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4. Effect of a workplace-based learning program on clerkship students’ behaviors and attitudes toward evidence-based medicine practice

Author

Kasai, Hajime, primary, Saito, Go, additional, Takeda, Kenichiro, additional, Tajima, Hiroshi, additional, Kawame, Chiaki, additional, Hayama, Nami, additional, Shikino, Kiyoshi, additional, Shimizu, Ikuo, additional, Yamauchi, Kazuyo, additional, Asahina, Mayumi, additional, Suzuki, Takuji, additional, and Ito, Shoichi, additional

Published
2024
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5. Implementing Competency-based Medical Education in Japan Through Information and Communication Technology, Self-management, and Medical Exploration Post-COVID-19: Content Analysis and Nationwide Comparative Studies

Author

Onodera, Misaki, primary, Takahashi, Zaiya, additional, Kasai, Hajime, additional, Yokoh, Hidetaka, additional, Shikino, Kiyoshi, additional, Kimura, Yasuhiko, additional, Shimizu, Ikuo, additional, Yamauchi, Kazuyo, additional, Asahina, Mayumi, additional, and Ito, Shoichi, additional

Published
2024
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7. Impact of group work on the hidden curriculum that induces students' unprofessional behavior toward faculty.

Author

Nakamura, Aoba, Kasai, Hajime, Asahina, Mayumi, Kamata, Yu, Shikino, Kiyoshi, Shimizu, Ikuo, Onodera, Misaki, Kimura, Yasuhiko, Tajima, Hiroshi, Yamauchi, Kazuyo, and Ito, Shoichi

Subjects
UNIVERSITY faculty, MEDICAL personnel, MEDICAL students, CORPORATE culture, SCHOOL environment
Abstract

Background: Hidden curriculum (HC) can limit the effects of professionalism education. However, the research on how HC triggers unprofessional behavior among medical students is scant. Furthermore, there is no established approach for how faculty members may create a context, such as an educational environment and education system, that prevents students' unprofessional behavior. This study aimed to develop an educational approach to prevent unprofessional behavior and clarify how faculty members consider HC that triggers students' unprofessional behavior. Methods: The study sample comprised 44 faculty members and eight medical students from the Chiba University School of Medicine. The participants were divided into groups and asked the following question: "What attitudes, statements, and behaviors of senior students, physicians, and faculty members trigger medical students' unprofessional behavior?" The responses were collected using the affinity diagram method. The group members discussed the causes and countermeasures for the selected attitudes, statements, and behaviors of senior students, physicians, and faculty members based on the affinity diagram. The impact of the group work on the faculty members was surveyed using questionnaires immediately after its completion and six months later. Furthermore, the cards in the group work were analyzed using content analysis. Results: The responses to the questionnaire on group work indicated that some faculty members (43.8%) improved HC, while others suggested conducting group work with more participants. The content analysis revealed six categories – inappropriate attitude/behavior, behavior encouraging unprofessional behavior, lack of compliance with regulations, harassment of other medical staff, inappropriate educational environment/supervisor, and inappropriate self-control – and 46 subcategories. Conclusions: The HC that triggers students' unprofessional behavior includes the words and actions of the educator, organizational culture, and educational environment. Group work makes faculty members aware of the HC that triggers unprofessional behavior, and induces behavioral change for HC improvement in the educational activities. Educators should refrain from using words and actions that encourage unprofessional behavior, such as personal anecdotes, as they reduce students' learning motivation. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Effectiveness of Lung Ultrasound Training Utilizing a High-Fidelity Simulator.

Author

Takeda, Kenichiro, Kasai, Hajime, Tajima, Hiroshi, Hayama, Nami, Saito, Mikihito, Kawame, Chiaki, and Suzuki, Takuji

