scholarly journals Cadaver surgical training in Japan: its past, present, and ideal future perspectives

Surgery Today ◽  
2021 ◽  
Author(s):  
Toshiaki Shichinohe ◽  
Eiji Kobayashi
Keyword(s):  
Surgical Training ◽  
Clinical Medicine ◽  
Medical Schools ◽  
Professional Autonomy ◽  
Cadaver Dissection ◽  
Private Companies ◽  
Promotion Committee ◽  
History Of ◽  
Operating Organization ◽  
Japan Surgical Society

AbstractThe framework for cadaver surgical training (CST) in Japan was established in 2012, based on the “Guidelines for Cadaver Dissection in Education and Research of Clinical Medicine” of the Japan Surgical Society (JSS) and the Japanese Association of Anatomists. Subsequently, the Ministry of Health, Labor and Welfare allocated funding from its budget for CST. By 2019, CST was being practiced in 33 medical schools and universities. Currently, the CST Promotion Committee of the JSS reviews each CST report submitted by medical schools and universities and provides guidance based on professional autonomy. This paper outlines the history of CST in Japan and presents a plan for its future. To sustain and oversee CST implementation, an operating organization, funded by stakeholders, such as government agencies, academic societies, and private companies, is needed.

scholarly journals Asymmetry And Tension: A Brief History of Medical Student Involvement In the U.S. Licensure Process

2007 ◽  
Vol 93 (1) ◽  
pp. 7-14
Author(s):  
S. Ryan Gregory
Keyword(s):  
Clinical Skills ◽  
Medical Schools ◽  
The United States ◽  
Professional Autonomy ◽  
Licensure Examination ◽  
Resident Participation ◽  
Practice Of Medicine ◽  
Resident Involvement ◽  
History Of ◽  
The U.S

ABSTRACT A little more than two years ago, the first nationally standardized clinical skills exam was added to the United States Medical Licensure Examination (USMLE) series. The implementation of this exam was troubled by vigorous resistance from medical students whose objections were supported by several prominent and powerful medical organizations. This article suggests that beyond obvious sources of tension inherent in the exam (chiefly, expense and inconvenience) a real and overlooked source of antagonism is the lack of direct involvement by examinees (students and residents) in the licensure process. Students and residents were able to promote a much larger (and acrimonious) debate than anticipated largely because of their recent ascendancy to positions of influence in medical schools and organizations. This article traces the evolution of student and resident involvement in medical schools and organizations and further suggests that the lack of parallel involvement by students and residents in the licensure process creates asymmetry in an otherwise balanced system of professional autonomy. Such asymmetry in a system balanced between medical schools, organizations and licensing authorities has led and can again lead to unproductive tension and undermine efforts on all parts to advance the practice of medicine and assure the best care possible to the American public. The author closes with a call to forum to discuss openly the possibility of increased student and resident participation in the licensure process; details of how, when and where this participation could occur should be the first items of discussion in such a forum.

A Short history of the post-graduate surgical training in Fiji - where to from here?

2018 ◽  
Vol 21 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Jitoko Kelepi Cama ◽  
Sonal Singh Nagra
Keyword(s):  
Surgical Training ◽  
Training Programme ◽  
Post Graduate ◽  
School Of Medicine ◽  
Postgraduate Training Programme ◽  
The Pacific ◽  
National University ◽  
History Of ◽  
Training Of Surgeons ◽  
Pacific Island Nations

Post-graduate surgical training at the Fiji National University (FNU), previously known as the Fiji School of Medicine) has recently been updated by incorporating elements from the Royal Australasian College of Surgeons (RACS) training curriculum. The revised curriculum maintains strong contextual relevance to the needs and pathologies of the Pacific Island nations.  This paper outlines why the FNU surgical postgraduate training programme should be applauded as a successful programme in the training of surgeons for the region.

scholarly journals Can we cure our patients in palliative care?

