1) We report on a system implemented in 2007 in the Department of Otolaryngology, Osaka University School of Medicine, to allow medical students to evaluate the teaching skills of medical staff and report on the effects of interventions, based on the evaluations, to improve the teaching skills of the staff.
2) The scores for teaching skills in clinical training as evaluated by medical students were significantly increased after the staff had checked their scores to improve their teaching skills.
3) The number of students choosing to do clinical clerkships in the Department of Otolaryngology was higher in 2008, when students evaluated the staff s teaching skills, than in 2007, when they did not.

Kampo medicine is widely used in Japan for neuro-otologic disease (e.g. tinnitus, dizziness, hearing loss). Some patients with these diseases suffer from comorbidity of other non-otologic symptoms. We reviewed typical Kampo medicine formulations for neuro-otologic disease. Kampo extracts have indications not only the neuro-otologic but also other systemic diseases. Kampo medicine would facilitate the care of patients with both neuro-otologic diseases and comorbid symptoms.