Language：English   Publisher：Medical Teacher  

DOI： 10.1080/0142159X.2024.2415498

Web of Science

Scopus

PubMed

Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1007/s10459-024-10337-z

Open Access

Web of Science

Scopus

PubMed

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

Qualitative research, used to analyse non-numerical data including interview texts, is crucial in understanding medical education processes. However, it is often complex and time-consuming, leading to an interest in technology for streamlining the analysis. This study investigated the applicability of ChatGPT, a large language model, in thematic analysis for medical qualitative research. Previous research has used ChatGPT to explore the deductive process as a qualitative study. This study evaluated thematic analysis including the inductive process by ChatGPT with reference to human qualitative analysis. A convergent design mixed-methods study was used. Using a thematic analysis approach, ChatGPT (model: GPT-4) analysed some interview data from a previously published medical research article. The assessors evaluated the qualitative analysis of ChatGPT using human qualitative analysis as a benchmark. Three assessors compared the human-conducted and ChatGPT-driven qualitative analyses. ChatGPT scored higher in most aspects but showed variable transferability and mixed depth scores. In the integrated analysis including qualitative data, six themes were identified: superficial similarity of results with human analysis, good first impression, explicit association with data and process, contamination by directions in prompts, deficiency of thick descriptions based on context and research questions, and lack of theoretical derivation. ChatGPT excels at extracting key data points and summarising information; however, it is prone to prompt contamination, which necessitates careful scrutiny. To achieve deeper analysis, it is essential to supplement the research context with human input and explore the theoretical framework.

DOI： 10.18999/nagjms.86.4.620

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Scopus

PubMed

Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

DOI： 10.1111/medu.15328

Web of Science

PubMed

Language：Japanese   Publisher：Japan Society for Medical Education  

<p>　The extent to which students’ experiences are enriched by incorporating anthropology into clinical education in undergraduate medical education has not been adequately examined. The authors have collaborated to integrate anthropological fieldwork with clinical education in a clinical clerkship course. Reflection on the course has highlighted that the principles of anthropological fieldwork have stimulated changes in the roles of both faculty and students, as well as their interpersonal dynamics. These changes have the potential to promote an ‘education emerged from serendipity in the field’ approach, which tends to be undervalued in the current clinical training driven by the prevailing outcome-based medical education paradigm.</p>

DOI： 10.11307/mededjapan.55.1_13

CiNii Research

Language：Japanese   Publisher：(一社)日本医学教育学会  

Other Link： https://search.jamas.or.jp/default/link?pub_year=2024&ichushi_jid=J00050&link_issn=&doc_id=20240319070002&doc_link_id=%2Fed9jmded%2F2024%2F005501%2F003%2F0013-0019%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fed9jmded%2F2024%2F005501%2F003%2F0013-0019%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

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

DOI： 10.1186/s12909-023-04855-4

Open Access

Web of Science

Scopus

PubMed

Language：Japanese   Publisher：公益社団法人 地域医療振興協会  

DOI： 10.60261/chiikiigaku.37.9_65

CiNii Research

Language：Japanese   Publisher：(一社)日本プライマリ・ケア連合学会  

Publishing type：Research paper (scientific journal)  

DOI： 10.12688/f1000research.126366.2

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

DOI： 10.1080/14739879.2022.2056525

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Scopus

PubMed

Authorship：Lead author,　Corresponding author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Springer Science and Business Media {LLC}  

<jats:title>Abstract</jats:title><jats:sec>
<jats:title>Background</jats:title>
<jats:p>Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration between social and behavioral sciences experts and clinical faculty. However, teaching models for achieving this integration have not been adequately established, nor has the collaboration process been described. This study aims to propose a collaborative clinical case conference model to integrate social and behavioral sciences and clinical experience. Additionally, we describe how social and behavioral science experts and clinical faculty collaborate during the development of the teaching method.</jats:p>
</jats:sec><jats:sec>
<jats:title>Methods</jats:title>
<jats:p>A team of medical teachers and medical anthropologists planned for the development of a case conference based on action research methodology. The initial model was planned for a 3-h session, similar to a Clinicopathological Conference (CPC) structure. We evaluated each session based on field notes taken by medical anthropologists and post-session questionnaires that surveyed participants’ reactions and points of improvement. Based on the evaluation, a reflective meeting was held to discuss revisions for the next trial. We incorporated the development process into undergraduate medical curricula in clinical years and in a postgraduate and continuous professional development session for residents and certified family physicians in Japan. We repeated the plan-act-observe-reflection process more than 15 times between 2015 and 2018.</jats:p>
</jats:sec><jats:sec>
<jats:title>Results</jats:title>
<jats:p>The development of the collaborative clinical case conference model is summarized in three phases: Quasi-CPC, Interactive, and Co-constructive with unique structures and underlying paradigms. The model successfully contributed to promoting the participants’ recognition of the clinical significance of social and behavioral sciences. The case preparation entailed unique and significant learning of how social and behavioral sciences inform clinical practice. The model development process promoted the mutual understanding between clinical faculty and anthropologists, which might function as faculty development for teachers involved in social and behavioral sciences teaching in medical education.</jats:p>
</jats:sec><jats:sec>
<jats:title>Conclusions</jats:title>
<jats:p>The application of appropriate conference models and awareness of their underlying paradigms according to educational situations promotes the integration of social and behavioral sciences with clinical medicine education. Faculty development regarding social and behavioral sciences in medical education should focus on collaboration with scholars with different paradigmatic orientations.</jats:p>
</jats:sec>

