Faculty Profiles - NISHIGORI Hiroshi

Papers - NISHIGORI Hiroshi

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Continuing medical education during pandemic waves of COVID-19: Consensus from medical faculties in Asia, Australia and Europe Reviewed

Carmen Wong, Walter van den Broek, Gillian Doody, Martin Fischer, Michelle Leech, Fabrizio De Ponti, Alexander Gerbes, Hiroshi Nishigori, Young Mee Lee, Maarten Frens, Hideki Kasuya, Franco Bazzoli, Reinhard Hickel, Hong Sik Lee, J.P.T.M van Leeuwen, Christina Mitchell, Kenji Kadomatsu, John Atherton, Francis Chan

MedEdPublish Vol. 10 ( 1 ) page： 64 2021

Development of entrustable professional activities for residents rotating nephrology department in a Japanese university hospital: a Delphi study Reviewed Open Access

Akihito Tanaka, Takeshi Kondo, Yuka Urushibara-Miyachi, Shoichi Maruyama, Hiroshi Nishigori

BMJ Open Vol. 11 ( 8 ) page： e047923 - e047923 2021

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

<sec><title>Objectives</title>Training strategies regarding entrustable professional activities (EPAs) vary from country to country; one such strategy is for residents. However, there are no reports of EPAs developed for residents who rotate to the nephrology departments. We aimed to construct such EPAs, which could be generalised to other institutions.

</sec><sec><title>Design</title>Purposive design and a modified Delphi method to build consensus.

</sec><sec><title>Setting</title>The department of nephrology in a university hospital in Aichi Prefecture, Japan.

</sec><sec><title>Participants</title>Based on the attainment goals used in our department, an initial list was developed within the research group. The expert panel included 25 nephrologists from our affiliate hospital. Responses were based on a 5-point method and agreement was reached if both (A) and (B) were met: (A) mean≥4 with a SD <1; (B) more than 75% of respondents rated the item 4 or more. With agreement, the item was left for the next round. This round was repeated.

</sec><sec><title>Results</title>An initial list of 11 items was developed; after three Delphi rounds and revisions, eight items remained that were then established as the final EPAs. These items can serve as a list of goals to be reached by residents who rotate to the department of nephrology. The results indicated that most of the experts believed residents should be able to perform tasks deemed necessary or urgent for all physicians, such as those that deal with hyperkalaemia and heart failure.

</sec><sec><title>Conclusions</title>The concept of EPAs enabled us to develop goals and evaluation criteria for residents’ training in nephrology. This study can serve as a springboard for future discussions and contribute to the development of resident education in nephrology.

</sec>

DOI： 10.1136/bmjopen-2020-047923

Problem-Based Learning in Child and Adolescent Psychiatry: A Perspective from Japan Reviewed Open Access

Junko Iwatsuki, Takeshi Kondo, Noriyuki Takahashi, Hideki Takami, Hiroshi Nishigori, Itzel Bustos-Villalobos, Branko Aleksic, Hideki Kasuya, Nobutaro Ban, Tetsuya Yagi, Norbert Skokauskas

Advances in Medical Education and Practice Vol. 12 page： 1329 - 1335 2021

Differential Diagnoses That Final-Year Medical Students Need to Consider: A Modified Delphi Study Reviewed

Yuka Urushibara-Miyachi, Makoto Kikukawa, Masatomi Ikusaka, Junji Otaki, Hiroshi Nishigori

