Designing a Clinical Clerkship Program with the 4C/ID Model / 医学教育

Clinical clerkships in medical school requires an educational approach that integrates medical students into the medical team and progressively assigns medical tasks to them based on their competencies. However, it is challenging for supervisors to delegate tasks to medical students gradually while considering medical safety. This paper outlines the design of an emergency department clinical clerkship program based on the Four Component Instructional Design (4C/ID) model. This model enables students to learn complex task performance skills in stages while developing a schema, considering the cognitive load involved in learning complex tasks. The 4C/ID model is anticipated to be an effective instructional design for constructing clinical clerkship programs.

3. A Newly Established Quality and Competency "Making Use of Information, Science and Technology" / 医学教育

Due to the importance of developing physicians' competencies to utilize information, science, and technology, the 2022 revision of the Model Core Curriculum for Medical Education newly established guidelines for qualities and competencies, which it refers to as "Competencies to utilize information, science, and technology." The Model Core Curriculum outlines these qualities as "understanding the ever-developing information society and practicing medical research and treatment while utilizing information, science and technology such as artificial intelligence." The guidelines are organized by the three perspectives of "ethical viewpoints and rules for dealing with information, science and technology," "principles of information, science and technology necessary for medicine and its surrounding society," and "utilization of information, science and technology in the medical field." The objectives of the course were set from the three perspectives of "ethics and rules for dealing with information, science and technology," "principles of information, science and technology necessary for medicine and the society surrounding it," and "utilization of information, science and technology in medical practice." We looked back on the process of formulating these qualities and competencies, which will become increasingly important, and discussed their future prospects.

Practical Application of Art-Based Research to First-Year Medical School Students' Community-Based Medical Education / 医学教育

Undergraduate medical education requires learning in both science and art. We have developed a learning model for use in first-year medical education that applies art-based research, which has been developed in sociology.　This is a method in which medical students themselves conduct research while creating works of art to solve local medical, health, and welfare problems, deepening their learning. They also share their artworks with other students.　The methodology consists of four steps: [I] groundwork, [II] collection of materials, [III] fieldwork and artwork, and [IV] appreciation of interactive artwork.　In the class, students take the initiative by creating works that are full of individuality and assertiveness. This learning model is a relatively new model for medical education through which students can deepen their understanding of the art of medicine.

How to Give Effective Feedback that Encourages Reflection Using Elements of Coaching: Introduction and Japanese Translation of the R2C2 Model / 医学教育

To improve resident performance in clinical practice, the R2C2 model was developed for supervisors who need to guide their residents’ reflection. It consists of four stages: Relationship building, exploring Reactions, exploring Content, and Coaching. It has been shown to effectively engage residents in reflective, goal-oriented discussions and in developing a Learning Change Plan with their supervisors. This paper introduces the Japanese translated version of the model and the evidence of its use.

"MEDC's Learning Space" - A Step-by-step Learning Program at Gifu University to Help Leaders Grow / 医学教育

Over the past 20 years, the Center for Medical Education Development Center, Gifu University has been working on training medical educators across the country. The Center offers a wide variety of programs to meet participants’ various needs and levels, targeting medical educators and administrative staff in various fields such as dentistry, pharmacy, nursing, physical therapy, and occupational therapy. This paper introduces the “Medical Education Starter Kit,” “Fellowship Program,” and “Master’s Course of Health Professions Education” among the programs. The objectives, target participants, and features of each program are outlined, including future prospects.

What Dental Hygienists Learned through Training with Simulated Patient and How They Applied it in Practice? / 医学教育

Introduction: This study aims at investigating what dental hygienists learned through training with a simulated patient and how they applied their learning in practice. Method: Open-ended questionnaire surveys on their perceptions and experiences of health communication were undertaken by 21 dental hygienists before and after communication trainings. Result: Before the training, they felt it difficult to cope with patients’ negative responses to their communication. However, after the training, they deeply considered how they should be as health professional through reflection on their own communication style. In their practice, they tried to communicate while considering the patient’s situation. Discussion: Participants’ critical reflection, which was encouraged in this training, resulted in application of their learning to clinical practice.

What Do We Need to Know for Writing a High-Quality Research Paper? / 医学教育

Even if a writer has obtained interesting data and results, the quality of the research paper depends on how the author has academically and logically presented the findings and his or her interpretation of the data. This paper discusses what potential authors need to know about writing a high-quality research paper from the following perspectives: identification of research gap (s) based on literature review, clarification of author’s epistemological assumptions and employment of theoretical framework, emphasis on methodological rigor, provision of theoretical and practical implications that are applicable to readers’ context, and ensuring the consistency of author’s argumentation throughout the paper.

