Development of Evaluation Method for Chinese Medicine Education Using Simulation Tests and Verification for Practical Use

• Project/Area Number: 18K09949
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: Kagoshima University
• Principal Investigator: Amitani Marie 鹿児島大学, 医歯学域医学系, 講師 (90574400)
• Co-Investigator(Kenkyū-buntansha): 浅川 明弘 鹿児島大学, 医歯学域医学系, 教授 (10452947) ; 大脇 哲洋 鹿児島大学, 医歯学域医学系, 教授 (50322318)
• Project Period (FY): 2018-04-01 – 2022-03-31
• Project Status: Completed (Fiscal Year 2021)
• Budget Amount: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000); Fiscal Year 2020: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000); Fiscal Year 2019: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000); Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 漢方 / 漢方教育 / 医学教育 / OSCE / 模擬患者 / 教育評価 / シミュレーション教育 / 評価法 / 評価法の開発 / シミュレーション試験 / 漢方医学 / 評価 / 教育

Outline of Final Research Achievements

This study applied medical education theory to the traditional Japanese medicine of Kampo, and aimed to develop an OSCE, an evaluation system based on a simulation using simulated patients.
Based on the blue print, evaluation items were set and extracted, an evaluation chart was created, and three scenarios simulating clinical situations of Kampo medicine were created. The usefulness of the OSCE was confirmed by training simulated patients, and high inter-rater reliability was demonstrated by training raters. We developed the OSCE with high reliability and validity as a new educational evaluation system for kampo medicine, and presented it as an evaluation method for assessing clinical competence in kampo medicine. We developed a guide video as an operational manual for the practical application of the Kampo OSCE throughout Japan.

Academic Significance and Societal Importance of the Research Achievements

国際動向における漢方医学教育は、国際認証のための医学教育分野別評価基準において教育プログラムの中に「補完医療との接点」という項目があり、漢方医学を含む代替医療のカリキュラム構築は世界的にも求められているといえる。信頼性・妥当性の高い漢方医学教育の評価法を開発することで、漢方医学教育の標準化及び進級判定や専門医試験への実用可能性が期待される。

