Researcher Profile and Settings

Master

Affiliation (Master)

• Faculty of Medicine　Center for Medical Education and International Relations

Affiliation (Master)

• Faculty of Medicine　Center for Medical Education and International Relations

researchmap

Profile and Settings

Affiliation

• Hokkaido University, Faculty of Medicine, Associate Professor

Profile and Settings

• Name (Japanese)

  Murakami

• Name (Kana)

  Manabu

• Name

  201201080411940303

Affiliation

• Hokkaido University, Faculty of Medicine, Associate Professor

Achievement

Research Areas

• Life sciences / Healthcare management, medical sociology

Research Experience

• 2023/04 - Today Hokkaido University Faculty of Medicine Associate Professor

Awards

• 2022 北海道大学 全学教育科目エクセレント・ティーチャーズ
  
• 2021 北海道大学 全学教育科目 エクセレント・ティーチャーズ
  
• 2018 北海道医学会 研究奨励賞
  
• 2016 北海道大学 教育総長賞
  
• 2015 北海道大学 全学教育科目 エクセレント・ティーチャーズ
  
• 2014 北海道大学 医学部医学科 優秀教員賞
  

Published Papers

• Factors that hinder critical thinking and their resolution: Is active learning the key?

  Akiko Takeuchi, Shigeki Jin, Manabu Murakami, Kotaro Matoba

  Pakistan journal of medical sciences 40 (6) 1313 - 1314 2024/07 [Refereed]
  
• The importance of early clinical exposure and interprofessional collaboration: Commonalities between Taiwan and Japan in the field of community medicine.

  Manabu Murakami, Akiko Takeuchi, Shigeki Jin, Kotaro Matoba

  Journal of the Chinese Medical Association : JCMA 86 (11) 1037 - 1038 2023/11/01 [Refereed]
  
• Can the "Five Challenges" Overcome the Problem of "Reform Without Change" in Medical Education? Reexamining the "Hidden Curriculum".

  Manabu Murakami, Akiko Takeuchi, Shigeki Jin, Kotaro Matoba

  Acta medica portuguesa 36 (9) 613 - 614 2023/09/01 [Refereed]
  
• Objective Evaluation of Oral and Pharyngeal Areas in Autopsy Cases of Obstructive Sleep Apnea Syndrome via Postmortem CT.

  Akiko Takeuchi, Hideki Hyodoh, Shigeki Jin, Satoshi Tanaka, Manabu Murakami, Kazuyuki Minowa, Kotaro Matoba

  Current medical imaging 2023/03/28 [Refereed]
   

  BACKGROUND: Obstructive sleep apnea syndrome (OSAS) can cause sudden death during sleep. Previous findings have suggested that OSAS development is related to maxillofacial morphology. Evaluation of facial morphology can determine the risk of developing the disease, and establishing an objective method to assess the underlying etiology of OSAS-related death would be advantageous. OBJECTIVE: The objective of this study is to determine the key features of obstructive sleep apnea syndrome (OSAS) using postmortem oral and pharyngeal computed tomography (CT). METHODS: We retrospectively assessed autopsy cases of patients with (n=25) and without (n=25) OSAS-related death. We used oral and pharyngeal CT images to compare the oral and pharyngeal cavity volume (OPCV), oral and pharyngeal soft tissue volume (OPSV), oral and pharyngeal air space volume (OPAV), and OPAV to OPCV ratio (%air). Receiver operating curve (ROC) analysis was used to determine the accuracy of OSAS prediction. We assessed participants with body mass index (BMI) values within the normal range. RESULTS: Among the 50 subjects, we observed significant between-group differences in OPSV, OPAV, and % air, whereas there were significant between-group differences in OPSV and %air among 28 subjects with normal BMI values. Both comparisons suggested that OSAS-related death was associated with low %air and high OPSV values. CONCLUSION: The %air and OPSV are useful for assessing postmortem oropharyngeal CT images. OSAS-related sudden death is likely when %air and OPSV values are ≤20.1% and ≥127.2 ml, respectively. Among those with normal BMI values, % air and OPSV values of ≤22.8% and ≥111.5 ml, respectively, predict OSAS-related sudden death.
• How Undergraduates Perceive Stress Factors: An exploratory study.

  Manabu Murakami, Akiko Takeuchi, Shigeki Jin, Kotaro Matoba

  Pakistan journal of medical sciences 39 (4) 1219 - 1220 2023 [Refereed]
  
• Students' perceptions on distance learning: Problems to be solved in the post COVID-19 era.

  Manabu Murakami, Shigeki Jin, Kotaro Matoba

  JPMA. The Journal of the Pakistan Medical Association 72 (11) 2353 - 2354 0030-9982 2022/11 [Refereed]
  
• Nonverbal communication skills: New-era education needs of younger generation medical students

  Manabu Murakami, Shigeki Jin, Akiko Takeuchi, Kotaro Matoba

  Pakistan Journal of Medical Sciences 38 (6) 1682-024X 2022/06/27 [Refereed]
   

  doi: https://doi.org/10.12669/pjms.38.6.6058 How to cite this:Murakami M, Jin S, Takeuchi A, Matoba K. Nonverbal communication skills: New-era education needs of younger generation medical students. Pak J Med Sci. 2022;38(6):---------. doi: https://doi.org/10.12669/pjms.38.6.6058 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
• Objective skull fracture evaluation by using the postmortem 3D-CT skull fracture score in fatal falls.

