Evidence map›Paper›PMID 34204070›Full record

ArticleInternational journal of environmental research and public health2021

Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees.

Ryuichi Ohta, Yoshinori Ryu, Chiaki Sano

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 27 citations in OpenAlex.

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  18. Bedside Teaching in Rural Family Medicine Education in Japan.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. Reflection in Rural Family Medicine Education.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Ryuichi OhtaCommunity Care, Unnan City Hospital, Shimane 699-1221, Japan.
Yoshinori RyuCommunity Care, Unnan City Hospital, Shimane 699-1221, Japan.
Chiaki SanoDepartment of Community Medicine Management, Faculty of Medicine, Shimane University, Shimane 690-0823, Japan.ORCID 0000-0002-9796-5161
Shimane University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Family medicine is vital in Japan as its society ages, especially in rural areas. However, the implementation of family medicine educational systems has an impact on medical institutions and requires effective communication with stakeholders. This research-based on a mixed-method study-clarifies the changes in a rural hospital and its medical trainees achieved by implementing the family medicine educational curriculum. The quantitative aspect measured the scope of practice and the change in the clinical performance of family medicine trainees through their experience of cases-categorized according to the 10th revision of the International Statistical Classification of Disease and Related Health Problems. During the one-year training program, the trainees' scope of practice expanded significantly in both outpatient and inpatient departments. The qualitative aspect used the grounded theory approach-observations, a focus group, and one-on-one interviews. Three themes emerged during the analysis-conflicts with the past, driving unlearning, and organizational change. Implementing family medicine education in rural community hospitals can improve trainees' experiences as family physicians. To ensure the continuity of family medicine education, and to overcome conflicts caused by system and culture changes, methods for the moderation of conflicts and effective unlearning should be promoted in community hospitals.

Indexed as

Family PracticeHospitals, RuralCurriculumHumansJapanPhysicians, Familyeducational curriculumfamily medicinerural community hospitalscope of practiceunlearning

Identifiers

PMID34204070
PMCPMC8201291
OpenAlexW3170734252

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.