Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

Myelodysplastic syndrome is associated with the development of autoinflammatory conditions, such as recurrent fever, polymyalgia, arthralgia, and erythema. Trisomy 8 is a common chromosomal abnormality in patients with myelodysplastic syndrome. Myelodysplastic syndrome with trisomy 8 involves autoinflammatory conditions, especially Behçet's disease-like symptoms with intestinal mucosal damage. MEFV variants, particularly those in exon 10, are pathogenic in familial Mediterranean fever, the most common autoinflammatory disease, presenting typical symptoms such as periodic fever and pleuritis/pericarditis/peritonitis. MEFV variants outside exon 10 are common in Japanese patients with familial Mediterranean fever and are associated with atypical symptoms, including myalgia and erythema. MEFV variants in myelodysplastic syndrome with trisomy 8 have rarely been investigated, although myelodysplastic syndrome with trisomy 8 might develop autoinflammatory conditions similar to those in familial Mediterranean fever. We encountered a 67-year-old man who had myelodysplastic syndrome with trisomy 8 and multiple MEFV variants outside exon 10. He presented with periodic fever, as well as chest/abdominal pain, myalgia, and erythema, although the symptoms did not fulfill the diagnostic criteria of familial Mediterranean fever. We discussed the possibility that these symptoms are modified by MEFV variants outside exon 10 in myelodysplastic syndrome with trisomy 8.

DOI： 10.18999/nagjms.85.1.195

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Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Oxford University Press (OUP)  

Abstract

Background

The Consultation and Relational Empathy (CARE) measure is a patient-reported measure of physician empathy which is widely used internationally. The Japanese version of the CARE measure has very high internal reliability, suggesting that a shorter version may have adequate validity and reliability.

Objective

To investigate a valid shorter version of the Japanese CARE measure.

Methods

We conducted a pilot study using secondary analysis of previous data obtained from 9 general practitioners and 252 patients and used to develop the Japanese CARE measure. All 1,023 possible combinations of the Japanese CARE items (n = 1–10) were candidates for the short measure. The internal consistency (Cronbach’s alpha) and the correlations between candidate short questionnaires and the original questionnaire were calculated. After selecting the most valid short questionnaire, inter-rater reliability was determined using generalizability theory, and construct validity (Spearman’s rho) was determined using patient satisfaction.

Results

Two items were selected for a pilot shorter version: item 6 “Showing care and compassion” and item 9 “Helping you to take control.” These showed high internal consistency and correlations with the 10-item measure (Cronbach’s alpha = 0.920, correlation = 0.979). Forty-five questionnaires per doctor allowed us to reliably differentiate between practitioners. The construct validity for the pilot short measure was high (Spearman’s rho 0.706, P < 0.001).

Conclusion

We generated a pilot 2-item version of the Japanese CARE measure. This pilot 2-item version provides a basis for future validation studies of short CARE measures in other languages.

DOI： 10.1093/fampra/cmac034

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CiNii Research

Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：(一社)日本医学教育学会  

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Elsevier {BV}  

DOI： 10.1016/j.pcd.2022.02.009

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PubMed

CiNii Research

Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

ABSTRACT: Although research in general medicine is diverse, it has not been compared with research in a different medical specialty. The study aim was to understand the characteristics of research produced at Japanese university departments of general medicine and published in English-language journals, via comparison with another academic specialty, cardiology.In this cross-sectional study, a nationwide survey of the official websites of 82 university-affiliated medical schools in Japan was conducted in April 2020 to identify the heads of general medicine departments. We then surveyed the research output of these individuals in terms of original article output and research field diversity for journals listed in the Web of Science Core Collection of journals from 2010 to 2019. A similar survey of cardiology department publications was also conducted to provide a reference for intergroup comparisons and analysis of covariance.The analysis included 128 researchers from 78 general medicine departments and 96 researchers from 81 cardiology departments. The dominant research field of general medicine was general and internal medicine; that of cardiology was cardiac/cardiovascular systems. Data stratification by research field showed that general medicine researchers published significantly more articles than researchers in cardiology, a field that contains relatively few researchers. Furthermore, a comparison of individual researchers with the same number of published articles showed that researchers in general medicine departments published across a significantly wider range of fields than those in cardiology.This is the first study to describe the research characteristics of general medicine university departments in Japan through comparison with research in a different academic specialty. General medicine researchers in Japan comprise a heterogeneous group that mainly publishes research on general and internal medicine. Some general medicine researchers take a multidisciplinary approach to research and publishing.

