研究者詳細 - 佐藤　直

論文 - 佐藤　直

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Practice and consideration of public relations for admissions combining various means

Nao Sato, Makoto Osanai

Journal of Center for Medical Education Sapporo Medical University Vol.16 19 - 22 2025年03月 [査読有り]

This paper introduces the admissions publicity activities of the School of Medicine and School of Health Sciences and discusses their effectiveness. We use a combination of diverse means to publicize admissions. For example, we offer open campus days, which include tours, lectures on medical professionals’work, and individual consultations with current students to provide prospective students with a concrete image of the school. In addition, we believe that information sessions held by visiting high and preparatory schools directly communicate the university’s features and curriculum, increasing students’ motivation to pursue higher education and contributing to higher application rates. We publish a university guide booklet to convey the distinctive features and educational philosophy of Sapporo Medical University to prospective students and their parents. Additionally, we utilize our website and social networking service (SNS) to disseminate the latest information. We believe that by implementing these activities, we can achieve effective publicity and attract outstanding applicants. It is important to evaluate the effectiveness of each activity continuously to make future improvements.

DOI

Measuring the Compression Force Required for Vascular Shortening in Ultrasonic Vascular Models

Nao Sato, Kenji Karino

The Cureus Journal of Medical Science 14(12): e32596 ( Cureus, Inc. ) 2022年12月 [査読有り] [国際誌]

DOI

Study of a Hybrid Educational Method Using Virtual Patient Simulation and Physical Examination During the COVID-19 Pandemic

Nao SATO, Kenji KARINO, Hiroshi KAWAHARA

Shimane Journal of Medical Science 39 ( 1 ) 41 - 46 2022年05月 [査読有り]

Previous studies have shown the pedagogical benefits of using virtual patient simulation (VPS), but there are no studies using simulators and VPS together, making learner satisfaction and learning effectiveness unknown. This study investigated the satisfaction level of the educational program using simulators and VPS. From April to November 2021, 60 fifth-year medical students participated in a small-group program. Cardiac auscultation training was done for 80 min. Thereafter, VPS was administered for 70 min. A questionnaire was distributed to evaluate the overall educational program, physical examinations, and VPS program. Ninety-eight percent of the students reported participation in group discussions, and 97% reported participation levels consistent with those in medical school over five years. The physical examination rating was the median (interquartile range): 1(1-1) and 1(1-2) for the VPS. Therefore, education combining a simulator and VPS can facilitate the process from examination to diagnosis, and afford a high satisfaction level.

DOI

Chest compressions become deeper when pushing with forward lean: A simulation study

Nao Sato, Kenji Karino, Makoto Hirose, Satoru Okamoto, Tomoko Osaka, Hatsue Matsumura, Yoshiaki Iwashita

Resuscitation Plus ( Elsevier BV ) 8 100169 2021年09月 [査読有り] [国際誌]

Aim: Chest compression depth (CCD) in cardiopulmonary resuscitation is important. However, lightweight rescuers have diculty achieving an appropriate depth. Chest compression force (CCFORCE) can be increased by placing the arms at 100° to the patient’s frontal plane. In a simulation manikin study, we compared the CCD at 90° and 100° among lightweight Asian females and hypothesized that the CCD would be greater when the arms were placed at 100°. Methods: We included 35 lightweight female students from Shimane University who performed compressions 30 times each at 90°and 100°. The CCFORCE and CCD and the residual force on the chest wall during decompression for each chest compression were compared using CPRmeter-2. Results: Of the 35 participants, 3 were excluded because their angles deviated from the prescribed angle. Thirty-two participants were categorized according to CCD at 90°: ≤40 mm (group 1), 41–49 mm (group 2), and ≥ 50 mm (group 3). The overall mean CCD increased from 90° to 100° (44.3 ± 8.2 mm vs. 48.1 ± 7.2 mm; p < 0.05). The mean CCD changes between 90° and 100° were 34.4 ± 4.7 mm vs. 42.9 ± 4.8 mm (p < 0.05) in group 1, 44.9 ± 2.5 mm vs. 47.0 ± 4.2 mm (p = 0.17) in group 2, and 53.0 ± 2.7 mm vs. 55.4 ± 5.6 mm (p < 0.05) in group 3. The residual force was greater when the chest compression angle was 100°. Conclusion: CCD can be increased for lightweight rescuers when using a forward leaning position of 100° to the frontal plane of the patient. Further research is required to obtain more realistic situations.

