Identifying the learning objectives of clinical clerkship in community health in Japan: Focus group

Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized the importance of medical education in various settings in their standard. Similarly, in Japan, the Model Core Curriculum for Medic...

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Published inJournal of general and family medicine Vol. 21; no. 2; pp. 3 - 8
Main Authors Kato, Daisuke, Wakabayashi, Hideki, Takamura, Akiteru, Takemura, Yousuke C.
Format Journal Article
LanguageEnglish
Published Japan John Wiley & Sons, Inc 01.03.2020
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Abstract Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized the importance of medical education in various settings in their standard. Similarly, in Japan, the Model Core Curriculum for Medical Education in Japan (MCCMEJ) is revised in 2016. However, both the learning objectives of such clerkships and their concrete strategies in Japan are not clearly established. In this study, the authors identified the learning objectives of clinical clerkship in community health reflecting the perspectives of medical professionals and community inhabitants. Methods They held six focus groups that included physicians, other medical professionals, and inhabitants (n = 35) who were involved in a clinical clerkship in community health at three prefectures in Japan from 2017 to 2018. Further, they recorded, transcribed, and thematically analyzed the discussion using MCCMEJ as conceptual frameworks. Results The learning objectives comprised of 13 domains. The following four domains were not found in “Basic Qualities and Capacities for Physicians” in MCCMEJ: “future‐oriented systematic view,” “organic integration of knowledge/skill,” “understanding of the community,” and “awareness as an individual physician.” Conclusion With the community inhabitants' participation, the study results reflect the community needs in Japan. The authors hope that the outcome of this study will be useful to further improve clinical clerkship in community health.
AbstractList Abstract Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized the importance of medical education in various settings in their standard. Similarly, in Japan, the Model Core Curriculum for Medical Education in Japan (MCCMEJ) is revised in 2016. However, both the learning objectives of such clerkships and their concrete strategies in Japan are not clearly established. In this study, the authors identified the learning objectives of clinical clerkship in community health reflecting the perspectives of medical professionals and community inhabitants. Methods They held six focus groups that included physicians, other medical professionals, and inhabitants (n = 35) who were involved in a clinical clerkship in community health at three prefectures in Japan from 2017 to 2018. Further, they recorded, transcribed, and thematically analyzed the discussion using MCCMEJ as conceptual frameworks. Results The learning objectives comprised of 13 domains. The following four domains were not found in “Basic Qualities and Capacities for Physicians” in MCCMEJ: “future‐oriented systematic view,” “organic integration of knowledge/skill,” “understanding of the community,” and “awareness as an individual physician.” Conclusion With the community inhabitants' participation, the study results reflect the community needs in Japan. The authors hope that the outcome of this study will be useful to further improve clinical clerkship in community health.
The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized the importance of medical education in various settings in their standard. Similarly, in Japan, the Model Core Curriculum for Medical Education in Japan (MCCMEJ) is revised in 2016. However, both the learning objectives of such clerkships and their concrete strategies in Japan are not clearly established. In this study, the authors identified the learning objectives of clinical clerkship in community health reflecting the perspectives of medical professionals and community inhabitants. They held six focus groups that included physicians, other medical professionals, and inhabitants (n = 35) who were involved in a clinical clerkship in community health at three prefectures in Japan from 2017 to 2018. Further, they recorded, transcribed, and thematically analyzed the discussion using MCCMEJ as conceptual frameworks. The learning objectives comprised of 13 domains. The following four domains were not found in "Basic Qualities and Capacities for Physicians" in MCCMEJ: "future-oriented systematic view," "organic integration of knowledge/skill," "understanding of the community," and "awareness as an individual physician." With the community inhabitants' participation, the study results reflect the community needs in Japan. The authors hope that the outcome of this study will be useful to further improve clinical clerkship in community health.
Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized the importance of medical education in various settings in their standard. Similarly, in Japan, the Model Core Curriculum for Medical Education in Japan (MCCMEJ) is revised in 2016. However, both the learning objectives of such clerkships and their concrete strategies in Japan are not clearly established. In this study, the authors identified the learning objectives of clinical clerkship in community health reflecting the perspectives of medical professionals and community inhabitants. Methods They held six focus groups that included physicians, other medical professionals, and inhabitants (n = 35) who were involved in a clinical clerkship in community health at three prefectures in Japan from 2017 to 2018. Further, they recorded, transcribed, and thematically analyzed the discussion using MCCMEJ as conceptual frameworks. Results The learning objectives comprised of 13 domains. The following four domains were not found in “Basic Qualities and Capacities for Physicians” in MCCMEJ: “future‐oriented systematic view,” “organic integration of knowledge/skill,” “understanding of the community,” and “awareness as an individual physician.” Conclusion With the community inhabitants' participation, the study results reflect the community needs in Japan. The authors hope that the outcome of this study will be useful to further improve clinical clerkship in community health.
