ACP日本支部2018年次総会黒川賞（若手医師部門）を受賞して

千葉大学医学部附属病院総合診療科の鋪野紀好先生から、ACP日本支部2018年次総会黒川賞（若手医師部門）受賞の報告を頂きましたので、PRC委員会から広報いたします。(PRC　宮内隆政）

・・・・・・・・・・・・・・・・・・・・・・・・・

ACP日本支部2018年次総会黒川賞（若手医師部門）を受賞して

千葉大学医学部附属病院総合診療科

鋪野紀好

この度は、ACP日本支部2018年次総会で黒川賞を頂き、大変光栄です。2018年度から”Best Abstract”は「黒川賞」に変更となり、最初に黒川賞を受賞できたことを大変名誉に思います。

研究の経緯

今回研究を行うきっかけとなったのは、眼底鏡診察を、自信を持って実施できる内科医は少ないと感じたことである。自分の周りも見回しても、我が師匠である生坂先生を除いて、眼底鏡を実際の診療で積極的に活用している医師はほとんどいなかった。共同研究者である菊川誠先生（九州大学大学院医学研究院医学教育学講座）が発表されているが、初期研修医、内科専攻医、内科指導医のいずれも、約90％は眼底鏡を利用していないまたは2、3ヵ月に1回の使用頻度とされる。その理由としては、眼底鏡診察が苦手というのがほとんどの理由であった。

自分が眼底診察を教えてみると、なぜ観察が難しいのかに気付いた。それは、学習者と指導者が同じ画面を共有できないことにある。学習者からすれば、今確認しているものが、本当に正しいのかについてフィードバックを受けられず、確証が得られない。また指導医も、なぜ確認できていないのかを指摘するのは至極難しい。そんなジレンマを感じていた。

研究の転機

研究の転機となったのは2017年3月のスタンフォード大学医学部内科への視察であった。そこで、エロル・オズダルガ医師と出会い、眼底鏡の教育にiExaminer systemを用いた教育手法について学んだ。彼とは、この教育手法を日本に持ち帰り実践したいこと、また教育効果についてリサーチしたいことを語りあい、快く承認してくれた。

千葉大学医学部クリニカル・クラークシップへの導入

まず、このiExaminer systemを用いて実際の教育を行ったところ、学生からの満足度は高く、今後の臨床実習でも積極的に使っていきたいという声が相次いだ。次に、本当にスキルが向上するかを確認するために、本学のシミュレーションセンターである、クリニカル・スキルズ・センターへ眼底鏡シミュレータの協力を仰いだ。教育の前後で評価することで、教育効果を明確にするためだ。題材は何にするか、問題数はいくつにするかなど、共同研究者とのやり取りは白熱した。特に今回の研究は「観察力」の評価だったので、そこに「解釈力」の評価が混入しないように腐心した。また、教員による教育効果は二重盲検化がデザイン的に困難であったため、最小限にするための工夫を行った。

今後の期待

今回の研究では、iExaminer systemを用いることで、眼底鏡診察の診断精度が向上し、かつ観察時間が短縮されることが示された。iExaminer systemは約8000円のアダプターと、今日だれもが携帯しているiPhoneさえあれば、フリーで利用できるため明日からでも実施可能である。この教育手法が広まることで、自信を持って眼底を診察できる医師が１人でも増えることを祈ってやまない。

Poster_ACP Japan 2018_Shikino

写真：黒川賞演題候補としてのプレゼンテーション

写真：スクリーンに自分の名前が映し出された時には心が震えた瞬間であった

写真：右からBA Muruganathan先生、Jack Ende先生、筆者、黒川清先生

写真：応援に駆けつけてくださった千葉大学医学部附属病院総合診療科メンバーと

June 9, 2018

Chapter Business Report 2017-2018: CMC

Credentials/Membership committee

Chair: Eiji SHINYA

Vice-chair: Koichiro YUJI

Members: Katsuhisa BANNO, Hitoshi SAWAOKA, Shunji YAZAKI, Hideto WATABE, Jotaro OHNO, Yusaku KAJIWARA, Satoshi, JOSHITA、Tsunenori SAITOand Minako YAMAOKA-TOJO

Report:

Reviewed 14 application forms and the applicants’ qualifications for the FACP advancement.
Nine new fellows, including Three invited fellows, were elected from June 2017 to May 2018.
Revised the descriptions of each membership category in the home page to augment the recruitment of new members
Co-hosted the FACP session in the annual meeting of ACP Japan Chapter, to promote the understanding of FACP as well as the application for it

Plan:

Review application forms for FACP advancement and judge the applicants’ qualifications by online as quickly as possible.
Respond to queries from members and board of ACP Japan Chapter regarding membership in collaboration with secretary.
Co-host the FACP session in the annual meeting to promote the understanding of FACP to promote the applications for it

June 9, 2018

Chapter Business Report 2017-2018: ECPC

Early Career Physicians Committee

Chair: Akihito Kawashima, MD

What We Accomplished

2017年度ACP日本支部総会において、若手医師および医学生を対象に国際学会会場でも積極的に討論へ参加できるような『英語力の身につけ方』についてのセッションを開催しました。
日常の臨床現場で研修医のために役立つワンポイントレクチャーとして、『5分間ティーチング』と題してグループワークを開催しました。

