Learner-Centered Experience-Based Medical Education in an AI-Driven Society: A Literature Review

Komasawa, Nobuyasu; Yokohira, Masanao

doi:10.7759/cureus.46883

Cited by 8 publications

(4 citation statements)

References 41 publications

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“…Therefore, intensive simulation-based training before and during clinical clerkship may serve as an effective solution, not only for enhancing medical safety but also for reducing the stress associated with clinical clerkship. As digital education technology such as on-demand classes evolves in the medical education field [27], it may be possible to expand the ratio of simulation-based education to clinical skill acquisition [28].…”

Section: Discussionmentioning

confidence: 99%

Survey on Medical Students’ Attitudes Toward Medical Practice Just Before Clinical Clerkship in Japan

Komasawa,

Yokohira

2024

Cureus

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Introduction: The present study examined the confidence in essential medical practices during clinical clerkship (CC) and performance in preparing education for medical students who are just starting CC at our university.Methods: We conducted a survey using questionnaires with 105 fourth-year medical students just before starting CC. This questionnaire analysis consists of the confidence in objective structured clinical examination (OSCE) and computer-based testing (CBT) performance toward essential medical practice recommended in the "Report on Medical Practice during Clinical Clerkship" by the Japanese Ministry of Health, Labor, and Welfare and medical safety for CC.Results: The response rate was 67.6% (71/105). As for the performance in each OSCE theme, the confidence in basic clinical technique was significantly smaller compared to chest or abdominal examination, medical interview, and emergency response (p<0.05 each). Medical interviews showed stronger confidence compared to gynecological, breast, or rectal examinations and prostate palpitation among medical examinations (p<0.05 each). In the basic technique during CC, skin disinfection showed stronger confidence compared to other techniques (p<0.05 each). On surgical technique during CC, surgical hand washing and gown technique significantly showed stronger confidence compared to skin suture, suture removal, bleeding control, and surgical assistant (p<0.05 each). Conclusion: Our results suggest that medical students just before CC have less confidence in invasive medical practice during CC. As medical practice by student doctors becomes public, further systematic basic skill training both before and during CC is warranted.

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Section: Discussionmentioning

confidence: 99%

Survey on Medical Students’ Attitudes Toward Medical Practice Just Before Clinical Clerkship in Japan

Komasawa,

Yokohira

2024

Cureus

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“…Anesthesiologists, as leaders of the perioperative management team, need to confirm the surgical field situation with surgeons and share information meticulously and accurately. 14 During emergencies such as massive bleeding, the coordination between the surgical and non‐surgical fields, cultivated through daily clinical practice and training, is essential to exert maximum efforts in lifesaving (Figure 3 ).…”

Section: Interprofessional Collaboration In the Operating Room For Ob...mentioning

confidence: 99%

Significance of perioperative inter‐departmental collaboration for obstetric emergency response: A mini‐review

Komasawa

2024

Acute Medicine & Surgery

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This review underscores the crucial role of interdisciplinary collaboration in managing obstetric emergencies such as crisis bleeding. Prompt clinical judgment and coordinated interventions involving various departments are emphasized for the well‐being of both the mother and newborn. The review explores the importance of emergency response infrastructure in obstetric facilities and delves into the 2022 Obstetric Crisis Bleeding Guidelines, emphasizing the relevance of a DIC score for severity assessment. The collaborative efforts within the operating room, involving different healthcare professionals, are detailed, stressing meticulous coordination during emergencies like massive bleeding. The necessity of interprofessional collaboration for building a responsive perioperative management team is discussed, with a focus on leadership, followership, and effective communication. The abstract also proposes simulation‐based education for inter‐departmental training, emphasizing a modified non‐technical skill evaluation tool tailored to the unique characteristics of obstetric crisis management in the operating room. Continuous formative assessment of these factors is deemed essential for effective training in various obstetric emergency situations.

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“…The author believes that in the AI era, learning through a thorough reflection on "experience" in clinical settings and simulation environments is crucial, proposing the educational framework of "experience-based medical education (EXPBME)" [28]. In other words, in clinical and simulation environments, adopting a learning attitude that prioritizes experience and its reflection through EXPBME can effectively cultivate non-technical skills for AI management.…”

Section: Cultivating Non-technical Skills For Ai Management In Health...mentioning

confidence: 99%

Transformative Landscape of Anesthesia Education: Simulation, AI Integration, and Learner-Centric Reforms: A Narrative Review

Komasawa

2024

Anesthesia Research

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This article examines the intersection of simulation-based education and the AI revolution in anesthesia medicine. With AI technologies reshaping perioperative management, simulation education faces both challenges and opportunities. The integration of AI into anesthesia practice offers personalized management possibilities, particularly in preoperative assessment and monitoring. However, the ethical, legal, and social implications necessitate careful navigation, emphasizing patient data privacy and accountability. Anesthesiologists must develop non-technical skills, including ethical decision-making and effective AI management, to adapt to the AI era. The experience-based medical education (EXPBME) framework underscores reflective learning and AI literacy acquisition, fostering lifelong learning and adaptation. Learner-centered approaches are pivotal in anesthesia education, promoting active engagement and self-regulated learning. Simulation-based learning, augmented by AI technologies, provides a dynamic platform for technical and non-technical skills development. Ultimately, by prioritizing non-technical skills, embracing learner-centered education, and responsibly leveraging AI technologies, anesthesiologists can contribute to enhanced patient care and safety in the evolving perioperative landscape.

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Learner-Centered Experience-Based Medical Education in an AI-Driven Society: A Literature Review

Cited by 8 publications

References 41 publications

Survey on Medical Students’ Attitudes Toward Medical Practice Just Before Clinical Clerkship in Japan

Survey on Medical Students’ Attitudes Toward Medical Practice Just Before Clinical Clerkship in Japan

Significance of perioperative inter‐departmental collaboration for obstetric emergency response: A mini‐review

Transformative Landscape of Anesthesia Education: Simulation, AI Integration, and Learner-Centric Reforms: A Narrative Review

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