Careful clinical observation is essential for diagnosis of Huntington's disease

Nakamura, Ken; Ota, Megumi; Kawata, Akihiro; Isozaki, Eiji; Muramatsu, Shin‐ichi; Matsubara, Shigeki

doi:10.1590/s0004-282x2012000800021

Cited by 2 publications

(1 citation statement)

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“…A new technology, although perhaps first introduced in an urban center, can only have its real-world efficacy confirmed after widespread use: its use in rural areas will provide important data. Observations by rural doctors may lead to 'discovery' of a new clinical entity: Huntington's disease was first reported by a rural doctor 1 . In this context, conducting research and writing a paper in a rural remote area is quite important.…”

Section: Contextmentioning

confidence: 99%

Supporting rural remote physicians to conduct a study and write a paper: Experience of Clinical Research Support Team (CRST)-Jichi

Matsubara¹,

Ohkuchi²,

Kamesaki³

et al. 2014

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JMU) is the only medical school in Japan that is devoted solely to producing rural and remote doctors. To support research activities of its graduates, mainly young graduates under obligatory rural service, JMU established a voluntary team, Clinical Research Support Team (CRST)-Jichi. Issues: CRST-Jichi consists of current and past JMU faculty members; all of them are specialists of certain medical fields and many are also graduates of JMU who have completed rural service. A client who asks the CRST for advice on study design or editing a paper emails the CRST to ask for support in conducting a study. Then, core members of the CRST assign the job to a registered specialist of the corresponding topic, who becomes a 'responsible supporter' and continues to support the client until a paper has been published. During the 3 years from July 2010, 12 English papers have been published in international peer-review journals, two Japanese papers in domestic journals, and 13 studies are in progress. Ninety-one percent of clients were satisfied with the service, and eighty-two percent considered their papers would not have been published if they had not used the service. Sense of commitment, existence of JMU-graduated specialists, and quick response were reported by clients as major strengths of CRST-Jichi. Lessons learned: The experience of CRST-Jichi can potentially be transferred to not only other Japanese medical schools with rural doctor production programs, which are now rapidly increasing as part of a national policy, but also rural medical education systems in other countries.

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Section: Contextmentioning

confidence: 99%