shall come into effect as of the day of its promulgation [September 18, 1951] and apply from September 1, 1951. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1952) This Ministerial Ordinance shall come into effect as of the day of its promulgation [February 11, 1952]. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 2 of 1956) This Ministerial Ordinance shall come into effect as of the day of its promulgation [October 6, 1956]. 15

Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 2 of 1964) This Ministerial Ordinance shall come into effect as of April 1, 1964. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1967) (1) This Ministerial Ordinance shall come into effect as of the day of its promulgation [November 30, 1967]. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a nurse in a school or training school already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of Appended Table 3 after the revision by this Ministerial Ordinance, the provisions then in force may remain applicable. (3) With regard to schools, training schools, or Assistant Nurse Training Schools designated before this Ministerial Ordinance comes into force, notwithstanding the provisions of Article 5 through 9 after revisions by this Ministerial Ordinance, the provisions then in force shall remain applicable until March 31, 1971. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1968) (1) This Ministerial Ordinance shall come into effect as of the day of its promulgation [December 26, 1968]. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a nurse in a school or training school already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of Appended Table 3 2 after the revision by this Ministerial Ordinance, the provisions then in force may remain applicable. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 3 of 1969) This Ministerial Ordinance shall come into effect as of the day of its promulgation [October 15, 1969]. 16

Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1971) (1) This Ministerial Ordinance shall come into effect as of April 1, 1971. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a public health nurse or midwife in a school or training school already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of Appended Table 1 and 2 after the revision by this Ministerial Ordinance, the provisions then in force may remain applicable. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1976) This Ministerial Ordinance shall come into effect as of the enforcement date of the Act for Partial Amendment to the School Education Act (Act No. 59 of 1975) Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1978) This Ministerial Ordinance shall come into effect as of the day of its promulgation [April 1, 1978]. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1989) Revision: Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 5 of December 20, 2000 (1) This Ministerial Ordinance shall come into effect as of April 1, 1990. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a public health nurse, midwife, nurse, or assistant nurse in a school or training school already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of Appended Table 1 through 4 after the revision by this Ministerial Ordinance, the provisions then in force may remain applicable. 17

Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1994) This Ministerial Ordinance shall come into effect as of the day of its promulgation [March 30, 1994]. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1996) Final Revision: Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of January 8, 2008 (1) This Ministerial Ordinance shall come into effect as of April 1, 1997. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a public health nurse, midwife, nurse, or assistant nurse in a school or training school already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of Appended Table 1 through 3 after the revision, the provisions then in force may remain applicable. (3) With regard to the number of full-time teachers qualified as a nurse in Nurse Schools and Training Schools, eight in the provisions of item (iv) of paragraph (1) of Article 4 after the revision shall be replaced with six until March 31, 2011. (4) With regard to the number of full-time teachers qualified as a public health nurse, midwife, or nurse in schools or training schools already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of item (iv) of Article 2, item (iv) of Article 3, and item (iv) of paragraph (1) of Article 4 after the revision, the provisions then in force may remain applicable until March 31, 2002. (5) With regard to the number of students or pupils for which a school or a training school conducts classes for one class subject in schools or training schools already designated at the time when this Ministerial Ordinance comes into force (except schools or training schools at which any school building, etc., was newly constructed, expanded, or remodeled thoroughly after this Ministerial Ordinance comes into force), notwithstanding the provisions of item (v) of Article 5, item (v) of Article 6, and item (v) of paragraph (1) of Article 7 after the revision, the provisions then in force may remain applicable. 18

Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1997) This Ministerial Ordinance shall come into effect as of April 1, 1997. Final Revision: Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 2008 Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of July 23, 1998) (1) This Ministerial Ordinance shall come into effect as of April 1, 1999. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a nurse in a school or training school already designated at the time when this Ministerial Ordinance comes into force (hereinafter referred to as Designated Schools and Training Schools in paragraph (4) and (5) of these supplementary provisions), notwithstanding the provisions of Appended Table 3-2 after the revision, the provisions then in force may remain applicable. (3) With regard to the number of full-time teachers qualified as a nurse in Nurse Schools and Training Schools, seven in the provisions of item (iv) of paragraph (2) of Article 4 after the revision shall be replaced with five until March 31, 2011. (4) With regard to the number of full-time teachers qualified as a nurse in Designated Schools and Training Schools, notwithstanding the provisions of item (iv) of paragraph (2) of Article 4 after the revision, the provisions then in force may remain applicable until March 31, 2004. (5) With regard to the number of students or pupils for which a school or a training school conducts classes for one class subject in Designated Schools or Training Schools (except schools or training schools at which any school building, etc., was newly constructed, expanded, or remodeled thoroughly after this Ministerial Ordinance comes into force), notwithstanding the provisions of item (v) of paragraph (2) of Article 7 after the revision, the provisions then in force may remain applicable. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 1 of 1999) This Ministerial Ordinance shall come into effect as of April 1, 1999. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 5 of 1999) 19