  Hideki Hyodoh, Akiko Takeuchi, Kotaro Matoba, Manabu Murakami, Tomoko Matoba, Atsuko Saito, Shigeki Jin

  Legal medicine (Tokyo, Japan) 56 102048 - 102048 2022/05 [Refereed]
   

  PURPOSE: We evaluated the usefulness of skull fracture analysis using three-dimensional computed tomography skull fracture scores (3DCT-SFs) in cases of fatal falls. MATERIALS AND METHODS: From April 2016 to September 2020, 46 cases of fatal falls from great heights (33 males, 13 females; mean age: 52.7 (range: 18-89) years) were examined using routine postmortem CT. The 3DCT-SFs were determined as the sum of the fracture line lengths measured on a volume rendering image. Skull fracture severity was classified into four stages according to the 3DCT-SFs. These stages were compared by macroscopic evaluation of skull fracture severity (injury level 0: no fracture; injury level I: fracture without deviation; injury level II: fracture with deviation; injury level III: comminuted open skull fracture). The relationship between 3DCT-SFs values, the fall distance, and the hardness of the landing surface was also examined. RESULTS: Skull fractures occurred in 26 cases (56.5%). The mean 3DCT-SFs of the cases that were classified as stages I, Ⅱ, and III were 86.6 (5.0-187.0), 832.0 (235.1-1865.8), and 3582.5 (2171.6-4787.6), respectively. Upon macroscopic evaluation of fracture severity, there were 8, 10, and 8 cases of injury levels I, II, and III, respectively. The 3DCT-SFs-based stages correlated significantly with the macroscopic skull fracture severity levels (R2 = 0.936). Solid-surface fall points resulted in significantly higher 3DCT-SFs than soft surfaces. Comminuted open fracture of the skull (stage III) occurred with fall distances ≥ 24 m. CONCLUSION: The 3DCT-SFs correlate well with macroscopic findings and are useful as an objective skull fracture index.
• The usefulness of measuring n-butyric acid concentration as a new indicator of blood decomposition in forensic autopsy.

  Kotaro Matoba, Manabu Murakami, Emi Fujita, Shigeki Jin, Ryosuke Ogasawara, Tomoko Matoba, Akiko Takeuchi, Sanae Haga, Michitaka Ozaki, Hideki Hyodoh

  Legal medicine (Tokyo, Japan) 57 102071 - 102071 2022/04/15 [Refereed]
   

  In forensic medicine, although various alcohols have been reported as indicators of decomposition in collected blood, no studies have examined short-chain fatty acids as indicators. In this study, the blood n-butyric acid concentration was quantified, and the association between n-butyric acid and decomposition was investigated to determine whether the detection of n-butyric acid could be a new indicator of decomposition. Among the forensic autopsies performed from 2016 to 2018 in our laboratory, the cases were divided into decomposed (n = 20) and non-decomposed (n = 20) groups based on macroscopic findings. Blood samples collected at the time of autopsy were derivatized with 3-nitrophenylhydrazine hydrochloride after solid-phase extraction. The n-butyric acid concentration was measured using liquid chromatography-tandem mass spectrometry. In addition, ethanol and n-propanol were measured using a gas chromatography-flame ionization detector. There was a significant difference (p < 0.01) in the concentrations of n-butyric acid between the decomposed and non-decomposed groups (0.343 ± 0.259 [0.030-0.973] and 0.003 ± 0.002 [0.001-0.007] mg/mL, respectively). In the decomposed group, n-butyric acid was detected at high concentrations, even in cases where n-propanol was low. These results suggest that n-butyric acid is more likely to be an indicator of blood decomposition than n-propanol.
• Skills Required of Geriatricians: Why Medical Students Do Not Select Geriatrics as Their Career

  Manabu Murakami, Shigeki Jin, Akiko Takeuchi, Kotaro Matoba

  Acta Médica Portuguesa 35 (3) 231 - 231 0870-399X 2022/03/02 [Refereed]
   

  N/a.
• Evaluation of oral air space volume in obstructive sleep apnea syndrome using clinical and postmortem CT imaging

  Takeuchi A, Hyodoh H, Matoba K, Murakami M, Kudo K, Minowa K

  Oral Radiol 2021 [Refereed]
  
• Educational support required by new forensic pathology trainees: An exploratory qualitative study in Japan

  Murakami M, Matoba K, Hyodoh H

  Natl Med J India 34 (2) 124  2021 [Refereed]
  
• Do "The Four Principles" Apply to the Improvement of Short-Term Clinical Electives?

