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A hypothesis-driven physical examination : An international collaborative development project

Research Project

Project/Area Number 18390163
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionTokyo Medical University

Principal Investigator

OTAKI Junji  Tokyo Medical University, 医学部, 教授 (20176910)

Co-Investigator(Kenkyū-buntansha) 平山 陽示  東京医科大学, 医学部, 准教授 (30246285)
原田 芳巳  東京医科大学, 医学部, 講師 (90317884)
小宮 英明  東京医科大学, 医学部, 助教 (20424418)
齊藤 裕之  東京医科大学, 医学部, 助教 (00433920)
小路 裕  東京医科大学, 医学部, 助手 (60424363)
Research Collaborator NISHIGORI Hiroshi  東京大学, 医学教育国際協力研究センター, 講師
GEORGES Bordage  米国イリノイ大学シカゴ校, 医学教育部門, 教授
RACHEL Yudkowsky  米国イリノイ大学シカゴ校, 医学教育部門, 臨床能力センター管理者
MASUDA Kozo  東京医科大学, 総合診療科, 兼任助教
MAKOTO Kikukawa  英国ダンディー大学, 医学教育センター, フェロー
ATSUSHI Kawashima  市立福知山市民病院, 総合内科, 医長
Project Period (FY) 2006 – 2008
Project Status Completed (Fiscal Year 2008)
Budget Amount *help
¥12,800,000 (Direct Cost: ¥11,000,000、Indirect Cost: ¥1,800,000)
Fiscal Year 2008: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2007: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2006: ¥5,000,000 (Direct Cost: ¥5,000,000)
Keywordsワークショップ / 国際研究者交流 / 学生実習 / 実技試験 / 教材開発 / 臨床診断 / 診断推論 / 身体診察 / 医学教育学 / 国際共同研究 / 国際情報交換 / アメリカ
Research Abstract

In order to develop an innovative learning system that medical students could learn ability for physical examination effectively, we suggested the switch of the conventional learning method about the physical examination. We developed a model of teaching materials and examination questions that combine abnormal findings, differential diagnoses and physical examination skills. We also developed a curriculum for learning "skills" and "process of thinking" of the physical examination at the same time. We performed these activities as an international collaboration with researchers of University of Illinois at Chicago to assume it to be worthy of the international use.

Report

(5 results)
  • 2008 Annual Research Report   Self-evaluation Report ( PDF )   Final Research Report ( PDF )
  • 2007 Annual Research Report
  • 2006 Annual Research Report
  • Research Products

    (35 results)

All 2010 2009 2008 2007 2006 Other

All Journal Article (9 results) (of which Peer Reviewed: 7 results) Presentation (22 results) Book (3 results) Remarks (1 results)

  • [Journal Article] A Hypothesis-Driven Physical Exam for Medical Students: Initial Validity Evidence2009

    • Author(s)
      Yudkowsky R, Otaki J, Lowenstein T, Riddle J, Nishigori H, Bordage G
    • Journal Title

      Medical Education Vol.43

      Pages: 729-740

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] 医学教育改革と医学教育学領域の研究2009

    • Author(s)
      大滝純司
    • Journal Title

      東京医科大学雑誌 Vol.67

      Pages: 275-282

    • NAID

      10025534164

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] A Hypothesis-Driven Physical Exam for Medical students : Initial Validity Evidence2009

    • Author(s)
      Rachel Yudkowsky
    • Journal Title

      Medical Education in press

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] シミュレーションによる教育の現状と課題2008

    • Author(s)
      大滝純司
    • Journal Title

      ナーシング・トゥディ 23

      Pages: 32-35

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 卒前卒後教育指導者としての総合内科専門医2008

    • Author(s)
      大滝純司
    • Journal Title

      日本内科学会雑誌 97

      Pages: 211-215

    • NAID

      10021254727

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Residents Anticipating, Eliciting, and Interpreting Physical Findings2007

    • Author(s)
      Rachel Yudkowsky
    • Journal Title

      Medical Education (in press)

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Residents anticipating, eliciting and interpreting physical findings.2006

    • Author(s)
      udkowsky R, Bordage G, Lowenstein T, Riddle J
    • Journal Title

      Medical Education Vol.40

      Pages: 1141-1142

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Residents anticipating, eliciting and interpreting physical findings2006

    • Author(s)
      Yudkowsky, R., Bordage, G., , Lowenstein, T., Riddle, J.
    • Journal Title

      Medical Education 40

      Pages: 1141-1142

    • Related Report
      2008 Self-evaluation Report
    • Peer Reviewed
  • [Journal Article] A Hypothesis-Driven Physical Exam for Medical Students : Initial Validity Evidence

    • Author(s)
      Yudkowsky, R., Otaki, J., Lowenstein, T., Riddle, J., Nishigori, H., Bordage, G.
    • Journal Title

      Medical Education (in press)

    • Related Report
      2008 Self-evaluation Report
    • Peer Reviewed
  • [Presentation] Promoting clinical reasoning during a hypothesis-driven physical examination (HDPE) : structure and evaluation of a model teaching session.2010