BMC Medical Education 2020.12

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

<title>Abstract</title>
<bold>Background</bold>: Contrastive learning is known to be effective in teaching medical students how to generate diagnostic hypotheses in clinical reasoning. However, there is no consensus on comprehensive lists of differential diagnoses across different medical disciplines regarding the common symptoms that should be learned as part of the undergraduate medical curriculum. In Japan, the national model core curriculum for undergraduate medical education was revised in 2016, and lists of differential diagnoses for 37 common symptoms were introduced into the curriculum. This study aimed to validate the list of items based on expert consensus for use as a reference worldwide.<bold>Methods</bold>: The authors used a modified Delphi method to develop consensus among a panel of 23 expert physician-teachers in clinical reasoning from across Japan. The panel evaluated the items on a 5-point Likert scale, based on whether a disease should be hypothesized by final-year medical students considering a given symptom. They also added other diseases that should be hypothesized. A positive consensus was defined as both a 75% rate of panel agreement and a mean of 4 or higher with a standard deviation of less than 1 on the 5-point scale. The study was conducted between September 2017 and March 2018. <bold>Results</bold>: This modified Delphi study identified 275 essential and 67 supplemental items corresponding to the differential diagnoses for 37 common symptoms that Japanese medical students should master before graduation. <bold>Conclusions</bold>: The lists developed in the study can be useful for teaching and learning how to generate initial hypotheses by encouraging students’ contrastive learning. Although the lists may be specific to the Japanese context, the lists and process of validation are generalizable to other countries for building national consensus on the content of medical education curricula.

DOI： 10.21203/rs.3.rs-127514/v1

Other Link： https://www.researchsquare.com/article/rs-127514/v1.html

The number of overall hysterectomies per population with the perimenopausal status is increasing in Japan: A national representative cohort study Reviewed

Masanori Isobe, Yuki Kataoka, Kenro Chikazawa, Hiroshi Nishigori, Toshifumi Takahashi, Takayuki Enomoto

Journal of Obstetrics and Gynaecology Research Vol. 46 ( 12 ) page： 2651 - 2661 2020.12

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

Aim: This study aimed to investigate the trends in overall hysterectomy and other alternative therapies for benign uterine diseases per population aged 40–54 years in Japan. Methods: We conducted a national representative cohort study in Japan. We obtained data from ‘The National Database of Health Insurance Claims and Specific Health Checkups of Japan’ Open Data. The primary outcome was the number of overall hysterectomies for benign gynecologic diseases per population aged 40–54 years, from 2014 to 2017 in Japan. The secondary outcome was the number of alternative surgical and drug therapies to hysterectomy per population. We also analyzed the correlation between the number of laparoscopy-qualified gynecologists and the number of overall hysterectomies per population among 47 prefectures in 2017. Results: The number of overall hysterectomies for benign gynecological diseases per 100 000 females aged 40–54 years gradually increased from 320 in 2014 to 344 in 2017 (7.5% increase overall). Moreover, there was a significant increase in the use of levonorgestrel intrauterine systems. We could not explain the reason for this increase in the rate of overall hysterectomies by summarizing the increase or decrease of alternative therapies to hysterectomy. Multiple regression analysis showed a significant correlation between the number of laparoscopy-qualified gynecologists and the number of overall hysterectomies among 47 prefectures. Conclusion: Despite the spread of alternative therapies to hysterectomy, there was an increasing trend for overall hysterectomies in Japan. The reason was not clear but may be related to the spread of laparoscopic hysterectomy.

DOI： 10.1111/jog.14517

Web of Science

Scopus

PubMed

Failure or adaptation? - Redefining PBL from the perspective of the Safety II paradigm. Reviewed International journal

Ikuo Shimizu, Hiroshi Nishigori

Medical teacher Vol. 42 ( 9 ) page： 1076 - 1077 2020.9

Admission policies and methods at crossroads: a review of medical school admission policies and methods in seven Asian countries. Reviewed International journal Open Access

Diantha Soemantri, Indika Karunathilake, Jen-Hung Yang, Shan-Chwen Chang, Chyi-Her Lin, Vishna D Nadarajah, Hiroshi Nishigori, Dujeepa D Samarasekera, Shuh Shing Lee, Lilybeth R Tanchoco, Gominda Ponnamperuma