  Matoba K, Murakami M, Hyodoh H

  Acta Med Port 34 238  2021 [Refereed]
  
• Enhancing students' motivations through early exposure in actual settings is key

  Murakami M, Matoba K, Hyodoh H

  Natl Med J India 34 (3) 188  2021 [Refereed]
  
• Problems in implementing interprofessional education in rural areas: An exploratory study

  Matoba K, Hyodoh H, Murakami M

  Rural Remote Health 21 (2) 6726 - 6726 2021 [Refereed]
  
• The infusion effect in postmortem lung CT

  Hyodoh H, Matoba K, Murakami M, Saito A, Okuya N, Matoba T, Jin S

  Journal of Forensic Radiology and Imaging 20 200367 - 200367 2666-2256 2020 [Refereed]
  
• Post-mortem computed tomography in sudden death by asthma

  Smith C, Matoba K, Hyodoh H, Murakami M, Saito A, Matoba T, Okuya N, Jin S

  Legal Med 44 101694  2020 [Refereed]
  
• Sample preparation method with ultrafiltration for whole blood thiosulfate measurement

  Jin S, Murakami M, Matoba K, Matoba T, Haga S, Ozaki M, Takeuchi A, Hyodoh H

  Legal Med 47 101765 - 101765 1344-6223 2020 [Refereed]
  
• Generational gaps in medical education: an exploratory qualitative study

  Murakami M, Matoba K, Hyodoh H, Takahashi M

  J Pak Med Assoc 71 1476 - 1478 2020 [Refereed]
  
• What exchange students expect of clinical electives in Hokkaido University: Questionnaire survey

  Murakami M, Tanaka Y, Tsuburaya Y, Otaki J

  Hokkaido J Med Sci 94 21 - 24 2019 [Refereed]
  
• Lethal complication in Pott's puffy tumor: a case report

  Hyodoh H, Matoba K, Murakami M, Saito A, Okuya N, Matoba T

  Journal of Forensic Radiology and Imaging 14 12 - 15 2018 [Refereed]
  
• Lung weight estimation with postmortem CT in forensic cases

  Matoba K, Hyodoh H, Ishida L, Murakami M, Matoba T, Saito A, Okuya N, Almansoori S, Fujita E, Yamase M, Shao M, Jin S

  Legal Med 35 61 - 65 1344-6223 2018 [Refereed]
  
• 北海道大学における医学英語の取り組みと、学生の英語学習に対するモチベーションに関するアンケート調査

  小野澤 真弘, Houman Goudarzi, 武冨 貴久子, 稲葉 直子, 藤岡 容一朗, 川久保 和道, 折茂 達也, 金野 陽輔, 坊垣 暁之, 伊藤 智城, 本間 理央, 北市 雄士, 村上 壮一, 村上 学, 川畑 秀伸, 小華和 柾志, 大滝 純司

  医学教育 (一社)日本医学教育学会 48 (Suppl.) 139 - 139 0386-9644 2017/08
• Experimantal evaluation of freezing preparation for the macroscopic inspection in putrefied brain

  Hyodoh H, Matoba K, Murakami M, Matoba T, Saito A, Feng F, Jin S

  Legal Med 24 19 - 23 1344-6223 2017 [Refereed]
  
• Freezing preparation for macroscopic forensic investigation in putrefied brain

  Matoba K, Hyodoh H, Murakami M, Matoba T, Saito A, Feng F, Jin S

  Legal Med 26 6 - 10 1344-6223 2017 [Refereed]
  
• Estimating normal lung weight measurement using postmortem CT in forensic cases

  Matoba K, Hyodoh H, Murakami M, Saito A, Matoba T, Ishida L, Fujita E, Yamase M, Jin S

  Legal Med 29 77 - 81 1344-6223 2017 [Refereed]
  
• Understanding the circumstances regarding students' overseas electives and considerations for enhancing their motivation: Questionnaire survey in a medical school

  Murakami M, Tanaka Y, Kawabata H, Kohanawa M, Otaki J

  Hokkaido J Med Sci 92 77 - 81 2017 [Refereed]
  
• Effectiveness of a Medical English Course on Communication Abilities of Graduate Medical Students

  Amengual O, Oku K, Murakami M, Anwar D, Jego E, Bohgaki T, Horita T, Atsumi T

  Med Sci Educ 27 209 - 216 2017 [Refereed]
  
• Establishing community-based integrated care for elderly patients through interprofessional teamwork: A qualitative analysis

  Asakawa T, Kawabata H, Kisa K, Terashita T, Murakami M, Otaki J

  Journal of Multidisciplinary Healthcare 10 399 - 407 2017 [Refereed]
   

