Faculty Profiles - NISHIGORI Hiroshi

5. Future of Behavioral and Social Sciences in Medical Education Reviewed Open Access

Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 52 ( 2 ) page： 145 - 149 2021.4

Language：Japanese Publisher：Japan Society for Medical Education

With the accreditation of medical education by JACME, the discussion on behavioral and social sciences in medical education has become more active. In addition to the conceptualization of behavioral science, social science, medical jurisprudence, and medical ethics in this special issue, this article describes the status of behavioral and social sciences in medical education in the U.S. and the U.K., as well as the relationship between social medicine and social science. In addition, I will explain why behavioral and social sciences are based on disciplines such as psychology, anthropology, and sociology, and ask for opinions, objections, and counterarguments.

DOI： 10.11307/mededjapan.52.2_145

「医学教育研究室の抄読会から」第7回 Reviewed Open Access

木村峻輔, 木村武司, 錦織宏

医学教育 Vol. 52 ( 2 ) page： 161 - 163 2021.4

「医学教育研究室の抄読会から」 (第6回) Reviewed Open Access

木村武司, 錦織宏

医学教育 Vol. 52 ( 1 ) page： 58 - 60 2021.2

Report: Medical Education Cyber Symposium Reviewed Open Access

Medical Education Cyber Symposium Committee, Tanaka Junichi, Monkawa Toshiaki, Muraoka Chikusa, Asada Yoshikazu, Kimura Takeshi, Shimizu Ikuo, Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 52 ( 1 ) page： 47 - 51 2021.2

Language：Japanese Publisher：Japan Society for Medical Education

The novel coronavirus infection (COVID-19) has significantly impacted medical education and the need to respond to rapidly changing and uncertain situation. In addition, with the decision to hold this year’s annual meeting, it was deemed necessary to have a forum for information sharing and discussion. Therefore, a special committee was formed to organize a cyber-symposium on medical education, and four symposia were held every two weeks, starting May 2020, under the themes of ‘Future Clinical Clerkship’, ‘Examinations’, ‘Post-graduate Education’ and ‘Medical Education with Corona’. This paper reports these symposia and provides an overview and future considerations.

DOI： 10.11307/mededjapan.52.1_47

Gestational weight gain and foetal acidosis in vaginal and caesarean deliveries: The Japan Environment and Children’s Study Open Access

「医学教育研究室の抄読会から」 (第5回) Open Access

種村文孝, 木村武司, 錦織宏

医学教育 Vol. 51 ( 6 ) page： 700 - 701 2020.12

Murata T., Kyozuka H., Yamaguchi A., Fukuda T., Yasuda S., Sato A., Ogata Y., Shinoki K., Hosoya M., Yasumura S., Hashimoto K., Nishigori H., Fujimori K., Kamijima M., Yamazaki S., Ohya Y., Kishi R., Yaegashi N., Mori C., Ito S., Yamagata Z., Nakayama T., Iso H., Shima M., Kurozawa Y., Suganuma N., Kusuhara K., Katoh T.

Scientific Reports Vol. 10 ( 1 ) 2020.12

Publisher：Scientific Reports

Inappropriate gestational weight gain (GWG), either above or below the recommended values, has been associated with an increased risk of adverse obstetric outcomes. To evaluate the risks of GWG for foetal acidosis according to pre-pregnancy body mass index (BMI) and mode of delivery, we analysed women with singleton pregnancies between 2011 and 2014 in the Japan Environment and Children’s Study. Participants (n = 71,799) were categorised according to pre-pregnancy BMI. GWG was categorised into insufficient, appropriate, or excessive. Foetal acidosis was defined as umbilical artery pH (UmA-pH) < 7.20 or < 7.10. Multiple logistic regressions were performed for each BMI category to identify the risks of GWG for foetal acidosis, accounting for the mode of delivery. Excessive GWG was significantly associated with increased foetal acidosis in overweight women and in women whose pre-pregnancy BMI was 23.0–25.0 kg/m2 especially in those with vaginal deliveries. Conversely, excessive GWG was not significantly associated with increased foetal acidosis in obese women and in women whose pre-pregnancy BMI was ≥ 25.0 kg/m2.

DOI： 10.1038/s41598-020-77429-9

Educational Problem-solving Conference as Work-based Faculty Development Reviewed Open Access

Kimura Takeshi, Tanemura Fumitaka, Kondo Takeshi, Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 51 ( 5 ) page： 591 - 595 2020.10

Language：Japanese Publisher：Japan Society for Medical Education

We conducted a case conference to solve problems in teaching practices and for clinician teachers to discuss various issues occurring in the field. The conference was based on the presentation of individual educational practice cases from faculty development workshops approved by the Ministry of Health, Labor and Welfare. We prepared two months before the event and dealt with four cases on the day of the event. During the discussion, we tried to link educational problems with a theory or a conceptual framework in medical education so that participants, including case presenters, would have a better understanding of clinical training settings. In addition, communication across disciplines was facilitated through discussions. This attempt has the potential to contribute to the development of a community of practice related to cross-disciplinary education. The key to success for this case conference was the "interpreter" role. The person in that role considers the background and context of practice and links practice with theory appropriately. In addition, faculty development for educators who can play the role will also be an issue in the future.