Korean journal of medical education Vol. 32 ( 3 ) page： 243 - 256 2020.9

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

Selecting the right applicants is an important part of medical student admission. While one universally accepted selection criterion is academic capacity, there are other criteria such as communication skills and local criteria (e.g., socio-cultural values) that are no less important. This article reviews the policies and methods of selection to medical schools in seven countries with varying socio-economic conditions and healthcare systems. Senior academics involved in medical education in Indonesia, Japan, Malaysia, the Philippines, Singapore, Sri Lanka, and Taiwan completed a pre-agreed pro-forma per each country to describe the country's admission policies and methods. The details were then compared and contrasted. This review identifies tension between many of the policies and methods used in medical school admissions, such as between the need to assess non-cognitive abilities and widen access, and between the need for more medical professionals and the requirement to set high entry standards. Finding the right balance requires careful consideration of all variables, including the country's human resource needs; socio-economic status; graduates' expected competencies; and the school's vision, mission, and availability of resources.

DOI： 10.3946/kjme.2020.169

Open Access

Scopus

PubMed

Entrustable professional activity(EPA)を用いた、腎臓内科を研修する初期臨床研修医の到達目標と評価基準の作成 Reviewed

田中章仁, 近藤猛, 宮地由佳, 丸山彰一, 錦織宏

日本腎臓学会誌 Vol. 62 ( 4 ) page： 375 - 375 2020.7

EPAを用いた老年医学分野における初期臨床研修到達目標の開発 Reviewed

渡邊一久, 近藤猛, 葛谷雅文, 錦織宏

医学教育 Vol. 51 ( Suppl. ) page： 207 - 207 2020.7

目標・方略・評価を基盤とした卒後・専門教育のあり方〜現状とあるべき姿〜産婦人科領域における臨床研修医教育、専攻医教育、サブスペシャリティ教育における現状と問題点 Reviewed

磯部真倫, 錦織宏, 榎本隆之

医学教育 Vol. 51 ( Suppl. ) page： 42 - 42 2020.7

Faculty development in medical education: an environmental scan in countries within the Asia pacific region. Reviewed International journal Open Access

Dujeepa D Samarasekera, Shuh Shing Lee, Ardi Findyartini, Rita Mustika, Hiroshi Nishigori, Shunsuke Kimura, Young-Mee Lee

Korean journal of medical education Vol. 32 ( 2 ) page： 119 - 130 2020.6

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

PURPOSE: In recent years, faculty development (FD) research is more noticeable within an inter-professional context and in allied health education. However, there is a paucity of published literature on FD medical education programs in Asia. With the formation of the Asia Pacific Medical Education Network (APME-Net) in 2015, a scoping review of an environmental scan of FD medical education programs in main institutions in South East Asia and Australia in 2018 was conducted. METHODS: A survey was developed to collect data on FD in medical education after several rounds of discussion with APME-Net members. The representatives from nine countries in Asia and Australia were invited to partner in this research project. They sent the questionnaire to the Dean of all different medical schools after ethical clearance. The data collected was analyzed using descriptive statistics. RESULTS: Only institutions in four countries responded to the questionnaire. The medical/health professions education center/department/unit has been established in most educational institutions in these countries. These centers/departments/units mostly carry out FD programs to improve the teaching and learning skills of trained participants, particularly clinical teachers via workshops and seminars. Staffing issues and participant buy-in are the current key priorities of the center/department/unit in terms of FD. Lastly, research related FD program has not been well-supported in these countries, hence, the lack of publication in this area. CONCLUSION: Collaboration between countries to address key areas of interest and develop more standardized and productive FD medical education is required especially in research.

DOI： 10.3946/kjme.2020.160

Open Access

Scopus

PubMed

Doctors' experience of becoming patients and its influence on their medical practice: A literature review.

