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.
		                        		
		                        		
		                        		
		                        	
2.Advancing the Japanese Medical Education Journal: Academic Evolution and the Significance of Submission Guideline Revisions
Yuko TAKEDA ; Takuya SAIKI ; Michio SHIIBASHI ; Hiroshi NISHIGORI ; Makoto KIKUKAWA ; Yasushi MATSUYAMA ; Mariko NAKAMURA ; Takami MAENO ; Shizuma TSUCHIYA ; Rintaro IMAFUKU ; Akiteru TAKAMURA ; Jun TSURUTA ; Machiko YAGI ; Yuka MIYACHI ; Haruo OBARA ; Kazuya NAGASAKI ; Osamu NOMURA ; Yuki KATAOKA
Medical Education 2025;56(2):87-98
		                        		
		                        			
		                        			The role of academic journals evolves with the times. Academic publishing is diversifying, shifting from traditional paper-based formats to broader dissemination through open access. In response to these developments-and to contribute to ongoing progress in medical education-Medical Education (Japan) has undertaken a comprehensive revision of its submission guidelines. As of January 17, 2025, all submissions, peer reviews, and editorial processes are being conducted in accordance with the updated guidelines. The Editorial Board convened a round-table discussion to explore recent developments, beginning with the revision of the submission guidelines. This discussion elaborates on the journal's role and its relevance to the academic community, including society members, authors, and readers. It features statements from participating editorial committee members and highlights the key issues discussed, including the criteria each member uses to evaluate manuscripts. The aim is to offer insight into the journal's editorial stance and decision-making process.
		                        		
		                        		
		                        		
		                        	
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.
		                        		
		                        		
		                        		
		                        	
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.
		                        		
		                        		
		                        		
		                        	
9.3. A Newly Established Quality and Competency "Making Use of Information, Science and Technology"
Takuya SAIKI ; Yoshikazu ASADA ; Rintaro IMAFUKU ; Takeshi ONOE ; Seisyou KOU ; Hideki TAKAMI ; Osamu NOMURA ; Yuzo TAKAHASHI
Medical Education 2023;54(2):149-156
		                        		
		                        			
		                        			Due to the importance of developing physicians' competencies to utilize information, science, and technology, the 2022 revision of the Model Core Curriculum for Medical Education newly established guidelines for qualities and competencies, which it refers to as "Competencies to utilize information, science, and technology." The Model Core Curriculum outlines these qualities as "understanding the ever-developing information society and practicing medical research and treatment while utilizing information, science and technology such as artificial intelligence." The guidelines are organized by the three perspectives of "ethical viewpoints and rules for dealing with information, science and technology," "principles of information, science and technology necessary for medicine and its surrounding society," and "utilization of information, science and technology in the medical field." The objectives of the course were set from the three perspectives of "ethics and rules for dealing with information, science and technology," "principles of information, science and technology necessary for medicine and the society surrounding it," and "utilization of information, science and technology in medical practice." We looked back on the process of formulating these qualities and competencies, which will become increasingly important, and discussed their future prospects.
		                        		
		                        		
		                        		
		                        	
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.
		                        		
		                        		
		                        		
		                        	
            

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