DOI： 10.1186/s12909-021-03009-8

Open Access

Web of Science

Scopus

PubMed

Language：English   Publisher：Journal of General and Family Medicine  

Background: Within the vague system of primary care and COVID-19 infection control in Japan, we explored how primary care (PC) physicians exhibited adaptive performance in their institutions and communities to cope with the COVID-19 pandemic from January to May 2020. Methods: Narrative analysis conducted by a team of medical professionals and anthropologists. We purposefully selected 10 PC physicians in community-based hospitals and clinics and conducted a total of 17 individual and group interviews. The verbatim transcript data were analyzed using the conceptual framework of adaptive performance. Results: We identified three “phases” of the time period (January–May 2020). In Phase 1, PC physicians initially perceived the disease as a problem unrelated to them. In Phase 2, the Diamond Princess outbreak triggered adaptive performance of the physicians, who began to deal with medical issues related to COVID-19 by using social networking services and applying the collected information to their organization and/or communities. Following this, in Phase 3, the PC physicians’ adaptive performance in their own communities and institutions emerged in the face of the pandemic. Reflecting their sensitivity to local context, the PC physicians were seen to exhibit adaptive performance through dealing with context-dependent problems and relationships. Conclusions: PC physicians exhibited adaptive performance in the course of coping with the realities of COVID-19 in shifting phases and in differing localities in the early stages of the pandemic. The trajectories of adaptive performance in later stages of the pandemic remain to be seen.

DOI： 10.1002/jgf2.452

Open Access

Web of Science

Scopus

PubMed

Language：Japanese   Publisher：日本文化人類学会  

DOI： 10.14890/jjcanth.85.3_566

CiNii Research

Language：Japanese   Publisher：Japanese Society of Psychosomatic Medicine  

<p>In this paper, medical anthropologists and practitioners jointly interpret the experience of a patient with persistent psychosomatic symptoms. The authors address the case of a male patient in his 70s who has been diagnosed as a functional defecation disorder. His preoccupation with bowel movements and increased urinary frequency forces him to spend most of the time on the bed at home. Furthermore, he persistently displays his negative feelings to the medical practitioners. The authors interpret the patient's experience by giving a particular focus on his life history as well as how he interpreted the socio-psychological approach. Some critical issues in introducing ethnography in the field of psychosomatic medicine will also be discussed.</p>

DOI： 10.15064/jjpm.60.7_584

CiNii Research

Event date： 2023.5

Language：Japanese   Presentation type：Oral presentation (invited, special)  

Venue：名古屋   Country：Japan  

Event date： 2023.8

Language：English   Presentation type：Oral presentation (keynote)  

Event date： 2023.7

Language：Japanese   Presentation type：Symposium, workshop panel (nominated)  

Venue：長崎   Country：Japan  

Event date： 2023.7

Language：Japanese   Presentation type：Symposium, workshop panel (nominated)  

Event date： 2023.7

Language：Japanese   Presentation type：Oral presentation (general)  

Event date： 2023.7

Language：Japanese  

Event date： 2023.7

Language：Japanese   Presentation type：Symposium, workshop panel (public)  

Event date： 2023.5

Language：Japanese   Presentation type：Poster presentation  

Event date： 2023.5

Language：Japanese   Presentation type：Poster presentation  

Event date： 2022.7

Language：Japanese  

Event date： 2022.6

Language：Japanese  

Event date： 2022.6

Language：Japanese  

Event date： 2021.5

Language：Japanese  

Event date： 2021.5

Language：Japanese  

Event date： 2020.7

Language：Japanese