Correlation of student performance on clerkship with quality of medical chart documentation in a simulation setting

Komasawa, Nobuyasu; Terasaki, Fumio; Nakano, Takashi; Kawata, Ryo

doi:10.1371/journal.pone.0248569

Cited by 13 publications

(7 citation statements)

References 26 publications

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“…In 2005, the Common Achievement Test Organization (CATO) was established as a third party and introduced the CBT to evaluate basic medical knowledge before CC in Japan. [ 18 ] The CBT consists of multiple-choice 320 questions about basic clinical knowledge over the course of 6 hours. The CBT includes clinical disciplines and related basic medical knowledge.…”

Section: Methodsmentioning

confidence: 99%

Gender differences in repeat-year experience, clinical clerkship performance, and related examinations in Japanese medical students

et al. 2022

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While the number of female medical students is increasing in Japan, gender differences in medical school performance have not been studied extensively. This study aimed to compare gender differences in repeat-year experience, Clinical Clerkship (CC) performance, and related examinations in Japanese medical students. We retrospectively analyzed the number of repeat-year students and years to graduation for male and female medical students, and assessed gender differences in performance on computer-based testing (CBT) before CC, CC as evaluated by clinical teachers, the CC integrative test, and the graduation examination in 2018-2020 graduates from our medical school. Subgroup analyses excluding repeat-year students were also performed. From 2018 to 2020, 328 medical students graduated from our medical school. There were significantly fewer repeat-year female students compared to male students (P = .010), and the average number of years to graduate was significantly higher for male students than female students (P < .001). Female students showed higher scores and performance in all integrative tests and CC (P < .05, each). In analysis excluding repeatyear students, there were no significant gender difference in performance on the CBT, and CC integrative test, although female students significantly outperformed male students on the CC and graduation examination. Female medical students had a fewer number of repeat-years and performed better in the CC and graduation examination compared to their male counterparts.

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Section: Methodsmentioning

confidence: 99%

Gender differences in repeat-year experience, clinical clerkship performance, and related examinations in Japanese medical students

et al. 2022

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“…Statistical analyses were performed using JMP Pro V.13.2.1 (SAS Institute, Cary, North Carolina, USA). 14 Results were compared using the Χ 2 test. P<0.05 was considered statistically significant.…”

Section: Methodsmentioning

confidence: 99%

Attitude toward career development in Japanese medical students: a questionnaire survey

Komasawa,

Yokohira

2024

BMJ Open

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ObjectivesThe study aimed to evaluate attitudes of Japanese medical students toward career development, including the acquisition of medical specialty and doctorate degree qualifications.DesignThis involved a web-based questionnaire survey.SettingWe asked medical students about attitudes toward career development after graduation. We also asked them about their intentions to acquire a medical specialty and a doctorate degree using a 5-point Likert scale.ParticipantsAll 699 medical students (from first to sixth grade) in our medical school.ResultsThe overall questionnaire response rate was 66.5% (465 of 699). Over 90.3% (420 of 465) of respondents desired the clinical discipline, while only 10 of 465 respondents (2.2%) did for basic research. Awareness of career development for ≥8 years after graduation was significantly lower compared with that for 1–2 years after graduation among fourth–sixth year students (fourth p=0.0023, fifth p<0.001, sixth p<0.001). Awareness of career development for 3–7 years after graduation was significantly lower compared with that for 1–2 years after graduation among third–sixth year students (third p<0.001, fourth p=0.003, fifth p<0.001, sixth p<0.001). In the sixth year medical students, only 10.3% showed strong awareness of career development for ≥8 years after graduation, while 39.7% of them did for 1–2 years after graduation. Intentions to acquire a doctorate degree were significantly weaker than those for a medical specialty in all years (p<0.001 in all grades).ConclusionMost Japanese medical students concentrated on the 2-year initial training period immediately after graduation, with vague plans for the subsequent years. Intentions to acquire a doctoral degree were significantly lower than those for a medical specialty. Our findings underscore the necessity for a comprehensive, longitudinal and systematic career development programme.

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“…We also emphasized that withdrawing from the study would not impact their academic outcomes. The study sample included medical students in Japan aged >18 years 10 , 11 ) .…”

Section: Methodsmentioning

confidence: 99%

Comparison of attitudes toward community-based medicine between regional-quota and general-selected medical student in Japan

Komasawa,

Yokohira

2024

J Rural Med

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Objective: This study compared the regional-quota and general-selected medical students' understanding, interest, and confidence in the community medicine practice and their attitudes toward the concept guidelines. Methods: We conducted a Web-based questionnaire survey regarding the understanding, interest, and confidence in future community medicine practice and attitudes toward concept guidelines among medical students of all grades (regional-quota and general-selected: n=82 and n=617, respectively). Results: The overall response rates were 68.5% (56/82) and 66.0% (409/617) in the regional-quota and general-selected groups, respectively. Although there was no significant difference between the groups in terms of understanding (P=0.998), interest and confidence in future practice were significantly higher in the regional-quota group (both P<0.001). There was no significant difference between the two groups for any of the six questions regarding community medicine guidelines. Conclusion:The understanding of community medicine or its conceptual guidelines did not significantly differ between the two groups; however, interest and confidence in future practice were significantly higher in the regional-quota group. These results suggest that the regional-quota system positively upregulates the interest in community medicine, which could be associated with confidence in future practice. Comprehensive and longitudinal improvements in the regional-quota system may be effective in cultivating community medicine.

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Correlation of student performance on clerkship with quality of medical chart documentation in a simulation setting

Cited by 13 publications

References 26 publications

Gender differences in repeat-year experience, clinical clerkship performance, and related examinations in Japanese medical students

Gender differences in repeat-year experience, clinical clerkship performance, and related examinations in Japanese medical students

Attitude toward career development in Japanese medical students: a questionnaire survey

Comparison of attitudes toward community-based medicine between regional-quota and general-selected medical student in Japan

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