Faculty Profiles - NISHIGORI Hiroshi

Papers - NISHIGORI Hiroshi

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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

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

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

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

鑑別診断を考えながら行う身体診察(HDPE)の教材作成用オンラインシステムの開発

大滝純司, 錦織宏, 増田浩三, 菊川誠, 川島篤志

日本シミュレーション医療教育学会雑誌 Vol. 2 page： 81 - 81 2014.6

Bushido and medical professionalism in Japan. Reviewed International journal

Hiroshi Nishigori, Rebecca Harrison, Jamiu Busari, Tim Dornan

Academic medicine : journal of the Association of American Medical Colleges Vol. 89 ( 4 ) page： 560 - 3 2014.4

Language：English Publishing type：Research paper (scientific journal) Publisher：LIPPINCOTT WILLIAMS & WILKINS

Medical professionalism has become a core topic in medical education. As it has been considered mostly from a Western perspective, there is a need to examine how the same or similar concepts are reflected in a wider range of cultural contexts. To gain insights into medical professionalism concepts in Japanese culture, the authors compare the tenets of a frequently referenced Western guide to professionalism (the physician charter proposed by the American Board of Internal Medicine Foundation, American College of Physicians Foundation, and the European Federation of Internal Medicine) with the concepts of Bushido, a Japanese code of personal conduct originating from the ancient samurai warriors. The authors also present survey evidence about how a group of present-day Japanese doctors view the values of Bushido.Cultural scholars have demonstrated Bushido's continuing influence on Japanese people today. The authors explain the seven main virtues of Bushido (e.g., rectitude), describe the similarities and differences between Bushido and the physician charter, and speculate on factors that may account for the differences, including the influence of religion, how much the group versus the individual is emphasized in a culture, and what emphasis is given to virtue-based versus duty-based ethics.The authors suggest that for those who are teaching and practicing in Japan today, Bushido's virtues are applicable when considering medical professionalism and merit further study. They urge that there be a richer discussion, from the viewpoints of different cultures, on the meaning of professionalism in today's health care practice.

DOI： 10.1097/ACM.0000000000000176

Web of Science

PubMed

The 6th Jakarta Meeting on Medical Education

Miyachi Yuka, Nishigori Hiroshi

Igaku Kyoiku / Medical Education (Japan) Vol. 45 ( 1 ) page： 43 - 44 2014

文化人類学と医学／医療者教育 Invited Reviewed

錦織宏, 道信良子

医学教育 Vol. 44 ( 5 ) page： 273 - 273 2013.10

共用試験OSCEの学習評価項目に対応したHDPE実技試験評価の試み

松井智子, 錦織宏, 菊川誠, 大滝純司

医学教育 Vol. 44 ( Suppl. ) page： 83 - 83 2013.7

鑑別診断を考えながら行う身体診察(HDPE)の教材作成用オンラインシステムの開発

大滝純司, 錦織宏, 増田浩三, 菊川誠, 川島篤志, 松井智子, 川畑秀伸

医学教育 Vol. 44 ( Suppl. ) page： 160 - 160 2013.7

学士入学経験が男性医師のキャリア形成に与える影響東大医学部のケーススタディ Reviewed

佐々木那津, 錦織宏, 大西弘高, 北村聖

医学教育 Vol. 44 ( Suppl. ) page： 101 - 101 2013.7

Recent Trends of Medical Education Reforms in United Kingdom : Quality Assurance in General Medical Council

SHIBAHARA Machiko, NISHIGORI Hiroshi, NAKAMURA Mariko, SUZUKI Toshiya, TAKEDA Yuko, KONISHI Yasuhiko, FUKUSHIMA Osamu, NARA Nobuo

Igaku Kyoiku / Medical Education (Japan) Vol. 44 ( 2 ) page： 63 - 70 2013.4

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

Background: Globalization urges us to discuss rationale and policy towards establishing a medical education accrediting body in Japan. Experience of General Medical Council （GMC） suggests us some useful lessons.<br>Method: Based on our visits and investigation into in GMC, we inquire how Quality Assurance （QA） was introduced in UK with what incentives and how QA has brought reforms in the medical schools in UK.<br>Result: Since 2003, GMC has changed its policy for QA from 'inspection' to 'dialogue'. Dialogical QA asks a medical school to think critically of their education and consider vigorous actions for further improvements.<br>Discussion: Implications from the experience of GMC are: 1.QA process in GMC makes medical schools take robust steps towards changes, 2. Sharing the rational and policy for QA created the solid base for its effective implementation, 3. There are possible difficulties in establishing structure to do an enormous amount of coordinating work, which is necessary for constructing 'dialogue with medical schools'.

DOI： 10.11307/mededjapan.44.63

CiNii Books

CiNii Research

Other Link： http://search.jamas.or.jp/link/ui/2013256048

鑑別診断を考えながら行う身体診察(HDPE)の教材作成用オンラインシステムの開発

大滝純司, 錦織宏, 増田浩三, 菊川誠, 川島篤志, 小林智子, Yudkowsky R., Bordage G.

日本内科学会雑誌 Vol. 102 ( Suppl. ) page： 245 - 245 2013.2

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