    • Author(s)
      Nishigori H, Masuda K, Kikukawa M, Kawashima A, Okubo T, Yudkowsky R, Bordage G, Otaki J
    • Organizer
      7th Asia Pacific Medical Education Conference
    • Place of Presentation
      シンガポール
    • Year and Date
      2010-02-06
    • Related Report
      2008 Final Research Report
  • [Presentation] 鑑別診断を考えて行う身体診察(HDPE)の教育法2009

    • Author(s)
      大滝純司, 錦織洋, 増田浩三, 川島篤志, 松本拓也
    • Organizer
      2009年プライマリ・ケア関連学会連合学術会議
    • Place of Presentation
      京都
    • Year and Date
      2009-08-22
    • Related Report
      2008 Final Research Report
  • [Presentation] 鑑別診断を考えた身体診察法の学習2009

    • Author(s)
      大滝純司, 錦織洋, 川島篤志, 松本拓也
    • Organizer
      第21回日本家庭医療学会家庭医療学夏期セミナー
    • Place of Presentation
      群馬県安中市
    • Year and Date
      2009-08-08
    • Related Report
      2008 Final Research Report
  • [Presentation] 鑑別診断を考えながら行う身体診察(HDPE)の指導方法に関する教材開発とビデオ作成2009

    • Author(s)
      大滝純司, 錦織宏, 増田浩三, 菊川誠, 川島篤志
    • Organizer
      第41回日本医学教育学会大会
    • Place of Presentation
      大阪
    • Year and Date
      2009-07-25
    • Related Report
      2008 Final Research Report
  • [Presentation] Hypothesis-Driven Physical Examination (HDPE)-Teaching physical examination along with clinical reasoning: Structure and evaluation of a model teaching session2009

    • Author(s)
      Nishigori H, Masuda K, Kikukawa M, Kawashima A, Okubo T, Yudkowsky R, Bordage G, Otaki J
    • Organizer
      第41回日本医学教育学会大会
    • Place of Presentation
      大阪
    • Year and Date
      2009-07-24
    • Related Report
      2008 Final Research Report
  • [Presentation] 医学教育領域の研究の現状と展望2008

    • Author(s)
      大滝純司
    • Organizer
      第162回東京医科大学医学会総会
    • Place of Presentation
      東京医科大学病院臨床講堂
    • Year and Date
      2008-11-01
    • Related Report
      2008 Annual Research Report
  • [Presentation] Teaching physical examination with clinical reasoning : a trial of hypothesis-driven approach2008

    • Author(s)
      Nishigori, H., Masuda, K., Kikukawa, M., Kawashima, A., Otaki, J., Yudkowsky, R., Bordage, G.
    • Organizer
      AMEE 2008(ヨーロッパ医学教育学会)
    • Place of Presentation
      プラハ
    • Year and Date
      2008-09-10
    • Related Report
      2008 Self-evaluation Report
  • [Presentation] Teaching physical examination with clinical reasoning: a trial of hypothesis-driven approach, AMEE 20082008

    • Author(s)
      Nishigori H, Masuda K, Kikukawa M, Kawashima A, Otaki J, Yudkowsky R, Bordage G
    • Organizer
      ヨーロッパ医学教育学会
    • Place of Presentation
      プラハ
    • Year and Date
      2008-09-01
    • Related Report
      2008 Final Research Report
  • [Presentation] Teaching physical examination with clinical reasoning : a trial of hypothesis-driven approach2008

    • Author(s)
      Hiroshi Nishigori
    • Organizer
      AMEE 2008(ヨーロッパ医学教育学会)
    • Place of Presentation
      プラハ(チェコ)
    • Year and Date
      2008-09-01
    • Related Report
      2008 Annual Research Report
  • [Presentation] 臨床診断の思考過程を組み込んだ身体診察学習と評価の開発研究(第3報)2008

    • Author(s)
      菰田孝行, 錦織宏, 大滝純司, 他
    • Organizer
      第40回日本医学教育学会
    • Place of Presentation
      東京
    • Year and Date
      2008-07-26
    • Related Report
      2008 Final Research Report
  • [Presentation] 臨床診断の思考過程を組み込んだ身体診察学習と評価の開発研究(第3報)2008

    • Author(s)
      菰田孝行
    • Organizer
      第40回日本医学教育学会
    • Place of Presentation
      共立講堂
    • Year and Date
      2008-07-26
    • Related Report
      2008 Annual Research Report
  • [Presentation] ジェネラリストの臨床能力〜大学総合診療部の立場から2008

    • Author(s)
      大滝純司
    • Organizer
      第31回日本プライマリ・ケア学会
    • Place of Presentation
      岡山コンベンションセンター
    • Year and Date
      2008-06-14
    • Related Report
      2008 Annual Research Report
  • [Presentation] 鑑別診断を考えた身体診察法の学生向け指導法2008

