1.What are the benefits of simulation training with simulated patients?
Tomio Suzuki ; Keiko Abe ; Motoki Sato ; Nobutaro Ban ; Toshikazu Matsui ; Shin Ishihara ; Masatugu Otsuki
Medical Education 2014;45(2):69-78
Introduction: Consultation simulation with simulated patients has rarely been done as a training program.
Method: Fifth-year medical students in 2 neighboring universities attended the same training program at each site. The students’ performance was evaluated.
Result: Most medical students thought that this training program was valuable and that they require more opportunity to practice. Students evaluated their own performance in both medical procedures and differential diagnosis as being poor. However, about 50% of students felt that they paid careful attention to the simulated patient during physical examination. Students thought that the consultation was extremely realistic and that the series of medical procedures they performed at the first attempt was extremely difficult but increased their motivation. They thought that the feedback they received from simulated patients was beneficial.
Discussion: This education program is highly regarded by students and is suggested to be versatile.
2.N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma.
Tetsuo SONOMURA ; Nobuyuki KAWAI ; Kazushi KISHI ; Akira IKOMA ; Hiroki SANDA ; Kouhei NAKATA ; Hiroki MINAMIGUCHI ; Motoki NAKAI ; Seiki HOSOKAWA ; Hideyuki TAMAI ; Morio SATO
Korean Journal of Radiology 2014;15(2):250-253
We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinpoint embolization of the shunt, because the microcatheter tip was 2 cm away from the shunt site. Under hepatic arterial flow control using a balloon catheter, the arterioportal shunt was successfully embolized with NBCA, which caused an improvement in the esophageal varices.
Aged
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Arteriovenous Fistula/etiology/radiography/*therapy
;
Carcinoma, Hepatocellular/*surgery
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Catheter Ablation/*adverse effects
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Embolization, Therapeutic/*methods
;
Enbucrilate/*therapeutic use
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Esophageal and Gastric Varices/etiology/*therapy
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Hepatic Artery/*abnormalities/radiography
;
Humans
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Liver Neoplasms/*surgery
;
Male
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Portal Vein/*abnormalities/radiography
3.Evaluation of Projects Aimed at Nurturing Medical Professionals in the Region; Effects on "Medical Kids" Participants' Medical Career Aspirations
Yohei YAMADA ; Yuichi ANDO ; Motoki SATO ; Takuji KIMURA ; Nobutaro BAN ; Juichi SATO
Medical Education 2024;55(3):235-238
Since 2013, Nakatsugawa City has been holding a medical/nursing care work experience event called “Medical Kids,” aimed primarily at sixth-grade elementary school students to develop an interest in medical and nursing care and aspire to become medical/nursing care workers in the future. We investigated the current career paths of participants in this event 7 to 9 years after the event, and evaluated the impact of the event on their intentions to work in the medical and nursing care professions. A questionnaire survey was conducted in 2022 asking 43 participants of the event from 2013 to 2015 about their current career paths. The response rate was 81.4%, with 40% employed or pursuing higher education in the medical/nursing care field, and 64% of them stated that participating in the event was an opportunity for them to choose a career path. It turned out that this event was an opportunity for them to choose a future medical or nursing career.