1.The Clinical Significance of Acupuncture in Rheumatoid Arthritis
Masayuki IMAI ; Shigeo NIWA ; Masanori KURODA ; Tadao MITSUI ; Tomokazu HATTORI
Journal of the Japan Society of Acupuncture and Moxibustion 1982;32(2):60-64
Introduction
Taking the GSR to acupoints in rheumatoid arthritis, we observed the following 3 points: the comparison between rheumatoid arthritis and osteoarthritis, the relativity between the clinical symptoms and acupoints, and the effect of acupuncture on the pathema.
Method
Using an apparatus “Memorador Model F-532”, we measured the GSR to SP-3, LV-3, BL-64, GB-40, ST-42, ST-36 and SP-6 together with a check on this symptom and hemanalysis.
Effect
The GSR in rheumatoid arthritis was higher than the other. The GSR in active rheumatoid arthritis was lower than the inactive. It was showed that there were significant differences in KI-3 (significance level under 5%) and SP-6 (under 1%).
Conclusion
We assumed that the pathema might be dependent on the condition of their acupoints. Acupuncture gave a good effect on rheumatoid arthritis.
2.Simulated patient programs at 5 Scottish medical schools: Report of site visits in Scotland
Keiko ABE ; Kazuhiko FUJISAKI ; Masayuki NIWA ; Yasuyuki SUZUKI ; Phillip EVANS
Medical Education 2008;39(3):199-203
1) We visited 5 Scottish universities (the Universities of Aberdeen, St Andrews, Dundee, Glasgow, and Edinburgh) to observe and learn about simulated-patient programs and communication-skills training.
2) Each medical school has developed its own approach for using simulated patients in training and for giving feedback to medical students.
3) In Scotland, where all medical schools adhere to“Tomorrow's Doctors”and“the Scottish Doctor Curriculum Outcomes, ”curriculum styles vary greatly, but the differences are celebrated.The simulated-patient programs are integrated into each program in a way unique to each school.
3.Differences in medical students’ emotional intelligence and empathy according to academic year and sex
Keiko Abe ; Kazuhiko Fujisaki ; Masayuki Niwa ; Yasuyuki Suzuki
Medical Education 2013;44(5):315-326
Objectives: To clarify differences in medical students’ emotional intelligence and empathy among 4 school years and sex.
Methods: A cross-sectional study of 370 medical students in years 1, 2, 4, and 6 was performed with Japanese versions of 2 self-reported questionnaires: the Trait Emotional Intelligence Questionnaire–Short Form (TEIQue-SF) and the Jefferson Scale of Physician Empathy–Student Version (JSPE-S).
Results: Total scores of the TEIQue–SF tended to decrease in higher school years. However, the total score of the JSPE-S was significantly increased in year 6 but was decreased in year 4. Male students had higher TEIQue–SF scores, and female students had higher JSPE-S scores. Of the 4 factors of the TEIQue–SF compared (well-being, self-control, emotionality, and sociability), only sociability was higher in males. No differences were found among school years. The scores of the TEIQue–SF and the JSPE-S showed a weak correlation. Of the factors of the TEIQue–SF, only self-control showed no correlation with the JSPE-S.
Discussion and Conclusion: These results suggest that the emotional intelligence of both male and female medical students tends to decline. The increase in JSPE-S scores in year 6 suggests that medical interview training is effective. Furthermore, training is important both to enhance emotional intelligence and to teach self-control skills.
4.Academic administrative staff feel difficulty when dealing with health-care professional students
Chihiro Kawakami ; Takuya Saiki ; Masayuki Niwa ; Yasuyuki Suzuki ; Kazuhiko Fujisaki
Medical Education 2016;47(5):301-306
This study examined the cases of the difficult encounters with problematic students that academic administrative staffs in the health professions education institutons faces. 185 cases were obtained from the 143 administrative staffs who participated in the training program for academic administrative staffs training from 2013 to 2015. Although there are 136 cases (73.5%) related to the problem students, some cases existed which problems were from the system or faculty members. In order to dealing with difficult encounters appropriately in the health care professional training institutions, the cooperation between teachers and academic administrative staffs is indispensable.
5.Staff and faculty development in the coming decades:
Takuya Saiki ; Masayuki Niwa ; Chihiro Kawakami ; Rintaro Imafuku ; Kazumi Sakashita ; Kazuhiko Fujisaki ; Yasuyuki Suzuki
Medical Education 2014;45(1):13-24
Modern medical education stresses the importance of staff/faculty development and its evaluation. The Medical Education Development Center of Gifu University has been accredited by the Ministry of Education, Culture, Sports, Science and Technology as a National Collaboration Center and has held Seminar and Workshop on medical education 50 times over 14 years towards achieving the mission of staff/faculty development in Japan. Through the analysis of the characteristics of participants and the topics of the workshops and seminars held by the Medical Education Development Center, the history and future of staff/faculty development were examined. The key points suggested to predict the direction of staff/faculty development in the education of health professionals were: acquisition of comprehensive teaching competence, various learning strategies, the importance of work place and practicality, collaborative learning beyond boundaries, scholarly discussion to integrate international and domestic evidence, continuing professional development, and evaluation based on learning stage.
6.A Study of the Tutorial System at Gifu University School of Medicine. Part 2: Evaluation by Physicians in Community Hospitals.
