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東京大学医学教育国際協力研究センターによる アフガニスタンの医学教育への取組み

東京大学医学教育国際協力研究センターによる アフガニスタンの医学教育への取組み. Activities for Medical Education in Afghanistan by International Research Center for Medical Education, University of Tokyo. 東京大学医学教育国際協力研究センター　大西弘高 International Research Center for Medical Education, University of Tokyo Hirotaka Onishi MD, MHPE.

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東京大学医学教育国際協力研究センターによる アフガニスタンの医学教育への取組み

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  1. 東京大学医学教育国際協力研究センターによるアフガニスタンの医学教育への取組み Activities for Medical Education in Afghanistan by International Research Center for Medical Education, University of Tokyo 東京大学医学教育国際協力研究センター　大西弘高 International Research Center for Medical Education, University of Tokyo Hirotaka Onishi MD, MHPE

  2. センターの取り組み内容Activities for Med Educ in Afghanistan • JICA医学教育プロジェクト • アフガニスタン看護学部カリキュラム共同研究プロジェクト • 東京大学共同研究拠点プロジェクト  ２は田代先生の講演内容参照 ３は現在のところ１の増強のみ

  3. 新しいGP養成型医学教育システムNew Med Educ System for Developing GPs GP養成能力 EDC 早期臨床体験実習 Early Expo to Clin Med カリキュラムの開発と管理 Curriculum Development 評価 Evalation 外来患者への問診実習 Outpatient Practical 教材開発 Dev of Teaching Materials カリキュラムと教員の評価 Curriculum Evaluation 問題基盤型学習（PBL） Feedback 症例基盤型学習/講義（CBL） • 教育技能養成（FD） • JICA (東大) • EDC 質問とフィードバックの技法 Question and Feedback Skills ﾄﾚｰﾆﾝｸﾞ 改善 Training

  4. 全体像に対する教育哲学Educational philosophy for the project • 教育者中心教育から学習者中心教育へFrom teacher-centered to student-centered education • 教室から現場へ　From classroom to the site • 知識偏重から技能・態度も含めた教育へ Not only knowledge but skills and attitudes • GP育成に関する大学全体の意識向上　 Awareness-raising to develop GPs by whole KMU

  5. ２つの教育施設のギャップGap between 2 Educational Facilities

  6. CBL Differential Dx are AP, PE, dissection, etc I don’t know diff. dx for chest pain… What do you think the dx is? Why? Sounds like Angina Pectoris. Newly emerged or repetitive? 65yo man felt oppressive chest pain while walking at 7am

  7. 外来患者の診察Clinical Exam in Outpatient Dept Vertebral disc hernia is most suspected… When I carried heavy box, sudden lumbar pain hit me. After that I cannot stand up. Hx taking was done. Please wait. Dr will do physical exam and explanation later.

  8. 質問とフィードバックQuestioning and Feedback St: 40yo woman complains of bilateral chronic headache with stiff neck. Dr: What do you think? St: Tension headache is most likely. Dr: Why do you think that? St: Headache is not sudden but chronic and bilateral. Dr: Which dx did you exclude? St: Neurological exam showed no abnormal findings. Large brain tumor or hemorrhage is unlikely. Dr: Good job. Don’t forget the report. St: Thank you.

  9. 臨床教育の場: どこでも可能！Clinical Teaching, Everywhere!

  10. EDCの機能　EDC function • 活動　Activities • 教育技能改善（FD） • カリキュラム，教員評価　Evaluation • カリキュラム全体の管理　Administration

  11. 有意義な評価のコツTips for Meaningful Evaluation • 質的データ→量的データ Proceed from qualitative to quantitative data • まずは結果を出す To report is priority • 評価は改善の第一歩 Evaluation is 1st step to improve • 自分たちの教育評価データがあって初めてKMUの改善が可能に Cannot improve KMU until own evaluation data is available

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