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The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review

Author

Listed:
  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan 699-1221, Shimane, Japan)

  • Yoshinori Ryu

    (Community Care, Unnan City Hospital, 96-1 Iida, Daito-cho, Unnan 699-1221, Shimane, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, Izumo 693-8501, Shimane, Japan)

Abstract

Community-based medical education (CBME) offers vital support to healthcare professionals in aging societies, which need medical trainees who understand comprehensive care. In teaching comprehensive care practices, CBME can involve citizens from the relevant community. This research synthesizes the impact of the involvement of communities on the learning of medical trainees in CBME. We conducted a systematic review, in which we searched ten databases from April 1990 to August 2020 for original articles in Japan regarding CBME involving citizens and descriptively analyzed them. The Kirkpatrick model was used to categorize the outcomes. Our search for studies following the protocol returned 1240 results; 21 articles were included in this systematic review. Medical trainees reported satisfaction with the content, teaching processes, and teachers’ qualities. Medical trainees’ attitudes toward community and rural medicine improved; they were motivated to become family physicians and work in communities and remote areas. This review clarified that citizen involvement in CBME had an effective impact on medical trainees, positively affecting perceptions of this type of education, as well as improving trainees’ knowledge about and attitude toward community and rural medicine.

Suggested Citation

  • Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1575-:d:495186
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    References listed on IDEAS

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    1. Nak-Jin Sung & Yong-Jun Choi & Jae-Ho Lee, 2018. "Primary Care Comprehensiveness Can Reduce Emergency Department Visits and Hospitalization in People with Hypertension in South Korea," IJERPH, MDPI, vol. 15(2), pages 1-11, February.
    2. Hea Young Cho & Malcolm MacLachlan & Michael Clarke & Hasheem Mannan, 2016. "Accessible Home Environments for People with Functional Limitations: A Systematic Review," IJERPH, MDPI, vol. 13(8), pages 1-24, August.
    3. Heeeun Jung & Miji Kim & Yunhwan Lee & Chang Won Won, 2020. "Prevalence of Physical Frailty and Its Multidimensional Risk Factors in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study," IJERPH, MDPI, vol. 17(21), pages 1-20, October.
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    Cited by:

    1. Kasumi Nishikawa & Ryuichi Ohta & Chiaki Sano, 2022. "Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    2. Ryuichi Ohta & Satoko Maejma & Chiaki Sano, 2022. "Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    3. Nozomi Nishikura & Ryuichi Ohta & Chiaki Sano, 2021. "Effect of Residents-as-Teachers in Rural Community-Based Medical Education on the Learning of Medical Students and Residents: A Thematic Analysis," IJERPH, MDPI, vol. 18(23), pages 1-12, November.
    4. Ryuichi Ohta & Chiaki Sano, 2022. "Reflection in Rural Family Medicine Education," IJERPH, MDPI, vol. 19(9), pages 1-9, April.
    5. Ryuichi Ohta & Yoshinori Ryu & Chiaki Sano, 2021. "Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees," IJERPH, MDPI, vol. 18(11), pages 1-14, June.

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