DOI PubMed

Accuracy Evaluation of Microsoft Kinect Sensor during Dynamic Movements in Cardiopulmonary Resuscitation (CPR)

Satoru OKAMOTO, Hiroki IWASHIKI, Kenji KARINO, Nao SATO

14th International Symposium on Advanced Science and Technology in Experimental Mechanics (full-length manuscript) 2019年 [査読有り] [国際誌]

Cardiopulmonary resuscitation, commonly known as CPR, is an emergency procedure that combines chest compression often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest. This study aims at building a quantitative model indicating a motion pattern by a comparatively simple method to evaluate the skill using forms of CPR and developing an exercise support system for new practitioners of CPR and those who want to improve their movement techniques. It has become possible to estimate the index which is exactly according to 100 beats-per-minute and contains a memorable repeating drum pattern, but not to extract objective characteristics of the compression depth of more experienced practitioners and new practitioners of CPR. Although it was not possible to confirm the detailed motions of chest compressions of CPR in the Microsoft Kinect sensor measurements as obtained in the 3D motion analysis using motion capture, it is believed that an easily installed Microsoft Kinect sensor can provide motion information as the evaluation index in a short time.

Visualization of Acquisition Experience in Sternal Compression Maneuver Using Kinect Sensoring: For Co-Creation of Medical Technique Experiential Values

Nao Sato, Kenju Akai, Makoto Hirose, Satoru Okamoto, Kenji Karino

International Journal of Automation Technology 12 ( 4 ) 542 - 552 2018年07月 [査読有り]

In this study, we compare and verify data that have been rendered visual by Kinect sensoring with data obtained by conventional devices. This is in order to promote the co-creation of experiential values in the acquisition of a sternal compression technique in basic life support in the context of the improvement of the clinical skills of physicians and healthcare professionals. We find that Kinect sensoring is sufficiently accurate to evaluate measurements of the rate and depth of sternal compression; it is comparable to accelerometers and sternal compression-dedicated sensoring devices. This provides a platform for the co-creation of experiential values for the improvement of clinical skills based on the acquisition of medical techniques using the Kinect sensor, which is low in cost and easy to use. It also provides a platform for the exchange of sensor-captured information between the instructor and trainee. It is hoped that this will lead to the co-creation of values useful for the development of educational services in life-saving medical techniques.

DOI

Evaluation of Skills in Cardiopulmonary Resuscitation (CPR) Using Microsoft Kinect

Satoru Okamoto, Hiroki Iwashiki, Nao Sato, Kenji Karino

Journal of Mechanics Engineering and Automation ( David Publishing Company ) 8 ( 6 ) 264 - 272 2018年06月 [査読有り]

DOI CiNii

フィンランドの入学試験で求められるコンピテンシー:医学部の人材育成と入学者選抜システム

エルッキ・タピオ・ラッシラ, 佐藤直, 久末智実, 鷲見紋子

札幌医科大学医療人育成センター紀要 16 27 - 34 2025年03月 [査読有り]

IR情報の自動的な可視化への挑戦

篠崎淳, 高塚伸太朗, 三原弘, 山本武志, 鵜飼渉, 小山雅之, 小川宰司, 木村心南, 佐藤直, 深川周平, 横山和樹, 根木亨, 辻喜久

大学情報・機関調査研究集会論文集 13 80 - 84 2024年11月 [査読有り]

DOI

本邦におけるシミュレーションスペシャリストセミナーの現状と課題 -第 8 回シミュレーションスペシャリストセミナーの実施-

小松真也, 佐藤直, 中江悠介, 谷修介, 春日亜希子, 狩野賢二, 内藤知佐子, 熊木天児

日本シミュレーション医療教育学会雑誌 (12) 36 - 42 2024年09月 [査読有り]

持続可能な医学教育と教育者の学び

佐藤直

新しい医学教育の流れ Online Journal 24 ( 1 ) 16 - 19 2024年04月

シミュレーションスペシャリスト会におけるCOVID-19前後の活動比較とICT活用の展望

佐藤直, 淺田義和, 首藤太一, 狩野賢二

医学教育 ( 一般社団法人日本医学教育学会 ) 54 ( 6 ) 657 - 659 2023年12月 [査読有り]

