A5074485592- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Primary Care and Health Outcomes
- Radiology practices and education
- Simulation-Based Education in Healthcare
- Healthcare professionals’ stress and burnout
- Healthcare Policy and Management
- Interprofessional Education and Collaboration
- Hospital Admissions and Outcomes
- Artificial Intelligence in Healthcare and Education
- Vasculitis and related conditions
- Global Health Workforce Issues
- Empathy and Medical Education
- Health Sciences Research and Education
- Workplace Health and Well-being
- COVID-19 and Mental Health
- Ophthalmology and Visual Health Research
- Phonocardiography and Auscultation Techniques
- Inflammatory Myopathies and Dermatomyositis
- Healthcare Quality and Management
- Eosinophilic Disorders and Syndromes
- Mental Health and Psychiatry
- Sleep and Work-Related Fatigue
- Pharmacy and Medical Practices
- Psychosomatic Disorders and Their Treatments
Chiba University Hospital
2016-2025
Chiba University
2012-2025
Yokohama City University
2025
Shimane University Hospital
2023
Saga University
2023
Takatsuki Red Cross Hospital
2022
Chiba Institute of Science
2020
International University of Health and Welfare
2020
Chiba Hospital
2019
Yahoo (United Kingdom)
2018
Generative artificial intelligence (GAI), represented by large language models, have the potential to transform health care and medical education. In particular, GAI's impact on higher education has change students' learning experience as well faculty's teaching. However, concerns been raised about ethical consideration decreased reliability of existing examinations. Furthermore, in education, curriculum reform is required adapt revolutionary changes brought integration GAI into practice...
Abstract Background The COVID-19 pandemic has created a need for educational materials and methods that can replace clinical clerkships (CCs) online simulated practice (online-sCP). This study evaluates the impact of using electronic health records (sEHR) inpatients, problem-based learning (e-PBL) virtual medical interviews (online-VMI) outpatients, an online-sCP management system (LMS) meeting facilitated by supervising physician. Methods sEHR was reviewed students subsequently discussed...
Abstract Long duty hours (DH) impair sleep and negatively affect residents’ health medical safety. This cross-sectional study investigated the association among DH, duration, insomnia, impairment, depressive symptoms, self-reported errors 5579 residents in Japan who completed General Medicine In-Training Examination (2021) participated training-environment survey. Weekly DH was classified under seven categories. Sleep duration insomnia from Athens Insomnia Scale, were analysed to determine...
Abstract Background Medical history contributes approximately 80% to a diagnosis, although physical examinations and laboratory investigations increase physician’s confidence in the medical diagnosis. The concept of artificial intelligence (AI) was first proposed more than 70 years ago. Recently, its role various fields medicine has grown remarkably. However, no studies have evaluated importance patient AI-assisted Objective This study explored contribution diagnoses assessed accuracy...
Both clinical knowledge and patient care ownership (PCO) are crucial to the provision of quality should be acquired during training. However, association between these two concepts is under-examined. Here, we conducted a nationwide cross-sectional study investigate PCO among resident physicians in Japan. From January 17 March 31, 2024, an anonymous, online, self-administered survey for series research projects. The targeted medical residents who took General Medicine In-Training Examination...
This study aims to compare the effectiveness of Hybrid and Pure problem-based learning (PBL) in teaching clinical reasoning skills medical students. The sample consisted 99 students participating a clerkship rotation at Department General Medicine, Chiba University Hospital. They were randomly assigned PBL (intervention group, n = 52) or group (control 47). quantitative outcomes measured with students’ perceived competence PBL, satisfaction sessions, self-evaluation competency reasoning....
Background Medical students in Japan undergo a 2-year postgraduate residency program to acquire clinical knowledge and general medical skills. The General Medicine In-Training Examination (GM-ITE) assesses residents’ knowledge. A simulation video (CSV) may assess learners’ interpersonal abilities. Objective This study aimed evaluate the relationship between GM-ITE scores resident physicians’ diagnostic skills by having them watch CSV explore perceptions of CSV’s realism, educational value,...
The persistence of diagnostic errors, despite advances in medical knowledge and diagnostics, highlights the importance understanding atypical disease presentations their contribution to mortality morbidity. Artificial intelligence (AI), particularly generative pre-trained transformers like GPT-4, holds promise for improving accuracy, but requires further exploration handling presentations.
Abstract Background Training for the fundus examination using traditional teaching is challenging, resulting in low generalist physicians’ confidence performing funduscopic examination. There growing evidence suggesting a flexible e-learning video approach’s value physical procedures. However, whether approach superior to traditional, face-to-face (F2F) lecture-based exam and cognitive processes supporting its effectiveness has not yet been determined. Methods We conducted sequential...
