Objective: To develop a nomogram-based model for predicting the time required to reestablish independent walking on level ground in stroke patients with hemiplegia admitted to a convalescent rehabilitation ward, based on available information at admission.Methods: This retrospective study included 228 patients with stroke-induced hemiplegia who were admitted to the convalescent rehabilitation ward of our hospital. The assessed outcome was the proportion of patients who achieved independent walking at 30, 60, 90, and 120 days after stroke onset. Candidate predictors at admission included age, sex, stroke type, side of paresis, number of days from onset to admission, ability to get up, lower extremity Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS) score, and total motor and cognitive Functional Independence Measure (FIM) scores. Cox proportional hazards analysis was used to identify significant predictors, and a nomogram was developed.Results: The multivariate analysis identified age, number of days from onset, ability to get up, BBS score, and total FIM motor and cognitive scores as significant predictors. The nomogram demonstrated high predictive performance (C-index: 0.858; bootstrap: 0.851) with good calibration.Conclusion: This model may assist clinicians in estimating the probability of achieving independent walking on level ground at 30, 60, 90, and 120 days after stroke onset, supporting early goal setting and individualized rehabilitation planning.

Continuing medical education for the general practitioners has been activery performed. The former committee for continuing medical education of the Japan Society for Medical Education reported the objectives of continuing medical education for general practitioners. The present committee proposed learning strategies for continuing medical education for general practitioners in accordance with specific behavioral objectives of the curriculum.
It was postulated that appropriate learning strategies are necessary for physicians to provide holistic medical care in their communities, in addition to improving their medical knowledge and skills.
Learning strategies in the curriculum were also coordinated with the continuing medical education system of the Japan Medical Association.

The aim of this study is to clarify the definition and recognition on continuing medical education for administrators (or leaders for residents) of 80 university hospitals and 266 clinical training hospitals as designated by the Ministry of Health and Welfare, using the questionaire consited of 5 main questions, as following:
1) On the curriculum (program) of continuing medical education in their hospitals.
2) On the continuing medical education system of Japan Medical Association.
3) On the continuing medical education activity of the specified academic societies.
4) On guide of continuing medical education for the residents.
5) On definition of continuing medical education.
Answers to a questionaire were returned from 227 institutions (65.6%)
Analyzing the results, present situation of program curricula for continuing medical education in hospitals, participation to continuing medical education system of Japan Medical Association and Academic Societies, and consideration on continuing medical education as a hospital leader were comprehensible.