Basic Understanding of Support for Students Who Have Developmental Disorders at Medical Training Institutions / 医学教育

The Act for Eliminating Discrimination against Persons with Disabilities stipulates that medical training institutions need to offer the provision of Reasonable Accommodation to students with developmental disorders and/or related characteristics.　Reasonable Accommodation is the consideration to guarantee the rights of students with developmental disorders; thus, educational institutions have an obligation to provide this Reasonable Accommodation.　In this paper, we outlined specific support for students with developmental disabilities and related characteristics in medical training institutions from the aspects of “enrollment,” “university education,” and “employment.”　Essential ways to support students with developmental disorders and related characteristics include the presentation of clear criteria, mutual cooperation, and collaboration between faculty members and administrative staff, as well as understanding the basics of how to interact with such students.

Research Design to Make a Theoretical Contribution to the Importance of Understanding Research Paradigms / 医学教育

Employing a theoretical framework and making a theoretical contribution are recognized internationally as important elements in medical education research. The focus of this paper is on a fundamental stage of research design, such as identifying the research paradigm relevant to the researcher’s study philosophical assumptions, including ontology, epistemology and methodology. Paying attention to basic elements of research process (i.e., philosophical assumption ― research paradigm/theoretical perspective ― methodology ― methods), researchers can ensure consistency in research design and make not only practical but also theoretical contributions to existing knowledge.

How Are Trainee Dentists Able to Autonomously Engage in Clinical Practice? / 医学教育

Introduction: This study aims to explore the processes by which trainee dentists are able to autonomously engage in clinical practice.Methods: Semi-structured interviews with 16 trainee dentists were conducted. For the data analysis, Modified Grounded Theory Approach was employed in this study.Results: At the early stage of clinical education, trainees tended to passively receive and follow the supervisor's instruction. However, through their reiterative reflection on clinical experience and feedback from their supervisor, they gradually established a proper way of treating and caring for patients. They also understood their own abilities. Furthermore, they could obtain a holistic viewpoint of dental treatment. Their experiences led to active engagement with dental practice.Discussion: In order for the learners to be autonomously involved in their practice, educators need to provide scaffolding and support that encourage them to solve individual problems in the given context.

What Capabilities Have Undergraduate Students Acquired for Interprofessional Work? / 医学教育

The purpose of this study is to address what undergraduate students of professional healthcare learned in interprofessional education (IPE), and to explore a way to develop interprofessional work (IPW) competencies effectively in IPE. A qualitative analysis was conducted on the portfolios of 9 medical, 8 dental, 16 pharmaceutical, and 16 nursing and rehabilitation students. 6 elements were identified in the undergraduate IPE; 【Patient/Family-Centered care】, 【Value/Ethics for IPW】, 【Communication Necessary for IPW】, 【Roles/Responsibilities as Healthcare Professionals】, 【Understanding of their own profession】, 【Team/Team work】. In order to acquire these capabilities, undergraduate education programs based on IPE are required.

How Are Trainee Dentists Able to Autonomously Engage in Clinical Practice? / 医学教育

Introduction: This study aims to explore the processes by which trainee dentists are able to autonomously engage in clinical practice.Methods: Semi-structured interviews with 16 trainee dentists were conducted. For the data analysis, Modified Grounded Theory Approach was employed in this study.Results: At the early stage of clinical education, trainees tended to passively receive and follow the supervisor's instruction. However, through their reiterative reflection on clinical experience and feedback from their supervisor, they gradually established a proper way of treating and caring for patients. They also understood their own abilities. Furthermore, they could obtain a holistic viewpoint of dental treatment. Their experiences led to active engagement with dental practice.Discussion: In order for the learners to be autonomously involved in their practice, educators need to provide scaffolding and support that encourage them to solve individual problems in the given context.

What Capabilities Have Undergraduate Students Acquired for Interprofessional Work? / 医学教育

The purpose of this study is to address what undergraduate students of professional healthcare learned in interprofessional education (IPE), and to explore a way to develop interprofessional work (IPW) competencies effectively in IPE. A qualitative analysis was conducted on the portfolios of 9 medical, 8 dental, 16 pharmaceutical, and 16 nursing and rehabilitation students. 6 elements were identified in the undergraduate IPE; 【Patient/Family-Centered care】, 【Value/Ethics for IPW】, 【Communication Necessary for IPW】, 【Roles/Responsibilities as Healthcare Professionals】, 【Understanding of their own profession】, 【Team/Team work】. In order to acquire these capabilities, undergraduate education programs based on IPE are required.