Abstract Background Interprofessional collaborative practice competency (ICPC) is key to providing safe, high-quality, accessible, patient-centred care. Effective delirium management, particularly, requires a multi-component intervention, including the use of interprofessional teams at care point. This research aims investigate effectiveness flipped classroom approach for improving ICPC in simulation-based case management. Method An embedded mixed-methods study was designed effects on health...
The new duty hour (DH) limit for doctors in Japan will begin 2024, setting the maximum DHs postgraduate residents at approximately 80 h weekly. To set appropriate limits, understanding association between and psychological health is necessary. Thus, we assessed relationship residents' DHs. We conducted a cross-sectional study involving examinees of General Medicine In-training Examination 2020. Mental outcomes were measured dichotomously using Patient Health Questionnaire-2 depression Mini-Z...
In Japan, postgraduate clinical training encompasses a 2-year residency program, including at least 24 weeks of internal medicine (IM) rotations. However, the fragmented structure these rotations can compromise training's quality and depth. For example, resident might spend only few in cardiology before moving to endocrinology, without sufficient time deepen their understanding or have experience. This study examined current patterns lengths IM within Japanese medical system. It scrutinized...
To identify generalism-related competencies that medical students in Japan should acquire order to provide comprehensive care for patients.
Objective The relationship between the care of patients with COVID-19 and mental health among resident physicians in Japan is imperative for ensuring appropriate should be clarified. We herein assessed postgraduate year 1 (PGY-1) PGY-2 factors associated health. Design This nationwide cross-sectional study analysed data obtained using clinical training environment self-reported questionnaire. Setting An observational across (PGY-1 PGY-2) from 583 teaching hospitals. Participants Examinees...
Purpose: We conducted a pilot study in an acute care hospital and developed the Saga Fall Risk Model 2 (SFRM2), fall prediction model comprising eight items: Bedriddenness rank, age, sex, emergency admission, admission to neurosurgery department, history of falls, independence eating, use hypnotics. The external validation results from two hospitals showed that area under curve (AUC) SFRM2 may be lower other facilities. This aimed validate accuracy using data hospitals, including chronic...
Background In the United States (US), most physicians who commit sexual misconduct are male, and such is associated with absence of chaperones. Several organizations recommend a chaperone during all intimate examinations (breast, genital, rectal exams). However, in Japan, guidelines not clearly defined, hospitals medical societies have established standardized protocols. At Chiba University Hospital's Department General Medicine, female nurses requested to act as chaperones patients'...
Abstract Background Outpatient training for resident physicians has been attracting attention in recent years. However, to our knowledge, there have only a few surveys on outpatient training, particularly Japan. This study evaluates care among Japanese by determining how the volume of encounters and length correlate with residents’ clinical competence. Methods utilised results General Medicine In-Training Examination (GM-ITE; competency assessment) 2,554 post-graduate year 2 (PGY 2) Japan,...
Background Japan faces a health care delivery challenge due to physician maldistribution, with insufficient physicians practicing in rural areas. This issue impacts access remote areas and affects patient outcomes. Educational interventions targeting students’ career decision-making can potentially address this problem by promoting interest medicine. We hypothesized that community-based problem-based learning (PBL) using real-patient videos could foster understanding of community encourage...
Clinical reasoning skills are essential competencies for medical students; therefore, effective, evidence-informed teaching methodologies needed worldwide. This study investigated the benefits of team-based learning (TBL) developing in students. A mixed-methods sequential explanatory design was used to investigate effectiveness TBL students acquiring clinical skills. The participants comprised 92 fourth-year at Yokohama City University School Medicine, participating sessions that covered 10...
<sec> <title>BACKGROUND</title> Traditional assessments of clinical competence using multiple-choice questions (MCQs) have limitations in the evaluation real-world diagnostic abilities. As such, recognizing non-verbal cues, like tachypnea, is crucial for accurate diagnosis and effective patient care. </sec> <title>OBJECTIVE</title> This study evaluated how detecting such cues impacts resident physicians’ a simulation video (CSV) integrated into General Medicine In-Training Examination...
The "5-microskills" instructional method for clinical reasoning does not incorporate a step learners' critical reflection on their predicted hypotheses. This study aimed to correct this shortcoming by inserting third in which learners conduct self-examinations and furnish evidence that contradicts hypotheses, resulting the "6-microskills" method. In cross-sectional study, changes confidence hypotheses were measured examined modify confirmation bias diagnoses. A total of 108 medical students...