DOI： 10.1097/MD.0000000000029072

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：International Journal of Medical Education  

OBJECTIVES: To explore what the student participants learned and how they felt about the use of three educational settings, namely, face-to-face workshop setting, asynchronous and synchronous online learning environments and interactions with outpatients in a real-world clinical setting in a hybrid interprofessional education course. METHODS: This qualitative study used semi-structured in-depth interviews with healthcare undergraduate student participants in a course comprising workshops in three educational settings. A total of 15 healthcare undergraduate students, which included four medical, three pharmacy, five nursing and three nutrition students, completed this IPE course. All students agreed to participate in the study. We conducted four focus groups selected using convenient sampling. Focus group transcripts were analysed using the 'Steps for Coding and Theorization' qualitative data analysis method. We investigated the students' perception through the experience of three educational settings in the hybrid interprofessional education course. RESULTS: The students recognised that this course had three types of educational spaces, namely, real, semi-real and unreal. Then, the positive changes in the awareness of students are trained in recognition of the patient perspective, the recognition of the roles discharged by the other professions and the recognition of the functions of their own profession after experiencing the educational spaces designated for this course. CONCLUSIONS: The repeated experience of participants to real, semi-real and unreal educational spaces promoted changes over time in the students' awareness of interprofessional competencies with respect to patient-centred care and ameliorated their readiness to undertake interprofessional tasks.

DOI： 10.5116/ijme.6165.59e0

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Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Wiley  

DOI： 10.1002/art.41775

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Other Link： https://nagoya.repo.nii.ac.jp/records/2000161#.YmFQ_C_3LnE

Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：一般社団法人 日本病院総合診療医学会  

DOI： 10.60227/jhgmwabun.17.5_588

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Springer Science and Business Media LLC  

<title>Abstract</title><sec>
<title>Background</title>
There is limited quantitative research on the effect of physician attire on patient–physician relationships. This study aimed to measure the influence of Japanese family physicians’ attire on the “human” aspects of medical care in terms of patient-perceived relational empathy.


</sec><sec>
<title>Methods</title>
This was a multicenter, prospective, controlled trial conducted in primary clinics in Japan. We explored the effects of family physician attire (white coat vs. casual attire) on patient-perceived empathy. Family physicians were allocated to alternate weeks of wearing a white coat or casual attire during consultations. Patients’ perceptions of physician empathy were evaluated using the self-rated Japanese Consultation and Relational Empathy (CARE) Measure. We used a linear mixed model to analyze the CARE Measure scores, adjusting for cluster effects of patients nested within doctor, age, and sex of patients, and doctors’ sex and years of clinical experience. We used the same method with Bonferroni adjustment to analyze patient sex differences in perceived empathy.


</sec><sec>
<title>Results</title>
A total of 632 patients of seven family physicians were allocated to white coat-wearing consultations (<italic>n</italic> = 328), and casual attire-wearing consultations (<italic>n</italic> = 304). There was no difference in CARE Measure scores between white coat and casual primary care consultations overall (<italic>p</italic> = 0.162). Subgroup analysis of patient sex showed that CARE Measure scores of male patients were significantly higher in the Casual group than in the White coat group (adjusted <italic>p</italic>-value = 0.044). There was no difference in female patient scores between White coat and Casual groups (adjusted <italic>p</italic>-value = 1.000).


</sec><sec>
<title>Conclusions</title>
This study demonstrated that physician attire (white coat or casual attire) in a primary care setting did not affect patient-perceived relational empathy overall. However, male patients of physicians wearing casual attire reported higher physician empathy. Although empathy cannot be reduced to simple variables such as attire, white coats may have a negative effect on patients, depending on the context. Family physicians should choose their attire carefully.