The importance of simulation education has increased owing to the impact of COVID-19, and the activities of the Simulation Specialists community have consequently attracted attention. The Simulation Specialists community, which connects administrators of simulation centers, is striving to form a community and share information through seminars. In a pre-COVID-19 seminar, they shared their respective issues and innovations, created a glossary of medical terms, and prepared a practical manual. After the pandemic, online seminars were introduced to promote the use of ICT. In the future, these seminars are expected to be utilized to manage the competence of Simulation Specialists through parallel face-to-face meetings and the use of digital certificates.

血管内カテーテルシミュレータとVRを併用した新たなデジタル教育の挑戦

佐藤直, 山本泰司, 楫靖, 狩野賢二

医学教育 ( 一般社団法人日本医学教育学会 ) 54 ( 6 ) 635 - 637 2023年12月 [査読有り]

We developed a new educational program using both virtual reality (VR ) and medical simulators when hospital training was restricted during the COVID-19 pandemic. VR education enables observation of three-dimensional vascular structures from various angles. The VR-assisted educational program not only improved the learning process but also provided intrinsic motivation for medical students to study anatomy. Medical students are often hesitant to participate in medical care owing to concerns regarding exposure to radiation and risky disaster emergency situations, although participation in medical care is integral to clinical practice. VR-assisted education combined with simulation-based training is expected to be a useful solution to the aforementioned concerns.

在宅医療における急性冠症候群への対応と学習プログラムの試み

佐藤直, 狩野賢二

日本在宅医療連合学会誌 3 ( 2 ) 30 - 33 2022年05月 [査読有り]

Acute coronary syndrome (ACS) is a potentially life-threatening condition; thus，proper management and care for patients with ACS is crucial．In this study, we trained home care nurses in managing patients with ACS．We utilized next-generation simulation and virtual learning to respond to a simulated patient complaining of chest pain．The responses of the learners gave us insights on improving medical interviews and physical examinations．Our study shows that proper training of home care nurses on initial management of patients with ACS will improve their ability to make prompt emergency calls and shorten the time to reperfusion．Key Words：home health care，acute coronary syndrome，learning program. 急性冠症候群（Acute Coronary Syndrome : ACS）は生命を脅かす疾患であり，ACS患者の適切な管理とケアが重要である．そこで，訪問看護師を対象に急性冠症候群への初期対応トレーニングを行った．次世代型バーチャルシミュレーションを活用して，胸痛を訴える仮想患者への対応を行った．学習者の対応を振り返りながら，医療面接や身体診察を改善するための学習を行った．訪問看護師が急性冠症候群の初期診療を学習することで，迅速な救急要請を可能とし再灌流までの時間短縮が期待される．

DOI

訪問看護師による超音波実践と教育の検討

佐藤直, 狩野賢二, 松村初恵

日本在宅医療連合学会誌 ( (一社)日本在宅医療連合学会 ) ( 2 ) 37 - 43 2021年09月 [査読有り]

Ultrasonography is being increasingly used in home care nursing. However, nurses have few opportunities to learning this technique. Although nurses do perform ultrasonography, there are no studies that echo education for home care nurses or compare the levels of difficulty in the different echo techniques. Therefore, we investigated the practice of ultrasonography of home care nurses who utilize ultrasound. IVC observation was performed for 84% of the subjects, and bladder echo was performed for all the subjects. The median difficulty of IVC and bladder ultrasound was 4 (3-5) vs. 2 (1-3) (p<0.05). The median time required for bladder ultrasound was 4 (3-5) vs. 2(1-3) (p< 0.05). The need for home care was 4.5 (3.8 -5) vs. 5 (4.3-5) (p= 0.13), with no statistically significant difference. Since bladder ultrasound is simple and frequently used, learning this technique should be prioritized. 在宅医療にエコーが導入される中, 訪問看護師へのエコー教育やエコー手技の難易度を比較した研究はない. 本研究では, 訪問看護師のエコー実践を調査し教育の在り方を検討した．対象者の 84% が IVC 観察を行っており, 対象者の100% が膀胱エコーを実施していた．IVC および, 膀胱エコーの難易度は中央値 4(3 - 5)vs 中央値 2(1 - 3),（p<0.05）で, 膀胱エコーの難易度が有意に低い結果であった．所要時間は中央値 4(3 - 5)vs 中央値 2(1 - 3), (p <0.05)で膀胱エコーの所要時間が有意に低い結果であった．患者宅で実施する必要を度は, 中央値 4.5(3.8 - 5)vs 中央値 5(4.3 - 5), (p = 0.13)であり有意差を認めなかった．膀胱エコーは在宅医療現場で実施する必要度が高く, 実施に伴う所要時間や難易度は低い．そのため優先的に習得するべき手技である.