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Palliative Care ◽  
Herbal Medicine ◽  
History Of Medicine ◽  
Rockefeller Foundation ◽  
Medical Schools ◽  
Scientific School ◽  
Carnegie Foundation ◽  
New Model ◽  
History Of ◽  
Flexner Report

With the publication of Flexner report in 1910 and implementation in 1913, with the Rockefeller Foundation and Carnegie Foundation behind it, all medical schools on the main continents of the planet (America, Europe, and Asia) had to adapt to follow the new model of a so-called scientific school. Schools that did not meet the Flexner criteria had to be closed, such as those teaching herbal medicine, naturopathy, homeopathy, etc and only 20% of the schools maintain working. The history of medicine in USA was written by King (1984) in the article entitled XX. The Flexner Report of 1910 [1].

scholarly journals History of Voroshilov (Stavropol) medical institute: background, problems, solutions

2015 ◽  
Vol 96 (6) ◽  
pp. 1084-1089
Author(s):  
R S Spevak
Keyword(s):  
Medical School ◽  
Medical Schools ◽  
Medical Institute ◽  
General Tendency ◽  
Analysis Method ◽  
Regional Features ◽  
History Of ◽  
Academic Buildings ◽  
The University ◽  
The City

The aim of work was the objective coverage of the 1930s events, associated with the opening of Medical Institute in Voroshilov (Stavropol), revealing the background of its creation, analysis of the problems accompanying decision implementation. Using the comparative analysis method in the archival sources study common trends and patterns of regional development and their cause and effect relationships, which contributed to pauses in the university organization, were identified. The main prerequisites for the institute creation were general tendency to increase the medical schools number in the country to provide the population with medical staff of expanding network of health care institutions; regional features, reflected in the fact that the Stavropol was one of the major administrative, cultural and scientific centers in the region, which had a favorable equidistant position from the cities with already existing medical schools. In addition to that, Voroshilov Medical Institute was not established on the basis of the department or by already established institution transfer to the city, as it has been originally planned by the RSFSR Council of People’s Commissars. Although the decision to open a medical school in Stavropol has been made, the city did not have the necessary areas for its placement. Local authorities petitions on medical school establishment were of adventurous nature, the measures they took were not implemented in time. The university organization proceeded in difficult conditions: academic buildings, dormitories for students and teachers were lacking; premises surrender to medical institute from other organizations was delayed for objective reasons. Thanks to the university administration persistent efforts, with the higher authorities support Medical Institute was opened and began its work. We can not say that with the opening of the Institute the stage of its organization was completed as abovementioned problems had to be solved in the future. Otherwise, liquidation threatened to the university.

Ways and dynamics of reception of Ludwik Fleck’s work in the social sciences

2015 ◽  
Vol 54 (2) ◽  
pp. 192-210
Author(s):  
Dimitri Ginev
Keyword(s):  
Social Sciences ◽  
Intellectual History ◽  
Clinical Medicine ◽  
Social Geography ◽  
Cognitive Sociology ◽  
Comparative Sociology ◽  
The Social ◽  
History Of ◽  
Thought Styles

The problem of how to access and estimate the proliferation of receptions of Ludwik Fleck’s work in domains as diverse as social geography, history of clinical medicine, and cognitive sociology has long remained vexing. The approach suggested in this paper combines the hermeneutics of effective-historical reception with a version of epistemic reconstruction of intellectual history. Special emphasis is placed upon the forms of political contextualization of Fleck’s comparative sociology of thought styles. The author argues that the heterogeneity of receptions is essentially informed by the specificity of the ‘implicit reader’ Fleck assigned to his work. Interestingly enough, it is a ‘reader’ congruent with the post-metaphysical turns in the social sciences. This claim is defended by analyzing particular trajectories of reception of Fleck’s work.

Dizziness

2021 ◽  
Author(s):  
Kevin A. Kerber ◽  
Robert W. Baloh
Keyword(s):  
Vestibular System ◽  
Clinical Medicine ◽  
Background Information ◽  
History Taking ◽  
Symptom Presentation ◽  
Anatomy And Physiology ◽  
Common Causes ◽  
History Of ◽  
Specific Disorders ◽  
Key Aspects

Dizziness is the quintessential symptom presentation in all of clinical medicine. It is a common reason that patients present to a physician. This chapter provides background information about the vestibular system, then reviews key aspects of history-taking and examination of the patient, then discusses specific disorders and common presentation types. Throughout the chapter the focus is on neurologic and vestibular disorders. Normal vestibular anatomy and physiology are discussed, followed by recommendations for history-taking and the physical examination. Specific disorders that cause dizziness are explored, along with common causes of non-specific dizziness. Common presentations are discussed, including acute severe dizziness, recurrent attacks, and recurrent positional vertigo. Finally, the chapter looks at laboratory investigations in diagnosis and management. Figures include population prevalence of dizziness symptoms, the anatomy of inner structures, primary afferent vestibular nerve activity, the head thrust test, the Dix-Hallpike maneuver, the supine positional test, the canalith repositioning procedure, and the barbecue roll maneuver. Tables list physiologic properties and clinical features of the components of the peripheral vestibular system, information to be acquired from history of the present illness, common symptoms patients report as dizziness, examination components, distinguishing among common peripheral and central vertigo syndromes, common causes of nonspecific dizziness, types of dizziness presentations, relevant imaging abnormalities on neuroimaging studies, vestibular testing components, and medical therapy for symptomatic dizziness. This review contains 8 highly rendered figures, 11 tables, and 69 references.

