Survey on the current status of undergraduate education on self-care in university medical schools and medical colleges in Japan

Yusuke Takamiya
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Abstract

A survey on the current status of undergraduate education on self-care was conducted in university medical schools and medical colleges in Japan. This survey was planned and conducted by the Professionalism Subcommittee of the Japan Society for Medical Education. Prior approval was given by the Ethics Committee of Showa University. Self-care education was defined as education to enhance the well-being (physical and mental health) of medical students. Of the 82 universities invited to participate, 65 universities responded to the survey, giving a response rate of 79.3%. Of these 65 universities, 32 universities (49.2%) indicated that they were implementing self-care education programs. Stress management, mindfulness, self-awareness, resilience, and improvement of self-affirmation were the most common topics, and many of the faculty in charge of the topics were psychiatrists, psychologists, and medical education faculty members. Although about half of the universities implemented self-care education programs, the educational content has not yet been standardized, suggesting the need for standardization of self-care education in the future. The survey was conducted in all medical year levels, and the results showed that self-care education is given to first- and second-year medical students. It was suggested that it is necessary to provide more education to upper-year medical students who undergo clinical practice and experience increased stress. The need for self-care education for medical students has become even more important since 2020 and onwards, partly because of the impact of the COVID-19 pandemic.
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日本大学医学院和医学院本科生自我保健教育现状调查
在日本的大学医学院和医学院进行了一项关于本科生自我护理教育现状的调查。这项调查由日本医学教育学会职业素养小组委员会策划和实施。事先获得了昭和大学伦理委员会的批准。自我保健教育被定义为提高医学生福祉(身心健康)的教育。在受邀参与调查的 82 所大学中,有 65 所大学对调查做出了回应,回应率为 79.3%。在这 65 所大学中,有 32 所大学(49.2%)表示正在实施自我保健教育计划。压力管理、正念、自我意识、抗压能力和提高自我肯定是最常见的主题,负责这些主题的教师很多是精神科医生、心理学家和医学教育教师。虽然约有一半的大学实施了自我保健教育计划,但教育内容尚未标准化,这表明今后需要对自我保健教育进行标准化。调查在所有医学年级进行,结果显示,自我保健教育的对象是一年级和二年级的医学生。有人建议,有必要为高年级医学生提供更多教育,因为他们要进行临床实践,压力更大。自 2020 年起,医学生的自我保健教育变得更加重要,部分原因是 COVID-19 大流行的影响。
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