DOI CiNii

WebEXとシミュレータを併用した遠隔心音聴診の教育プログラム開発

佐藤直, 高橋伸幸, 狩野賢二

島根大学医学部紀要 ( 島根大学医学部 ) ( 43 ) 19 - 23 2021年03月 [査読有り]

The Clinical Skill-up Center and the Department of General Medicine provides training on heart sounds to 5th-year medical students. However, due to the spread of COVID-19, face-to-face heart sound training in our study was replaced with remote education using Webex and a simulator. Out of all of the medical students, 95％ in our program answered that it was useful for auscultation learning. The results indicated that the guidance method using the phonocardiogram and respiratory phase was useful for learning the split（+）of sound Ⅱ. Thus, live-type remote education using Webex and the physical assessment simulator, Physiko, may be used to promote remote learning of heart sound auscultation. クリニカルスキルアップセンターと総合医療学講座は, 医学科5 年次の臨床実習で心音聴診の指導を行っている. COVID-19 感染拡大により対面で提供していた心音聴診実習をWebexとシミュレータを併用した遠隔教育に移行した. 本プログラムについて95％の学生が, 聴診学習に有用であると回答した. 心音図や呼吸相を示しながら指導する方法はⅡ音分裂の理解に有用であった. WebexとフィジカルアセスメントシミュレータPhysikoを併用したライブ型教育は, 遠隔による心音聴診学習を促進すると考える.

DOI CiNii J-GLOBAL

Moodleを活用した関節エコー教育プログラムの開発

佐藤直, 本田学, 狩野賢二, 近藤正宏, 森山繭子, 村川洋子

島根大学医学部紀要 ( 島根大学医学部 ) ( 43 ) 13 - 18 2021年03月 [査読有り]

The Clinical Skill-up Center at Shimane University Hospital and the Department of Collagen Disease traditionally teach Joint Echography face-to-face to 5th-year medical students. Due to the spread of COVID-19, we replaced face-to-face Joint Echography with a learning management course using Moodle. The content of the course was reasonable, as 70％ of the students completed it in thirty to forty-five minutes. This is equivalent to the amount of time required to complete a general learning management course. Fifty percent of the students provided feedback that the course materials were easily understandable. Students expected the clinical training e-learning to include "freely available and easily understandable materials, and content that can be put into practice from the student's standpoint." Providing visual teaching materials for Joint Echography training was satisfactory for the visualization of inflammation and bone lesions. Discussions using Moodle's forum function were a useful tool for teaching the importance of targeted echography and the relationship between physical examination and testing. Further, collaborative learning using Moodle's forum function was useful for enhancing the learning experience. 島根大学医学部附属病院クリニカルスキルアップセンターと膠原病内科は, 医学科５年次の臨床実習において関節エコーの指導を行っている. COVID-19 感染拡大により, 対面で提供していた関節エコー実習をLearning Management SystemによるMoodle 教育へ移行した. コース受講者の７割が30～45 分で履修していた. これは一般的なLearning Management Systemの履修時間に等しく, 本コースは妥当なボリュームであったと考える. 本コースの特徴について5割の学生が, 分かりやすい資料を取得できるコースと回答した. 学生が臨床実習のe-learningに求める要素は「分かりやすい資料が取得でき, 学生の立場で実践できる内容」であった. 炎症や骨病変の可視化が魅力であるエコー学習において, Moodleを活用した視覚教材の提供は有用であると考える. Moodleのフォーラム機能をもちいたディスカッションは, 目的を持ったエコー検査の重要性や, 身体診察と検査の関連性を教育する有用な手段となった.