Unearthing a provincial medical school and its students – A history of the 1834 ‘School of Practical Medicine and Surgery’ at the Sussex County Hospital, Brighton, England

2021 ◽  
pp. 096777202110361
Author(s):  
Benjamin Whiston ◽  
Maxwell J Cooper
Keyword(s):  
19Th Century ◽  
Rapid Change ◽  
Medical Schools ◽  
County Hospital ◽  
Practical Training ◽  
Examination System ◽  
Educational Approach ◽  
Practical Medicine ◽  
Sussex County ◽  
History Of

The 19th century was a period of rapid change in English medical education. Little is known about the important contribution of smaller, hospital-based, provincial medical schools which sprang up to provide important practical training opportunities for students, typically as a foundation for further training and examination in London. One such example is the 1834 Brighton ‘School of Practical Medicine and Surgery’, which was based at the Sussex County Hospital and recognised by the Royal College of Surgeons and Worshipful Society of Apothecaries. Unlike many other 19th century medical schools, the history of the Brighton school is largely undocumented. Although it remained dependent upon London through the ‘College and Hall’ examination system, this article shows that the school's pragmatic and adaptive educational approach allowed it to play an important role in educating future doctors in Brighton from 1834 into at least the early 20th century.

Dizziness

2021 ◽  
Author(s):  
Kevin A. Kerber ◽  
Robert W. Baloh
Keyword(s):  
Vestibular System ◽  
Clinical Medicine ◽  
Background Information ◽  
History Taking ◽  
Symptom Presentation ◽  
Anatomy And Physiology ◽  
Common Causes ◽  
History Of ◽  
Specific Disorders ◽  
Key Aspects

Dizziness is the quintessential symptom presentation in all of clinical medicine. It is a common reason that patients present to a physician. This chapter provides background information about the vestibular system, then reviews key aspects of history-taking and examination of the patient, then discusses specific disorders and common presentation types. Throughout the chapter the focus is on neurologic and vestibular disorders. Normal vestibular anatomy and physiology are discussed, followed by recommendations for history-taking and the physical examination. Specific disorders that cause dizziness are explored, along with common causes of non-specific dizziness. Common presentations are discussed, including acute severe dizziness, recurrent attacks, and recurrent positional vertigo. Finally, the chapter looks at laboratory investigations in diagnosis and management. Figures include population prevalence of dizziness symptoms, the anatomy of inner structures, primary afferent vestibular nerve activity, the head thrust test, the Dix-Hallpike maneuver, the supine positional test, the canalith repositioning procedure, and the barbecue roll maneuver. Tables list physiologic properties and clinical features of the components of the peripheral vestibular system, information to be acquired from history of the present illness, common symptoms patients report as dizziness, examination components, distinguishing among common peripheral and central vertigo syndromes, common causes of nonspecific dizziness, types of dizziness presentations, relevant imaging abnormalities on neuroimaging studies, vestibular testing components, and medical therapy for symptomatic dizziness. This review contains 8 highly rendered figures, 11 tables, and 69 references.

Neomycin: Its Nature and Practical Application

PEDIATRICS ◽  
1958 ◽  
Vol 22 (6) ◽  
pp. 1188-1188
Author(s):  
JOHN M. ADAMS
Keyword(s):  
Gastrointestinal Tract ◽  
Infectious Diseases ◽  
Clinical Medicine ◽  
Therapeutic Agents ◽  
Practical Application ◽  
History Of ◽  
Antiseptic Agent

This book on neomycin is an excellent compilation f information on an antibiotic that has gained a permanent place among the useful therapeutic agents of today. Edited by Dr. Waksman and his associates, comprising a total of 35 contributors, no aspect of the story of neomycin is untouched from its brief history of less than ten years since its discovery in 1949 to its everyday use in clinical medicine at the present time. Neomycin has found a permanent place in the therapy of man and animals, and because it is not readily absorbed from the gastrointestinal tract it has become an ideal intestinal antiseptic agent as well as being highly useful in the treatment of many infectious diseases.

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