2017 Volume 48 Issue 5 Pages 305-310
Recent changes in patient safety policy have led to the increasing significance of simulation-based medical education. However, among Japanese medical schools, we have confirmed considerable differences in simulation-based, clinical clerkship learning environments that may affect different learning opportunities for trainings with simulators or simulated patients. We conducted nationwide surveys on the prevalence and application of clinical skills laboratories for clerkships in 2012 and 2016. Registered questionnaires were sent to all medical schools (n=80). The response rate was 95%. Seventy-four schools (97%) have installed a skills laboratory. Floor space for the laboratory varied from 214 m2 in 2012 to 339 m2 in 2016. The mean number of annual uses by medical students increased from 1,402 to 1,978, Although there were favorable changes, such as more spacious learning areas and an increase in annual uses by medical students, there were significant disparities in the implementation of simulation-based learning among schools. For example, only 29 schools (38%) implemented training programs with simulated patients. Further effort to spread learning with simulated patients seems necessary.