    • Author(s)
      増田浩三, 錦織宏, 大滝純司, 川島篤志, 菊川誠
    • Organizer
      第16回日本総合診療医学会
    • Place of Presentation
      名古屋
    • Year and Date
      2008-03-07
    • Related Report
      2008 Final Research Report
  • [Presentation] 鑑別診断を考えた身体診察法の学生向け指導法2008

    • Author(s)
      増田浩三、錦織 宏、大滝純司、川島篤志、菊川 誠
    • Organizer
      日本総合診療医学会
    • Place of Presentation
      名古屋
    • Year and Date
      2008-03-07
    • Related Report
      2008 Self-evaluation Report
  • [Presentation] 鑑別診断を考えた身体診察法の学生向け指導法(ブレカンファレンスワークショップ)2008

    • Author(s)
      増田 浩三、錦織 宏、大滝 純司、川島 篤志、菊川 誠
    • Organizer
      日本総合診療医学会
    • Place of Presentation
      名古屋大学医学部附属病院
    • Year and Date
      2008-03-07
    • Related Report
      2007 Annual Research Report
  • [Presentation] 学生に望ましい学習を促すOSCE課題2007

    • Author(s)
      大滝純司
    • Organizer
      平成19年度文部科学省「地域医療等社会的ニーズに対応した医療人教育支援プログラム(医療人GP)」公開シンポジウム:医学系・歯学系OSCEによる臨床技能評価の現状と将来
    • Place of Presentation
      東京
    • Year and Date
      2007-11-22
    • Related Report
      2008 Final Research Report
  • [Presentation] 学生に望ましい学習を促すOSCE課題2007

    • Author(s)
      大滝 純司
    • Organizer
      平成19年度文部科学省 「地域医療等社会的ニーズに対応した医療人教育支援プログラム(医療人GP)」公開シンポジウム:医学系・歯学系OSCEによる臨床技能評価の現状と将来
    • Place of Presentation
      東京医科歯科大学
    • Year and Date
      2007-11-22
    • Related Report
      2007 Annual Research Report
  • [Presentation] 鑑別診断を考えた身体診察法の学習2007

    • Author(s)
      大滝 純司、錦織 宏、増田 浩三、菊川 誠、川島 篤志
    • Organizer
      日本家庭医療学会夏季セミナー
    • Place of Presentation
      クリアビューホテル
    • Year and Date
      2007-08-05
    • Related Report
      2007 Annual Research Report
  • [Presentation] 臨床診断の思考過程を組み込んだ身体診察学習と評価の開発研究(第2報)2007

    • Author(s)
      菰田 孝行、大滝 純司、阿部 幸恵、山科 章、平山 陽示、原田 芳巳、錦織 宏、増田 浩三
    • Organizer
      日本医学教育学会
    • Place of Presentation
      ホテルメトロポリタン盛岡
    • Year and Date
      2007-07-28
    • Related Report
      2007 Annual Research Report
  • [Presentation] Hypothesis-driven physical examination (HDPE)-learning physical examination with clinical reasoning- A qualitative study into curriculum evaluation for small-group learning for 5th-year medical students.2007

    • Author(s)
      Masuda K, Nishigori H, Otaki J, Ban N, Bordage G
    • Organizer
      第39回日本医学教育学会
    • Place of Presentation
      盛岡
    • Year and Date
      2007-07-27
    • Related Report
      2008 Final Research Report
  • [Presentation] Hypotesis-driven physical examination(HDPE)-learning physical examination with clinical reasoning- A qualitative study into curriculum evaluation for small-group learning for 5th-year medical students2007

    • Author(s)
      Masuda, K., Nishigori, H., Otaki, J., Ban, N., Bordage, G.
    • Organizer
      日本医学教育学会
    • Place of Presentation
      盛岡
    • Year and Date
      2007-07-27
    • Related Report
      2008 Self-evaluation Report
  • [Presentation] Hypotesis-driven physical examination (HDPE) -learning physical examination with clinical reasoning-A qualitative study into curriculum evaluation for small-group learning for 5th-year medical students2007

    • Author(s)
      Masuda K., Nishigori H., Otaki J., Ban N., Bondage, G.
    • Organizer
      日本医学教育学会
    • Place of Presentation
      ホテルメトロポリタン盛岡
    • Year and Date
      2007-07-27
    • Related Report
      2007 Annual Research Report
  • [Book] シミュレータを活用した看護技術指導2009

    • Author(s)
      大滝純司
    • Total Pages
      136
    • Publisher
      日本看護協会出版会
    • Related Report
      2008 Annual Research Report
  • [Book] OSCEの理論と実際2007

    • Author(s)
      大滝純司
    • Total Pages
      233
    • Publisher
      篠原出版新社
    • Related Report
      2008 Self-evaluation Report 2008 Final Research Report
  • [Book] OSCEの理論と実際2007

    • Author(s)
      大滝 純司, 他
    • Total Pages
      233
    • Publisher
      篠原出版新社
    • Related Report
      2007 Annual Research Report
  • [Remarks] 指導者用DVD : 「HDPE鑑別診断を考えながら行う身体診察の学習」

    • Related Report
      2008 Self-evaluation Report

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Published: 2006-04-01   Modified: 2016-04-21  

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