Awareness of Diagnostic Error among Japanese Residents: a Nationwide Study

Nishizaki, Yuji; Shinozaki, Tomohiro; Kinoshita, Kensuke; Shimizu, Taro; Tokuda, Yasuharu

doi:10.1007/s11606-017-4248-y

Cited by 11 publications

(11 citation statements)

References 10 publications

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“…The Japan Organization of Advancing Medical Education Program (JAMEP), a non-profit organization, has been implementing the GM-ITE since 2011 as an objective evaluation of the basic clinical competency of junior resident physicians (postgraduate years PGY-1 and PGY-2) [5][6][7][8][9]. The GM-ITE is a multiple-choice knowledge test.…”

Section: Gm-itementioning

confidence: 99%

Impact of general medicine rotation training on the in-training examination scores of 11, 244 Japanese resident physicians: a Nationwide multi-center cross-sectional study

et al. 2020

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Background Although general medicine (GM) faculty in Japanese medical schools have an important role in educating medical students, the importance of residents’ rotation training in GM in postgraduate education has not been sufficiently recognized in Japan. To evaluate the relationship between the rotation of resident physicians in the GM department and their In-Training Examination score. Methods This study is a nationwide multi-center cross-sectional study in Japan. Participants of this study are Japanese junior resident physicians [postgraduate year (PGY)-1 and PGY-2] who took the General Medicine In-Training Examination (GM-ITE) in fiscal years 2016 to 2018 at least once (n = 11,244). The numbers of participating hospitals in the GM-ITE were 381, 459, and 503 in 2016, 2017, and 2018.The GM-ITE score consisted of four categories (medical interview/professionalism, symptomatology/clinical reasoning, physical examination/procedure, and disease knowledge). We evaluated relationship between educational environment (including hospital information) and the GM-ITE score. Results A total of 4464 (39.7%) residents experienced GM department rotation training. Residents who rotated had higher total scores than residents who did not rotate (38.1 ± 12.1, 36.8 ± 11.7, and 36.5 ± 11.5 for residents who experienced GM rotation training, those who did not experience this training in hospitals with a GM department, and those who did not experience GM rotation training in hospitals without a GM department, p = 0.0038). The association between GM rotation and competency remained after multivariable adjustment in the multilevel model: the score difference between GM rotation training residents and non-GM rotation residents in hospitals without a GM department was estimated as 1.18 (standard error, 0.30, p = 0.0001), which was approximately half of the standard deviation of random effects due to hospital variation (estimated as 2.00). Conclusions GM rotation training improved the GM-ITE score of residents and should be considered mandatory for junior residents in Japan.

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Section: Gm-itementioning

confidence: 99%

Impact of general medicine rotation training on the in-training examination scores of 11, 244 Japanese resident physicians: a Nationwide multi-center cross-sectional study

et al. 2020

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“… 1 , 2 Self-study time has a positive linear association with the acquisition of clinical knowledge. 3 In 2024, duty-hour (DH) restrictions will be implemented in Japan for postgraduate residents; therefore, the association of DHs with resident study habits must be evaluated. 4 In the US, DH restrictions have had minimal or no association with resident SST.…”

Section: Introductionmentioning

confidence: 99%

Association Between Resident Duty Hours and Self-study Time Among Postgraduate Medical Residents in Japan

et al. 2021

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“…Therefore, we conducted a nationwide study comparing postgraduate year (PGY)‐1 and PGY‐2 residents for knowledge of basic clinical care, including clinical reasoning, based on results of general medicine in‐training examination (GM‐ITE). The previous results of this examination have been published elsewhere and elucidated important educational factors related to the GM‐ITE scores . We analyzed the most recent (February 2017) GM‐ITE scores of resident physicians between postgraduate year (PGY)‐1 and PGY‐2 resident physicians in 459 Japanese teaching hospitals which participated in the GM‐ITE.…”

Section: Comparison Of Gm‐ite Scores Between Pgy‐1 and Pgy‐2mentioning

confidence: 99%

Postgraduate medical education in Japan: Missed opportunity for learning clinical reasoning

Tokuda

Soshi²,

Okubo

et al. 2018

J of Gen and Family Med

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Awareness of Diagnostic Error among Japanese Residents: a Nationwide Study

Cited by 11 publications

References 10 publications

Impact of general medicine rotation training on the in-training examination scores of 11, 244 Japanese resident physicians: a Nationwide multi-center cross-sectional study

Impact of general medicine rotation training on the in-training examination scores of 11, 244 Japanese resident physicians: a Nationwide multi-center cross-sectional study

Association Between Resident Duty Hours and Self-study Time Among Postgraduate Medical Residents in Japan

Postgraduate medical education in Japan: Missed opportunity for learning clinical reasoning

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