1.Evaluation of the First Trial of a White Coat Ceremony as a Ceremony of Passage: A Method for Teaching Professionalism in Undergraduate Medical Education.
Toshi ABE ; Yoshio OGOH ; Takato UENO ; Mariko HOTTA ; Akihiro HAYASHI ; Ichiro YOSHIDA ; Naofumi HAYABUCHI ; Michio SATA
Medical Education 2002;33(3):193-199
Purposes: We performed a white coat ceremony for medical students, because there had not been a definite passage ceremony to create the desire to serve and the awareness of being physician. Opinions about the ceremony were with a questionnaire survey. Methods: The ceremony of white coat conferment was performed for the first time for 112 fourth-year medical students on January 11, 2001, just before the start of clinical training. A white coat and an identification badge with photograph were presented to the medical students, who were taking the first step to becoming a physician. A questionnaire survey was performed the next day to evaluate students' feelings. The questionnaire asked about student's 1) sense of responsibility to be engaged in medical practice, 2) feelings of kindness to patient, 3) love for of their school, 4) attachment to the white robe, 5) consciousness of being a professional, 6) sense of mission as a physician, 7) motivation to learn, 8) feelings of seriousness, and 9) desire to live ethically. A listening survey for the school staff and students was also included. Results: Clear improvements in consciousness were recognized in all items of the questionnaire (P>.0001). Approximately 80% of students approved of the ceremony being performed annually from the following year. The ceremony had had no established form, but many people acknowledged its significance. However, some students who did not realize the significance of the ceremony because it was performed in the middle of the semester. Conclusions: Although this was the first experience for us, many students and teaching staff were understanding and responded favorably to this passage ceremony. The ceremony to instill medical professionalism in student doctors will be improved with further efforts and experiences.
2.A case of severe group A streptococcal infections that died of rapid progress while treating hepatocellular carcinoma with liver cirrhosis type C
Kazuta Fukumori ; Masashi Nakano ; Kotaro Kuwaki ; Kazuyuki Hirata ; Takahiko Sakaue ; Masaru Fukahori ; Naoki Fukuda ; Yoichi Yano ; Michio Sata ; Takuji Torimura
An Official Journal of the Japan Primary Care Association 2014;37(2):112-115
3.Evaluation of Individual Care of Patients by Medical Students for Attitude Education.
Takato UENO ; Ichiro YOSHIDA ; Mariko HOTTA ; Toushi ABE ; Makoto TURUTA ; Syuhei KOUNO ; Yoshio OGOU ; Akihiro HAYASHI ; Haruhiko EGUCHI ; Ichiro MIYAJIMA ; Seiji WATANABE ; Seiya OKUDA ; Michio SATA
Medical Education 2001;32(2):117-122
The usefulness of individual care of patients in the attitude education of undergraduates was evaluated with questionnaires completed by 4th-year medical students and patients. Ninety-eight percent of students finished performing patient care during a 2-week period. Seventy percent of patients completed questionnaires. The appearance, manner of greeting, and language of the students were considered good by 87% or more of the patients, and the students' consideration for the patients' safety, privacy, and communication was considered good by 86% or more of the patients. The practice was approved by 77% of the patients and was objected to by none. Ninety-nine percent of students completed questionnaires, and 79% of the respondents approved of the practice. Fourteen percent of the student respondents, many of whom had been treated as outpatients, objected to the practice. These results suggest that individual care of patients by medical students is useful for both patients and students.
4.Utility and Usefulness of the Skills Laboratory to Improve Practical Training in Clinical Skills
Takato UENO ; Ichiro YOSHIDA ; Akihiro HAYASHI ; Yoshinori TAKAJYO ; Masayuki WATANABE ; Taketo KUROKI ; Kouichi YOSHIMURA ; Kimio USHIJIMA ; Yoshiko SUEYASU ; Kazuhiko MATSUO ; Takuji TORIMURA ; Hitoshi ABE ; Hiroshi MIYAZAKI ; Syusuke KONO ; Teiji AKAGI ; Yutaka NAKASHIMA ; Michio SATA
Medical Education 2003;34(2):81-87
Medical students at Kurume University begin practical training in clinical skills in their fourth year. At that time, students use the skills laboratory to improve their clinical skills. Medical education resources in the skills laboratory include simulators for emergency resuscitation and heart diseases, wireless stethoscopes, and videotapes. All students use the skills laboratory for 2 months, and its usefulness was evaluated with questionnaires after practical training. More than 50 % of students approved of their practice in the skills laboratory. However, some students were unsatisfied because they were unable to make effective use of the simulators. In the future, an improved skills laboratory will be necessary to improve practical training in the clinical skills for medical students.