DOI CiNii

モーションキャプチャーを使用した胸骨圧迫中断時間に影響するCPRの姿勢分析

佐藤直, 廣瀬誠, 土井一磨, 山本奈美, 狩野賢二

日本シミュレーション医療教育学会雑誌 ( 日本シミュレーション医療教育学会 ) ( 8 ) 9 - 14 2020年09月 [査読有り]

Objective: This study aimed to find a way to shorten interruption time length in chest compressions by identifying factors that affect it. Methods: Using motion capture technology, we compared differences in interruption time length and posture by two groups (skilled and unskilled) during each step of chest compressions. Results: The mean duration of chest compression interruption in the skilled group was 5.82 seconds. In the unskilled group, the duration of interruption was 9.22 seconds (p < 0.05). By comparing the postures used in each instance of the procedure, significant differences were observed between the two groups. The most notable variations were related to the width of the knee opening during chest compressions, and the distance that the knee was moved for each compression (p < 0.05). Discussion: In order to minimize the duration of chest compression interruptions, it is important to extend the knee to shoulder-width and secure an adequate airway. 【目的】胸骨圧迫時間比に影響する行動を分析する。【方法】人体の動きをデジタル的に捉えるモーションキャプチャーを用いて胸骨圧迫中断中の各手順に要する時間や姿勢を2群間で比較した。【結果】熟練群の胸骨圧迫中断時間の平均は5.82秒であり非熟練群の中断時間の平均は9.22秒で有意差を認めた (p < 0.05) 。各手順における姿勢の比較において胸骨圧迫中の膝の開き幅および、胸骨圧迫後の膝の移動距離に有意差を認めた(p < 0.05) 。【考察】胸骨圧迫の中断時間を最小限にするためには、胸骨圧迫時は膝を肩幅程度に広げ十分な気道確保を行った上で換気することが重要である。

DOI CiNii J-GLOBAL

医療シミュレーションスペシャリストの現状と課題

吉川有葵, 奥幸子, 高岡奈緒美, 佐藤直, 狩野賢二, 栩野吉弘, 首籐太一

日本シミュレーション医療教育学会雑誌 ( 日本シミュレーション医療教育学会 ) 7 ( 7 ) 72 - 77 2019年 [査読有り]

スキルスラボの管理ならびに運営の問題を共有し解決する機会として第5回シミュレーションスペシャリスト(SS)セミナーを開催した。多くのスキルスラボでシミュレータの購入・修理といった金銭的な問題を抱えていた。スキルスラボの活用を広げて財源を拡充することが必要である。また、SSとしてのキャリア形成のためにもSSの育成が今後の課題であり、そのためにもSSの積極的な学会や勉強会の参加が必要である。(著者抄録)

CiNii

地域医療におけるシミュレーション教育指導者の育成と効果

佐藤直, 狩野賢二

日本医学看護学教育学会誌 ( 日本医学看護学教育学会 ) 27 ( 3 ) 28 - 34 2019年 [査読有り]

In the 2011 review meeting which discussed the revision of the content and methods of nursing education for the new nursing guidelines of 2014, the introduction of simulation education was encouraged. For this reason, instructors at community medicine facilities have been urged to introduce such new educational methods. One facility has been conducting regional medical care simulation educational instructor courses since 2012 as part of a regional human resource development program. To date, it has trained 168 leaders in the prefecture. The attributes of the participating facilities in the prefecture were classified based on the number of beds and the number of installations for each area. Approximately 29% of the participating facilities from the prefecture had fewer than 200 beds, and about 45% of the facilities had 200 or more beds. The contents of the course were shown to be focused on physical assessment that corresponded to the needs of small- and medium-sized hospitals as well as the practical nursing skills required by the nursing association. According to a questionnaire survey administered to the graduates of the course, 53% of people were appointed as hospital educational staff members, and it became clear that the role of nurses had changed and the opportunities for educational activities had increased. In addition, one person who completed the course became a leader, and under his leadership, the hospitals in the area came together to construct a network to conduct training for new nurses. Over the five years after its establishment, it became clear that the program’s approach is useful not only for educating newly trained nurses but also for preventing nurses from leaving their jobs, as well as for securing the quality of regional education. Educational leaders and graduates continue to conduct simulation education in this area, which has been shown to be useful for continuous education in community medical facilities.

CiNii J-GLOBAL

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