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Research on Effective Clinical Teaching at Medical Schools in Japan: Questionnare Survey and Proposals on How to Implement Clinical Clerkship

Research Project

Project/Area Number 10400016
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field 内科学一般
Research InstitutionKYOTO UNIVERSITY

Principal Investigator

FUKUI Tsuguya  Kyoto University Graduate School of Medicine, Professor, 医学研究科, 教授 (50208930)

Co-Investigator(Kenkyū-buntansha) HATAO Masahiko  The Japanese Red Cross Musashino Jr. College of Nursing, Professor, 看護部, 教授 (20269450)
KOZU Tadahiko  Tokyo Women's Medical University, School of Medicine, Professor, 医学部, 教授 (00075285)
KAGA Kimitaka  University of Tokyo, Faculty of Medicine, Professor, 医学部, 教授 (80082238)
YAMAMOTO Hiromichi  Kyushu University, Faculty of Medicine, Assistant Professor, 医学部, 助教授 (20166820)
UEMURA Kenitsu  St. Luke's College of Nursing, Professor, 教授 (60009561)
伴 信太郎  名古屋大学, 医学部, 教授 (40218673)
Project Period (FY) 1998 – 2000
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 2000: ¥1,900,000 (Direct Cost: ¥1,900,000)
Keywordsclinical clerkship / curriculum / medical accident / informed consent / national examination before clinical clerkship / CBT (Computer-based Testing) / OSCE (Objective Structured Clinical Examination) / 臨床実習 / アンケート調査 / 基礎医学科目 / 臨床医学科目 / 知識・技能の評価 / USMLE Step1 / 到達目標 / 臨床実習の法的側面 / 臨床実習の倫理的側面
Research Abstract

We conducted a research on the current status of bed-side clinical education at medical schools in Japan to promote implementation of clinical clerkship which is generally regarded as the most efficacious among three types of clinical education (others are observational and simulational ones).
As of October 2000, only 38 % of medical schools adopted clinical clerkship and many schools lacked guidelines on the clarification of clinical clerkship as compared to the traditional observational type, goals of clinical clerkship, formulation of ward team, assessment of students, theoretical ground of denial of unlawfulness of doctoring by unlicensed students, and how to cope with possible medical accident by students. Furthermore, there were only 49% of medical schools which gave systematic examination before bed-side clinical education.
Based on these data, we made concrete proposals on the contents of curriculum for clinical clerkship including how to obtain informed ocnsent from patients, possible measures against medical accidents by students, insurance for students. We also made an important proposal to implement national examination for all medical students before entering bed-side clinical learning. This examination, comparable to USMLE Step 1, should include not only CBT (Computer-based Testing) but also OSCE to assure the skill of medical students before seeing patients.

Report

(4 results)
  • 2001 Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (5 results)

All Other

All Publications (5 results)

  • [Publications] 福井次矢: "臨床実習に入る前の学生の評価について-わが国と米国の現状-"大学と学生. 平成12年428号. 8-12 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 福井次矢: "臨床研修病院における指導体制と研修の評価-ACGME方式の意義-"日本医師会雑誌. 平成13年126巻. 967-971 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Fukui T.: "Student Evaluation Before Clinical Clerkship Comparison between Japan and USA"University and Student in Japanese. No 428. 8-12 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Fukui T.: "Evaluation of Residency System and Program at Teaching Hospitals in Japan"Journal of The Japan Medical Association (in Japanese). 126. 967-971 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 福井次矢: "臨床実習に入る前の学生の評価について-わが国と米国の現状-"大学と学生. 平成12年428号. 8-12 (2000)

    • Related Report
      2000 Annual Research Report

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Published: 1999-12-11   Modified: 2016-04-21  

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