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Education and evaluation of professionalism of medical students

Research Project

Project/Area Number 16K08856
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionTohoku University

Principal Investigator

Ishii Seiichi  東北大学, 医学系研究科, 准教授 (60221066)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords医療プロフェッショナリズム / 医学教育 / 評価法 / プロフェッショナリズム
Outline of Final Research Achievements

We have analyzed medical students’ performance through six-year undergraduate education to seek the means to assess their medical professionalism. The results of student assessment in group activities in years three and four, the scores in preclinical OSCEs in year four and the results of work place-based (WPB) assessment in year five have been accumulated. There was a positive correlation between the assessment results of English conversation class in year three and WPB assessment in year five. The assessment of PBL class in year four and WPB assessment also showed a positive correlation. In contrast, low performance in preclinical OSCEs did not predict those who failed in clinical training all due to unprofessional behavior in year five. These results suggest that students’ performance in pre-clinical group activities can be a predictor of their later performance in clinical training. However, their unprofessional behavior during clinical training is hard to predict.

Academic Significance and Societal Importance of the Research Achievements

本邦の医学教育では医学生の臨床能力向上とともに、医療プロフェッショナリズム教育の強化が課題となっている。本研究では医学科5年次の臨床実習での評価と反プロフェッショナリズム行為に注目し、関連する因子を検討した。その結果、臨床実習の評価は臨床実習前の様々なグループ学習における評価と相関が確認された。一方、臨床実習の不合格者は実習中の反プロフェッショナリズム行為に起因しており、その予測は困難であった。不合格者は翌年、再履修し、反プロフェッショナリズム行為を繰り返すことなく進級しており、プロフェッショナリズム教育とともに、反プロフェッショナリズム行為に関する十分な注意の喚起が必要であると考えられた。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report

Research Products

(8 results)

All 2018 2017 2016

All Journal Article (3 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (5 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Journal Article] Variation in effectiveness of a cardiac auscultation training class with a cardiology patient simulator among heart sounds and murmurs.2017

    • Author(s)
      Kagaya Y, Tabata M, Arata Y, Kameoka J, Ishii S.
    • Journal Title

      J Cardiol

      Volume: 70(2) Pages: 192-198

    • Related Report
      2017 Research-status Report
  • [Journal Article] Variation in effectiveness of a cardiac auscultation training class with a cardiology patient simulator among heart sounds and murmurs.2017

    • Author(s)
      Kagaya Y, Tabata M, Arata Y, Kameoka J, Ishii S.
    • Journal Title

      J Cardiol

      Volume: 未定 Pages: 192-198

    • DOI

      10.1016/j.jjcc.2016.10.011

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Number of papers published in English from the nursing departments of 42 national universities in Japan in the past ten years2016

    • Author(s)
      Kameoka J, Iwazaki J, Takahashi F, Sato F, Sato K, Taguchi A, Nakamura Y, Ishii S, Kagaya Y
    • Journal Title

      Nurse Educ Today

      Volume: 38 Pages: 138-143

    • DOI

      10.1016/j.nedt.2015.11.028

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] Pre-clinical OSCEs may predict low performance but not unprofessional behavior of medical students in clinical placement.2018

    • Author(s)
      Seiichi Ishii, Junya Iwazaki, Yutaka Kagaya
    • Organizer
      15th APMEC
    • Related Report
      2018 Annual Research Report
  • [Presentation] Do pre-clinical OSCEs predict acceptable performance of medical students in clinical placement?2018

    • Author(s)
      Seiichi Ishii, Junya Iwazaki, Yutaka Kagaya
    • Organizer
      Ottawa Conference 2018
    • Related Report
      2018 Annual Research Report
  • [Presentation] Do pre-clinical OSCEs predict acceptable performance of medical students in clinical placement?2018

    • Author(s)
      Seiichi Ishii, Junya Iwazaki, Yutaka Kagaya.
    • Organizer
      Ottawa Conference 2018
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Pre-clinical OSCEs may predict low performance but not unprofessional behaviour of medical students in clinical placement.2018

    • Author(s)
      Seiichi Ishii, Junya Iwazaki, Yutaka Kagaya.
    • Organizer
      15th Asia Pacific Medical Education Conference (APMEC)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 共用試験OSCE10年を考える ~昨日・今日・明日~ 現状評価 -学生・大学の立場から2016

    • Author(s)
      石井誠一
    • Organizer
      第48会日本医学教育学会大会
    • Place of Presentation
      大阪医科大学(高槻市)
    • Year and Date
      2016-07-29
    • Related Report
      2016 Research-status Report
    • Invited

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Published: 2016-04-21   Modified: 2020-03-30  

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