ABSTRACT
This study examined whether medical students were able to consider themselves to have practiced patient-centered team medicine through the practice of small group IPE. Undergraduate medical, pharmacy, and nursing students during Clinical Clerkship were asked to complete case-based clinical reasoning and treatment/nursing planning in small groups, and a questionnaire was administered to the IPE. The medical students felt that they were able to practice clinical reasoning and treatment planning, the pharmacy students felt that they were able to propose countermeasures against side effects of treatment, and the nursing students felt that they were able to provide necessary information to the medical team and practice patient-centered medicine with the medical team. Each department had different objectives they considered when practicing team-based medicine. It is important to incorporate each of these elements in IPE.
ABSTRACT
The COVID-19 pandemic has negatively affected medical education. However, few data are available about medical students distress during the pandemic. This study aimed to provide details on how medical students had been affected by the pandemic. In this cross-sectional study, 717 medical students participated in the web-based survey. The questions included how their mental status had changed before and after the Japanese nationwide state of emergency (SOE). 65.9% (473/717) participated in the study. 29.8% (141/473) reported concerns about the shift toward online education, mostly because they thought online education could have been ineffective compared with in-person learning. Participants subjective mental health status significantly worsened after the SOE was lifted (p <.001). Those who had concerns about a shift toward online education had higher odds of having generalized anxiety and being depressed (OR 1.97, 95% CI 1.19 - 3.28), as did those who requested food aid and mental health care resources (OR 1.99, 95% CI 1.16 - 3.44; OR 3.56, 95% CI 2.07 - 6.15, respectively). Given our findings, the sudden shift to online education might have overwhelmed medical students. Thus, we recommend educators to inform learners that online learning is non-inferior to in-person learning, which could attenuate potential depression and anxiety.
ABSTRACT
Introduction: several clinical training hospitals have their own resident mentor systems in Japan. However, the details and effects of the system still remain unclear. Objective: The aim of this study is to introduce Okayama University Hospital’s resident mentor system and to investigate its effectiveness based on mentees’ evaluations. Method: A questionnaire survey was conducted on residents using the system. Results: 32 (78.0%) of 41 residents used the system. 28 (87.5%) of them completed the survey, indicating most residents were satisfied with the currently-used system. Discussion: We will conduct a more detailed questionnaire survey for mentors and mentees to further improve the resident mentor system.
ABSTRACT
Eosinophillic glanuromatosis with polyangitis (EGPA) usually occurs in patients with a recent history (usually less than 10 years) of uncontrolled bronchial asthma. Here we describe a case of EGPA that occurred in a 68-year-old female who had well-controlled bronchial asthma for 17 years. A leukotriene receptor antagonist that had been prescribed one week before onset might have triggered the disease. Our case shows that there is a wide spectrum of clinical characteristics of EGPA, making diagnosis difficult in a primary care setting.
ABSTRACT
We describe a rare case of lower leg infection caused by <i>Haemophilus influenzae</i> serotype b (Hib) in a previously healthy 14-month-old boy. In primary care, <i>H. influenzae</i> is a common pathogen affecting children, and which causes respiratory and central nervous system infection alike. Conversely, skin and soft tissue infections caused by Hib are a somewhat rare occurrence. Beta-lactamase-negative ampicillin-resistant strains have been spreading throughout Japan, although the type of Hib in our case was cephalosporin-sensitive. As a result, we need to pay attention to Hib infection in various clinical settings.
