Prospective study of acceptability of surgical performance by medical student in clinical education

• Project/Area Number: 26460867
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical and hospital managemen
• Research Institution: Kumamoto University
• Principal Investigator: ISHIKO Takatoshi 熊本大学, 医学部附属病院, 准教授 (00343351)
• Co-Investigator(Kenkyū-buntansha): 馬場 秀夫 熊本大学, 大学院生命科学研究部(医), 教授 (20240905) ; 宇宿 功市郎 熊本大学, 医学部附属病院, 教授 (30281223) ; 別府 透 熊本大学, 医学部附属病院, 非常勤診療医師 (70301372) ; 松井 邦彦 熊本大学, 医学部附属病院, 講師 (80314201)
• Project Period (FY): 2014-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000); Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
• Keywords: 医学部教育 / 医学生 / 臨床実習 / 外科手術 / 参加型臨床実習 / 手術成績 / 外科系臨床実習

Outline of Final Research Achievements

For the social recognition about the medical student participation in clinical treatment, it is necessary to get acceptable evidence about the outcome and risk of the surgical operation by clinical education. In this study, we aimed showing non-inferiority about surgical outcome with medical student participant. No significant difference was recognized about the student participation type operation with a result of an examination in neither the short-term record nor the long-term record. The influence on the staff's medical performance in the training period of the student, was the another matter. In analyzation with propensity score matching about the medical training period and the non-training period, there was no significant difference in the surgical outcome.
In this year, medical practice of the domestic student will be changed to the new standard. Clinical educational hospitals need to verify those outcome and to support social consensus for clinical education of students.

Research Products

• [Journal Article] Long-term Favorable Outcomes of Radiofrequency Ablation for Hepatocellular Carcinoma as an Initial Treatment: A Single-center Experience Over a 10-Year Period (2018)
  • Author(s): M. Tsukamoto, Y. I. Yamashita, K. Imai, N. Umezaki, T. Yamao, T. Kaida, K. Mima, S. Nakagawa, D. Hashimoto, A. Chikamoto, T. Ishiko and H. Baba
  • Journal Title: Anticancer Res Volume: 38(2) Issue: 2 Pages: 1047-1052
  • DOI: 10.21873/anticanres.12321
  • Peer Reviewed
• [Journal Article] Prognostic impacts of postoperative complications in patients with intrahepatic cholangiocarcinoma after curative operations. (2017)
  • Author(s): Tatsunori Miyata, Yoichi Yamashita, Takanobu Yamao, Naoki Umezaki, Masayo Tsukamoto, Yuki Kitano, Kensuke Yamamura, Kota Arima, Takayoshi Kaida, Shigeki Nakagawa, Katsunori Imai, Daisuke Hashimoto, Akira Chikamoto, Takatoshi Ishiko, Hideo Baba.
  • Journal Title: Int J Clin Oncol Volume: - Issue: 3 Pages: 526-532
  • DOI: 10.1007/s10147-017-1099-9
  • Peer Reviewed
• [Journal Article] 熊本大学消化器外科における専門指導システム (2017)
  • Author(s): 岩槻政晃、石河隆敏、馬塲秀夫
  • Journal Title: 外科 Volume: 79（4） Pages: 365-368
• [Journal Article] Simultaneous Laparoscopic Resection of Primary Tumor and Liver Metastases for Colorectal Cancer: Surgical Technique and Short-Term Outcome. Hepatogastroenterology. (2015)
  • Author(s): Miyamoto Y, Beppu T, Sakamoto Y, Imai K, Hayashi H, Nitta H, Ishiko T, Watanabe M, Baba H.
  • Journal Title: Hepatogastroenterology Volume: 62(140) Pages: 846-52
  • Peer Reviewed
• [Journal Article] Poor outcomes after hepatectomy in patients with ascites infected by methicillin-resistant staphylococci (2015)
  • Author(s): Nitta H, Beppu T, Itoyama A, Higashi T, Sakamoto K, Nakagawa S, Mima K, Okabe H, Imai K, Hayashi H, Hashimoto D, Chikamoto A, Ishiko T, Baba H
  • Journal Title: J Hepatobiliary Pancreat Sci Volume: 22(2) Issue: 2 Pages: 166-76
  • DOI: 10.1002/jhbp.175
  • NAID: 40020363700
  • Peer Reviewed
• [Journal Article] Chemotherapy and targeted therapy for patients with initially unresectable colorectal liver metastases, focusing on conversion hepatectomy and long-term survival (2014)
  • Author(s): Beppu T, Miyamoto Y(equal contributor), Sakamoto Y, Imai K, Nitta H, Hayashi H, Chikamoto A, Watanabe M, Ishiko T, Baba H.
  • Journal Title: Ann Surg Oncol Volume: 21 Suppl 3 Issue: S3 Pages: 405-13
  • DOI: 10.1245/s10434-014-3577-x
  • Peer Reviewed
• [Journal Article] Salvage treatment for local recurrence of hepatocellular carcinoma after local ablation therapy (2014)
  • Author(s): Imai K, Beppu T, Chikamoto A, Mima K, Okabe H, Hayashi H, Nitta H, Ishiko T, Baba H
  • Journal Title: Hepatol Res Volume: 44(14) Issue: 14
  • DOI: 10.1111/hepr.12313
  • Peer Reviewed
• [Journal Article] Triple positive tumor markers predict recurrence and survival in early stage hepatocellular carcinoma (2014)
  • Author(s): Nakagawa S, Beppu T, Okabe H, Sakamoto K, Kuroki H, Mima K, Nitta H, Imai K, Hayashi H, Sakamoto Y, Hashimoto D, Chikamoto A, Ishiko T, Watanabe M, Baba H
  • Journal Title: Hepatol Res Volume: 44(9) Issue: 9 Pages: 964-74
  • DOI: 10.1111/hepr.12277
  • Peer Reviewed
• [Journal Article] Remnant liver volume-based predictors of postoperative liver dysfunction after hepatectomy : Analysis of 625 consecutive patients from a single institution (2013)
  • Author(s): Okabe H, Beppu T, Chikamoto A, Hayashi H, Yoshida M, Masuda T, Imai K, Mima K, Nakagawa S, Kuroki H, Nitta H, Hashimoto D, Ishiko T, Yamashita Y, Baba H.
  • Journal Title: Int J Clin Oncol Volume: (Epub ahead of print) Issue: 4 Pages: 614-21
  • DOI: 10.1007/s10147-013-0591-0
  • Peer Reviewed
• [Presentation] 肝障害度B初発ミラノ内肝細胞癌に対する腹腔鏡下肝切除とラジオ波焼灼術の臨床成績 (2017)
  • Author(s): 山下洋市、今井克憲、中川茂樹、遊佐俊彦、中尾陽佑、山尾宣暢、塚本雅代、梅崎直紀、北野雄希、有馬浩太、宮田辰徳、岡部弘尚、近本 亮、石河隆敏、 馬場秀夫
  • Organizer: 第30回日本内視鏡外科学会総会
• [Presentation] 教育病院における臨床実習期間と外科手術成績 (2016)
  • Author(s): 石河隆敏，宇宿 功市郎、馬場秀夫、向山 政志
  • Organizer: 第48回医学教育学会
  • Place of Presentation: 大阪医科大学（大阪府）
  • Year and Date: 2016-07-29