1.On a Report of the Questionaire Regarding Activities of Continuing Medical Education for the Primary Care Physicians in University Hospitals and Clinical Training Hospitals.
Nobuya HASHIMOTO ; Tadashi MATSUMURA ; Yoshifusa AIZAWA ; Makoto AOKI ; Takanobu IMANAKA ; Osamu NISHIZAKI ; Hideya SAKURAI ; Toshinobu SATO ; Masahiro TANABE ; Rikio TOKUNAGA
Medical Education 2002;33(6):429-436
The aim of this study is to clarify the present situation of activities of continuing medical education (CME) for the primary care physicians to whom the leading hospitals, such as universities and clinical trainee hospitals perform CME in their regions. A questionaire was designed for main 4 parts, as following: 1) On the purpose of CME for the physicians. 2) On the organization (office) managing CME in the hospitals. 3) On the strategies of CME. 4) On the evaluation of CME. Answers to a questionaire were replied from 234 institutions (58.1%). Analyzing the results, we recognized that the leading hospitals actively carried out CME for the primary care physicians in the community. Furthermore, conversion to experiential learning from passive learning and establishment of evaluation methods should be promoted in CME.
2.Promotion of Continuing Medical Education for Physicians by Using the Mailing List.
Nobuya HASHIMOTO ; Tadashi MATSUMURA ; Yoshifusa AIZAWA ; Makoto AOKI ; Takanobu IMANAKA ; Osamu NISHIZAKI ; Hideya SAKURAI ; Toshinobu SATO ; Masahiro TANABE ; Rikio TOKUNAGA ; Yoshikazu TASAKA
Medical Education 2003;34(6):363-367
Because new media have come onstage in the information technology period, also self-learning methods have been diversified. Recently, small group discussion such as clinical conference using the mailing list is lively performed among the primary care physicians, and it is considered to be useful for continuing medical education. To promote the mailing list for continuing medical education, we present as follows; 1) present situation: to show a good example of TFC-ML (total family care-mailing list), 2) usefulness: to know new medical knowledge, new medical information and literatures etc., to discuss clinical cases. 3) issues: a role of moderator, excess of information, correspondence with slander, 4) future: to reevaluate usefulness for continuing medical education. We would like to expect effectiveness of mailing list for continuing medical education.
3.Involvement of Medical Technologists in Outpatient Care for Memory Loss and Dementia by Pre-Appointment Testing
Yoshimi SATO ; Akiyo MOROTO ; Chinari FURUICHI ; Masako TAMURA ; Zen NONOGAKI ; Toshinobu ASAI ; Masahiko SOUDA
Journal of the Japanese Association of Rural Medicine 2021;70(2):177-183
Medical technologists at our hospital have begun to conduct tests before outpatient appointments for memory loss and dementia. They administer the Mini-Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS-15), take patients' medical history, and perform auxiliary diagnostic tests for cognitive function. Technologists at our hospital assessed 365 patients (mean age 80 years; 172 men and 193 women) in this way between May 2018 and May 2019. We determined a cutoff value for the MMSE and tested the validity of the technologists’ assessments of these patients by comparing them against physicians' clinical diagnosis. Our hospital sees many patients with Alzheimer’s disease, and 85% of patients diagnosed with dementia had an MMSE score of 23 or lower. The MMSE is a highly reliable screening test for dementia, and technologists scored it similarly to physicians. Addition of the GDS-15 showed that outpatients with dementia had underlying anxiety symptoms and depression. It is important that technologists continue their involvement in outpatient care as certified dementia specialists while also continuing to consider which tests they should conduct.