Dataset Information

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

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.

SUBMITTER: Kato D

PROVIDER: S-EPMC7060287 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Publications

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

Kato Daisuke D Wakabayashi Hideki H Takamura Akiteru A Takemura Yousuke C YC

Journal of general and family medicine 20191213 2

<h4>Background</h4>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, t ...[more]

PMID: 32161694

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Project description:BackgroundFaculty and students debate the fairness and accuracy of medical student clerkship grades. Group decision-making is a potential strategy to improve grading.ObjectiveTo explore how one school's grading committee members integrate assessment data to inform grade decisions and to identify the committees' benefits and challenges.DesignThis qualitative study used semi-structured interviews with grading committee chairs and members conducted between November 2017 and March 2018.ParticipantsParticipants included the eight core clerkship directors, who chaired their grading committees. We randomly selected other committee members to invite, for a maximum of three interviews per clerkship.ApproachInterviews were recorded, transcribed, and analyzed using inductive content analysis.Key resultsWe interviewed 17 committee members. Within and across specialties, committee members had distinct approaches to prioritizing and synthesizing assessment data. Participants expressed concerns about the quality of assessments, necessitating careful scrutiny of language, assessor identity, and other contextual factors. Committee members were concerned about how unconscious bias might impact assessors, but they felt minimally impacted at the committee level. When committee members knew students personally, they felt tension about how to use the information appropriately. Participants described high agreement within their committees; debate was more common when site directors reviewed students' files from other sites prior to meeting. Participants reported multiple committee benefits including faculty development and fulfillment, as well as improved grading consistency, fairness, and transparency. Groupthink and a passive approach to bias emerged as the two main threats to optimal group decision-making.ConclusionsGrading committee members view their practices as advantageous over individual grading, but they feel limited in their ability to address grading fairness and accuracy. Recommendations and support may help committees broaden their scope to address these aspirations.

Dataset Information

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

Background

Methods

Results

Conclusion

Publications

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

Similar Datasets

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