1.Motives for Japanese Medical Students' Choice of Profession and How They Correlate to Students’ Backgrounds
Yasuyuki SUZUKI ; Koji TSUNEKAWA ; Yuko TAKEDA ; Chihiro KAWAKAMI ; Rintaro IMAFUKU ; Kaho HAYAKAWA ; Takuya SAIKI
Medical Education 2025;56(1):1-10
Objective: To clarify the characteristics of medical students' motives for choosing their profession.Methods: A nationwide, cross-sectional, quantitative web survey was conducted using the Profession Choice Motivation Scale for Education Students. Results: Valid responses were obtained from 1,804 medical students, and the applicability of this scale was demonstrated. Medical students considered "contribution to others," "fulfillment in the profession and studying medicine," "financial aspects," and "evaluation by others" to be important, while "mental and physical comfort" was deemed less important. Mean scores for "contribution to others" were significantly higher among female students, public medical school students, students attending their first- or second-choice medical schools, regional quota students, public high school graduates, and first-generation college students. Conversely, students with very low scores for "contribution to others" showed opposite demographic backgrounds. Discussion: The Profession Choice Motivation Scale for Education Students was applicable to the analysis of medical students, and a correlation was observed between demographic backgrounds and profession choice motives.
3.Designing a Clinical Clerkship Program with the 4C/ID Model
Chiemi HAMADA ; Rintaro IMAFUKU ; Chihiro KAWAKAMI ; Masayuki KAMOCHI ; Takuya SAIKI
Medical Education 2024;55(1):27-33
Clinical clerkships in medical school requires an educational approach that integrates medical students into the medical team and progressively assigns medical tasks to them based on their competencies. However, it is challenging for supervisors to delegate tasks to medical students gradually while considering medical safety. This paper outlines the design of an emergency department clinical clerkship program based on the Four Component Instructional Design (4C/ID) model. This model enables students to learn complex task performance skills in stages while developing a schema, considering the cognitive load involved in learning complex tasks. The 4C/ID model is anticipated to be an effective instructional design for constructing clinical clerkship programs.
4.Perception of Citizens and Health Professions Educators Towards the Socioeconomic Backgrounds of Medical Students in Japan
Yasuyuki SUZUKI ; Koji TSUNEKAWA ; Yuko TAKEDA ; Chihiro KAWAKAMI ; Kaho HAYAKAWA ; Rintaro IMAFUKU ; Takuya SAIKI
Medical Education 2024;55(3):217-227
Objective: Perceptions of citizens and health professions educators towards the socioeconomic backgrounds of medical students were investigated to elucidate the challenges of selecting medical students who will be responsible for the future of healthcare in Japan.Methods: Ten focus groups, comprising 14 citizens and 26 health professions educators, were conducted regarding the presented information on the socioeconomic backgrounds of Japanese medical students. Data were analyzed using an inductive thematic analysis approach.Results: Six themes related to family backgrounds, such as higher economic status, five themes related to social backgrounds, such as social and educational disparity, and four themes related to expectations for medical education, such as selection of medical students with diverse backgrounds were extracted.Discussion: Both citizens and health professions educators were aware of the problem of the skewed socioeconomic backgrounds of medical students and the need to expand diversity. This finding will contribute to the reconsideration of future medical school admission criteria.
5.Preliminary Study of Awareness and Need for Keywords Related to Supporting Students with Disabilities Among Medical Educators
Ryo HORITA ; Yoko SETOYAMA ; Chihiro KAWAKAMI
Medical Education 2024;55(3):229-233
The purpose of this study was to identify keywords medical educators should learn for their teaching and support. An anonymous web-based survey was conducted with 92 university faculty members and clinical supervisors. The participants were asked about their awareness and need for the 14 items related to support for students with disabilities. The items with below-average awareness and above-average need were “reasonable accommodation,” “educational considerations,” “self-understanding,” “support methods in clinical practice,” and “privacy and confidentiality” . Based on the results of this study, it is desirable to create video materials that can be studied on demand to promote understanding and awareness. This would contribute to the improvement of the qualities and skills of those who support learning and to the development of the standard of medical education.
6.Detailed Discussion 1. What Is Social-Emotional Learning?