Research Products

• [Journal Article] Application of objective structured clinical examination (OSCE) for the evaluation of Kampo medicine training (2022)
  • Author(s): Amitani Marie、Amitani Haruka、Suzuki Hajime、Kawazu Suguru、Mizuma Kimiko、Yamaguchi Kojiro、Oki Toshimichi、Nitta Hideaki、Sonoda Takuro、Kawano Keiko、Tanaka Yasuhiro、Uto Nanami、Ibusuki Rie、Arita Ryutaro、Takayama Shin、Mitsuma Tadamichi、Takezaki Toshiro、Asakawa Akihiro、Owaki Tetsuhiro
  • Journal Title: BMC Medical Education Volume: 22 Issue: 1 Pages: 3264-3266
  • DOI: 10.1186/s12909-022-03264-3
  • Peer Reviewed / Open Access
• [Journal Article] Survey of problems in Kampo curriculum and the need for interdisciplinary collaboration education in Japanese medical, pharmacy, dental, and nursing departments (2022)
  • Author(s): Uto Nanami、Amitani Marie、Amitani Haruka、Kurazono Shugo、Kobayashi Yoshiki、Sakaki Mika、Suzuki Hajime、Inui Akio、Owaki Tetsuhiro、Asakawa Akihiro
  • Journal Title: Neuropeptides Volume: 92 Pages: 102225-102225
  • DOI: 10.1016/j.npep.2021.102225
  • Peer Reviewed / Open Access
• [Journal Article] Effective learning strategies for Japanese Kampo medicine using problem‐based learning and simulator training for medical students: A questionnaire survey (2021)
  • Author(s): Marie Amitani Haruka Amitani Hajime Suzuki Suguru Kawazu Takamasa Fukumoto Kojiro Yamaguchi Toshimichi Oki Hideaki Nitta Takuro Sonoda Nanami Uto Mayumi Numata Kimiko Mizuma Rie Ibusuki Toshiro Takezaki Tetsuhiro Owaki Akihiro Asakawa
  • Journal Title: Traditional & Kampo Medicine Volume: 9 Issue: 2 Pages: 1-8
  • DOI: 10.1002/tkm2.1281
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Exploring opportunities to integrate Kampo education into contemporary medical education (2018)
  • Author(s): Marie Amitani
  • Journal Title: Impact Volume: 2018 Issue: 12 Pages: 90-92
  • DOI: 10.21820/23987073.2018.12.90
  • Open Access / Int'l Joint Research
• [Presentation] 漢方医学教育における模擬患者を用いたシミュレーション試験開発の試み (2019)
  • Author(s): 網谷 真理恵, 鈴木 甫, 網谷 東方, 宇都 奈々美, 山口 孝二郎, 新田 英明, 沖 利通, 浅川 明弘
  • Organizer: 第70回日本東洋医学会学術総会
• [Presentation] 鹿児島大学における漢方教育カリキュラム評価の取り組み (2019)
  • Author(s): 網谷 真理恵, 鈴木 甫, 網谷 東方, 山口 孝二郎, 沖 利通, 宇都 奈々美, 川津 優, 水間 喜美子, 下敷領 一平, 浅川 明弘, 大脇 哲洋
  • Organizer: 第51回日本医学教育学会大会
• [Presentation] 漢方医学教育におけるOSCE開発に向けた模擬患者の養成 (2019)
  • Author(s): 網谷 真理恵, 鈴木 甫, 網谷 東方, 山口 孝二郎, 沖 利通, 宇都 奈々美, 新田 英明, 水間 喜美子, 下敷領 一平, 浅川 明弘
  • Organizer: 第51回日本医学教育学会大会
• [Presentation] 漢方医学教育の評価における360度カメラを使用した映像評価システムの妥当性の検証 (2019)
  • Author(s): 水間 喜美子, 網谷 真理恵, 鈴木 甫, 網谷 東方, 下敷領 一平, 大脇 哲洋
  • Organizer: 第51回日本医学教育学会大会
• [Presentation] 教育理論を基本とする効果的な腹診シミュレーターの使用法について (2019)
  • Author(s): 網谷真理恵
  • Organizer: 腹診シミュレーター研究会
• [Presentation] Application of objective structured clinical examinations for the evaluation of Kampo medicine training (2019)
  • Author(s): Marie Amitani, Haruka Amitani, Hajime Suzuki, Suguru Kawazu, Kimiko Mizuma, Toshimichi Oki, Kojiro Yamaguchi, Akihiro Asakawa, Tetsuhiro Owaki
  • Organizer: WONCA Asia Pscific Regional Conference
  • Int'l Joint Research
• [Presentation] Application of objective structured clinical examinations for the evaluation of Kampo medicine training (2019)
  • Author(s): Marie Amitani, Haruka Amitani, Hajime Suzuki, Suguru Kawazu, Kimiko Mizuma, Toshimichi Oki, Kojiro Yamaguchi, Akihiro Asakawa, Tetsuhiro Owaki
  • Organizer: WONCA
  • Int'l Joint Research
• [Presentation] 漢方医学教育における模擬患者を用いたシミュレーション試験開発の試み (2019)
  • Author(s): 網谷真理恵、鈴木甫、網谷東方、宇都奈々美、山口孝二郎、新田英明、沖利通、浅川明弘
  • Organizer: 第70回日本東洋医学会学術総会
• [Presentation] 漢方医学教育におけるOSCE開発に向けた模擬患者の養成 (2019)
  • Author(s): 網谷真理恵、鈴木甫、網谷東方、山口孝二郎、沖利通、宇都奈々美、新田英明、水間喜美子、下敷領一平、浅川明弘、大脇哲洋
  • Organizer: 第51回日本医学教育学会大会