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Volume 32 (2001)
- Issue 6 Pages 409-
- Issue 5 Pages 275-
- Issue 4 Pages 201-
- Issue 3 Pages 153-
- Issue 2 Pages 69-
- Issue 1 Pages 3-
Volume 32, Issue 6
Displaying 1-9 of 9 articles from this issue
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Seishu HASHIMOTO, Seiji YAMASHIRO, Yukie TSURUMARU, Shunzo KOIZUMI2001 Volume 32 Issue 6 Pages 409-414
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSObjective: To identify factors, such as embarrassment, contributing to the psychological resistance of female patients to physical examination.Methods: Female outpatients were given questionnaires asking about their degree of embarrassment in four areas of physical examination, their tolerance for disrobing during chest examination, and examples of actual episodes of embarrassment experienced during Physical examination. Answers were analyzed statistically. Results: Patients were more embarrassed when examiners were men or were students. When a male student examiner examined the chest and abdomen, the younger the female patients were, the greater their embarrassment was. Conclusions: Male student examiners should be most careful during Physical examination not to embarrass female patients. Gowning may reduce their embarrassment.View full abstractDownload PDF (4531K) -
Koji YAMAMOTO, Atsushi HIRAIDE, Naruya TOMITA, Yumiko TOYAMA(NAKAGAWA) ...2001 Volume 32 Issue 6 Pages 415-420
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSRecruiting enough simulated patients for teaching communication skills to large numbers of students is difficult. We solved this problem with the help of volunteers at Osaka University Hospital. Of the Sixty-seven volunteers who now provide services to patients, 21 applied to become simulated patients. In two practical training sessions, all tudents played the role of doctors. Afterwards, 98% of students felt that such practical training in communication skills was necessary and meaningful. The volunteers felt that playing the role of a patient was a good experience. We found that simulated patients for practical training of students in communication skills can be recruited from among hospital volunteers.View full abstractDownload PDF (4053K) -
Maiko OHNO, Shinji MATSUMURA, Miyako TAKAHASHI, Shunichi FUKUHARA, Kim ...2001 Volume 32 Issue 6 Pages 421-426
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe conducted a nationwide survey in 2000 regarding undergraduate medical education in Evidence-based Medicine (EBM) in Japan. We asked faculty members responsible for medical education at each medical school 1) whether there are any barriers to teaching EBM, 2) what these barriers are, and 3) what educational resources are needed to overcome them. Responses were received from 64 schools (80%). More than half of the respondents reported barriers to teaching EBM. We identified two kinds of barriers: before EBM is introduced, skepticism toward the concept of EBM and the value of teaching EBM is encountered; later, problems of organizing a curriculum and shortages of staff and materials are encountered. To overcome these barriers, we need: 1) to establish organizations for coordinating educational programs among medical schools, 2) to hold seminars for faculty development, 3) to develop EBM curricula and teaching materials, and 4) to provide computer facilities and appropriate networks.View full abstractDownload PDF (891K) -
Michio MIYASAKA, Haruo YAMANOUCHI, Koji DEWA, Koji SAKURAI2001 Volume 32 Issue 6 Pages 427-432
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe conducted a questionnaire survey on medical students' attitude on bioethics education. The survey was conducted at the beginning of bioethics courses for fifth-year students from 1997 through 1999. The results suggest that students who had relatively stronger interest in bioethics considered themselves to be “generalist-oriented doctors” rather than “specialist-oriented doctors” and were interested in nonmedical academic fields. Teaching of most bioethical issues was evaluated as not being sufficient for the students' level of interest. Many students thought that bioethics should be taught repeatedly throughout their medical education and that more time should be dedicated to case discussion.View full abstractDownload PDF (6473K) -
Yoko EMORI, Katsuko KAMIYA, Shigeo TOMURA, Hisako YANAGI, Yoko AKAZAWA ...2001 Volume 32 Issue 6 Pages 433-437
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSAlthough attempts to teach medical students about nursing have become more frequent, nurses who have lectured to medical students and have been involved in their practical training have rarely published studies evaluating their training methods and objectives. This study was performed to clarify the significance and problems of such teaching. Nurses now participate in the education and training of medical students in at least half of medical training hospitals and schools. They thought that this is a unique and beneficial educational opportunity and had high expectations. However, four main problems have been identified: the motivation and attitudes of medical students, the time and environment for training, the understanding of clinicians, and the problems of nurses, such as lack of educational experience.View full abstractDownload PDF (3706K) -