Abstract

Background: The usefulness of lung ultrasound (LUS) has been demonstrated. However, it is unclear whether diagnostic techniques using LUS are accepted by all physicians. A simple simulation-based educational program may improve the LUS skills of beginners, but it has not been fully assessed. Objective: This prospective study was conducted to assess the educational outcomes of LUS training using a high-fidelity simulator. Methods: A simulator-based program for LUS was conducted. All clerkship students at the Department of Respirology at Chiba University Hospital participated in the program from December 2022 to April 2023. The participants watched a 30 minute teaching video on demand before a hands-on session lasting for 1 hour during the first week of the clinical clerkship. The readiness of the participants to learn LUS and the usefulness of the program were assessed using questionnaires administered before and after the program. The LUS skills were assessed using simulator-based tests during Weeks 1 and 4. Data on the accuracy and time required to answer the questions were collected during the tests. Results: Forty clerkship students participated in this study. Thirty-three (82.5%) had received other ultrasound education; however, only two (5.0%) had experience with LUS. Based on the questionnaire responses, the participants perceived LUS as useful (preprogram: 4.6 vs. postprogram: 4.8; P = 0.010; a 5-point Likert scale was used [1: not useful to 5: useful]). The simulator-based tests showed comparable accuracies at Weeks 1 and 4 for pneumothorax (Week 1: 47.5% vs. Week 4: 52.5%; P = 0.623), pulmonary edema (Week 1: 100% vs. Week 4: 100%; P = 1.000), and pleural effusion (Week 1: 37.5% vs. Week 4: 40.0%; P = 0.800). The time required for scanning was the same for each question. In addition, the test results did not differ with prior learning, previous knowledge, or experience during clinical clerkships on LUS. Conclusion: A short educational program consisting of on-demand learning and hands-on sessions with a high-fidelity simulator would be effective in equipping clerkship students with basic LUS skills. However, to increase its educational effectiveness to a practical degree, the program should be improved, and more opportunities for training using simulators should be provided. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Developing Medical Education Curriculum Reform Strategies to Address the Impact of Generative Artificial Intelligence: A Qualitative Study (Preprint)

Author

Shimizu, Ikuo, primary, Kasai, Hajime, additional, Shikino, Kiyoshi, additional, Araki, Nobuyuki, additional, Takahashi, Zaiya, additional, Onodera, Misaki, additional, Kimura, Yasuhiko, additional, Tsukamoto, Tomoko, additional, Yamauchi, Kazuyo, additional, Asahina, Mayumi, additional, Ito, Shoichi, additional, and Kawakami, Eiryo, additional

Published
2023
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21. Medical Education Curriculum Reform to Address the Impact of Generative Artificial Intelligence: A Qualitative Study (Preprint)

Author

Shimizu, Ikuo, primary, Kasai, Hajime, additional, Shikino, Kiyoshi, additional, Araki, Nobuyuki, additional, Takahashi, Zaiya, additional, Onodera, Misaki, additional, Kimura, Yasuhiko, additional, Tsukamoto, Tomoko, additional, Yamauchi, Kazuyo, additional, Asahina, Mayumi, additional, Ito, Shoichi, additional, and Kawakami, Eiryo, additional

Published
2023
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23. Clinical significance of lung cross‐sectional area measured by computed tomography in chronic thromboembolic pulmonary hypertension: The correlation with pulmonary hemodynamics and the limitations

Author

Kuriyama, Ayaka, primary, Kasai, Hajime, additional, Sugiura, Toshihiko, additional, Nagata, Jun, additional, Naito, Akira, additional, Sekine, Ayumi, additional, Shigeta, Ayako, additional, Sakao, Seiichiro, additional, Ishida, Keiichi, additional, Matsumiya, Goro, additional, Tanabe, Nobuhiro, additional, and Suzuki, Takuji, additional

Published
2023
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27. Pulmonary Veno-occlusive Disease that Developed Following Hematopoietic Stem Cell Transplantation for Acute Myeloid Leukemia

Author

Takeda, Kenichiro, primary, Naito, Akira, additional, Sugiura, Toshihiko, additional, Ishige, Masaki, additional, Shikano, Kohei, additional, Abe, Mitsuhiro, additional, Kasai, Hajime, additional, Miyakuni, Shota, additional, Yamashita, Shu, additional, Shigeta, Ayako, additional, Sakao, Seiichiro, additional, and Suzuki, Takuji, additional

Published
2023
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30. A Comparison of Clinical Presentations in Coronavirus Disease 2019 Caused by Different Omicron variants in Japan: A Retrospective Study

Author

Hirama, Ryutaro, primary, Takeda, Kenichiro, additional, Sakao, Seiichiro, additional, Kasai, Hajime, additional, Miyata, Shizu, additional, Shikano, Kohei, additional, Naito, Akira, additional, Abe, Mitsuhiro, additional, Kawasaki, Takeshi, additional, Shigeta, Ayako, additional, Nakada, Taka-aki, additional, Igari, Hidetoshi, additional, and Suzuki, Takuji, additional

Published
2023
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33. A case of intractable medication-associated osteonecrosis of the jaw complicated by cervical abscess and sepsis

Author

OKUNAGA, Issei, SHIKANO, Kohei, KASAI, Hajime, KOIKE, Kazuyuki, KAWASAKI, Takeshi, KURIYAMA, Ayaka, IWASAWA, Shunichiro, SUGIURA, Toshihiko, TANZAWA, Hideki, and TATSUMI, Koichiro

