Medical Training System Research Articles

COVID-19 drives medical education reform to promote "healthy China 2030" action plan.

In June 2019, the Chinese government proposed the Healthy China Action Plan (2019-2030) development strategy, which focuses on disease prevention and health promotion. It is expected that by 2030, the national health literacy level will be significantly improved, premature mortality caused by major chronic diseases will be significantly reduced, the average healthy life expectancy will be greatly improved, and the main health indicators of residents will enter the ranks of high-income countries. Unfortunately, at the end of 2019, COVID-19 began to break out in Wuhan, China, which had a huge impact on China's economy and people's health. A series of problems in China's health care and medical education were exposed in the prevention and treatment of the epidemic. How to reform medical education and build a medical talent training system with Chinese characteristics is the key to achieving China's Health 2030 strategy. This article will explore the direction of medical education reform in China under the background of the "Healthy China 2030" strategy and the post pandemic era.

Immersive Simulation Technologies as a Tool for Effective Medical Training

The article discusses the features of using immersive simulation technologies in V. Soldatov Tobolsk Medical College in the process of training medical students. The emergence of complex medical equipment and technologies, changes in moral and legal conditions have become one of the reasons for the modernization of the system of medical training of a specialist.

Impact of liminality and rituals on professional identity formation in physician training.

The transition from medical student to practicing physician affects the complex processes of professional identity formation and professionalism, which have a lasting effect on the physician's career development. This study explored two different transitional processes of medical students in Taiwan, the associated rituals during this transitional period (the 'liminal phase') and their effect on the formation of professional identity. Using snowball sampling, we recruited 13 medical students from two training systems: six from the traditional postgraduate year programme and seven from the accelerated postgraduate year (A-PGY) programme. Semi-structured interviews were thematically analysed to identify significant themes that encapsulated trainees' experiences. A consistent and mutually confirmed discussion ensured the identification of robust recurring themes. A comparative analysis of the two training modalities provided critical insights into the relative impact of the training dynamics. The A-PGY cohort, subjected to an altered 'incorporation' ritual, encountered an influx of unexpected symbolic social power, complicating their transformation within the liminal phase. Without a defined internship like in the PGY system, A-PGY trainees exhibited confusion and inconsistencies in professional identity formation marked by conflicting internal and external perceptions. This ambiguity affected their clinical training, social integration and overall development of professionalism. The absence of a structured, sequential liminal phase increased conflict and diminished motivation, culminating in an incomplete self-crafting journey for A-PGY trainees. This study highlights the impact of the well-sequenced implementation of rituals in liminality on professional identity formation. A good transition training programme for medical students should compass sequential rituals in the liminal phase, including clear starting and ending points, supervision by seniors, guided reflection and plenty of opportunities for observation and imitation in context. Optimal training and pivotal elements in a medical training system warrant delicate design and further research when developing and changing the structure of the training programme.

Empowering Family Nurse Practitioners for Sustainable Community Health

<p>醫療自主權於現今醫療環境中日趨重要，以病人為中心照護的重要環節，就是鼓勵病患積極參與醫療決策，以提升照護品質與滿度度。台灣衛生福利部自2016年開始推行醫病共享決策（shared decision making, SDM），期望促使病人積極參與醫療決策，以提升醫病關係、醫療品質及病人安全。推動至今，共享決策已廣泛運用於臨床實務中。但是，偏鄉及高齡長者，其就醫習慣、喜好、價值觀和醫療新知取得與都市居民有極大的差異。傳統以「醫生」作決策的觀念深植，參與SDM之意願以及推廣策略，值得探討。因此，本文將從專科護理師之角色去探討共享決策於偏鄉醫院推動影響因素，推行過程所遇到困境與經驗，綜整考量偏鄉居民特質及觀念，因應出不同之SDM推行之道。</p> <p> </p><p>Various challenges, such as a nursing workforce shortage, an aging society, and health inequality,seriously affect the sustainable development of Taiwan. Although the specialized nursing system represents a significant milestone in nursing development in Taiwan, it is mainly focused on hospital training, neglecting community health needs. Community health care can be effectively enhanced by promoting the family nurse practitioner system, especially in rural areas. Family nurse practi-tioners provide medical care services, boost local economies, increase employment opportunities, and strengthen community cohesion. The cultivation and investment in family nurse practitioners are crucial for improving the efficiency and quality of medical services. With the adjustment of the med-ical training system in Taiwan, nurse practitioners could redefine their roles and responsibilities in a new environment, and eventually contribute to the sustainability of Taiwan’s primary health care and improve community health. Through the empowerment of family nurse practitioners, Taiwan will be better equipped to address challenges and achieve sustainable development goals</p> <p> </p>

