Faculty Profiles - NISHIGORI Hiroshi

Papers - NISHIGORI Hiroshi

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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 Open Access

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 Open Access

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 Open Access

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

Translation and cultural adaptation of the Japanese version of the interprofessional facilitation scale. Reviewed International journal

Junji Haruta, Raoul Breugelmans, Hiroshi Nishigori

Journal of interprofessional care Vol. 32 ( 3 ) page： 321 - 328 2018.5

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

Effective interaction in interprofessional collaboration requires skills in interprofessional facilitation. The need for interprofessional learning and practice in Japan is highlighted by Japan's status as one of the most rapidly aging societies because good care for elderly people with complex needs requires effective collaboration between different professional groups. The development of interprofessional facilitation skills (including management of the additional complexities) among learners or professionals enhances interprofessional learning and consensus building and empowers them to make appropriate commitments when faced with difficult challenges. The 18-item interprofessional facilitation scale (IPFS) can be used to enhance interprofessional facilitation skills. Here, we aimed to develop a Japanese adapted version of the IPFS and to validate it for use with Japanese healthcare professionals. Consistent with guidelines for cross-cultural adaptation, three translators translated the original IPFS from English into Japanese, and an expert and all authors confirmed its face and content validity. The translated items were amended during backtranslation and expert reviews. Exploratory factor analysis was performed with 167 healthcare professionals to explore the underlying structure of the items. This analysis revealed two factors with good internal consistency (Cronbach's alpha > 0.8), which were labelled as: (1) encouraging interprofessional interaction and (2) respect for each professional. The original factor 'Encouraging interprofessional interaction' was divided into two factors in the study. One reason for this division might be related to the behaviour of Japanese health professionals, that is, most Japanese might understand that 'facilitation' encourages relationships as contextual belonging that are distinct from relationships based on respect for others. This mindset is likely based on the notion of 'relationalism', which is fundamental in Japanese culture. Further investigation of this Japanese version of the IPFS will strengthen factor construction and improve scrutiny of the relationships between factors.

DOI： 10.1080/13561820.2017.1398720

PubMed

National survey of international electives for global health in undergraduate medical education in Japan, 2011-2014. Reviewed Open Access

Tomio Suzuki, Hiroshi Nishigori

Nagoya journal of medical science Vol. 80 ( 1 ) page： 79 - 90 2018.2

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

Interest in global health in medical education is increasing in Western countries, whereas data from non-Western countries is scarce. Here, we conducted a nationwide study of international clinical electives at Japanese medical schools from 2011 to 2013. We constructed a 28-item cross-sectional survey in Japanese to investigate the rate and characteristics of both Japanese students going abroad and international students coming on exchange to Japan. The surveys were sent to the administrative offices of all 80 Japanese medical schools in each of the three years, through the Japan Medical Education Foundation. All 80 medical schools responded to the questionnaire (response rate, 100%). An average of 70 of the 80 medical universities provided exchange programs across the three years to allow students to travel abroad as part of the school curriculum and obtain academic credit. The schools provided support in the form of in- and outside-class preparatory programs, tuition fee exemptions and housing. The most popular destinations for Japanese students going abroad were Europe and North America, which may reflect the desire of Japanese students to acquire medical knowledge or experience through exposure to the English language. In contrast, the most common countries of origin of international exchange students coming to Japan were Asian countries such as South Korea, Thailand and Taiwan, with pediatrics being the most popular elective. Foreign exchange programs are becoming increasingly incorporated into the Japanese medical education curriculum and can help to strengthen international partnerships and collaborations.