Masahiro TANABE, Masaharu ICHINOSE, Youichi KOHNO, Hideo YAMAMORI, Kat ...2001 Volume 32 Issue 6 Pages 439-443
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSMany institutions have applied a tutorial system to medical education since Tokyo Women's Medical College started doing so in 1990. Chiba University School of Medicine started a clinical tutorial system in April 1997 and has continued it for 4 years. Our system has employed problem-based learning using cases, with the goal of students' acquiring self-learning and problem-solving skills. This tutorial system has been positively evaluated by both students and instructors and is likely to be useful for clinical medical education.View full abstractDownload PDF (842K) -
Seiji SAITO, Yukihiro SHIMIZU, Keiichiro KITA, Kouji OHZAWA, Akiharu W ...2001 Volume 32 Issue 6 Pages 451-457
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA program for teaching basic clinical skills to fifth-year medical students was started at Toyama Medical and Pharmaceutical University in 1999. The five units of basic clinical skills included: 1) medical interviewing, 2) general physical examination, 3) chest examination, 4) abdominal examination, and 5) neurologic examination. The educational strategies and evaluations in each unit consisted of: 1) lectures, 2) videotape demonstrations, 3) role-playing in small groups, 4) practice on patients in small groups, 5) written examinations, and 6) objective structured clinical examinations. The students evaluated each session of the program with a five-grade rating scale and comments. Small-group sessions (role play and practice on patients) and objective structured clinical examinations received the highest scores, followed by videotape demonstrations. Lectures received significantly lower scores than did other parts of the program. In addition, most students recommended standardization of educational content, increased practice time, and fewer lectures. We conclude that evaluation by students is essential for improving programs for teaching basic clinical skills.View full abstractDownload PDF (1155K) -
Kuni IWAI, Hiroyuki MATSUOKA, Shigeto YOSHIDA, Meiji ARAI, Akira ISHII2001 Volume 32 Issue 6 Pages 459-462
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe assessed the effectiveness of practical instruction in parasitology for undergraduates at Jichi Medical School by examining grades on a practical examination. Two hundred six second-year medical students in 1997 and 1998 (103 students in each year) were enrolled in this study. The students took written and practical examinations at the end of the program. We found that grades on the practical examination were correlated with grades on the written examination (r=0.5664; p<0.001). The discrimination index ranged from 0.23 to 0.78. The percentage of correctly identified species was significantly higher when students studied live specimens than when they used other methods (p<0.0001 in both 1997 and 1998). The highest rates of correct identification (more than 90%) were for Anisakis species larvae and Enterobius vermicularis eggs in 1997 and for Anisakis species larvae, E. vermicularis eggs, and Anopheles mosquitoes in 1998. Results of neither written nor practical examinations differed significantly between students who chose biology at the entrance examination and those who did not. Our results suggest that undergraduates would gain a better understanding of parasitology by studying live specimens.View full abstractDownload PDF (612K) -
Mari SAKANO, Sen YACHI, Yoshihiro GOCHO, Masayuki FURUICHI, Sinpei ONO ...2001 Volume 32 Issue 6 Pages 463-467
Published: December 25, 2001
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA special Students' Committee on Medical Education was established by the Student Union of Nippon Medical School. The members of this committee are all volunteers and have carried out several plans to improve the educational environment at our school. In 1999, the Students' Committee on Medical Education proposed holding joint meetings with the Education Committee of Nippon Medical School. The meeting was to allow communication between students and teachers for improving the curriculum. The volunteer faculty members of the Education Committee and students have held joint meetings seven times from November 1999 through February 2001. Discussions between students and teachers have changed ideas on both sides and have led to improvements in some educational programs, such as clinical internship during the summer vacation.View full abstractDownload PDF (551K)
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