What We are Working On

若手医師に対して研修医への教育方法や自身のキャリアデベロップメントについての提案を行っています。
委員内のディスカッションをよりタイムリーに、より活発にできるようにSNSを積極的に取り入れています。

What We Plan To Initiate

2018年度ACP日本支部総会において、若手医師および医学生を対象に国際学会会場でも積極的に討論へ参加できるような『英語力の身につけ方』についてのワークショップを開催する予定です。
2018年秋に関東でのワークショップも検討しています。
テクノロジーの目覚ましい進歩に着目しディープラーニングやAIの医療への応用について、積極的に検討していこうと考えています。

June 9, 2018

Chapter Business Report 2017-2018: HPPC

Health and Public Policy Committee

Yuhta Oyama MD, FJSIM, FACP

Report:

Planned and going to have a workshop at the 2018 chapter meeting titled “The road to an FACP – Why and how do we aim for it? -“

Plan:

Continue to develop a model to resolve common challenges on medical professionalism
Preparation of criteria for COI disclosure of roles at ACP Japan Chapter (ACP-JC) and COI disclosure at annual meeting of ACP-JC
Attempt to publish Choosing Wisely lists as the ACP-JC based on questionnaire of ACP-JC members
Examine and discuss “End of life care” that would more suitable for Japanese medical circumstances
Analyze the attitude of ACP headquarters towards COI and report it to the ACP-JC members

June 9, 2018June 9, 2018

Chapter Business Report 2017-2018: LNC

Local Nominations Committee

Nobuhito HIRAWA MD FACP

REPORT:

We recruited the candidate of new governor of ACP Japan Chapter. And we selected Dr. Kenji Maeda MD, FACP as the candidate of the next governor and reported it to ACP headquarter.

The following ACP members were selected to receive each award.

– Laureate Award

Yuko Takeda MD, FACP (ACP Number 1009004)

– Sakura Award of Excellence

Haruko Miyamoto (The former clerk of ACP Japan Chapter)

– Volunteerism Award

There is not an applicable person this year.

– ACP Japan Chapter Contribution Award

Yugo Shibagaki MD, FACP (ACP Number 1245920)

Soichiro Ando MD, FACP　 (ACP Number 1290215)

Harumi Gomi Yano MD, FACP　(ACP Number 1098937)

Eiji Shinya MD, FACP　(ACP Number 1064281)

Nobuhito Hirawa MD, FACP　 (ACP Number 1271684)

The shield or the commendation with a pin badge is conferred on the prize winner.

PLAN:

– Start to accept recommendations for 2019 Laureate Award, Volunteerism Award, Sakura Award of Excellence and ACP Japan Chapter Contribution Award.

– Start to search candidates for Mastership next year

June 9, 2018June 9, 2018

Chapter Business Report 2017-2018: PRC

Public Relations Committee

Chair; Yasuo OSHIMA MD PhD FACP

PRC regularly releases Governor’s Newsletter and updates Facebook page of the ACP Japan Chapter.

Report: What we have done

The Governor’s Newsletter

The Governor’s Newsletters were published four times (two English and two Japanese versions)　in 2017 fiscal year. Since 2016, Governor’s Newsletter has been designed by Professor Akihisa Tatsumi of Kyoto University of Arts.

The Facebook page

The Facebook page of the ACP Japan Chapter is designed to inform the public of the latest articles from Annals of Internal Medicine, Internist Weekly, and other information from ACP and ACP Japan Chapter.

PRC members posted 127 articles on ACP Japan Chapter Facebook page. ACP Japan Chapter Facebook page has acquired 878 “likes” by the end of April 2018.

One of the academic discussion on the facebook page was published on the journal, Annlas of Internal Medicine (http://annals.org/aim/article-abstract/2664837/comparative-effectiveness-routine-invasive-coronary-angiography-managing-unstable-angina?doi=10.7326%2fL17-0521)

In the clinic project

PRC and collaborating members translate “In the clinic” articles. The first Japanese-translated article has been released on Apr 2018.
(http://annals.org/aim/fullarticle/2679145/hepatitis-c-virus-japanese-version?guestAccessKey=08419633-3b84-4407-bc89-a1691d59efb3)

Communication server

PRC established communication server (https://plaza.umin.ac.jp/~ACP/), which facilitates communication within Japan Chapter members and public. After beginning of the server on Dec 2017, there are 6963 visit as of 5/13/2018.

Award

PRC was approved chapter development fund for an activity of “In the clinic project”.

Plan: What we are going to do

PRC are going to maintain above mentioned activities including publishing governor’s newsletter, posting articles on the facebook page, “In the clinic” project.

June 9, 2018

Chapter Business Report 2017-2018: SC

Student Committee

Chair: Natsumi MOMOKI

REPORT:

prepared for the session presented by the student committee at general meeting
had presentations about ACPJC at several workshops run by highly motivated students and young doctors, and let them know for example, what is ACP, what we do, or what we can offer them and to promote them to join in the general meeting

PLAN:

To recruit more new student members, we have to make plans other than just advertising by making use of mailing list and Facebook.

