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Motives and concerns for practicing medically underserved areas among Japanese medical students in a special quota system

Research Project

Project/Area Number 15K08540
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionUniversity of Tsukuba

Principal Investigator

TAKAYAHIKI AYUMI  筑波大学, 医学医療系, 講師 (80375500)

Co-Investigator(Kenkyū-buntansha) 前野 哲博  筑波大学, 医学医療系, 教授 (40299227)
前野 貴美  筑波大学, 医学医療系, 講師 (80528480)
片岡 義裕  筑波大学, 医学医療系, 助教 (80779596)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords地域枠入学 / 医師不足地域 / 奨学金返還 / career preference / 地域枠 / キャリア選択 / 医師不足 / 医学教育 / 地域医療 / キャリア支援 / 医学生 / 医師不足地域定着
Outline of Final Research Achievements

To improve physician shortages in medically underserved areas (MUAs) in Japan, many of Japanese medical schools have introduced a rural quota called “Chiikiwaku” since 2008. The aim of this study is to investigate the motives and concerns of the quota students.
We conducted a nationwide cohort survey using questionnaire to 1st-year Chiikiwaku students in Japanese medical schools in 2010 and followed in 2015(sixth-year).
Among 208 students from 31 schools who responded in 2010 and 2015, The proportion of students who anticipated being willing to remain in MUAs decreased from 54% to 19% after 5 years. In multivariate analysis, anticipated willingness to remain in MUAs in the sixth-year was associated with rural upbringing, and willingness to remain in MUAs as assessed during the first year, less feeling stressful and more encouraging as Chiikiwaku student, to have a role model physician in the community medicine and carrier preference in general medicine at sixth-year.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (5 results)

All 2017 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (4 results)

  • [Journal Article] 地域枠医学生の奨学金返還の可能性と関連要因の検討2017

    • Author(s)
      片岡義裕、髙屋敷明由美、前野哲博
    • Journal Title

      医学教育

      Volume: 48(6) Pages: 365-374

    • NAID

      130007554692

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 地域枠医学生が奨学金の返還を考える可能性と関連要因2017

    • Author(s)
      片岡義裕、髙屋敷明由美、前野哲博
    • Organizer
      第49回日本医学教育学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Motives and concerns for practicing medically underserved areas among sixth-year Japanese medical students in a special quota system2016

    • Author(s)
      Kataoka Y, Takayashiki A, Sato M, Maeno T .
    • Organizer
      WONCA(World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians)World Conference
    • Place of Presentation
      Rio de Janeiro, Brazil
    • Year and Date
      2016-11-02
    • Related Report
      2016 Research-status Report
  • [Presentation] 地域枠学生が医師不足地域に定着しようとする意思の変化についての記述的研究2016

    • Author(s)
      片岡義裕、高屋敷明由美、佐藤幹也、前野哲博
    • Organizer
      医学教育学会大会
    • Place of Presentation
      大阪市立大学
    • Year and Date
      2016-07-29
    • Related Report
      2016 Research-status Report
  • [Presentation] 全国の地域枠6年生の将来の進路希望と地域枠に関する考え2016

    • Author(s)
      高屋敷明由美、片岡義裕、佐藤幹也、前野哲博
    • Organizer
      第48回医学教育学会大会(大阪)
    • Place of Presentation
      大阪市立大学
    • Year and Date
      2016-07-29
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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