</sec><sec>
<title>Trial registration</title>
Japanese University Hospital Medical Information Network (UMIN-ICDR). Clinical Trial identifier number UMIN000037687 (Registered August 14, 2019, <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042749">https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042749</ext-link>). The study was prospectively registered.


</sec>

DOI： 10.1186/s12875-021-01416-w

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Other Link： http://link.springer.com/article/10.1186/s12875-021-01416-w/fulltext.html

Language：English   Publishing type：Research paper (scientific journal)   Publisher：International Journal of Medical Education  

DOI： 10.5116/ijme.6043.8be0

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Informa {UK} Limited  

DOI： 10.2147/AMEP.S333958

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Language：English   Publishing type：Research paper (scientific journal)  

Many studies have examined the impression made on patients by physicians' attire. Regardless of practice location, many patients express most confidence in physicians who wear white coats. The number of physicians in Japan who choose not to wear white coats in practice has been increasing, particularly in primary care settings. However, very few studies have examined physician preference for attire. To clarify Japanese general practitioners' preference for attire by practice setting, we conducted a survey of physician preferences and reasons for attire selection. Subjects were 794 general practitioners certified by the Japan Primary Care Association and recruited from a mailing list. We conducted a web-based questionnaire survey. Physicians were asked to choose one of four different dress styles (semi-formal, white coat, scrubs, and casual) for different practice settings and state the reasons for selection. The response rate was 19.3% (n = 153; men 112). Most subjects chose white coats as usual attire for hospital practice (52%), mainly because of custom and professionalism. In contrast, most subjects chose non-white coats for clinics (59%) and home care (hospital-provided, 58%; clinic-provided, 71%). More subjects chose casual dress for clinic and home care practice, mainly to appear empathic. Most subjects chose white coats as the most appropriate hospital attire (54%), mainly because of patient perceptions of this attire being professional. Most subjects considered non-white coat attire more appropriate for clinic and home care practice. The findings indicate that general practitioners choose their clothes depending on practice location.

DOI： 10.18999/nagjms.82.4.735

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Society for Medical Education  

DOI： 10.11307/mededjapan.51.3_272

CiNii Research

Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Society for Medical Education  

DOI： 10.11307/mededjapan.51.3_290

CiNii Research

Authorship：Last author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1080/14739879.2020.1727780

Scopus

Language：English   Publishing type：Research paper (scientific journal)  

CiNii Research

Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.18999/nagjms.81.3.519

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Language：Japanese   Publishing type：Research paper (scientific journal)   Publisher：Japan Society for Medical Education  

DOI： 10.11307/mededjapan.50.2_199

CiNii Research

Language：Japanese   Publishing type：Research paper (scientific journal)  

Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.18999/nagjms.80.4.465

Research data storage URL： https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/804/03_Suematsu.pdf

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Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1186/s12909-018-1336-6

PubMed

Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1186/s12875-018-0826-2

PubMed

Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.18999/nagjms.80.1.99

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PubMed

Language：English   Publishing type：Research paper (scientific journal)  

PubMed

Authorship：Lead author   Language：Japanese   Publishing type：Research paper (scientific journal)  

Language：English   Publishing type：Research paper (scientific journal)  

PubMed

Authorship：Lead author,　Corresponding author   Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (scientific journal)  

Language：Japanese   Publisher：Japan Society for Pharmaceutical Education  

<p>An online interprofessional education (IPE) program was created in response to the coronavirus pandemic using Zoom, a cloud-based video conferencing service for educators and learners. To engage the students before the live web conference, they were provided materials about the IPE program and professional roles, scenarios of elderly patients with diabetes and dementia, and video lectures with fundamental information regarding dementia care for each profession. From May to September 2020, eight online IPE classes were conducted with students from mixed professional groups divided into two groups. Each group had one pharmacy student, three to four medical students, and three nursing students. In the first session of the program, students were given a clinical scenario focusing on an elderly patient with diabetes and dementia. Then, they discussed each profession’s roles and made care plans. Finally, they interviewed a standardized family member (SFM) and explained the care plans as a mixed professional team during the live web conference. In addition, the students were asked in a questionnaire following the online IPE program to describe what they learned regarding interprofessional collaboration. It revealed that it was useful in understanding the importance of team-based care and meeting the students’ learning objectives.</p>