DOI： 10.11307/mededjapan.51.5_591

letter to the editor (Book Review) : From the Book Club of the Center for Medical Education(No. 4)Writing Qualitative Research for the First Time Reviewed Open Access

Igaku Kyoiku / Medical Education (Japan) Vol. 51 ( 5 ) page： 615 - 617 2020.10

医学教育研究室の抄読会から　第3回 Reviewed Open Access

佐野樹, 木村武司, 錦織宏

医学教育 Vol. 51 ( 4 ) page： 466 - 467 2020.8

An Education Survey on "What is Medicine" -through the Perspective of Yonezo Nakagawa Reviewed Open Access

Toyama Shogo, Aoki Anna, Fujisaki Kazuhiko, Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 51 ( 4 ) page： 379 - 388 2020.8

Language：Japanese Publisher：Japan Society for Medical Education

Background: We investigated how undergraduate medical curriculum handles the question “what is medicine” , which Yonezo Nakagawa raised in a field of study called “Igaku-gairon” .　Method: We analyzed the content, the amount, the methods, the assessment, and the teachers using syllabi that are accessible on the Internet as resources.　Results: In 69 schools, the total number of hours of instruction in “philosophy of medicine and medical ethics” , “sociology of medicine and medical anthropology” and “history of medicine” was 1066 h 20min, 213 h 5min, and 192 h 5min, respectively, representing 72%, 14%, and 13% of the total instruction.　Analysis: We found that their were classes which address the question “what is medicine” without using the word “Igaku-gairon” can be sporadically found in medical curriculum.

DOI： 10.11307/mededjapan.51.4_379

letter to the editor : Faculty Development for Clinician Educators Using Flipped Learning Reviewed Open Access

Igaku Kyoiku / Medical Education (Japan) Vol. 51 ( 2 ) page： 168 - 170 2020.4

「医学教育研究室の抄読会から」　第2回 Open Access

木村武司, 種村文孝, 錦織宏

医学教育 Vol. 51 ( 2 ) page： 166 - 167 2020.4

Why Do We Write Medical Education Research Papers? A Narrative of a Retired Doctor Reviewed Open Access

Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 50 ( 6 ) page： 559 - 562 2019.12

Language：Japanese Publisher：Japan Society for Medical Education

Why do we write medical education research papers and present them at academic conferences? Why do you read medical education research papers and listen to presentations at academic conferences? Medical education is often practiced in a closed space such as a lecture room, where there is a clear power dynamic such as <teacher / supervisor> and <medical student / resident>. In this paper, we will focus on power structure and develop an argument about the significance of educational case reports in medical education research from the epistemological standpoint of critical theory structure.

DOI： 10.11307/mededjapan.50.6_559

Incidence of Domestic Violence Against Pregnant Females after the Great East Japan Earthquake in Miyagi Prefecture: The Japan Environment and Children's Study

The Implications of Culture in the Education and Practice of Healthcare Professionals Reviewed Open Access

McKimm J., Nishigori H.

Asia Pacific Scholar Vol. 4 ( 3 ) page： 1 - 2 2019.9

Professional identity formation of female doctors in Japan - gap between the married and unmarried Reviewed Open Access

Matsui Tomoko, Sato Motoki, Kato Yoko, Nishigori Hiroshi

BMC MEDICAL EDUCATION Vol. 19 ( 1 ) page： 55 2019.2

Sakurai K., Nishigori H., Nishigori T., Mizuno S., Obara T., Iwama N., Watanabe Z., Ishikuro M., Tatsuta N., Nishijima I., Sugawara J., Fujiwara I., Arima T., Kuriyama S., Metoki H., Takahashi F., Nakai K., Yaegashi N., Saito H., Kishi R., Hashimoto K., Mori C., Hirahara F., Yamagata Z., Inadera H., Kamijima M., Konishi I., Iso H., Shima M., Ogawa T., Suganuma N., Kusuhara K., Katoh T.

Disaster Medicine and Public Health Preparedness Vol. 11 ( 2 ) page： 216 - 226 2017.4

Publisher：Disaster Medicine and Public Health Preparedness

Objective: This study aimed to clarify the correlation between the 2011 Great East Japan Earthquake and domestic violence (DV) against pregnant females after the disaster in Miyagi Prefecture, an area damaged by the earthquake and tsunami. Methods: We analyzed 7600 pregnant females from June to December 2011. The incidence of physical and mental DV and the proportions in the inland, north coastal, and south coastal areas of Miyagi Prefecture and nationwide were calculated, and a chi-square test was conducted for comparison. The risk factors for DV were estimated with multivariate logistic regression analyses on a prefecture-wide basis. Results: The incidence levels for physical DV were found to be 5.9% in the north coastal area, which was significantly higher than in the inland area (1.3%, P=0.0007) and nationwide (1.5%, P<0.0001). There were no significant differences in the incidence of mental DV between the 3 areas in Miyagi Prefecture (inland 15.2%, north coast 15.7%, and south coast 18.8%) or nationwide (13.8%). Experiencing disease or injury in someone close and changes in the family structure were significantly associated with mental DV in Miyagi Prefecture. Conclusion Continuous monitoring and support for pregnant females may be necessary to address this issue in disaster-affected areas.