Applying Skits in Teacher Training:A Method to Present Tomorrow's Teachers / 医学教育

In a workshop for health care education teachers, participants are expected to understand new teaching approaches, acquire them, and prepare themselves for tomorrow’s education. While role play is a well-known method for learning in the clinical classroom, this paper reported on an innovative learning strategy that utilizes skits. Firstly, participants generated ideas and set goals to demonstrate how they would change their teaching from tomorrow. Secondly, they arranged the setting for skits, made scenarios based on their own goals, decided the cast from among the group members, and performed the skits in front of the other participants. Thirdly, they did a peer review and debriefing of their skits. This innovative approach may accelerate participants’ ability to set practical goals that should change their future teaching behaviors.

Medical students' marriage/family and career perceptions: A pilot questionnaire survey / 医学教育

<p></p><p> The increase of female physicians and its undeveloped supporting system can be one of the causes of physicians' shortage. Although physicians' marriage/family perceptions and their influences on career choices have been extensively studied, those of medical students are not fully understood. An anonymous questionnaire survey was conducted involving male/female medical students in years 2 and 5 at Gifu University School of Medicine. The results showed that many male/female students hoped to get married, have children, and continue to work in the future, but different perceptions were demonstrated between the sexes with regards to the partners' occupation, working style, and influences of family/marriage perceptions on students' specialty choice. The results suggest the presence of sex-related differences in perceptions among medical students. The survey indicates the necessity of early undergraduate education for a better mutual understanding of gender issues.</p>

How Do Male and Female Medical Students Perceive Their Own Career? Implications from a Student Viewpoint / 日本プライマリ・ケア連合学会誌

<b>Introduction</b>: The aim of this study is to explore career perceptions of male and female medical students.<br><b>Methods</b>: Semi-structured interviews to 16 medical students (9males, 7 females) were undertaken.<br><b>Results</b>: Qualitative data analysis showed that development of their career perceptions were affected by “gender view”, “interests in medicine” as well as their “perceptions of family”. Specifically, female students in the lower grades felt difficulty in making decisions on career choices due to the conflict between carrying out family responsibilities (e.g., housework and childcare) and interests in medicine. After clinical clerkships, their perceptions of a career were formed in one of two ways: giving priority to family responsibilities or interest in medicine. On the other hand, male students in lower and higher grades consistently gave priority to their interests in medicine for their career choices.<br><b>Conclusion</b>: Differing career perceptions between male and female medical students emerged from this study, and supports the need for undergraduate education on gender-equality in society.

Across institutions and professional borders: Three-year journey for extracurricular course development for interprofessional education with multi-institutions / 医学教育

<p>　This paper reports how Gifu University has been developing an extracurricular course for interprofessional education (IPE) in collaboration with multi-institutions for three years. Since the planning and implementation of such an IPE course have not been described exhaustively, we summarize our experience and the outcomes based on the analysis of a questionnaire survey involving the participants, including students and faculty members.</p>

Medical students' perceptions of community medicine: A comparative study between students of quotas related to community medicine and regular admission / 医学教育

<p>　Few studies have examined medical students' perceptions of community medicine and specialty choice through comparison between students of quotas related to community medicine and regular admission. We conducted a questionnaire survey on students' desire for future work places, types of health facility/hospital, medical specialization, and community medicine involving year 1 to year 5 students in Gifu University School of Medicine (n=335, selective admission: regular admission=81:254) . This study demonstrated that the selected students for community medicine (years 1 to 5) preferred to work at a core/small-sized hospital in a rural area and tended to choose the specialties that were characterized by primary care, such as pediatrics. Moreover, they had positive perceptions of community medicine. Further follow-up study needs to be undertaken in order to explore how students are actually engaging in community medicine after graduation.</p>

Staff and faculty development in the coming decades: / 医学教育

　Modern medical education stresses the importance of staff／faculty development and its evaluation. The Medical Education Development Center of Gifu University has been accredited by the Ministry of Education, Culture, Sports, Science and Technology as a National Collaboration Center and has held Seminar and Workshop on medical education 50 times over 14 years towards achieving the mission of staff／faculty development in Japan. Through the analysis of the characteristics of participants and the topics of the workshops and seminars held by the Medical Education Development Center, the history and future of staff／faculty development were examined. The key points suggested to predict the direction of staff／faculty development in the education of health professionals were: acquisition of comprehensive teaching competence, various learning strategies, the importance of work place and practicality, collaborative learning beyond boundaries, scholarly discussion to integrate international and domestic evidence, continuing professional development, and evaluation based on learning stage.