Chihiro KAWAKAMI ; Rintaro IMAFUKU ; Kaho HAYAKAWA ; Ryo HORITA ; Miyuki TAKAHASHI ; Ritsuki TAKAHA ; Kazuhiko FUJISAKI ; Takuya SAIKI
Medical Education 2024;55(4):301-308
In recent years, non-cognitive abilities have garnered attention, and their significance is attributed to overall well-being. Social Emotional Learning (SEL) is an educational program specifically focused on the social and emotional aspects of non-cognitive abilities. The domains of SEL are divided into self-awareness, self-management, social awareness, relationship skills, and responsible decision-making. These can be incorporated into various educational settings, including classroom instruction and extracurricular activities. While SEL is primarily introduced in elementary education, non-cognitive abilities remain crucial for higher education and professional training as they both learners and educators.
7.Detailed Discussion 5. Various Practices in Medical Educational Institutions and Healthcare Institutions -Emotional Intelligence (EI) and Leadership-
Rieko FUJIE ; Chihiro KAWAKAMI ; Takuya SAIKI
Medical Education 2024;55(4):335-341
This article examines the role of the noncognitive ability, Emotional Intelligence (EI), in leadership. As the complexity of tasks required of teams expands, leaders are increasingly expected to play a role in supporting followers in demonstrating their own abilities. For this reason, a leader’s attitude toward followers is important and rooted in EI. There are five elements of EI: “Self-awareness,” “Self-regulation,” “Motivation,” “Empathy,” and “Social skills.” Being able to recognize “Self-awareness” leads to “Self-regulation” and “Motivation.” At the same time, “Self-awareness” also moves from “Empathy” to “Social skills.” In this paper, the cultivation of EI is also discussed.
8.Development of a Teaching Model Interweaving Clinical Reasoning and the Biopsychosocial Model
Kei TAKAHASHI ; Chihiro KAWAKAMI ; Takuya SAIKI
Medical Education 2024;55(5):423-430
To educate medical professionals to meet the needs of future medical care, which will be highly complex and require a broader perspective, it is not enough to provide education that emphasizes positivism based on natural scientific thinking, such as clinical reasoning. It is also important to provide education based on a phenomenological perspective that seeks to understand patients’ experiences in the living world and their meaning, as seen in biopsychosocial models. We have developed an online class on clinical reasoning for fourth-year medical students prior to clinical practice, in which students can simultaneously learn clinical reasoning and biopsychosocial models through structured case studies. We expect that this teaching model will be widely adopted, as it allows students to learn both positivist and phenomenological perspectives, and to view patients as individuals in their daily lives, through a multifaceted learning experience using the same case study.
9.Discussion Points for Developing Support System for Inclusion of Healthcare Students with Disabilities
Yoko SETOYAMA ; Chihiro KAWAKAMI ; Akiko AOKI ; Ryo HORITA
Medical Education 2023;54(3):245-254
The number of students with disabilities is increasing in healthcare and other fields. However, support systems have yet to progress, and faculty and staff often find it difficult in the field. About 10% of medical students in the United States report that they have a disability, and reasonable accommodation is provided in didactic, lab, and clinical setting. The government and others have indicated support policies for students with disabilities, and a large-scale survey of healthcare providers with disabilities has been conducted, and the issues have been clarified. This section introduces specific examples of support and reasonable accommodation for students with disabilities overseas. It is thought that the training of students with disabilities and their employment will facilitate diversity among healthcare professionals and improve the quality of healthcare. There is an urgent need to understand the overall picture of healthcare students with disabilities in Japan and to develop support systems for their inclusion.
10.Practical Application of Art-Based Research to First-Year Medical School Students' Community-Based Medical Education
Chihiro KAWAKAMI ; Ryoko MICHINOBU ; Kaho HAYAKAWA ; Rintaro IMAFUKU ; Kazuhiko FUJISAKI ; Hiroaki USHIKOSHI ; Takuya SAIKI
Medical Education 2023;54(3):273-280
Undergraduate medical education requires learning in both science and art. We have developed a learning model for use in first-year medical education that applies art-based research, which has been developed in sociology. This is a method in which medical students themselves conduct research while creating works of art to solve local medical, health, and welfare problems, deepening their learning. They also share their artworks with other students. The methodology consists of four steps: [I] groundwork, [II] collection of materials, [III] fieldwork and artwork, and [IV] appreciation of interactive artwork. In the class, students take the initiative by creating works that are full of individuality and assertiveness. This learning model is a relatively new model for medical education through which students can deepen their understanding of the art of medicine.


Result Analysis
Print
Save
E-mail