2014 Fiscal Year Research-status Report
Miscommunication- induced adverse incidents between Japanese physicians with low English Proficiency and English-speaking foreign patients
| Project/Area Number |
26370451
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| Research Institution | The University of Tokushima |
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Principal Investigator |
KALUBI BUKASA 徳島大学, ヘルスバイオサイエンス研究部, 講師 (90448340)
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| Co-Investigator(Kenkyū-buntansha) |
RODIS Omar 徳島大学, ヘルスバイオサイエンス研究部, 講師 (50457199)
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| Project Period (FY) |
2014-04-01 – 2017-03-31
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| Keywords | Medicine / English / Education / Proficiency / Improve / Communication / Physician / Patient |
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| Outline of Annual Research Achievements |
We are finalizing the survey questionnaire and taxonomy and have focused on 4 aspects: (1) Causes of adverse incidents, (2) Types of errors, (3) Impacts of the harm on the patient status, and (4) Settings and staffs. Taxonomy involves broad range of areas needing a bit more time to cover.
Pre-clinical students (1st- 3rd years): We produced teaching/learning materials ( handouts, pamphlets, videos) on several topics to facilitate understanding and increase their interest in DR-patient communication. External teacher include several nationalities for multicultural exposure.
USMLE classes (4th year ~): We use simulated patients for students to practice medical English and communicate with patients. Students show more confidence, and we keep collecting data and surveying them to find points of improvement this year.
We postponed the plan to build a website because the limited amount of information available. Meanwhile, students have opened a blog for exchange of information. We encourage them to use English essentially to improve their communication
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| Current Status of Research Progress |
Current Status of Research Progress
3: Progress in research has been slightly delayed.
Reason
This year, although our education plan has gone beyond our expectations, we encountered some troubles that put us a little behind schedule. In particular, designing the survey questionnaire and defining its taxonomy, and acceptance of our idea by target institutions have proved to be challenging and we are working to solve these problems.
* Given the sensitivity of the information we want to gather, institutions are reluctant to disclose the information related to adverse events of their institutions, which is perceived as a threat to their reputation and keep patients away from them.
Reasons why we are discussing with the possibility to get an agreement from the Ethics committee
* Designing the questionnaire, especially the taxonomy takes more time than expected, especially that we thought not to restrict the collect of data to only physicians and dentists, but also to other medical professionals as nurses, technicians, and pharmacists. Endeed, taxonomy encompasses a broad range of important areas that could be classified, but risk to be left undetected. For example how a wrong site surgery can affect not only the physical, but also, the mental and functional status of a patient?
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| Strategy for Future Research Activity |
Survey: By July 2015: Finalize the design of the survey questionnaire and the taxonomy and secure the agreement of our Ethics Committee populations./ August to November: Start surveying our target populations (patients and health care professionals) in person and by postal or electronic mails./ December to February 2016: Data synthesis and analysis/March 2016: Preliminary report writing
Education:April 2015: Registration and guidance of new students to the program
Recruit new external instructors and simulated patients for pre-clinical and USMLE students/ May to July 2015: Research in new teaching methods and produce new teaching/learning materials to improve students' professional communication skills./ Make presentation of our pre-clinical Dr-patient communication education to the annual meeting of the Japan Association for Medical English Education (JASMEE) to be held in Okayama July 18 19, 2005./ August 2015: Visit Medical and Dental Schools of Gadjah Mada University in Indonesia for exchange of experiences, and eventually collect some data abouttheir approach to teaching medical English, particularly physician-patient communication./ September 2015 ~January 2016: Keep researching in new teaching methods and produce new teaching/learning materials to involve actively our students in learning to improve their professional communication skills./ Purchase more books and teaching materials to introduce more topics./ Collect more data on our activities and survey our students on their satisfaction with our approach.
Write preliminary report.
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| Causes of Carryover |
Incursive amount: \314,916.
Reasons are because of the delay of our survey questionnaire and taxonomy that have not sentyet to our target populations. Also our instructors and collaborators were a bit busy in their own schedules and could not cover the hours we planned for them. We did cover those hours by ourselves, so money was not needed. However, to use them more effectively this year.
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| Expenditure Plan for Carryover Budget |
Purchases:Dr-patients communicationbooks:\30,000/Consumables:teaching matreials \40,000/English reviews \10,000/computer partss \30,000/domestic travel: visit loca university \40,000/ attend Medical English education annual conference \16,000/ overseas travel: visit GMU University in Indonesia for exchenge of experience \400,000/ honoraria: research and teaching collaborators \350,000/data computation \40,000/ data analysis \50.000/ misellanous: posting survey questionnaire \50,000.
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Research Products
(1 results)