  BACKGROUND: Working in multidisciplinary teams is indispensable for ensuring high-quality care for elderly people in Japan's rapidly aging society. However, health professionals often experience difficulty collaborating in practice because of their different educational backgrounds, ideas, and the roles of each profession. In this qualitative descriptive study, we reveal how to build interdisciplinary collaboration in multidisciplinary teams. METHODS: Semi-structured interviews were conducted with a total of 26 medical professionals, including physicians, nurses, public health nurses, medical social workers, and clerical personnel. Each participant worked as a team member of community-based integrated care. The central topic of the interviews was what the participants needed to establish collaboration during the care of elderly residents. Each interview lasted for about 60 minutes. All the interviews were recorded, transcribed verbatim, and subjected to content analysis. RESULTS: The analysis yielded the following three categories concerning the necessary elements of building collaboration: 1) two types of meeting configuration; 2) building good communication; and 3) effective leadership. The two meetings described in the first category - "community care meetings" and "individual care meetings" - were aimed at bringing together the disciplines and discussing individual cases, respectively. Building good communication referred to the activities that help professionals understand each other's ideas and roles within community-based integrated care. Effective leadership referred to the presence of two distinctive human resources that could coordinate disciplines and move the team forward to achieve goals. CONCLUSION: Taken together, our results indicate that these three factors are important for establishing collaborative medical teams according to health professionals. Regular meetings and good communication facilitated by effective leadership can promote collaborative practice and mutual understanding between various professions.
• Appropriate blood sampling sites for measuring Tg concentrations for forensic diagnosis

  Hayakawa A, Matoba K, Horioka K, Murakami M, Terazawa K

  Legal Med 17 (1) 65 - 69 2015 [Refereed]
   

  Previous studies have reported that thyroglobulin (Tg) concentrations in heart blood are high in cases of asphyxia caused by neck compression such as hanging, strangulation, and throttling and in those with fatal traumatic brain injuries. However, even in cases without these findings presumed to increase the Tg concentration in the previous studies, we previously reported that in some cases the Tg concentration in right heart blood (RHB) and left heart blood (LHB) exceeded the standard value for diagnosis (200 ng/mL) defined in previous studies and the Tg concentration in RHB was significantly higher than that in LHB. In the present study, in our 46 forensic autopsy cases without findings presumed to increase Tg concentration, we separately collected external iliac venous blood (IVB) and external iliac arterial blood (IAB) in addition to RHB and LHB, measured Tg concentrations in RHB, LHB, IVB, and LAB (TRHB, TLHB, TIVB, and TIAB, respectively), and investigated the appropriate blood sampling site for measuring Tg concentrations for forensic diagnosis. TRHB, TLHB, TIVB, and TIAB were 386.3 ± 674.1, 105.8 ± 179.0, 109.2 ± 166.8, and 43.7 ± 90.9 ng/mL, respectively. There were statistically significant differences between TRHB and TLHB, TIVB and TIAB, TRHB and TIVB, and TLHB and TIAB. Tg is more readily diffused by the venous system (RHB, IVB) than by the arterial system (LHB, IAB) because the venous system retains more blood volume after death. Tg is more readily diffused to heart blood (RHB, LHB) than to peripheral blood (IVB, IAB) because of the proximity of the heart to the thyroid gland. Therefore, we conclude that Tg leaks into the vessels around the thyroid gland because of the influences of postmortem changes and subsequently diffuses through the blood after death, and therefore the Tg concentration increases after death. When Tg concentration values are used for forensic diagnosis, it is appropriate to measure them using peripheral arterial blood situated distant from the thyroid gland.
• Educational improvement in Medical English Practice: Questionnaire survey to sophomore medical students of Hokkaido University

  Murakami M, Amengual O, Iguchi K, Otaki J

  Hokkaido J Med Sci 90 (2) 99 - 104 0367-6102 2015 [Refereed]
   

  In the past, we made several efforts making curriculum changes to Medical English Practice, however, these changes did not improve motivation effectively. We have completely modified the curriculum in 2012, and performed a questionnaire survey to 112 sophomore medical students. In the final exam, students answered a questionnaire assessing all classes of the course by scoring 3 points (no change required), 2 points (minor change required), and 1 point (major change required or discontinue). In addition, students could write free comments about potential contents they would like to add to the curriculum. Each class was assessed as more than or equal to 2.5 points on average (range: 2.50-2.96). Potential contents students want to add are: 1. Speaking (45 students [55%]), 2. Listening (30 students [37%]), 3. Reading (6 students [7%]), 4. Writing (1 student [1%]). The most frequent suggestion was to include group discussions in speaking (27 students [33%]), followed by listening on topics of healthcare systems (11 students [13%]). Many students suggested to include conversation classes in small groups, or classes in which international students introduce the structure of healthcare systems of their home countries to the curriculum. Increasing the participation of international faculty, staff and students in the Medical English Practice might contribute to the improvement of medical students' motivation.
• The feelings of residents in the face of the large-scale rationalization of medical resources: A qualitative study on the way of streamlining community medicine, examining a local area in Hokkaido as an example

  Tomohiro Asakawa, Hidenobu Kawabata, Manabu Murakami, Kengo Kisa, Sumiko Oshima, Takayoshi Terashita, Keishu Onodera, Junji Otaki

  日本プライマリ・ケア連合学会誌 (一社)日本プライマリ・ケア連合学会 37 (3) 249 - 253 2185-2928 2014/09 [Refereed][Not invited]
   

  目的:財政破綻を機に医療資源の縮小を伴う医療の合理化に直面した住民の思いと、新たな医療体制への住民の考え方を明らかにし、医療の合理化において考慮すべき要素を探索する。方法:自治体の財政破綻に直面したX市の住民を対象に、医療の合理化に対する思いと今後の医療のあり方への考え方の2点を質問し、質的な分析を行った。結果:医療資源縮小を伴う医療の合理化への住民の思いと、新たな医療体制への住民の考え方として「医療の合理化の進め方」、「地域医療のあり方」、「行政、医療者の姿勢」の3つのテーマが抽出された。結論:医療の合理化おいて、行政や医療機関が合理化の過程および内容に関して住民の意見を受け止め、地域の歴史的背景や住民の心情を理解することが重要である。(著者抄録)
• Unreliability of the use of thyroglobulin concentration in postmortem blood samples in forensic diagnosis.