DOI： 10.18999/nagjms.80.1.79

Open Access

PubMed

臨床症例検討会を通じた文化人類学教育行動科学・社会科学教育の新しい形(その3) Reviewed

飯田淳子, 宮地純一郎, 島薗洋介, 錦織宏

医学教育 Vol. 48 ( Suppl. ) page： 156 - 156 2017.8

How do healthcare professionals and lay people learn interactively? A case of transprofessional education. Reviewed

Haruta J, Kitamura K, Nishigori H

The Asia Pacific Scholar Vol. 2 ( 3 ) 2017

医学教育分野の学術的国際交流に関する省察的記述文化進化主義から文化相対主義への変遷

宮地純一郎, 錦織宏

医学教育 Vol. 47 ( Suppl. ) page： 192 - 192 2016.7

A Potential Use for Manga in Medical Education. Reviewed International journal

Hiroaki Kato, Hiroshi Nishigori

Academic medicine : journal of the Association of American Medical Colleges Vol. 91 ( 3 ) page： 290 - 290 2016.3

Physical Examination and the Physician-patient Relationship: A Literature Review. Reviewed

Iida J, Nishigori H

MedEdPublish Vol. 5 ( 3 ) page： 14 2016

Beyond work-hour restrictions: a qualitative study of residents' subjective workload. Reviewed International journal

Hiroshi Nishigori, Gautam A Deshpande, Haruo Obara, Osamu Takahashi, Jamiu Busari, Tim Dornan

Perspectives on medical education Vol. 4 ( 4 ) page： 176 - 80 2015.8

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

INTRODUCTION: Following the introduction of work-hour restrictions, residents' workload has become an important theme in postgraduate training. The efficacy of restrictions on workload, however, remains controversial, as most research has only examined objective workload. The purpose of this study was to explore the less clearly understood component of subjective workload and, in particular, the factors that influenced residents' subjective workload. METHOD: This study was conducted in Japan at three community teaching hospitals. We recruited a convenience sample of 31 junior residents in seven focus groups at the three sites. Audio-recorded and transcribed data were read iteratively and analyzed thematically, identifying, analyzing and reporting themes within the data and developing an interpretive synthesis of the topic. RESULTS: Seven factors influenced residents' subjective workload: (1) interaction within the professional community, (2) feedback from patients, (3) being in control, (4) professional development, (5) private life, (6) interest and (7) protected free time. DISCUSSION AND CONCLUSION: Our findings indicate that residents who have good interaction with colleagues and patients, are competent enough to control their work, experience personal development through working, have greater interest in their work, and have fulfilling private lives will have the least subjective workload.

DOI： 10.1007/s40037-015-0198-4

PubMed

Why do students participate in medical education? Reviewed International journal

Hirohisa Fujikawa, Jeffery Wong, Hiroki Kurihara, Kiyoshi Kitamura, Hiroshi Nishigori

The clinical teacher Vol. 12 ( 1 ) page： 46 - 9 2015.2

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

BACKGROUND: Medical student involvement in curriculum development is important; however, little is known about why medical students become engaged in this activity. The aim of this study was to understand what motivates medical students at one university to participate in the process of curriculum development and gain a wider perspective on student engagement in medical education. METHODS: Grounded theory methodology was the foundation of this study. We conducted semi-structured interviews with seven medical students from the University of Tokyo who developed and participated in a group whose aim was to actively contribute towards improving their medical education. The data from the interviews were analysed by thematic synthesis, with triangulation. RESULTS: Three themes emerged as potential explanations for motivating student behaviour: (1) extracurricular interaction with faculty members; (2) engaging with highly motivated peers; and (3) student values for serving the public. CONCLUSIONS: Students working to improve educational processes at their medical schools had the opportunity to communicate more with faculty members, enjoyed opportunities for networking with other highly motivated peers and enhanced aspects of their developing professionalism.

DOI： 10.1111/tct.12240

Scopus

PubMed

Opinion: The learning objetive of ophthalmic examination for non-ophthalmologists Open Access

Kato Hiroaki, Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 46 ( 5 ) page： 436 - 437 2015

アウトカム不在の学士入学制度におけるProfessional Identityの確立東京大学のケース Reviewed

佐々木那津, 錦織宏

医学教育 Vol. 45 ( Suppl. ) page： 121 - 121 2014.7

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Papers - NISHIGORI Hiroshi