BackgroundThe value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized the importance of medical education in various settings in their standard. Similarly, in Japan, the Model Core Curriculum for Medical Education in Japan (MCCMEJ) is revised in 2016. However, both the learning objectives of such clerkships and their concrete strategies in Japan are not clearly established. In this study, the authors identified the learning objectives of clinical clerkship in community health reflecting the perspectives of medical professionals and community inhabitants.MethodsThey held six focus groups that included physicians, other medical professionals, and inhabitants (n = 35) who were involved in a clinical clerkship in community health at three prefectures in Japan from 2017 to 2018. Further, they recorded, transcribed, and thematically analyzed the discussion using MCCMEJ as conceptual frameworks.ResultsThe learning objectives comprised of 13 domains. The following four domains were not found in “Basic Qualities and Capacities for Physicians” in MCCMEJ: “future‐oriented systematic view,” “organic integration of knowledge/skill,” “understanding of the community,” and “awareness as an individual physician.”ConclusionWith the community inhabitants' participation, the study results reflect the community needs in Japan. The authors hope that the outcome of this study will be useful to further improve clinical clerkship in community health.
Abstract Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized the importance of medical education in various settings in their standard. Similarly, in Japan, the Model Core Curriculum for Medical Education in Japan (MCCMEJ) is revised in 2016. However, both the learning objectives of such clerkships and their concrete strategies in Japan are not clearly established. In this study, the authors identified the learning objectives of clinical clerkship in community health reflecting the perspectives of medical professionals and community inhabitants. Methods They held six focus groups that included physicians, other medical professionals, and inhabitants (n = 35) who were involved in a clinical clerkship in community health at three prefectures in Japan from 2017 to 2018. Further, they recorded, transcribed, and thematically analyzed the discussion using MCCMEJ as conceptual frameworks. Results The learning objectives comprised of 13 domains. The following four domains were not found in “Basic Qualities and Capacities for Physicians” in MCCMEJ: “future‐oriented systematic view,” “organic integration of knowledge/skill,” “understanding of the community,” and “awareness as an individual physician.” Conclusion With the community inhabitants' participation, the study results reflect the community needs in Japan. The authors hope that the outcome of this study will be useful to further improve clinical clerkship in community health.
Author Wakabayashi, Hideki
Takemura, Yousuke C.
Kato, Daisuke
Takamura, Akiteru
AuthorAffiliation 2 Department of Community Medicine Kameyama, Mie University School of Medicine Mie Japan
1 Department of Family Medicine Mie University Graduate School of Medicine Mie Japan
4 Department of Family Medicine Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
3 Department of Medical Education Kanazawa Medical University Ishikawa Japan
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Copyright 2019 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association
2019 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.
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Issue 2
Keywords learning objectives
clinical clerkship
Japan
community‐based medical education
Language English
License Attribution
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This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Notes Funding information
This manuscript was funded by a research grant from Mie University. The funding body played no role in the design of the study, data acquisition, analysis or interpretation of the data, or writing of this manuscript.
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    fullname: Dent J
– volume: 41
  start-page: 255
  issue: 4
  year: 2010
  ident: e_1_2_8_4_1
  article-title: Community‐oriented undergraduate medical education: a new paradigm for medical education in Japan
  publication-title: Med Educ
  contributor:
    fullname: Takamura A
– ident: e_1_2_8_11_1
  doi: 10.1111/medu.13084
– ident: e_1_2_8_22_1
  doi: 10.1080/01421590220120713
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Snippet Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education...
The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education emphasized...
Abstract Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical...
BackgroundThe value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education...
BACKGROUNDThe value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical Education...
Abstract Background The value of medical education in the community has been increasingly and globally recognized. In 2015, the World Federation for Medical...
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SubjectTerms clinical clerkship
Collaboration
Colleges & universities
community‐based medical education
Core curriculum
Focus groups
Japan
Learning
learning objectives
Local government
Medical education
Medicine
Objectives
Original
Patients
Physicians
Professional ethics
Professionals
Professions
Qualitative research
Safety management
Skills
Society
Students
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Title Identifying the learning objectives of clinical clerkship in community health in Japan: Focus group
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjgf2.289
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Volume 21
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