The selection of a primary care career by Japanese medical students is said to be increasing however there are no studies to support this belief.In order to fully understand the alleged increase in the number of medical students choosing primary care we believed that an examination of the factors influencing medical students' decision-making would be helpful. 1) We distributed questionnaires to two hundred ninety eight medical students in 2004 who would graduate in four months from three Japanese medical universities. 2) Questionnaires included demographic factors, career choice, important career choice factors, interest in community medicine, willingness to engage in community medicine, thinking community medicine is useful, and satisfaction with curricula. 3) There were significant associations between a primary care choice and social experience, lifestyle preference, interest in community medicine, willingness to engage in community medicine, and contact with primary care faculty. 4) Using a logistic regression model, lifestyle preference, male gender, social experience before entrance to a medical university and contact with primary care faculty were four significant factors. 5) It might be important to consider those factors in addition to curriculum reform to increase primary care career choice among Japanese medical students.
Although simulated patients (SPs) has become indispensable for the development of medical students' communication skills, few studies have analyzed the effects of SPs on medical students. In particular, no studies have examined the effect of the feedback that medical students receive from SPs during communication training sessions. 1) We invited students to complete a questionnaire and participate in a group interview; the responses and opinions obtained were then analyzed both quantitatively and qualitatively by two independent analysts. 2) Sixty-four percent of students were satisfied with SPs' feedback, whereas 28% of students preferred toreceive negative feedback as a way to improve their skills. 3) Some students criticized SPs' feedback and SPs themselves. 4) The SPs' feedback should focus more on the negative aspects of students' performances, and faculty members should provide a safe and secure educational environment for both students and SPs.
1) オタワカンファレンスはAAMC (Association for American Medical Colleges) やAMEE (Association for Medical Education in Europe) の年次集会と並ぶ医学教育国際学会の1つである. 2) 主なトピックスとして, 医療専門職種間教育, FD, 省察的実践, 臨床技能評価における判定基準設定, Key Feature Problem, Multi Source (360 degree) Feedbackが注目された.