First and forecast, we have to get medical students recognize the presence of ACPJC. As student member’s fee is free and we offer them several privileges, we can expect them to join ACPJC member by having them know the advantages.

Although we offered student members discounts for our general meeting as one of advantages, we faced difficulty making them join our general meeting for this two years. To improve this situation, we would like to propose taking a survey to understand what medical student in Japan feel current circumstance is lacking in, and what they really need. That could give us one of the effective ways to make our general meeting be more unique.

June 9, 2018June 9, 2018

Chapter Business Report 2017-2018: SPC

Scientific Program Committee

Chair; Yugo Shibagaki, MD, FACP

Agenda 1 Organization 2017-18

Chair: Yugo Shibagaki

Vice-chair: Teruhisa Azuma, Sugihiro Hamaguchi

Members:

Masako Utsunomiya, Shungo Yamamoto, Yasuhiro Akai, Tsuguru Hatta

Hideaki Shimizu, Mikio Hayashi, Shunpei Yoshino, Sho Fukuoka, Atsuko Uehara

and Noriaki Kurita

Agenda 2 Chapter Business Report: June 2017 – Present (June 2018)

– ACP Japan Chapter Annual Meeting 2017 (http://www.acpjapan.org/acp2017/)

Last year, we held the ACP Japan Chapter Annual Meeting 2017 at the Kyoto University Clock Tower Centennial Hall and the Kyoto University International Innovation Center on June 10^th and 11^th, 2017. Since we expanded the venues (rooms) for the session, we could accommodate as many as 32 sessions (didactic sessions, workshops), 8 luncheon seminars, special sessions (Plenary session, Governor’s address, Dr’s Dilemma and ACP update), a poster session with almost 100 abstracts with best poster presentation on the following day, so we kept the number of the sessions which increased significantly every year since 2013. The Doctor’s Dilemma (Medical quiz session) attracted many contestants from hospitals all over Japan which ended with a much success and the some of the winners were selected as the members representing ACP Japan Chapter and just participated and did their best in the Doctor’s Dilemma held in Internal Medicine 2018 held in May, 2018 in New Orleans. The poster discussion was a very lively session with many participants with full of discussions. Three presenters with each representative of students, residents and young physicians were awarded and had a chance to give a presentation in the main hall the next day, applied to the Internal Medicine Meeting 2018 and seemed to get motivated by this wonderful experience. We had the immediate past president, Dr. Nitin Damle, who provided the educational talk at the plenary session and ACP update.

Agenda 3 Chapter Business Plan:

– Organizing the Annual Meeting 2018 of the ACP Japan Chapter (http://www.acp2018.org/)

On June 2nd and 3rd, 2018, we will organize the Annual Meeting 2018 of the ACP JC in Kyoto. Beginning last year, Kyoto University International Innovation Center was added to the venue of the Meeting as well as Kyoto University Clock Tower Centennial Hall to accommodate more attractive sessions and lectures. In fact, this year we accommodate 45 sessions with special sessions

The theme of the Meeting this year is “Mind & Arts as Essentials for Internists: Beyond Evidence and Technology”. We will address this very important issue in the plenary session, following the keynote lecture from the immediate past president of ACP, Dr. Jack Ende, with experienced physicians who practice medicine with mindfulness as guest speakers, discussing how we can raise the mindful care as well as technical part of medicine in the era of super-aging society with the frail elderly. In addition, we will offer sessions like Dr’s Dilemma (an inter-institutional Quiz tournament by teams of residents), the poster-discussion session, as well as the special talk by Dr. Jack Ende. This time, we also invite Dr. Muruganathan from India chapter of ACP to enhance the partnership with Asian chapters.

– Organizing the Annual Meeting 2019 of the ACP Japan Chapter

We are planning to hold ACP JC 2019 on June 1st and 2nd in Kyoto with the same venue as this year.

June 9, 2018June 9, 2018

Chapter Business Report 2017-2018: WC

Women’s Committee:

Chair; Noriko Yamamoto MD, FACP, Yamamoto Clinic

Co-Chair; Noriko Kawashima, MD, FACP, Kawashima Neurology Clinic

Members; Keiko Arai MD, FACP, Arai Clinic

Yuko Morishima MD, FACP, Division of Clinical Medicine Department of Pulmonary Medicine, University of Tsukuba

Eri Kimura,MD,Iizuka hospital

Report;

We has started the activity of Women’s committee on late July 2017.

We hold the panel Discussion at the annual session of ACP Japan Chapter (Today)

3 Women’s Leader talk and discuss important and tough subjects what young female doctors take great interest . They will give many tips to young doctors and medical students.

*We opened a page of Facebook as ACP Japan Women’s Committee(Closed Group)

Plan;

Next year we will hold a session to encourage young female doctors and students

In the annual session of ACP Japan chapter.

We will recruit some members this year.( es,young doctors and medical students)

We will have a plan to make a networking of female doctors and medical students in ACP Japan Chapter. We will be able to have mentorship among the chapter in the future. We also will utilize our facebook page.

June 8, 2018June 8, 2018