  Akira Hayakawa, Kotaro Matoba, Kie Horioka, Manabu Murakami, Koichi Terazawa

  Legal medicine (Tokyo, Japan) 16 (3) 164 - 7 1344-6223 2014/05 [Refereed][Not invited]
   

  Previous studies have reported that the concentration of thyroglobulin (Tg) in heart blood is high in cases of asphyxia by neck compression such as hanging, strangulation, and throttling and in those with traumatic injuries to the head. However, we have experienced cases in which we observed high Tg concentrations without such findings. Therefore, we analyzed the influence of postmortem changes on Tg concentration. Of 253 forensic autopsies conducted at our institution, we analyzed 44 cases without the findings presumed to increase Tg concentration. We collected right heart blood (RHB) and left heart blood (LHB) separately and measured Tg concentrations in each. The Tg concentration of the RHB in 19 (43%) cases and that of the LHB in 10 (23%) cases was higher than the standard value (200ng/ml) obtained in previous studies. In some cases, we found large differences between the Tg concentrations of RHB and LHB. We suggest that Tg concentration can increase above the standard value and that a difference between the Tg concentration of RHB and LHB arises as a result of postmortem changes. Consequently, if there is a large difference between the Tg concentration of RHB and LHB, the concentration of Tg should not be used as a basis for forensic diagnosis.
• What primary care physician teachers need to sustain community based education in Japan

  Murakami M, Kawabata H, Maezawa M

  Asia Pac Fam Med 13 6  2014 [Refereed]
  
• 北海道大学医学部医学科における医学英語教育の新たな試みについて

  村上 学, Olga Amengual Pliego Maria, 川畑 秀伸, 武冨 貴久子, 小華和 柾志, 大滝 純司

  医学教育 (一社)日本医学教育学会 44 (Suppl.) 137 - 137 0386-9644 2013/07
• What younger forensic pathologists need for their training: Valuable comments from our interviews

  Murakami M, Matoba K, Terazawa K

  Legal Med 15 55  2013 [Refereed]
  
• The perception of inter-professional education (IPE) among laypersons in a Japanese rural area

  Murakami M, Asakawa T, Wang C, Kawabata H, Maezawa M

  Hokkaido J Med Sci 88 187 - 190 2013 [Refereed]
  
• Application of electrolyte analysis of pleural effusion to diagnosis of drowning.

  Kotaro Matoba, Manabu Murakami, Akira Hayakawa, Koichi Terazawa

  Legal medicine (Tokyo, Japan) 14 (3) 134 - 9 1344-6223 2012/05 [Refereed][Not invited]
   

  We measured concentrations of sodium (Na), chloride (Cl), calcium (Ca), and magnesium (Mg) in pleural effusion from forensic autopsy cases to examine whether they were useful for a diagnosis of drowning. We analyzed a total of 51 cases (15 seawater drowning, 10 freshwater drowning, and 26 non-drowning), and determined the following reference values. If the concentration of Na or Cl is under 65 mEq/l, a diagnosis of freshwater drowning can be made. If the concentration of Na is higher than 175 mEq/l, or that of Cl is higher than 155 mEq/l, or that of Ca is higher than 16 mg/dl, or that of Mg is higher than 15 mg/dl, a diagnosis of seawater drowning can be made. We recommend that pleural effusion from the left and the right thoracic cavities should be collected and analyzed separately because large differences may be observed between each side in the case of drowning. If one side corresponds to the reference value for seawater or freshwater drowning and the other side does not, a diagnosis of drowning can still be made according to the obtained value.
• What rural physicians need to engage in community based education: a qualitative interview survey

  Murakami M, Kawabata H, Maezawa M

  J Rural Med 7 38 - 41 2012 [Refereed]
  
• 予防接種痕による日本人の年齢推定

  的場 光太郎, 村上 学, 早川 輝, 寺沢 浩一

  法医学の実際と研究 法医学談話会 (54) 25 - 29 0289-0755 2011/11 [Refereed][Not invited]
   

  種痘痕とBCG接種痕による年齢推定の可能性について探るため、明治時代から現在までの両接種に関する法令を調査するとともに、予防接種痕のある剖検死体213例の接種痕データを分析し、以下の結論を得た。1)第1期の種痘は乳幼児期に右上腕あるいは肩部に実施されることが多く、その瘢痕が明瞭に残存するので年齢推定に有用である。2)第1期の種痘痕の個数が4個または6個であれば1908〜1948年に出生したと推定でき、2個であれば1947〜1970年、1個であれば1947〜1975年に出生したと推定することができる。3)BCGの経皮接種痕があれば1952年以降の出生と推定することができる。
• The perception of the hidden curriculum on medical education: an exploratory study