Abstract

[ABSTRACT] 【Background】Osteonecrosis of the jaw (ONJ) induced by bone resorption inhibitors is termed medication-related ONJ (MRONJ). Some papers have reported that bisphosphonates can cause MRONJ complicated by infections. However, there are few case reports of MRONJ associated with denosumab, and the detailed clinical course is unknown. This case report presents a case of MRONJ caused by bisphosphonate and denosumab, which was complicated by cervical abscess and sepsis.【Case report】A 70-year-old woman was previously diagnosed with lung cancer with bone metastasis. Denosumab was subsequently administered along with a course of chemotherapy and radiation therapy for the cancer. Two years later, she developed ONJ on the right side, possibly due to denosumab, and treatment was initiated with irrigation and antibiotic administration. Despite continuous irrigation and antibiotic administration, she developed a cervical abscess with surrounding cellulitis and sepsis. The patient was immediately admitted for intensive care. The cervical abscess was surgically drained, and tracheostomy and artificial ventilation were performed due to the risk of airway obstruction after the cervical surgery. Antibiotic treatment was also continued. The patient recovered after intensive multidisciplinary treatments and was discharged 43 days after her hospitalization. No recurrence of the abscess was observed over the following 6 months with continual oral cleaning.【Conclusion】MRONJ can be complicated with potentially fatal infections around the soft tissue and other regions around the jaw. Early diagnosis, appropriate management, and careful follow-up are necessary and should be conducted by a multidisciplinary team, including dentists.

Published
2021

36. Mixed-methods education of mechanical ventilation for residents in the era of the COVID-19 pandemic: Preliminary interventional study.

Author

Takeda, Kenichiro, Kasai, Hajime, Tajima, Hiroshi, Furukawa, Yutaka, Imaeda, Taro, Suzuki, Takuji, and Ito, Shoichi

Subjects
*COVID-19 pandemic, *CLINICAL trials, *ARTIFICIAL respiration, *MEDICAL personnel training, *EDUCATIONAL planning, *ARTIFICIAL respiration equipment, *POSITIVE pressure ventilation
Abstract

Introduction: In the current era of the severe acute respiratory syndrome-coronavirus-2 epidemic, the need for respiratory care, including mechanical ventilatory (MV) management, has increased. However, there are no well-developed educational strategies for training medical personnel dealing with respiratory care in MV management. Methods: A novel mixed-methods hands-on seminar for learning MV management was conducted for the residents at Chiba University Hospital in March 2022. The seminar lasted approximately 2 hours. The learning goal for the residents was to develop skills and knowledge in performing basic respiratory care, including MV, during an outbreak of a respiratory infection. The seminar with a flipped classroom consisted of e-learning, including modules on respiratory physiology and MV management, hands-on training with a low-fidelity simulator (a lung simulator), and hands-on training with a high-fidelity simulator (a human patient simulator). The effectiveness of the seminar was evaluated using closed questions (scored on a five-point Likert scale: 1 [minimum] to 5 [maximum]) and multiple-choice questions (maximum score: 6) at the pre- and post-seminar evaluations. Results: Fourteen residents at Chiba University Hospital participated in the program. The questionnaire responses revealed that the participants' motivation for learning about MV was relatively high in the pre-seminar period (seven participants [50%] selected level 5 [very strong]), and it increased in the post-seminar period (all participants selected level 5) (p = 0.016). The responses to the multiple-choice questions revealed that the participants did not have enough knowledge to operate a mechanical ventilator, while the total score significantly improved from the pre- to post-seminar period (pre-seminar: 3.3 ± 1.1, post-seminar: 4.6 ± 1.0, p = 0.003). Conclusions: The seminar implemented in this study helped increase the residents' motivation to learn about respiratory care and improved knowledge of MV management in a short time. In particular, the flipped classroom may promote the efficiency of education on MV management. [ABSTRACT FROM AUTHOR]

Published
2023
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37. Clinical Outcomes of Sotrovimab Treatment in 10 High-Risk Patients with Mild COVID-19: A Case Series

Author

Takeda, Kenichiro, primary, Kasai, Hajime, additional, Sakao, Seiichiro, additional, Saito, Mikihito, additional, Shikano, Kohei, additional, Naito, Akira, additional, Abe, Mitsuhiro, additional, Kawasaki, Takeshi, additional, Yahaba, Misuzu, additional, Taniguchi, Toshibumi, additional, Igari, Hidetoshi, additional, and Suzuki, Takuji, additional

Published
2022
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41. Case of a Deep Neck Abscess During Treatment for COVID-19

