1.A Report of Consideration for Physician's Recognition Award (PRA) in American Medical Association.
Nobuya HASHIMOTO ; Haruhiko SAITO ; Makoto AOKI ; Masahiko HATAO ; Tomonobu KAWANO ; Hideya SAKURAI ; Tadashi MATSUMURA ; Osamu NISHIZAKI ; Toshiro OHMURA ; Shoichi SUZUKI
Medical Education 2000;31(3):153-157
The committee of continuing medical education in Japan Society for Medical Education discussed on PRA of American Medical Association [AMA]. We have first analyzed the brochure of PRA for the members of AMA, and then prepared the questionnaire for AMA. We were able to obtained the answers to the questionnaire which were sent to AMA through courtesy of Japanese Medical Association (JMA). It was realized that AMA emphasizes an importance of PRA for medical practice to the patients; nevertheless acquisition rate of PRA is actually low, and so AMA proceeds with efforts towards completion of PRA.
2.Continuing Medical Education in Universities. Questionnaire Analysis of Present Status. (The 2nd Report).
Kenichi KOBAYASHI ; Tsutomu IWABUCHI ; Hiroshi KIKUCHI ; Masahiko HATAO ; Shigeru HAYASHI ; Yutaka HIRANO ; Hiroshi HAMADA ; Takao NAKAGI ; Kazuo SAITO ; Osamu NISHIZAKI ; Ryoichi NISHIMURA ; Arito TORII
Medical Education 1992;23(1):50-54
3.Objectives for Practicing Physicians' Continuing Medical Education.
Yutaka HIRANO ; Hiroshi KIKUCHI ; Kenichi KOBAYASHI ; Masahiko HATAO ; Tsutomu IWABUCHI ; Akira KURAI ; Naohiko MIYAMOTO ; Takao NAKAKI ; Osamu NISHIZAKI ; Hirosuke SUZUKI ; Kyoichi UENO ; Daizo USHIBA
Medical Education 1994;25(6):365-367
4.Check List for Practicing Physicians' Continuing Medical Education.
Yutaka HIRANO ; Hiroshi KIKUCHI ; Kenichi KOBAYASHI ; Masahiko HATAO ; Tsutomu IWABUCHI ; Akira KURAI ; Naohiko MIYAMOTO ; Takao NAKAKI ; Osamu NISHIZAKI ; Hirosuke SUZUKI ; Kyoichi UENO ; Daizo USHIBA
Medical Education 1995;26(1):51-61
5.Endoscopic Ultrasound-Guided Transgastric Drainage of an Intra-Abdominal Abscess following Gastrectomy
Satoru KIKUCHI ; Tetsushi KUBOTA ; Shinji KURODA ; Masahiko NISHIZAKI ; Shunsuke KAGAWA ; Hironari KATO ; Hiroyuki OKADA ; Toshiyoshi FUJIWARA
Clinical Endoscopy 2019;52(4):373-376
Endoscopic ultrasound (EUS)-guided transgastric drainage has been performed as a less invasive procedure for pancreatic fistulas and intra-abdominal abscesses occurring after surgery in recent years. However, there are no reports of EUS-guided transgastric drainage of intra-abdominal abscesses following gastrectomy. This case report describes 2 patients who developed an intra-abdominal abscess following gastrectomy and underwent EUS-guided transgastric drainage. Both patients underwent laparoscopy-assisted distal gastrectomy with Billroth-I reconstruction for gastric cancer. The intra-abdominal abscesses were caused by postoperative pancreatic fistula that developed following gastrectomy. One patient underwent naso-cystic drainage and the other underwent only a needle puncture of the abscess cavity. EUS-guided drainage was performed safely and effectively, although 1 patient developed gastroduodenal anastomotic leakage related to this procedure. In summary, EUS-guided transgastric drainage is safe and technically feasible even in post-gastrectomy patients. However, it is necessary to be careful if this procedure is performed in the early period following gastrectomy.
Abdominal Abscess
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Abscess
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Anastomotic Leak
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Drainage
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Gastrectomy
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Humans
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Needles
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Pancreatic Fistula
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Punctures
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Stomach Neoplasms
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Ultrasonography
6.The Compulsory Training for the Postgraduate Clinical Course in Japan.
Yasuyuki TOKURA ; Masahiko HATAO ; Suminobu ITO ; Kazuoki KODERA ; Kazunari KUMASAKA ; Takahide KUROKAWA ; Nobumasa KUWANA ; Kihei MAEKAWA ; Toshitaka MATSUYAMA ; Naohiko MIYAMOTO ; Osamu NISHIZAKI ; Junji OHTAKI ; Fumihiko SAKAI ; Fumimaro TAKAKU ; Toshio YAMAUCHI
Medical Education 1995;26(1):19-25
7.A Committee Report on Compulsory Postgraduate Clinical Training
Masahiko HATAO ; Yasuyuki TOKURA ; Suminobu ITO ; Kazuoki KODERA ; Kazunari KUMASAKA ; Takahide KUROKAWA ; Nobumasa KUWANA ; Kihei MAEKAWA ; Toshitaka MATSUYAMA ; Naohiko MIYAMOTO ; Osamu NISHIZAKI ; Junji OHTAKI ; Fumihiko SAKAI ; Fumimaro TAKAKU ; Toshio YAMAUCHI
Medical Education 1995;26(4):233-237
The aim of this study is to report the results of the workshop which was designed to define several indispensable conditions for the implementation of the compulsory clinical training. These conditions discussed include the guarantee of position and improvement of labor conditions for trainees, standard for the authorization of institutions receiving trainees, training curricula and teaching staff of institutions, and the certificate of qualification for the trainees after the compulsory training. The products of the workshop showed plans and guidelines to these conditions as seen in this paper.
8.A Report of a Questionnaire Concerning the Present Programs of the Postgraduate Clinical Course in Japan.
Yasuyuki TOKURA ; Masahiko HATAO ; Suminobu ITO ; Kazuoki KODERA ; Kazunari KUMASAKA ; Takahide KUROKAWA ; Nobumasa KUWANA ; Kihei MAEKAWA ; Toshitaka MATSUYAMA ; Naohiko MIYAMOTO ; Osamu NISHIZAKI ; Junji OHTAKI ; Fumihiko SAKAI ; Fumimaro TAKAKU ; Toshio YAMAUCHI
Medical Education 1997;28(3):157-161
The aim of this study is to report and analyze the results of a questionnaire concerning the present programs for the junior residents in the postgraduate clinical course in Japan.
A questionnaire was sent to the administrators or the persons in charge of the programs of 347 institutions including 80 university hospitals and 267 clinical training hospitalsas designated by the Ministry of Health and Welfare.
Answers to a questionnaire were returned by 271 institutions (78.1%). The results were analyzed and summarized as follows.
(1) About 95% of both university and clinical training hospitals have their own programs at present.
(2) In the substantial formula of programs, university hospitals have had straight or rotation form while the clinical hospitals have selected rotation or super rotate (comprehensive) form.
(3) The programs of university hospitals have started in majority before 1992 while those of clinical hospitals have began after 1993.
(4) The programs of university hospitals have contained the clinical training at the other departments or institutions in a significantly higher ratio compared to those of clinical hospitals.
(5) The check system for the evaluation of the programs has well functioned in half of both hospitals.
(6) For the assessment of the programs used, about half of the staffs of both university and clinical hospitals feel unsatisfactorily in their active programs.
(7) Concerning the intention to renewal or modification of their programs used, there were rather passive agreements in both university and clinical hospitals.