DOI： 10.24489/jjphe.2021-027

CiNii Research

Language：Japanese   Publisher：(一社)日本医学教育学会  

Language：Japanese   Publisher：(一社)日本医学教育学会  

Language：Japanese   Publisher：(一社)日本医学教育学会  

Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2020&ichushi_jid=J00050&link_issn=&doc_id=20200708060028&doc_link_id=%2Fed9jmded%2F2020%2F005103%2F030%2F0272-0273%26dl%3D0&url=http%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fed9jmded%2F2020%2F005103%2F030%2F0272-0273%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publisher：(一社)日本医学教育学会  

Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2020&ichushi_jid=J00050&link_issn=&doc_id=20200708060036&doc_link_id=%2Fed9jmded%2F2020%2F005103%2F038%2F0290-0291%26dl%3D0&url=http%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fed9jmded%2F2020%2F005103%2F038%2F0290-0291%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Language：Japanese   Publisher：(株)北隆館  

認知症を国家戦略として取り組むスコットランドでは、医療福祉職が認知症当事者と家族を重んじた認知症医療・看護が浸透している。また、医療福祉職の多職種連携も発達しており、認知症領域における多職種連携を医療福祉職がどのように認識して取り組んでいるかについて探索することは、意義深い。認知症医療・介護の中心的役割を担う職種は看護師と考えられ、両国で認知症領域における多職種連携に対する認識を聞き、比較した。(著者抄録)

Publishing type：Research paper, summary (national, other academic conference)  

Language：Japanese   Publishing type：Article, review, commentary, editorial, etc. (trade magazine, newspaper, online media)  

Language：Japanese   Publisher：(一社)日本医学教育学会  

Language：Japanese   Publisher：(一社)日本老年医学会  

Language：Japanese   Publisher：(一社)日本老年医学会  

Language：Japanese   Publisher：(一社)日本糖尿病学会  

Language：Japanese   Publisher：(一社)日本糖尿病学会  

Language：Japanese  

Language：Japanese   Publisher：(一社)日本医学教育学会  

Language：Japanese   Publisher：(一社)日本医学教育学会  

Language：Japanese   Publisher：(一社)日本糖尿病学会  

CiNii Research

Language：Japanese   Publisher：(一社)医療の質・安全学会  

Language：Japanese   Publisher：日本ヘルスコミュニケーション学会  

Language：Japanese   Publisher：日本ヘルスコミュニケーション学会  

Language：Japanese   Publisher：(一社)日本医学教育学会  

Language：Japanese   Publishing type：Rapid communication, short report, research note, etc. (scientific journal)   Publisher：(株)北隆館  

超高齢社会が急速に進行する日本では、慢性疾患である糖尿病患者の増加や認知症患者の増加が社会問題となっている。糖尿病が、認知症の原因となるだけでなく、認知症が糖尿病を悪化させる。そこで、糖尿病の悪化や認知症の発症・進行を予防する上で必要なサポートを検討するために、ソーシャルキャピタル(SC)を測定した。SCとは、社会のネットワークや信頼性、互酬性を表す総称であり、健康との密接な関係が指摘されている。愛知県下の病院に通院中の2型糖尿病患者を対象に、糖尿病、認知機能、SCの調査結果を報告する。(著者抄録)

Language：Japanese   Publisher：(一社)日本医学教育学会  

Event date： 2022.9

Language：Japanese   Presentation type：Oral presentation (keynote)  

Event date： 2022.6

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：横浜   Country：Japan  

Event date： 2022.2

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2019.7

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2019.5

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：京都市   Country：Japan  

Event date： 2019.5

Language：English   Presentation type：Oral presentation (general)  

Venue：Kyoto, Japan   Country：Japan  

Event date： 2019.5

Language：Japanese   Presentation type：Oral presentation (invited, special)  

Venue：京都市   Country：Japan  

Event date： 2019.5

Language：English   Presentation type：Symposium, workshop panel (public)  