  Murakami M, Kawabata H, Maezawa M

  Asia Pac Fam Med 8 9 - 9 2009 [Refereed]
  

MISC

• 北海道医師会の産業保健活動について

  村上学  産業医学ジャーナル  46-  (6)  63  -65  2023
• 地域医療構想を踏まえたこれからの医学教育

  村上学, 髙橋誠, 平野聡, 畠山鎮次  国立大学医学部長会議  2022
• 在宅医に求められる資質、並びに、在宅医を増やすために解決すべき課題についての探索的研究

  村上学  北海道医誌  97-  14  2022
• COVID-19収束後の短期臨床留学再開に向けた展望と課題

  石森 直樹, 畠山 鎮次, 村上 学, Shane Peter, 高橋 誠  医学教育  52-  (Suppl.)  115  -115  2021/07
• へき地で次世代の医療職を育てる多職種連携教育体制を作るための探索的研究

  村上学, 川畑秀伸, 前沢政次  北海道医誌  95-  53  -54  2020  [Not refereed]
  
• 「国際連携教育」～学生受入の現状と課題

  村上学, 田中由加利, 円谷友紀, 畠山鎮次, 大滝純司  北海道医誌  94-  63  -68  2019  [Not refereed]
  
• 卒前卒後の医学教育における国立大学医学部と地域医療機関との連携

  村上学, 吉岡充弘  国立大学医学部長会議  2019  [Not refereed]
  
• 北海道大学に交換留学生として来学し臨床実習を行った学生へのアンケート調査

  村上学  北海道医誌  93-  96  2018  [Not refereed]
  
• 北海道大学に交換留学生として来学し臨床実習を行った学生へのアンケート調査

  村上 学, 田中 由加利, 川畑 秀伸, 小華和 柾志, 大滝 純司, 吉岡 充弘  医学教育  48-  (Suppl.)  157  -157  2017/08
• 地域包括ケアにおける多職種連携の構築に関する探索的研究

  川畑 秀伸, 浅川 朋宏, 木佐 健悟, 寺下 美貴, 村上 学, 大滝 純司  医学教育  47-  (Suppl.)  210  -210  2016/07
• 北海道大学医学部医学科学生が交換留学で海外実習(研究・臨床)に望む内容についてのアンケート調査

  村上 学, 井口 香織, 川畑 秀伸, 小華和 柾志, 大滝 純司, 吉岡 充弘  医学教育  47-  (Suppl.)  215  -215  2016/07
• 北海道大学医学部医学科2年生が医学英語演習の授業に望む内容についてのアンケート調査

  村上 学, Pliego Amengual, Olga Maria, 川畑 秀伸, 小華和 柾志, 大滝 純司  医学教育  46-  (Suppl.)  105  -105  2015/07
• ある地域における住民，行政，医療機関による連携・協働関係構築への取り組みに関する探索的研究

  浅川朋宏, 木佐健悟, 村上学, 川畑秀伸  北海道プライマリ・ケア研究会会報  33-  40  2015  [Not refereed]
  
• 北海道沿岸における珪藻分布の解析報告(第三報)

  毎熊 浩二, 浅利 優, 山田 ひろみ, 松田 都久美, 岡 久美子, 北村 麻奈, 吉田 あやか, 土井 大輝, 保科 千里, 大谷 静治, 間瀬田 千香暁, 塩野 寛, 清水 惠子, 大村 友博, 早川 輝, 村上 学, 的場 光太郎, 寺沢 浩一, 山田 直弥, 中村 一, 阿部 祐亮, 三和 正人, 吉田 幸夫  法医学の実際と研究  56-  (56)  266  -266  2013/11  [Not refereed][Not invited]
  
• 損傷の状態から受傷場所(階段)の推定が可能であった1剖検例

  早川 輝, 的場 光太郎, 村上 学, 寺沢 浩一  法医学の実際と研究  (56)  259  -260  2013/11  [Not refereed][Not invited]
  
• 石狩川下流域における珪藻分布の解析

  石川 知保, 的場 光太郎, 出村 珠美, 早川 輝, 村上 学, 寺沢 浩一, 山田 直弥  法医学の実際と研究  (56)  266  -267  2013/11  [Not refereed][Not invited]
  
• 胃内から採取された液体の電解質濃度の溺死診断への応用

  的場 光太郎, 早川 輝, 村上 学, 寺沢 浩一  法医学の実際と研究  (56)  265  -266  2013/11  [Not refereed][Not invited]
  
• 法医学後継者育成問題に関する探索的調査(予備調査・(第2報))

  村上 学, 的場 光太郎, 早川 輝, 寺沢 浩一  法医学の実際と研究  (56)  262  -262  2013/11  [Not refereed][Not invited]
  
• 胸部に細い金属が刺入していた一剖検例

  早川 輝, 的場 光太郎, 村上 学, 寺沢 浩一  日本法医学雑誌  67-  (1)  105  -105  2013/05  [Not refereed][Not invited]
  