Final Revision: Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of January 8, 2008. (1) This Ministerial Ordinance shall come into effect as of April 1, 2002. (2) With regard to the number of full-time teachers qualified as a nurse in Nurse Schools and Training Schools, eight in the provisions of item (iv) of paragraph (3) of Article 4 after the revision shall be replaced with six until March 31, 2011. (3) With regard to the contents of the education for those who are studying the knowledge and skills required for an assistant nurse in Assistant Nurse Schools or Training Schools already designated at the time when this Ministerial Ordinance comes into force (hereinafter referred to as Designated Schools and Training Schools in paragraph (5) and (6) of these supplementary provisions), notwithstanding the provisions of Appended Table 4 after the revision, the provisions then in force may remain applicable. (4) With regard to the number of full-time teachers qualified as a nurse in Assistant Nurse Schools or Training Schools, five in the provisions of item (iv) of Article 5 after the revision shall be replaced with three for the time being. (5) With regard to the number of full-time teachers qualified as a nurse in Designated Schools and Training Schools (except schools and training schools which have three or more full-time teachers qualified as a nurse) which fall under any of the following items, notwithstanding the provisions of item (iv) of Article 5 after the revision, the provisions then in force may remain applicable until March 31, 2004. (i) The enrollment capacity of the school or training school is twenty or less; (ii) The location is in a municipality with a population of less than 50,000 and the following area within their area; (a) remote island regions designated as regions at which remote island development measures are to be implemented pursuant to the provisions of paragraph (1) of Article 2 of the Remote Island Development Act (Act No. 72 of 1953); (b) the distant area prescribed in paragraph (1) of Article 2 of the Act on Special Financial Measures for Comprehensive Development of Public Facilities for Distant Areas (Act No. 88 of 1962); (c) mountain village areas due for development designated pursuant to the provisions of paragraph (1) of Article 7 of the Mountain Villages Development Act (Act No. 64 of 1965); and 20

(d) the under populated area prescribed in paragraph (1) of Article 2 of the Act on Special Measures for Promotion for Independence for Under Populated Areas (Act No. 15 of 2000). (6) With regard to the number of students or pupils for which a school or a training school conducts classes for one class subject in Designated Schools or Training Schools (except schools or training schools at which any school building, etc., was newly constructed, expanded, or remodeled thoroughly after this Ministerial Ordinance comes into force), notwithstanding the provisions of item (v) of Article 5 after the revision, the provisions then in force may remain applicable. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 2 of 2000) Extract (Effective Date) (1) This Ministerial Ordinance shall come into effect as of April 1, 2000. Supplementary Provisions (Ordinance of the Ministry of Education, Science and Culture and the Ministry of Health and Welfare No. 5 of 2000) This Ministerial Ordinance shall come into effect as of the enforcement date of the Act for Partial Amendment to the Cabinet Act (Act No. 88 of 1999) (January 6, 2001). Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology No. 80 of 2001) Extract (Effective Date) This Ministerial Ordinance shall come into effect as of April 1, 2002. Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of 2002) This Ministerial Ordinance shall come into effect as of the enforcement date of the Act for Partial Amendment to the Act on Public Health Nurses, Midwives and Nurses (March 1, 2002). Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of 2003) 21

This Ministerial Ordinance shall come into effect as of April 1, 2004. Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of 2004) This Ministerial Ordinance shall come into effect as of April 1, 2004 Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of 2006) This Ministerial Ordinance shall come into effect as of the enforcement date of the Act for Partial Amendment to the Act on Clinical Laboratory Technologists, Health Laboratory Technologists, etc., and the Act for Partial Amendment to the Order for Enforcement of the Act on Clinical Laboratory Technologists, Health Laboratory Technologists, etc. (April 1, 2006). Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 2 of 2007) This Ministerial Ordinance shall come into effect as of the enforcement date of the Act for Partial Amendment to the School Education Act (December 26, 2007) Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of 2008) (1) This Ministerial Ordinance shall come into effect as of April 1, 2008. However, the provision for revision of Appended 3-2 in Article 1 shall come into effect as of April 1, 2009. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a public health nurse, midwife, or nurse in schools or training schools already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of Appended Table 1 through 3-3 after the revision by this Ministerial Ordinance, the provisions then in force may remain applicable. Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 2 of 2010) 22

This Ministerial Ordinance shall come into effect as of the day of its promulgation [April 1, 2010]. Supplementary Provisions (Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labour and Welfare No. 1 of 2011) (1) This Ministerial Ordinance shall come into effect as of April 1, 2011. (2) With regard to the contents of the education for those who are studying the knowledge and skills required for a public health nurse or midwife in schools or training schools already designated at the time when this Ministerial Ordinance comes into force, notwithstanding the provisions of Appended Table 1 and 2 after the revision by this Ministerial Ordinance, the provisions then in force may remain applicable. Appended Table 1 (related to Article 2) Contents of Education Number of Credits Remark Public Health Nursing 16 (14) Introduction to Public Health Nursing 2 Support for Individuals, Families, Groups, and Organizations Public Health Nursing Activity Development Theory Public Health Nursing Management Theory 14 (12) Includes Health Risk Management Epidemiology 2 Public Health Statistics 2 Administrative Health Care and Welfare Policy Theory 3 (2) On-site Practical Training 5 Practical Training on Public Health Nursing Science 5 Includes practical training at a health care center and municipality Practical Training on Support for 2 Includes Continuous Teaching 23