St. Marianna University, School of Medicine. Department of Internal Medicine, Division of Cardiology, Kanagawa, Japan
St. Marianna University, School of Medicine. Research Institute for Medical Education, Kanagawa Japan

University of Tokyo, Department of International Cooperation for Medical Education, International Research Center for Medical Education, Graduate School of Medicine, Tokyo, Japan

Hirosaki University, Department of Health Sciences Education, Aomori, Japan
Hirosaki University, Centre for Community-based Health Professions Education, Aomori, Japan