• 結晶の析出によって胸腔内に貯留する液体のマグネシウム濃度が低下していた2剖検例

  的場 光太郎, 早川 輝, 村上 学, 寺沢 浩一  日本法医学雑誌  67-  (1)  79  -79  2013/05  [Not refereed][Not invited]
  
• 慢性骨髄性白血病が脳内出血の原因と考えられた1剖検例

  堀岡 希衣, 的場 光太郎, 早川 輝, 村上 学, 寺沢 浩一  日本法医学雑誌  67-  (1)  81  -81  2013/05  [Not refereed][Not invited]
  
• 損傷の自他為事故の区別が問題となった2解剖例

  寺沢 浩一, 的場 光太郎, 村上 学, 早川 輝, 木内 隆之  法医学の実際と研究  (55)  304  -304  2012/11  [Not refereed][Not invited]
  
• 内因性急死と気道閉塞による窒息死の鑑別が必要となった食事中の突然死の1例

  的場 光太郎, 村上 学, 寺沢 浩一, 早川 輝, 木内 隆之  法医学の実際と研究  (55)  305  -305  2012/11  [Not refereed][Not invited]
  
• Raising future forensic pathologists (second report) : Results of a preliminary interview survey

  MURAKAMI Manabu, MATOBA Kotaro, HAYAKAWA Akira, TERAZAWA Koichi  北海道醫學雜誌 = Acta medica Hokkaidonensia  87-  (4)  159  -163  2012/08/01
• Raising future forensic pathologists (first report) : Results of a preliminary questionnaire survey

  MURAKAMI Manabu, MATOBA Kotaro, TERAZAWA Koichi  北海道醫學雜誌 = Acta medica Hokkaidonensia  87-  (4)  153  -157  2012/08/01
• 当教室における身元不明死体の年齢推定の適中率

  的場 光太郎, 村上 学, 早川 輝, 寺沢 浩一  日本法医学雑誌  66-  (1)  88  -88  2012/05  [Not refereed][Not invited]
  

Presentations

• Z世代の学生がシニア世代の教員スタッフに対して感じる世代間ギャップに関する探索的調査

  村上学, 川畑秀伸

  第15回日本プライマリ・ケア連合学会学術大会  2024/06
• 現場の医療者が在宅医療に求める資質と医学生が在宅医療に抱くイメージについての探索的調査

  村上学, 川畑秀伸, 前沢政次

  第14回日本プライマリ・ケア連合学会学術大会  2023/05
• へき地で持続可能な多職種連携教育を行っていくための問題点

  村上学, 川畑秀伸, 前沢政次

  第12回日本プライマリ・ケア連合学会学術大会  2021
• コロナ禍における北海道大学医学部医学科４年次講義「地域医療学」の取り組み

  村上学, 高橋誠

  第12回日本プライマリ・ケア連合学会学術大会  2021
• 現場での臨床実習が困難になった場合のICTを活用したオンライン代替実習の試み

  村上学, 石森直樹, 高橋誠

  第53回日本医学教育学会大会  2021
• 国際担当部署として学生交流を進める際に生じた問題点～インバウンドの事例から

  村上学, 石森直樹, 田中由加利, 円谷友紀, 高橋誠

  第52回日本医学教育学会大会  2020
• 国際担当部署として学生交流を進める際に生じた問題点～アウトバウンドの事例から

  村上学, 石森直樹, 田中由加利, 円谷友紀, 高橋誠

  第52回日本医学教育学会大会  2020
• Issues about practicing inter-professional education (IPE) in rural areas - recognition gap between general people and medical professionals

  Mukarakami M, Kawabata H, Maezawa M

  11th Annual Conference of Japan Primary Care Association (International Session)  2020
• Fostering next-generation medical professions in rural areas independently: an exploratory study

  Murakami M, Kawabata H, Maezawa M

  WONCA Asia Pacific Regional Conference  2019
• Requisites for effective inter-professional education (IPE) in Japanese rural areas: Key messages from our interview survey and workshop

  Mukarakami M, Kawabata H, Maezawa M

  WONCA Asia Pacific Regional Conference  2015

Research Projects

• Development of ICT materials with interprofessional work to educate medical students who have difficulty learning in remote areas

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research

  Date (from‐to) : 2022/04 -2025/03 

  Author : 村上 学, 高橋 誠, 川畑 秀伸
• 初期臨床研修制度における外来診療研修の方法に関する研究

  日本学術振興会：科学研究費助成事業 基盤研究(C)

  Date (from‐to) : 2021/04 -2024/03 

  Author : 川畑秀伸, 村上学

   