Author

Shiraishi, Kengo, primary, Kasai, Hajime, additional, Saito, Mikihito, additional, Kawaguchi, Hiroki, additional, Kinoshita, Takashi, additional, Suzuki, Takeshi, additional, Shikano, Kohei, additional, Takagi, Kento, additional, Sakao, Seiichiro, additional, Hanazawa, Toyoyuki, additional, and Suzuki, Takuji, additional

Published
2022
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42. Tolerability of prone positioning in non‐intubated patients with hypoxaemia due to COVID‐19‐related pneumonia

Author

Shikano, Kohei, primary, Sakao, Seiichiro, additional, Inaba, Yosuke, additional, Taniguchi, Toshibumi, additional, Saito, Go, additional, Naito, Akira, additional, Abe, Mitsuhiro, additional, Kasai, Hajime, additional, Yahaba, Misuzu, additional, Kawasaki, Takeshi, additional, Shigeta, Ayako, additional, Ikari, Jun, additional, Sugiura, Toshihiko, additional, Kawasaki, Yohei, additional, Igari, Hidetoshi, additional, and Suzuki, Takuji, additional

Published
2022
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43. A case of thoracic air leak syndrome with pleural parenchymal fibroelastosis after treatment for hematologic malignancy while awaiting lung transplantation: Imaging and pathological findings of rapid loss in lung volume

Author

Kasai, Hajime, primary, Terada, Jiro, additional, Nagata, Jun, additional, Yamamoto, Keiko, additional, Shiohira, Shunya, additional, Tomikawa, Atsuko, additional, Tamura, Nao, additional, Yamamoto, Emiri, additional, Ikehara, Yuzuru, additional, and Suzuki, Takuji, additional

Published
2022
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44. Wireless electronic stethoscope's potential for medical education in ward round examination.

Author

Takeda, Kenichiro, Kasai, Hajime, Hayama, Nami, Saito, Mikihito, Kawame, Chiaki, Maruyama, Kanae, and Suzuki, Takuji

Subjects
*MEDICAL education, *HOSPITAL rounds, *STETHOSCOPES, *MEDICAL education examinations, *GUARDIAN & ward
Abstract

Keywords: auscultation; electronic stethoscope; medical education; respiratory medicine; wireless technology EN auscultation electronic stethoscope medical education respiratory medicine wireless technology 969 971 3 09/20/23 20231001 NES 231001 DATA AVAILABILITY STATEMENT The data that support the findings of this study are available from the corresponding author upon reasonable request. Twenty-six participants used a wireless electronic stethoscope (wireless electronic group: EG), and the other 23 used conventional stethoscopes (conventional group: CG) (Figure 1). [Extracted from the article]

Published
2023
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45. A case of primary racemose hemangioma with endobronchial lesions demonstrating recurrent hemoptysis initially treated with bronchial arterial embolization

Author

Imai, Shun, primary, Kasai, Hajime, additional, Sugiura, Toshihiko, additional, Nagata, Jun, additional, Toyoda, Takahide, additional, Shiohira, Shunya, additional, Shikano, Kohei, additional, Kawame, Chiaki, additional, Kouchi, Yusuke, additional, Ota, Masayuki, additional, Abe, Mitsuhiro, additional, Suzuki, Hidemi, additional, Ikeda, Jun-ichiro, additional, Yoshino, Ichiro, additional, and Suzuki, Takuji, additional

Published
2022
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48. Vascular involvement in chronic thromboembolic pulmonary hypertension is associated with spirometry obstructive impairment

Author

Yanagisawa, Asako, primary, Naito, Akira, additional, Sanada, Takayuki-Jujo, additional, Tanabe, Nobuhiro, additional, Ishida, Keiichi, additional, Matsumiya, Goro, additional, Suda, Rika, additional, Kasai, Hajime, additional, Sekine, Ayumi, additional, Sugiura, Toshihiko, additional, Shigeta, Ayako, additional, Sakao, Seiichiro, additional, Tatsumi, Koichiro, additional, and Suzuki, Takuji, additional

Published
2021
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49. Possibility of deterioration of respiratory status when steroids precede antiviral drugs in patients with COVID-19 pneumonia: A retrospective study

Author

Shionoya, Yu, primary, Taniguchi, Toshibumi, additional, Kasai, Hajime, additional, Sakuma, Noriko, additional, Imai, Shun, additional, Shikano, Kohei, additional, Takayanagi, Shin, additional, Yahaba, Misuzu, additional, Nakada, Taka-aki, additional, Igari, Hidetoshi, additional, Sakao, Seiichiro, additional, and Suzuki, Takuji, additional

Published
2021
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