Impact of general practice / family medicine clerkships on Japanese medical students: Using text mining to analyze reflective writing

Nakamura, Koki; Kanke, Satoshi; Hoshi, Goro; Toyoda, Yoshihiro; Yoshida, Kazutaka; Kassai, Ryuki

doi:10.5387/fms.2021-24

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Most of the existing text-mining studies on learning in medicine and healthcare focused on medical students ( 11 , 14 , 15 ). These studies have primarily analyzed reflection reports related to learning within specific educational programs, such as clinical practice and off-campus classes, at different points in time.…”

Section: Introductionmentioning

confidence: 99%

“…In fact, in health professional education, descriptive reports provide reflections and students' self-evaluations, used as a means of professional development, which provides objective information for identifying students' progress (5)(6)(7). Text mining is a data mining method that objectively analyzes qualitative data and is being utilized in supportive care for preterm children (8), education of university students, including research on cognitive control functions of students (9) and education of health professionals (10)(11)(12)(13)(14)(15)(16). This method contributes to the objective interpretation of text data by modeling important concepts and calculating the co-occurrence of keywords that occur frequently in the text.…”

Section: Introductionmentioning

confidence: 99%

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An evaluation of rehabilitation students’ learning goals in their first year: a text mining approach

Kitamura,

Takeda,

Uehara

et al. 2024

Front. Med.

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IntroductionQualitative information in the form of written reflection reports is vital for evaluating students’ progress in education. As a pilot study, we used text mining, which analyzes qualitative information with quantitative features, to investigate how rehabilitation students’ goals change during their first year at university.MethodsWe recruited 109 first-year students (66 physical therapy and 43 occupational therapy students) enrolled in a university rehabilitation course. These students completed an open-ended questionnaire about their learning goals at the time of admission and at 6 and 12 months after admission to the university. Text mining was used to objectively interpret the descriptive text data from all three-time points to extract frequently occurring nouns at once. Then, hierarchical cluster analysis was performed to generate clusters. The number of students who mentioned at least one noun in each cluster was counted and the percentages of students in each cluster were compared for the three periods using Cochran’s Q test.ResultsThe 31 nouns that appeared 10 or more times in the 427 sentences were classified into three clusters: “Socializing,” “Practical Training,” and “Classroom Learning.” The percentage of students in all three clusters showed significant differences across the time periods (p < 0.001 for “Socializing”; p < 0.01 for “Practical Training” and “Classroom Learning”).ConclusionThese findings suggest that the students’ learning goals changed during their first year of education. This objective analytical method will enable researchers to examine transitional trends in students’ reflections and capture their psychological changes, making it a useful tool in educational research.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An evaluation of rehabilitation students’ learning goals in their first year: a text mining approach

Kitamura,

Takeda,

Uehara

et al. 2024

Front. Med.

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“…Past studies in Japan indicate that existing medical education may not accurately represent the realities of general medicine, primarily due to a shortage of educators and tangible experiences in the field [7]. Students express a desire for more hands-on exposure to general medicine to shape their professional visions [6,8]. Thus, educational institutions should aim to meet these expectations for optimal results.…”

Section: Introductionmentioning

confidence: 99%

Importance of Inclusive Education in General Medicine Through the Perception of Medical Trainees: A Thematic Analysis

Ohta,

Katsube,

Sano

2023

Cureus

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BackgroundGeneral medical education plays a pivotal role in ensuring holistic care in the context of rapidly aging populations. Japan's demographic trends underscore the significance of general medicine in elevating community care standards. Understanding and catering to the aspirations, perceptions, and ideals of medical students and residents can significantly augment the effectiveness of general medicine education. This research aimed to explore the perspectives of medical students on the ideal tenets of general medicine education in rural Japan. MethodA qualitative approach was employed, focusing on medical students and residents with a keen interest in general medicine, all of whom underwent training at a rural-based Japanese hospital. Through semistructured interviews, insightful data were garnered and subsequently subjected to a comprehensive thematic analysis. ResultsThe thematic analysis unearthed three core themes: commitment of educators in valuing learner diversity, promotion and understanding of general medicine, and inclusivity and diversity in educational institutions. The first highlighted the centrality of educators' sincerity, emphasizing the importance of genuine, sustained interactions that foster mutual respect and collaborative learning. The second theme underscored the need to elucidate the intrinsic value and modern-day relevance of general medicine, emphasizing its deep roots in community-based practices and its continuity with long-standing medical traditions. The third theme spotlighted the crucial role of comprehensive medical education in fostering enriching dialogues, embracing varied learning experiences, and capitalizing on the distinctive strengths of educational institutions. ConclusionThese findings underscore the pivotal shift required in pedagogical approaches to comprehensive medical education. A genuine collaborative educator-learner relationship, the reframing of general medicine's significance rooted in community welfare, and a strong emphasis on inclusivity and dialogue form the cornerstones of these insights. This study provides a touchstone for restructuring educational strategies, aiming for a more integrated, genuine, and encompassing framework that is particularly vital for the effective propagation of general medicine in regions such as Japan.

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Impact of general practice/family medicine training on Japanese junior residents:reflective writing analysis using text mining

Nakamura,

Kanke,

Ishii

et al. 2024

FJMS

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Background : We previously reported the impact of general practice/family medicine training on postgraduate training in Japan using evaluation criteria standardized nationwide. However, there is a possibility that new insights may be gained by analyzing the reflective reports written by these residents. Methods : Junior residents who participated in onemonth general practice/family medicine training at one of five medical institutions with fulltime family medicine specialists between 2019 and 2022 were enrolled in this study. They were assigned to submit a reflective report on their experiences and thoughts every day during the training. We analyzed these reflective writings using text mining and created a cooccurrence network map to see the relationship between the most frequently used words. Results : Ninety junior residents participated in the study. The words that appeared most frequently in the sentences referring to clinical ability included "symptoms," "medical examination," "consultation," "treatment," and "examination." The words of "family" and "(patient) oneself" showed strong association in the cooccurrence network map. Conclusion : It was suggested that general practice/family medicine training greatly contributes to the acquisition of clinical abilities and deepens the learning of junior residents not only about patient care but also about familyoriented care.

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Impact of general practice / family medicine clerkships on Japanese medical students: Using text mining to analyze reflective writing

Cited by 3 publications

References 7 publications

An evaluation of rehabilitation students’ learning goals in their first year: a text mining approach

An evaluation of rehabilitation students’ learning goals in their first year: a text mining approach

Importance of Inclusive Education in General Medicine Through the Perception of Medical Trainees: A Thematic Analysis

Impact of general practice/family medicine training on Japanese junior residents:reflective writing analysis using text mining

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