  2004年に始まった初期研修医に対する2年間の必修化臨床研修は、プライマリ・ケアの基本的な診療能力の習得を目標にしながら、病棟での研修が中心で、一般外来での診療研修は求められていなかった。しかし、プライマリ・ケアで遭遇する頻度の高い症状や疾患への臨床能力の習得には、患者がまず訪れる一般外来での症状から診断、治療に至る診療過程の研修が重要であることが指摘されてきた。そのため、2020年より一般外来での診療研修が必修の目標に加わった。しかしながらこの研修の実績があまりない施設も多く、外来診療を研修医にいかに指導するかが課題となっている。 本研究の目的は、この新たに導入された外来診療研修について、研修医が何を、如何に学び、指導医はどう教えるかについて、半構造化インタビュー調査とテーマ分析を用いて明らかにすることである。この成果は医療が専門分化する中、高齢・長寿化を支える本邦の医療職の能力や人材育成の在り方についての知見をもたらす。 1年目は研究分担者と協働して、内外の文献検索とレビューを再度行いインタビューガイドの吟味と作成、外来診療教育について経験ある医師に研究計画を説明して調査実施上の問題点検討、研究計画倫理審査申請書の作成と提出、インタビュー調査の対象施設選定、さらに、今年度の半ばから開始する調査のための対象施設への連絡と依頼書類の作成を行った。 調査遂行にあたり、事前の聞き取り調査や研究チーム会議において、新型コロナウイルス感染症の影響が特に検討された。この感染によって診療体制が大きく縮小された医療施設が多く、そのため、外来診療研修において患者を直接診察する研修形式が著しく制限されている様子であった。このような状況は研修方法の多様化や研修の効果といった考慮すべき新たな内容を含んでおり、関連して、調査時期、方法、インタビューガイドなどの見直しに至った。
• Development and verification of endoscopic surgery education program for medical students using donated cadavers

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Research (Exploratory)

  Date (from‐to) : 2018/06 -2020/03 

  Author : Shichinohe Toshiaki

   

  The purpose of this study was to develop an educational system to learn new advanced medical techniques for medical students and to examine the usefulness of clinical anatomy practice consisting of simulated surgery using donated cadavers. The contents of the research were a questionnaire survey of medical students and academics, and a pilot study of simulated endoscopic surgery. The simulated surgery consisted of surgical lectures, demonstrations by surgeons, and hands-on or observational practice by students. These studies showed that both conventional systematic anatomy and newly developed clinical anatomy were useful. It is desirable to introduce clinical anatomy as part of the clinical training curriculum other than conventional anatomy.
• シームレスな医学教育で在宅医志向の医学生を育成するためのキャリアパスに関する探索的研究

  公益財団法人 在宅医療助成 勇美記念財団：

  Date (from‐to) : 2020 

  Author : 村上学, 髙橋誠, 川畑秀伸
• Curriculum development on medical students' clinical clerkship incorporated with medical residents

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)

  Date (from‐to) : 2016/04 -2019/03 

  Author : Kawabata Hidenobu, Murakami Manabu

   

  The study objectives are to reveal how to incorporate medical residents in clinical clerkship and establish a curriculum of clinical clerkship. In clerkship, students are enrolled in medical teams and have some responsibilities to manage patients, supervised by medical residents and teaching physicians. However, residents are also the status of learning medical practice, starting their careers as doctors. We conducted semi-structured personal interviews for teaching doctors, residents, and students at four teaching hospitals in order to reveal residents’ roles and burdens in clinical clerkship. Interview data was analyzed with a qualitative manner and subsequently revealed merits, shortcomings, and required measures. Given these results, a model of a clerkship curriculum was created and the clerkship for five year medical students was successfully conducted. The curriculum includes a web system on evaluation and 13 competencies shared with three medical faculties in Hokkaido.
• Development of materials and curriculum for medical English education of undergraduate students using the support of international students

  Japan Society for the Promotion of Science：Grants-in-Aid for Scientific Research Grant-in-Aid for Young Scientists (B)

  Date (from‐to) : 2016/04 -2019/03 

  Author : Murakami Manabu

   

  This research is aimed at promoting medical English education of undergraduate students by "developing materials and curriculum for medical English education". For the three-year period from 2016 through 2018, we fulfilled the purpose of this research; development of sustainable materials and curriculum for medical English education of undergraduate students using the support of international graduate students of different nationalities, backgrounds and laboratories. We accomplished the reserch plan, including investigating fundamental needs, developing educational materials, planning and providing classes, as scheduled. Not only could we develop the educational materials, we could also accumulate know-how to apply the international students' support for promoting medical English education. The research results are expected to greatly contribute to the whole region of medical English education.
• 地域と協働して次世代の医療職を育てる多職種連携教育体制の構築

  公益財団法人 ユニベール財団：

  Date (from‐to) : 2018 

  Author : 村上学, 前沢政次, 川畑秀伸
• 多職種連携を導入した地域基盤型医学教育モデルの開発

  公益財団法人 ファイザーヘルスリサーチ振興財団：

  Date (from‐to) : 2012 

  Author : 村上学, 川畑秀伸, 前沢政次

Social Contribution

• 北海道医師会 常任理事

  Date (from-to) : 2023-Today

  Role : Organizing member
• 日本医師会産業保健委員会 委員

  Date (from-to) : 2023

  Role : Organizing member
• 北海道産業保健活動推進協議会 委員

  Date (from-to) : 2023

  Role : Organizing member
• 北海道産業保健総合支援センター 運営主幹

  Date (from-to) : 2023

  Role : Organizing member
• 北海道総合保健医療協議会 委員

  Date (from-to) : 2023

  Role : Organizing member