Systemic teaching for systemic thinking 2

Today I want to write English about previous I wrote in Japanese.

Now I'm thinking how to teach medical student from next April. When I can pass all exams, I start to work as a doctor from April.

Concept
How to teach med student systematic to think systematic.

How to do
First I make A4 size sheet which summarized the following things.
Example
Monday: Clinical thinking, Physical exam (Jugular venous pressure, Auscultation to hear sound)
Tuesday: Gram stain, infectious disease basic
Wednesday: How to read Chest X-ray systematically
Thursday: How to read ECG systematically
Friday: How to read Arterial Blood Gas systematically

I can teach one student up to a week. I want to teach them how to make a good habit which make good Bed-side learning after this rotation.

Unfortunately there is a time when I cannot teach them enough. Therefore, they have to continue to study efficiently even in those time. How they to study efficiently then? They read the sheet which I mention the above in their free time, and when I have a time, based on the sheet, I will teach them by power point or bed-side. Of course, I will change the schedule when I find a good educative case.


I think I'm not afford to make teaching resource after my resident program started. So I want to make a imperfect platform for it, and will up-date.

I will teach med students from Ryukyu University a week.
On the other hands, med students who visited from out of the prefecture will rotate difficult department each day. When all junior residents cooperate for this concept, those med students can study all teaching subject after a week stay. We have to find a way to cover all subject. For example, like a stamp rally, stamp  on back of their name tag to know whether the subject finished to teach or not.

Why I think to do this?
First, I'm not really satisfied to the classes before BSL (Bed-Side Learning). It is better for students to learn clinical things like how to interview as professional and how to read ABG, CXR, ECG before going to wards. It is useful for them. Of course, there are many opportunities to study clinical points there. But, it is better for students to study those basic things systematically before wards.
Second, actually when I attend bed-side learning, I thought there are sometimes time-wasting. Preparing teaching resources for those moments is better for students.
Third, I often attend Young doctor's seminar. In my impression, those subject should be taught in all hospitals and by all doctors. There are many participants in this seminar. It means medical training is not enough to cover those subject in our country. It is natural for all medical staff to know those subject.

I hope to be a doctor who can teach med students well.

Systemic teaching for systemic thinking

英語縛りをはずして、書くことにしたい。

来年4月から初期研修を始める（予定）に当たって、いかに医学生をうまく教えられるか考えている。


コンセプト
系統立てて考える習慣を身につけてもらえるきっかけになるように、系統立てて教える

方法
白衣のポケットに入る4つ折りのA4サイズ
以下の項目についていかに系統立てて考えるかをまとめた内容
例
月：臨床推論、ROS、P/E
火：Gram染色、感染症概論
水：CXRの系統的見方
木：ECGの系統的見方
金：ABGの系統的見方、アンケート

一人の学生と一緒にいられるのは、最長でも1週間。その後も、少しでも充実した実習になるように系統立てて考える習慣を身につけるきっかけになればと思う。

どうしても、しっかり教えられない時間が出てきてしまうと考えられる。そのため、その時間にいかに効率よく学んでもらうか。空いた時間にシートを読んでもらい、その後時間を見つけてクルズス形式で。もちろん、週によっては教育的な例があれば、スケジュールをずらした方が教育効果が高い。

多分、研修開始してしまうとゆっくり造る時間も気持ちも余裕がなくなってしまうので、今のうちにプラットフォームだけでも作っておきたい。不完全でも、アップデートはその後にでもできるはず。

県内の大学医学部からいらっしゃる学生には1週間単位で一緒にいられるだろう。
一方、短期でいらっしゃる県外の医学生には、毎日異なる科を回るので、同期の皆様から賛同いただき同じ形式を導入してもらえれば、1週間でトータルに見たら網羅できるはず。例えば、名札の後ろにスタンプラリーのようなシートを貼って、やった項目をスタンプしてもらい、ずらした内容がわかるようにしたい。

E-learning

Recently I don't have enough time to study other field, and study only medicine. While I eat, I try to learn in the internet.

For example, I can watch Cambrian palace
in the internet. It is really nice for me. I couldn't keep an hour on Thursday night. I can watch this program 20 minute every meal. The internet version is not shorten like TV version.

After I can catch up the TV program, I watch the Internet and innovation in Keio University Shounan Fuzisawa Campus (SFC) site
which is produced by Kiyoshi Kurokawa. I respect him a lot, because he encourage the younger and his widen horizon.

Akira Ikegami VS Michael Sandel

In the last weekly Bunshu, there is a article about discussion between Akira Ikegami and Michael Sandel.

Usually, I don't read this weekly magazine. I don't use train to commute. It means I don't have a opportunity to see the advertisement of those which hung in a commuter train. Today suddenly I get the information about this article.

The article is interesting for me to know humanity side of the professor. The interviewer is one of  great Japanese journalists, so he can ask the professor through "good question."
In the article, they mention the word, "good question."
In the world, there is no "bad question." If you feel that, it means the teacher couldn't lead him or her well. Sometimes, students ask questions based on obscure mean. Good teacher find what they want to ask and know. And the teacher lead them more constructive flow.

His conversational lecture is so impressive for me. Everyone can see it in the internet. It means every teacher and lecture are compared to world best lesson. It nice, but severe.

Anyway tomorrow, I have to take the latter half of mock test. Terrible・・・

Shift of study

Tomorrow I will take a mock Japanese medical board exam. This is first time to take mock test.Unfortunately, I don't prepare for the test. So my result will not be good.
From the last graduation exam, I mainly study for CK. I plan to start my study for Japanese board exam again.

Between both of CK and Japanese board exam, there are not same, but not quite difference. The important points which question tend to ask for exam taker are little difference. CK asks the detail about common diseases and preventative medicine, and the basic questions about unpopular diseases. On the other hands, Japanese exam asks the whole varieties of diseases.

Anyway, I will change my study style from tomorrow.

OJT in Mito

On 3rd January, I visited a hospital in Mito to attend OJT.
The day was just final day of new year. So many patients visited the hospitals, and it means the day was busy.

When you hear crackles on auscultation, check the diaphragm of your stethoscope fitted firmly.
It is difficult to touch the diaphragm to skin firmly, especially skin is wet. Some young doctors and students confuse to the sound as crackle.

To predict the sign of physical exam and the result of workup is most important for physician. However, when it is difficult for young doctors and students, because they don't have enough experiences to do that. All the more reason to do that consciously.

I think this was last time to attend OJT in this hospital. It was my first time to visit there on 4th January 2010. After that, I visited there so frequently. To be a honest, I cannot count how often visit there. There was most educational hospital for medical students and young doctors. I hope I will visit again to return the favor some day.

2011

Happy New Year!!

Last year was little busy year for me. January I studied in Mito hospital. The experience is very clinical and useful for me to be a resident. I could find what I need
From April to June, I visited Canada and Bangladesh. Those experiences were good for me to broaden my vision.
After that, I stayed in Japan, and took  so many graduation exams.

First, this year I have to pass Japanese board exam.
First three months, I studied on a desk so hard. When I pass board exam, I start to work as a doctor in Okinawa.
I think this year will be busier than last year. I hope I can grow up as a doctor though this year.