To accurately assess the clinical competencies of medical students at Fukushima Medical University, we have developed a novel online self–assessment system, which covers all goals in the "Model Core Curriculum for Medical Education in Japan." We added "Emergency," "Communication skills with staff," and "Simulation–based learning." Following their clinical clerkships, 79 sixth–year medical students assessed themselves and their clinical clerkships. 1)This novel online self–assessment system, consisting of 68 checklists in 15 fields, easily informs us of the actual conditions of clinical clerkships and students' confidence in their clinical competencies. 2)This internet–based self–assessment system revealed the current status and problems of clinical clerkships, prompting feedback to clinical instructors and members of the instruction committee. 3)Students felt "confident" or "confident to a certain degree" in most learning areas; however, simulation–based learning seems to be necessary in several areas, such as clinical skills, where feelings of shame or discomfort may be associated with patient care. 4)Students who had high total self–assessment scores evaluated clinical clerkships favorably. In contrast, students whose self–assessments frequently included "no learning experience" evaluated their clerkships negatively in the educational aspects of "skill" and "attitude."
The number of female physicians is increasing. In Japan, marriage and child–bearing have been considered barriers preventing female physicians from working continuously. This study investigated the effects of marriage and child–bearing on career satisfaction among female physicians. 1)We surveyed the alumni of two private medical schools (University A: n=646; University B: n=316). The response rate was 38% for University A and 71% for University B. 2)When the subjects were asked if they were satisfied that they had chosen a career as a physician, 85%(n=400) answered that they were satisfied. 3)In total, 348 female physicians (74%) were married, and of them, 280 (80%) had experienced childbirth, and 259 (77%) were married to physicians. 4)Factors that significantly and positively affected career satisfaction were marriage for all female physicians and child–bearing for married female physicians. 5)The results of this study suggest that marriage and child–bearing, rather than being obstacles to career development, have positive effects on the career satisfaction of female physicians.
The preparation for influenza pandemic has become very important. However, no standardized educational package against pandemics has been established to date. We developed a simulation–based education drill for Japanese medical students based on the package developed by U.S. medical school. The drill was adapted to 201 medical students, and was evaluated by self–administered questionnaires. 1)More than 90% of the students indicated that the use of this drill is appropriate to experience a simulated pandemic situation, and to learn skills and attitudes such as teamwork and communication. 2)Up to 65% of the students answered they learned a "very clear image" for the "Importance of working as a team with other professionals". 3)The results suggest that this simulation–based education drill make the students aware not only of the need for the preparation for pandemic but also the importance of team–based approach.
1)Training elderly simulated patients (SPs) will enhance elderly persons' contribution to education. Such training will also help universities contribute to the community and help elderly persons be more productive in their activities. 2)Training programs for elderly SPs and follow–up seminars focusing on the display of symptoms requested by participants were held. The aim of this program was to train SPs to participate in the preclinical educational activities of the university. The participants evaluated the program to be satisfactory.
1)I had the opportunity to learn about public health in the Master of Public Health degree program at the Harvard School of Public Health. 2)It would be a good experience for future educators and instructors to learn about different educational systems, such as the Harvard School of Public Health, where a student's opportunity is limited only by his or her motivation to learn. 3)The Master of Public Health program in the United States is a good option for career enrichment because it provides a strong background in subjects critical to successful medical research, including biostatistics and epidemiology.
We held an integrated seminar program on community medicine for high school students. We used questionnaires to evaluate the usefulness of the seminar. 1)The seminar included lectures about community medicine, active–learning programs, and discussions about medical issues. 2)Before the seminar, 96% of the participants had been interested in a career in medicine. 3)After the seminar, 96% of participants were satisfied with the seminar. 4)The number of the participants who wanted to work in the community in Oita in the future increased from 43% before the seminar to 62% after the seminar. Our results suggest that this integrated seminar program is useful for getting high school students interested in community medicine.
1)Continuing medical education (CME) systems were researched in 10 countries. In all countries but one CME is mandatory. Only Spain has voluntary CME, as does Japan. 2)The traditional CME systems in many countries were changed after 2000. We believe this change reflects a global revolution associated with a new wave of medical risk management. 3)To provide better medical services, we must keep improving Japan's CME system. Such improvement is an important responsibility to society.