5.Analyses of Scores of Examinations for Practical Training in Clinical Skills and for Clinical Training and Scores of Graduation Examinations in Undergraduate Medical Students
Takato UENO ; Ichiro YOSHIDA ; Hiroki INUTSUKA ; Mariko HOTTA ; Takuji TORIMURA ; Hitoshi ABE ; Syuhei KOUNO ; Akihiro HAYASHI ; Masayuki WATANABE ; Teiji AKAGI ; Kazuhiko MATUO ; Yoshio OGO ; Yoshinori TAKAJYO ; Hiroshi MIYAZAKI ; Michio SATA
Medical Education 2004;35(5):303-308
We analyzed the scores of objective structured clinical examinations (OSCEs) and written examinations administered to fourth-year medical students after practical training in clinical skills and to fifth-year medical students after clinical training and scores of graduation examinations taken by sixth-year medical students. Correlations were analyzed among the scores of 96 students who had taken all 3 examinations during a 3-year period. Mean scores on examinations in the fourth, fifth, and sixth years were compared between sixth-year students who did or did not graduate and between graduating students who did or did not pass the national examination for medical practitioners in Japan. Significant correlations in the scores were found between 1) OSCEs and written examinations for fourth-year students versus those for the fifth-year students; 2) OSCE and written examinations for fourth-year students versus graduation examination scores for the sixth-year students; and 3) OSCE and written examinations for fifth-year students versus graduation examination scores for sixth-year students. In addition, the mean scores in the fourth and fifth years were significantly higher for sixth-year students who graduated and passed the national examination than for students who did not graduate or who graduated but failed the national examination. These results suggest that the practical training in clinical skills given to fourth-year students and the clinical training given to fifth-year students strongly affect the overall evaluation of the ability of sixth-year students and success on the national examination.
6.Predictive Factors for Efficacy of Dipeptidyl Peptidase-4 Inhibitors in Patients with Type 2 Diabetes Mellitus.
Shusuke YAGI ; Ken Ichi AIHARA ; Masashi AKAIKE ; Daiju FUKUDA ; Hotimah Masdan SALIM ; Masayoshi ISHIDA ; Tomomi MATSUURA ; Takayuki ISE ; Koji YAMAGUCHI ; Takashi IWASE ; Hirotsugu YAMADA ; Takeshi SOEKI ; Tetsuzo WAKATSUKI ; Michio SHIMABUKURO ; Toshio MATSUMOTO ; Masataka SATA
Diabetes & Metabolism Journal 2015;39(4):342-347
BACKGROUND: Predictive factors for the efficacy of dipeptidyl peptidase-4 (DPP-4) inhibitors for lowering glycosylated hemoglobin (HbA1c) remain unclear in patients with type 2 diabetes mellitus. The aim of this study is therefore to clarify predictive factors of the efficacy of DPP-4 inhibitors for lowering HbA1c after 12 months of treatment. METHODS: A total of 191 consecutive type 2 diabetic patients (male sex 55%, mean age, 68.3+/-35.8 years), who had been treated with DPP-4 inhibitors for 12 months, were enrolled in this study and evaluated retrospectively. RESULTS: After 12 months of DPP-4 inhibitor treatment, random blood glucose level, and HbA1c level, decreased from 167+/-63 to 151+/-49 mg/dL (P<0.01), and from 7.5%+/-1.3% to 6.9%+/-0.9% (P<0.01) respectively, without severe side effects. Multiple regression analysis showed that predictors of DPP-4 inhibitor treatment efficacy in lowering HbA1c level after 12 months were a decrease in HbA1c level after 3 months of treatment, a high baseline HbA1c level, a low baseline body mass index, and the absence of coronary artery disease. CONCLUSION: Most suitable candidates for treatment with DPP-4 inhibitors are diabetics who are not obese and do not have coronary artery disease. In addition, long-term efficacy of DPP-4 inhibitors can be predicted by decrement of HbA1c after 3 months of treatment.
Blood Glucose
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Body Mass Index
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Coronary Artery Disease
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Diabetes Mellitus
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Diabetes Mellitus, Type 2*
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Dipeptidyl-Peptidase IV Inhibitors
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Hemoglobin A, Glycosylated
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Humans
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Retrospective Studies
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Treatment Outcome