研究者詳細 - 錦織　宏

論文 - 錦織　宏

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

Wong C, van den Broek W, Doody G, Fischer M, Leech M, De Ponti F, Gerbes A, Nishigori H, Lee YM, Frens M, Kasuya H, Bazzoli F, Hickel R, Lee HS, van Leeuwen JPTM, Mitchell C, Kadomatsu K, Atherton J, Chan F

MedEdPublish (2016) 10 巻 ( 1 ) 頁： 64 2021年

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

Tanaka, A; Kondo, T; Urushibara-Miyachi, Y; Maruyama, S; Nishigori, H

BMJ OPEN 11 巻 ( 8 ) 頁： e047923 - e047923 2021年

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：BMJ Open

Objectives 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. Design Purposive design and a modified Delphi method to build consensus. Setting The department of nephrology in a university hospital in Aichi Prefecture, Japan. Participants 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. Results 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. Conclusions 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.

DOI： 10.1136/bmjopen-2020-047923

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

Iwatsuki, J; Kondo, T; Takahashi, N; Takami, H; Nishigori, H; Bustos-Villalobos, I; Aleksic, B; Kasuya, H; Ban, NO; Yagi, T; Skokauskas, N

ADVANCES IN MEDICAL EDUCATION AND PRACTICE 12 巻頁： 1329 - 1335 2021年

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Advances in Medical Education and Practice

Purpose: Japanese higher education institutions have long been striving for the globaliza-tion of medical education. Nagoya University (NU) adopted PBL as a means of enhancing intercultural awareness in globalizing medical education by working with the Norwegian University of Science and Technology (NTNU), Faculty of Medicine and Health Science, under the Trondheim NTNU-Nagoya (TroNa) partnership for mobility and internationaliza-tion of child and mental health studies. This study aims to assess students’ attitudes towards PBL and to suggest future developments in this form of education by introducing common PBL scenarios experienced at NTNU and NU. Methods: Two 90-minute PBL sessions were conducted at NU. Ten groups of medical students were formed, each consisting of up to 10 students, and students were asked to fill in a questionnaire developed to assess their understanding of, attitudes to and satisfaction with the classes. We investigated three different groups of questions on: NU medical students’ general impressions of PBL; their impressions of PBL in child and adolescent psychiatry (CAP); and their impressions of PBL in specific case scenarios. Correlations between each of the questions from the three groups were evaluated using multivariate analysis. Results: Overall, a majority of the NU medical students were satisfied with PBL, while a small number preferred traditional lecture-style learning (5%). More than half of the students agreed that PBL increased their understanding and interest in CAP (53%), although some male students felt that the amount of time spent was insufficient (20.3%). Correlations were seen for students who thought that PBL enhanced their understanding of and interest in CAP. Regarding case scenarios, most students (82.5%) agreed that PBL helped them to develop clinical problem-solving skills. Conclusion: The study found an overall positive attitude towards PBL, PBL in CAP and the specific PBL case scenario presented.

DOI： 10.2147/AMEP.S333958

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

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

BMC Medical Education 2020年12月

担当区分：最終著者記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：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

その他リンク： 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 査読有り

Isobe, M; Kataoka, Y; Chikazawa, K; Nishigori, H; Takahashi, T; Enomoto, T

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH 46 巻 ( 12 ) 頁： 2651 - 2661 2020年12月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Obstetrics and Gynaecology Research

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 査読有り国際誌

Shimizu, I; Nishigori, H

MEDICAL TEACHER 42 巻 ( 9 ) 頁： 1076 - 1077 2020年9月

Admission policies and methods at crossroads: a review of medical school admission policies and methods in seven Asian countries. 査読有り国際誌 Open Access

Soemantri D, Karunathilake I, Yang JH, Chang SC, Lin CH, Nadarajah VD, Nishigori H, Samarasekera DD, Lee SS, Tanchoco LR, Ponnamperuma G

Korean journal of medical education 32 巻 ( 3 ) 頁： 243 - 256 2020年9月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Korean Journal of Medical Education

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査読有り

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 62 巻 ( 4 ) 頁： 375 - 375 2020年7月

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査読有り

磯部真倫, 錦織宏, 榎本隆之

医学教育 51 巻 ( Suppl. ) 頁： 42 - 42 2020年7月

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査読有り

渡邊一久, 近藤猛, 葛谷雅文, 錦織宏

医学教育 51 巻 ( Suppl. ) 頁： 207 - 207 2020年7月

Faculty development in medical education: an environmental scan in countries within the Asia pacific region. 査読有り国際誌 Open Access

Samarasekera DD, Lee SS, Findyartini A, Mustika R, Nishigori H, Kimura S, Lee YM

Korean journal of medical education 32 巻 ( 2 ) 頁： 119 - 130 2020年6月

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Korean Journal of Medical Education

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.) 16 巻 ( 3 ) 頁： 145 - 151 2020年5月

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 16 巻 ( 3 ) 頁： 145-151 2020年

Current State and Future Opportunities for Continuing Medical Education in Japan. 査読有り国際誌

Sherman L, Nishigori H

Journal of European CME 9 巻 ( 1 ) 頁： 1729304 - 1729304 2020年

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

Morishita M., Nishigori H.

Asia Pacific Scholar 4 巻 ( 3 ) 頁： 99 - 101 2019年9月

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

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

TAPS 4 巻 ( 3 ) 頁： 24 - 32 2019年9月

掲載種別：研究論文（学術雑誌）出版者・発行元：Asia Pacific Scholar

Introduction: Although retaining a healthy and motivated medical workforce is becoming an intractable problem, the intrinsic motivation that keeps doctors working for patients remains under-investigated. The 2011 Tōhoku earthquake and tsunami provided a unique opportunity for culturally situated research into doctors’ intrinsic motivation. The purpose of this study was to answer the research question: what motivates doctors to work for patients above and beyond expectations? Methods: This paper reports a qualitative inquiry informed by semi-structured individual interviews with 15 Japanese doctors who had joined disaster relief activities, which uses the Bushido virtue code as a conceptual framework. The authors read transcripts repeatedly and conducted a cross-case analysis to identify final themes and illustrative narratives. Results: A young doctor wanted to learn by testing out his capabilities. A senior doctor yearned to be of value to others. Other participants told how identifying with victims motivated them. There were negative as well as positive motivations, exemplified by a participant whose sense that well-educated people had a duty to help was coupled with a wish to avoid being blamed by others. Discussion: Volunteering met participants’ needs for self-esteem by restoring their relationships with patients to ones in which they had some measure of control. But avoiding being blamed or losing Meiyo (Honour) also motivated physicians to volunteer. Reinforcing the satisfaction of a job well done may help offset the lack of control, guilt, and shame that too easily results from the relentless pressures of workload and external accountability in today’s healthcare systems.

DOI： 10.29060/taps.2019-4-3/oa2063

Open Access

Scopus

Current status of medical education research in Japan: A meta-epidemiological investigation 査読有り

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

The Asia Pacific Scholar 4 巻 ( 2 ) 頁： 7 - 13 2019年5月

「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査読有り

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 50 巻 ( 1 ) 頁： 1 - 1 2019年

【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 49 巻 ( 4 ) 頁： 283 - 287 2018年8月

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

医学教育 49 巻 ( 4 ) 頁： 283 - 287 2018年8月

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