DOI： 10.1017/dmp.2016.109

Determinants of polyunsaturated fatty acid concentrations in erythrocytes of pregnant Japanese women from a birth cohort study: Study protocol and baseline findings of an adjunct study of the Japan environment & Children's study Open Access

Saito S., Kawabata T., Tatsuta N., Kimura F., Miyazawa T., Mizuno S., Nishigori H., Arima T., Kagawa Y., Yoshimasu K., Tsuno K., Ito Y., Kamijima M., Nakai K., Yaegashi N.

Environmental Health and Preventive Medicine Vol. 22 ( 1 ) 2017

Publisher：Environmental Health and Preventive Medicine

Background: N-3 polyunsaturated fatty acids (n-3 PUFA) may have multiple beneficial effects on the outcome of pregnancy, maternal health and child development. The present study introduced the protocol of a birth cohort study to examine the beneficial effects of n-3 PUFA status in pregnant Japanese women as an adjunct study of the Japan Environment and Children's Study (JECS). Methods: The JECS participants in the coastal areas of Miyagi Prefecture were further invited to participate in this adjunct study, and 1,878 pregnant women were enrolled prior to delivery. Their n-3 PUFA status was evaluated with fatty acid profiles in erythrocytes of maternal blood collected from 1,623 mothers at 24-30 weeks of gestation and cord blood from 1,505 deliveries. Results: The baseline results, including comprehensive data on the fatty acid status and determinants affecting the PUFA status, were analyzed. In stepwise multivariate analyses, the cord blood docosahexaenoic acid (DHA) level was found to be significantly influenced by the DHA level in maternal blood, the child's sex, and the gestational period. The maternal DHA level was influenced by fish intake, maternal age, and the prepregnancy body mass index. While cord blood eicosapentaenoic acid (EPA) was influenced by maternal EPA, fish intake, and season at birth, additional factors such as maternal education, household income, and smoking habits affected the maternal EPA content. Conclusion: Further studies are warranted to clarify the nutritional impacts of n-3 PUFA in pregnant Japanese women of the cohort study.

DOI： 10.1186/s12199-017-0636-5

Fermented food consumption and psychological distress in pregnant women: A nationwide birth cohort study of the Japan environment and children’s study Open Access

Takahashi F., Nishigori H., Nishigori T., Mizuno S., Obara T., Metoki H., Sakurai K., Ishikuro M., Iwama N., Tatsuta N., Nishijima I., Fujiwara I., Arima T., Nakai K., Sugiyama T., Kuriyama S., Yaegashi N., Saito H., Kishi R., Hashimoto K., Mori C., Hirahara F., Yamagata Z., Inadera H., Kamijima M., Konishi I., Iso H., Shima M., Ogawa T., Suganuma N., Kusuhara K., Katoh T.

Tohoku Journal of Experimental Medicine Vol. 240 ( 4 ) page： 309 - 321 2016.12

Publisher：Tohoku Journal of Experimental Medicine

Health benefits of fermented foods are attracting attention worldwide, and they have been traditionally eaten in Japan. Moreover, a recent study showed the association between the higher intake of yogurt and lower prevalence of depressive symptoms during pregnancy. Psychological problems, such as anxiety and depression, during pregnancy are serious health concerns and may increase the risk of adverse outcomes in children. In this study, we explored the association between fermented food consumption and psychological distress in 10,129 pregnant Japanese women, using the fixed data of the Japan Environment and Children’s Study (JECS), an ongoing nation-wide birth cohort study. Food consumption was assessed with a semi-quantitative food frequency questionnaire (FFQ), and the Kessler 6-item psychological distress scale (K6) was administered to eligible women during their second or third trimester to eliminate overlap with the period of hyperemesis gravidarum. The mean median gestation in the subjects was 24.8 weeks. In total, 9,030 subjects completed the K6 questionnaire and FFQ. Importantly, the prevalence of the K6 score of ≥ 13 was 3.1% (280 subjects). This value was lower compared to precedent studies, which may reflect that cooperative and health conscious subject participated in the survey. The multivariate logistic regression analysis indicates that the intake of yogurt, lactic acid beverages, cheese, Japanese pickles, miso soup, or fermented soybeans was not significantly associated with a K6 score of ≥ 13. In conclusion, the present cohort study shows no association between fermented food consumption and psychological distress symptoms during the second or third trimester of pregnancy.

DOI： 10.1620/tjem.240.309