1.A proposed "feedback worksheet" for simulated patients
Chihiro KAWAKAMI ; Kazuhiko FUJISAK
Medical Education 2008;39(6):417-420
1) Medical interview practice with simulated patients is an effective method for facilitating the learning of intervie w skills by health professionals.In particular, feedback from simulated patients is an extremely useful means for healti professionals to learn what patients are thinking.
2) However, because simulated patients must have significant amounts of training and experience to provide effective feedback, many find the task challenging, difficult, and stressful.
3) Therefore, we created a feedback worksheet so that simulated patient know what to keep in mind during interviews and how to share their feelings in a precise and simple manner.
3.What are "problem learners" ? A systematic literature review on problem learners
Chihiro Kawakami ; Takuya Saiki ; Kazuhiko Fujisaki ; Yasuyuki Suzuki
Medical Education 2015;46(4):365-371
Introduction: The problems of problem learners hare not been systematically demonstrated. The purpose of this study was to summarize the English expression and definition of problem learners and classify factors associated with problems.
Method: A systematic literature review was conducted.
Results: The expressions extracted were disability, learning disorders, at-risk, difficult, problem, struggle, underperform, unprofessional, unsafe, gifted, and outstanding. Factors associated with the problems were classified into learners' characteristics, cognition, attitude, and skill.
Discussion: These findings will help teachers understand and detect the problems of problem learners appropriately.
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.
7.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.
8.Across institutions and professional borders: Three-year journey for extracurricular course development for interprofessional education with multi-institutions
Chihiro Kawakami ; Takuya Saiki ; Rintaro Imafuku ; Chikusa Muraoka ; Kazuhiko Fujisaki ; Masayuki Niwa ; Yasuyuki Suzuki
Medical Education 2015;46(2):178-184
This paper reports how Gifu University has been developing an extracurricular course for interprofessional education (IPE) in collaboration with multi-institutions for three years. Since the planning and implementation of such an IPE course have not been described exhaustively, we summarize our experience and the outcomes based on the analysis of a questionnaire survey involving the participants, including students and faculty members.
9.6. Extrinsic Factors for Learning: from a Perspective of Patient Safety Education
Ikuo SHIMIZU ; Chihiro KAWAKAMI
Medical Education 2022;53(1):57-63
The “problems” of the “problem” learner are not only those intrinsic to the learner, but also those extrinsic to the educator and the system. This paper focuses on patient safety education as an example of where these extrinsic problems are manifested. Patient safety management in the last two decades has been mainly a means to improve the system by analyzing failed incidents in a no-blame manner, but there is also an emphasis on balancing the accountability of the person involved, thus the importance of education is increasing. However, there are barriers to motivating individuals to learn from their failures. The “problem” in patient safety education may be overcome by assuring psychological safety, giving consideration to motivation based on self-determination theory, and using the Safety-II paradigm to change the viewpoint of failure.
10.5. Why Are You Not Good at Practical Skills Even Though You Can Study?
Toshinori SHIMOI ; Chihiro KAWAKAMI ; Takuya SAIKI
Medical Education 2022;53(1):49-56
In the healthcare professional training course, we educators occasionally encounter a few learners who “can get grades in the classroom, but are not good at practical skills.” It is possible to explain why this occurs by using “Multiple Intelligence Theory”. According to the theory, we input information while utilizing the three intelligences of visual-spatial intelligence, musical intelligence, and bodily-kinesthetic intelligence in a complex manner. By having a perspective on what kind of cognitive individuality the learners have, we can prepare the scaffolding and appropriate learning opportunities.