The Perception of Rural Medical Students Regarding the Future of General Medicine: A Thematic Analysis

Nishikawa, Kasumi; Ohta, Ryuichi; Sano, Chiaki

doi:10.3390/healthcare9101256

Cited by 11 publications

(21 citation statements)

References 23 publications

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“…In Japan, family physicians’ educational systems were officially established in 2017 as the nineteenth specialty, following discussions among family physicians, general internal medicine physicians, hospitalists, and primary care physicians [ 8 ]. "General medicine" is the nomenclature for this specialty.…”

Section: Editorialmentioning

confidence: 99%

“…To specialize in people as a system, family physicians should collaborate with various organ-specific specialists because less collaboration among the specialists may negatively influence healthcare systems. In the present situation, because of the short history of family medicine in Japan, family physicians may not be relied on by other organ-specific specialists [ 8 , 12 ]. Training in various clinical contexts and continuing high-quality care in family medicine can mitigate the gap between system- and organ-specific specialists, improving older patient care.…”

Section: Editorialmentioning

confidence: 99%

“…The number of family physicians is also limited, and primary healthcare cannot be effectively performed. The motivation of medical students and residents to become family physicians in Japan may also be low because of the vagueness of the specialty of family medicine in advanced medical science [ 8 , 10 ]. To improve their motivation and the quality of family medicine, family medicine education should be driven, focusing on a system-specific specialist for people and healthcare systems.…”

Section: Editorialmentioning

confidence: 99%

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Family Physicians as System-Specific Specialists in Japan’s Aging Society

Ohta¹,

Sano²

2022

Cureus

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Family medicine is a vital medical specialty in an aging society. The scope of each family doctor's training and practice varies according to the context of their work, their roles, the organization and resources of the health systems in each country, and their ability to adapt to the healthcare needs of their country. As societal requirements change, so does the role of family medicine. In Japan, family physicians' educational systems were officially established in 2017 as the nineteenth specialty, following discussions among family physicians, general internal medicine physicians, and hospitalists. Family physicians' specialization in systems could facilitate access to appropriate health resources with proper timing while respecting the culture and context of each patient. Therefore, family physicians can be systems specialists on the same basis as organ and other specialists. Family physicians include people and families in their ecological systems. Family physicians should therefore specialize in healthcare systems.

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Section: Editorialmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

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Family Physicians as System-Specific Specialists in Japan’s Aging Society

Ohta¹,

Sano²

2022

Cureus

Self Cite

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“…However, the general medicine education offered by Japanese universities has been considered immature, providing medical students little exposure to general medicine and having insufficient related policies. 21 , 22 However, it is unclear how much effort Japanese university general medicine departments (whose personnel have basic medical skills and a high affinity for clinical practice) devote to medical education, particularly undergraduate education. Therefore, this study aimed to clarify the contribution of general medicine departments in Japanese universities to medical education and develop suggestions for future general medicine education at universities.…”

Section: Introductionmentioning

confidence: 99%

General Medicine Departments of Japanese Universities Contribute to Medical Education in Clinical Settings: A Descriptive Questionnaire Study

Tago¹,

Shikino²,

Hirata³

et al. 2022

IJGM

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Background It is unclear how much effort Japanese university general medicine (GM) departments, which teach basic medical skills and have a high affinity for clinical practice, devote to medical education, particularly undergraduate education. This study aimed to clarify the contribution of GM departments of Japanese universities to medical education. Patients and Methods This was a questionnaire-based descriptive study of GM departments of Japanese universities. We sent the questionnaire created using Google Forms by email, and the universities responded by Internet. The department chairperson of the universities’ main hospital was responsible for completing the questionnaire. It covered the number of staff, inpatients over the previous 3 years, affiliated hospitals, classroom lectures, and practical training sessions per year for each academic year in medical faculty and students accepted for clinical clerkship. Items also included the effort for clinical training, research, and education and the effort for undergraduate, initial clinical residency, and specialty program training. Results In all, 46 of 71 universities responded, and we included 43 in our analysis. The median number of medical staff was 7; the median number of inpatients over the previous 3 years was 76. The median number of classroom lectures of the GM department was 1 for 1st-year, 5 for 3rd-year, 9 for 4th-year, and 0 for 2nd-, 5th-, and 6th-year students. The median total number of accepted students for clinical clerkship was 120. The median educational effort of the GM department was 30. With total educational effort set at 100, the median effort for undergraduate education was 45, for postgraduate residency 30, and for specialty program training 20. Conclusion The undergraduate medical education by GM departments of Japanese universities was provided mainly in clinical settings for almost all medical students. A focus on exposing students to GM in early academic years would improve the educational environment.

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“…Many studies have confirmed that students’ perceptions and opinions are important references for the arrangement of educational programs [ 12 , 13 , 14 ], and collaboration between students and clinical faculties at internship hospitals can create effective educational programs [ 15 ]. Instructional media designed from the perspective of participants can help them follow instructions more effectively [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Analysis of Taiwanese Pharmacy Students’ Experiences and Perceptions of Transitioning from In-Hospital Internships to Distance Learning Due to COVID-19

et al. 2022

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The introductory pharmacy practice experiences (IPPE) in Taiwan, which are traditionally conducted in physical hospital settings, incorporated up to 30% distance learning from May 2021 due to Coronavirus Disease 2019 (COVID-19). A web-based cross-sectional survey was adopted to investigate pharmacy students’ experiences and perceptions of transitioning from in-hospital internships to distance learning due to COVID-19 in the pharmacy department of a university in Southern Taiwan. We analyzed the results to discover factors that significantly affected students’ perceptions of transitioning from in-hospital internships to distance learning. In total, 81 interns from the university’s pharmacy department responded to the questionnaire. Approximately half of the participants felt happy when they learned, before the internship began, that the internship would be partially replaced with distance learning. The overall satisfaction rate was 67.9%, and no significant differences was observed in students’ satisfaction between hospital size or distance-learning time. However, more students in the medical center felt they had insufficient time to finish assignments compared to those in the regional hospitals, and the students who had 11–15 days of distance learning felt that they interacted more smoothly with their peers compared to those who had other durations. Program designers should make distance internship courses more student-centered, with a focus on increasing interactions between students, teachers, and peers to compensate for the lack of physical presence.

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The Perception of Rural Medical Students Regarding the Future of General Medicine: A Thematic Analysis

Cited by 11 publications

References 23 publications

Family Physicians as System-Specific Specialists in Japan’s Aging Society

Family Physicians as System-Specific Specialists in Japan’s Aging Society

General Medicine Departments of Japanese Universities Contribute to Medical Education in Clinical Settings: A Descriptive Questionnaire Study

Cross-Sectional Analysis of Taiwanese Pharmacy Students’ Experiences and Perceptions of Transitioning from In-Hospital Internships to Distance Learning Due to COVID-19

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