Yasuyuki SUZUKI ; Yuzo TAKAHASHI ; Masayuki NIWA ; Kazuhiko FUJISAKI ; Hiroyuki NAKAMURA ; Kaei WASHINO ; Tomomi KATO ; Kazuo ITOH
Medical Education 2003;34(1):13-19
To assess the effectiveness of a problem-based learning tutorial system introduced at Gifu University School of Medicine in 1995, we conducted a questionnaire survey of medical knowledge, attitudes about learning, communication ability, and social behavior in sixth-year medical students. The questionnaire was given to instructors and attending physicians at community hospitals who were involved in clinical education. Many of the evaluators felt that students who trained with the tutorial system showed improved understanding, a more active attitude toward learning, and a better attitude toward patients than did students who received traditional, lecture-based education.
7.A Preliminary Validation of Computer-Based Testing by the Common Achievement Tests Organization in Japan: An Early Report.
Kaei WASHINO ; Yasuyuki SUZUKI ; Yuzo TAKAHASHI ; Masayuki NIWA ; Kazuhiko FUJISAKI ; Hiroyuki NAKAMURA ; Tomomi KATO ; Hisataka MORIWAKI
Medical Education 2003;34(6):375-379
The Common Achievement Tests Organization performed the first nationwide trial of computer-based testing (CBT) used to assess students entering the clinical phase of medical education. Seventy-seven medical schools participated in the trial. We compared performance on the national CBT with performance on preclinical tests administered at Gifu University School of Medicine. Despite some methodologic differences between the national CBT and our system, the overall results correlated well. Students who did poorly on the national CBT also did poorly on Gifu University's preclinical test. Correlation of these two performance scales suggests that nationwide CBT could be used to accurately assess preclinical skills.
8.Validity and reliability of the Japanese versions of the Trait Emotional Intelligence Questionnaire-Short Form and the Jefferson Scale of Physician Empathy
Keiko Abe ; Hideki Wakabayashi ; Takuya Saiki ; Chihiro Kawakami ; Kazuhiko Fujisaki ; Masayuki Niwa ; Yasuyuki Suzuki
Medical Education 2012;43(5):351-359
Emotional intelligence and empathy are crucial in patient–physician relationships and clinical outcomes. It has been reported that both emotional intelligence and empathy decrease as students advance through medical school. This study aimed to validate Japanese versions of the Trait Emotional Intelligence Questionnaire–Short Form (TEIQue–SF), developed by Petrides and Furnham (2001), and the Jefferson Scale of Physician Empathy (JSPE), developed by Hojat et al. (2001).
1)The TEIQue–SF and JSPE were translated and administered to 370 medical students. Valid responses were obtained from 321 students(88%).
2)Cronbach’s alpha for internal reliability was high for both the TEIQue–SF (0.87) and the JSPE (0.89). All item total score correlations were positive for both the TEIQue–SF (range, 0.29 to 0.64) and the JSPE (range, 0.27 to 0.72).
3)Cronbach’s alpha was smaller if an item was deleted than if all items were included for both the TEIQue–SF (0.84–0.85) and the JSPE (0.81–0.86).
4)Factor analysis of both the TEIQue–SF and the JSPE revealed that the Japanese versions had some structural differences from the original versions. However, criterion–related analysis showed that the TEIQue–SF and the JSPE were highly correlated with the NEO–Five Factor Inventory, a measure of the Big Five personality traits.
5)These findings provide support for the construct validity and reliability of the Japanese versions of the TEIQue–SF and the JSPE when used for medical students. Further investigation is needed.
9.EFFECT OF TWO PASSIVE STRETCHING METHODS FOR TRICEPS SURAE ON DORSIFLEXION OF ANKLE JOINT
TAKAYUKI INAMI ; TAKUYA SHIMIZU ; HIROFUMI MIYAGAWA ; MASAYUKI INOUE ; TAKEO NAKAGAWA ; FUJIMARU TAKAYANAGI ; SHIGEO NIWA
Japanese Journal of Physical Fitness and Sports Medicine 2010;59(5):549-554
Stretching for the triceps surae muscle in the knee flexed position (medical stretching: MS) and knee extended position (static stretching: SS) were performed and the effect on the dorsiflexion angle of the ankle joint was examined. Five elderly females were selected as subjects. We measured the maximal dorsiflexion angle of the ankle joint in the following leg positions: (1) the maximal dorsiflexion angle in the extended knee position (EDF angle) and (2) the maximal dorsiflexion angle in the 90°flexed-knee position (FDF angle). There was a significant increase in the maximal dorsiflexion angle after MS and SS were carried out (p<0.01), but there was no significant difference between MS and SS. It was concluded that MS for triceps surae is equally effective as SS in increasing the maximal dorsiflexion angle of the ankle joint.
10.Reflection on the Past 30 Medical Education Seminars and Workshops Held by the Medical Education Development Center
Masayuki NIWA ; Kazuhiko FUJISAKI ; Tomomi KATO ; Keiko ABE ; Hideki WAKABAYASHI ; Yuzo TAKAHASHI ; Yasuyuki SUZUKI
Medical Education 2009;40(5):367-374
The Medical Education Development Center has organized seminars and workshops for medical education 30 times from 2000 through 2008 throughout Japan. The participants have numbered more than 3200 and have included educators, physicians, students, and simulated patients. The topics of seminars and workshops have included problem-based learning tutorial systems, medical interview skills, objective structured clinical examinations, evidence-based medicine, coaching technology, simulations, and community medicine in response to educational needs. A questionnaire survey of 1793 participants of the 11th to 30th seminars and workshops (response rate, 85.6%) showed a high degree of satisfaction (4.33±0.13 of 5 points). Invited lecturers and directors from throughout the country often organized these workshops. The results of workshops are reported in our annual monograph, "Trends in Medical Education."