Venue：Kyoto, Japan   Country：Japan  

Event date： 2019.4

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2018.8

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：Tokyo Medical and Dental University   Country：Japan  

Event date： 2018.7

Language：English   Presentation type：Poster presentation  

Venue：London, UK   Country：Japan  

Event date： 2018.7

Language：English   Presentation type：Poster presentation  

Venue：London, UK   Country：Japan  

Event date： 2018.7

Language：English   Presentation type：Poster presentation  

Venue：London, UK   Country：Japan  

Event date： 2017.8

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2016.7

Language：Japanese   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2016.7

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2016.7

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2015.9

Language：English   Presentation type：Poster presentation  

Country：United Kingdom  

Event date： 2013.7

Language：English   Presentation type：Oral presentation (general)  

Country：Japan  

Event date： 2011

Language：English   Presentation type：Oral presentation (general)  

Event date： 2007.3

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2004.10

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Public lecture, seminar, tutorial, course, or other speech  

Country：Japan  

Language：English   Presentation type：Oral presentation (general)  

Venue：Exeter, UK  

Language：Japanese   Presentation type：Poster presentation  

Language：Japanese   Presentation type：Symposium, workshop panel (nominated)  

Language：Japanese   Presentation type：Oral presentation (general)  

日野原賞受賞演題.

Language：Japanese   Presentation type：Oral presentation (general)  

Venue：Web 会議   Country：Japan  

大会長賞候補演題 (専攻医)

Language：Japanese   Presentation type：Public lecture, seminar, tutorial, course, or other speech  

Language：English   Presentation type：Poster presentation  

Venue：London, UK  

Language：English   Presentation type：Poster presentation  

Venue：Basel, Switzerland  

Language：English   Presentation type：Poster presentation  

Venue：London, UK  

Language：English   Presentation type：Poster presentation  

Venue：London, UK  

Language：English   Presentation type：Poster presentation  

Venue：Abu Dhabi, UAE  

Language：English   Presentation type：Poster presentation  

Venue：Exeter, UK  

Language：English   Presentation type：Oral presentation (general)  

Venue：Exeter, UK  

Language：Japanese   Presentation type：Poster presentation  

Language：English  

Other Link： https://sapc.ac.uk/doi/10.37361/asm.2020.1.1

Language：Japanese   Presentation type：Symposium, workshop panel (public)  

Venue：オンライン   Country：Japan  

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Public lecture, seminar, tutorial, course, or other speech  

Venue：名古屋市   Country：Japan  

Language：Japanese   Presentation type：Public lecture, seminar, tutorial, course, or other speech  

Country：Japan  

Language：Japanese   Presentation type：Poster presentation  

Language：English  

Other Link： https://sapc.ac.uk/doi/10.37361/asm.2020.1.1

Language：English  

Other Link： https://sapc.ac.uk/doi/10.37361/asm.2020.1.1

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Poster presentation  

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Oral presentation (invited, special)  

Venue：愛知   Country：Japan  

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Oral presentation (general)  

Language：Japanese   Presentation type：Oral presentation (keynote)  

Type：Seminar, workshop

講師：森下 真理子、宮地 純一郎、高橋 徳幸
京都大学医学教育推進センター「現場で働く指導医のための医学教育学プログラムー基礎編ー」選択授業 と 北海道家庭医療学センターフェローシップにおける質的研究コース導入ワークショップを兼ねる

Type：Seminar, workshop

講師：大谷 尚、高橋徳幸

Audience： Graduate students,　Researchesrs

Type：Seminar, workshop

File： 第120回連携研究会20190719（高橋徳幸先生）.pdf

Audience： General,　Civic organization

Type：Seminar, workshop

Dr Sundari Catherine Joseph, Dr Kentaro Okazaki, Dr Mina Suematsu, Dr Noriyuki Takahshi, Dr Manako Hanya, Ms Yui Wakabayashi

File： Origami and Collaborative Projects on Healthcare.pdf

Audience： High school students

Type：Visiting lecture

Audience： High school students

Type：Visiting lecture