Morishita M, Iida J, Nishigori H

Explore (New York, N.Y.) Vol. 16 ( 3 ) page： 145 - 151 2020.5

Doctors' experience of becoming patients and its influence on their medical practice: A literature review

Morishita Mariko, Iida Junko, Nishigori Hiroshi

EXPLORE-THE JOURNAL OF SCIENCE AND HEALING Vol. 16 ( 3 ) page： 145-151 2020

Current State and Future Opportunities for Continuing Medical Education in Japan. Reviewed International journal

Lawrence Sherman, Hiroshi Nishigori

Journal of European CME Vol. 9 ( 1 ) page： 1729304 - 1729304 2020

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

Globally, CPD systems vary widely. In Japan, the Japanese Medical Association (JMA) is responsible for identifying content and developing education for its speciality practice physicians. The JMA was concerned about persistent low levels of participation in its CME activities and wanted to better understand the root causes. The analysis would provide an opportunity to restructure its programme informed by the needs of its practising clinicians. The JMA engaged a global education provider to conduct an independent analysis of its CME programme. Using a mixed-methods approach, the education provider conducted an on-line survey (N = 338) and held two in-person focus groups (N = 24) to better understand the perspectives of physicians in speciality practice. The on-line survey was sent to over 7,000 practising physicians throughout Japan. Respondents reflected a variety of medical and surgical specialities and length in clinical practice. They described factors that influenced or were barriers to participation in JMA-sponsored education. Respondents also suggested changes to the current model of CME in Japan and expressed an ongoing commitment to life-long learning and achieving the goals set forth in Japan's vision for health care in 2035: Leading the World Through Health. Globally, medical associations are challenged with developing education that meets the needs of a diverse physician workforce. Improved understanding of the perspectives of its physician members and implementation of collaborations with speciality societies may be one strategy to improve quality and address healthcare population needs. Lessons learned from this analysis may help other medical associations with similar challenges.

DOI： 10.1080/21614083.2020.1729304

PubMed

Doctors as objects of worship: Reconsidering doctors’ competency based on cultural context Reviewed Open Access

Mariko Morishita, Hiroshi Nishigori

The Asia Pacific Scholar Vol. 4 ( 3 ) page： 99 - 101 2019.9

A two-edged sword: Narrative inquiry into Japanese doctors’ intrinsic motivation Reviewed Open Access

H Nishigori, T Suzuki, T Matsui, J Busari, T Dornan

TAPS Vol. 4 ( 3 ) page： 24 - 32 2019.9

Current status of medical education research in Japan: A meta-epidemiological investigation Reviewed

Yuki Kataoka, Hiraku Tsujimoto, Yasushi Tsujimoto, Yuka Urushibara-Miyachi, Yuda Miyamoto, Hideto Yasuda, Hiromitsu Yamashita, Ryohei Yamamoto, Hiroshi Nishigori

The Asia Pacific Scholar Vol. 4 ( 2 ) page： 7 - 13 2019.5

「将来構想に関する若手ワーキンググループ」の委員会報告について序文 Reviewed

鈴木康之, 錦織宏, 片岡裕貴, 宮地由佳, 蓮沼直子, 大槻眞嗣, 飯田淳子, 淺田義和

医学教育 Vol. 50 ( 1 ) page： 1 - 1 2019

【医学教育における国際協力】タイ王国CPIRDのECMEにおける国際協働

錦織宏, 及川沙耶佳, 松山泰, 藤原広臨, 宮地由佳, 柴原真知子, 春田淳志, 宮地純一郎, 茂木恒俊, 加藤浩晃, 谷昇子, 伊藤和史, 西城卓也, 飯田淳子, 大谷尚, 小西靖彦, Arora Rajin, Sriruksa Kanokwan

医学教育 Vol. 49 ( 4 ) page： 283 - 287 2018.8

【医学教育における国際協力】タイ王国CPIRDのECMEにおける国際協働 Reviewed

医学教育 Vol. 49 ( 4 ) page： 283 - 287 2018.8

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Papers - NISHIGORI Hiroshi