Aligning the education of medical students to healthcare in the UK

Abstract How can universities improve their ability to cultivate high-quality and innovative medical talent? The Ministry of Education in China is in the process of implementing the ‘Six Excellent and One Top-Notch’ Plan 2.0 with the aim of substantially revising the teaching of medicine. The United Kingdom (UK) and other countries around the world are also continuously aiming to innovate their medical teaching. With respect to medical education in China, the primary goal is to develop a new medical talent training system that meets future needs, with an emphasis on integration, innovation and interdisciplinary approaches. Here we mainly discuss medical student education systems in the UK with an emphasis on teaching philosophy, objectives, curriculum, and the various types of teaching delivery and assessment that are used in UK medical schools. Through in-depth review of the current situation of medical education in the UK, we hope to provide reference for the reform of the medical education system in China.

Rural generalist medicine: a developing approach to health care in rural and island Japan.

Despite universal health coverage and high life expectancy, Japan faces challenges in health care that include providing care for the world's oldest population, increasing healthcare costs, physician maldistribution and an entrenched medical workforce and training system. Primary health care has typically been practised by specialists in other fields, and general medicine has only been certified as an accredited specialty since 2018. There are continued challenges to develop an awareness and acceptance of the primary health medical workforce in Japan. The impact of these challenges is highest in rural and island areas of Japan, with nearly 50% of rural and remote populations considered 'elderly'. Concurrently, these areas are experiencing physician shortages as medical graduates gravitate to urban areas and choose medical specialties more commonly practised in cities. This study aimed to understand the views on the role of rural generalist medicine (RGM) in contributing to solutions for rural and island health care in Japan. This was a descriptive qualitative study. Data were collected via semi-structured interviews with 16 participants, including Rural Generalist Program Japan (RGPJ) registrars and supervisors, the RGPJ director, government officials, rural health experts and academics. Interviews were of 35-50 minutes duration and conducted between May and July 2019. Some interviews were conducted in person at the WONCA Asia-Pacific Conference in Kyoto, some onsite in hospital settings and some were videoconferenced. Interviews were recorded and transcribed. All transcripts were analysed through an inductive thematic process based on the grouping of codes. From the interview analysis, six main themes were identified: (1) key issues facing rural and island health in Japan; (2) participant background; (3) local demography and population; (4) identity, perception and role of RGM; (5) RGPJ experience; and (6) suggested reforms and recommendations. The RGPJ was generally considered to be a positive step toward reshaping the medical workforce to address the geographic inequities in Japan. While improvements to the program were suggested by participants, it was also generally agreed that a more systematic, national approach to RGM was needed in Japan. Key findings from this study are relevant to this goal. This includes considering the drivers to participating in the RGPJ for future recruitment strategies and the need for an idiosyncratic Japanese model of RGM, with agreed advanced skills and supervision models. Also important are the issues raised by participants on the need to improve community acceptance and branding of rural generalist doctors to support primary care in rural and island areas. The RGPJ represents an effort to bolster the national rural medical workforce in Japan. Discussions from participants in this study indicate strong support to continue research, exploration and expansion of a national RGM model that is contextualised for Japanese conditions and that is branded and promoted to build community support for the role of the rural generalist.

Application of flipped classroom teaching method based on ADDIE concept in clinical teaching for neurology residents

BackgroundAs an important medical personnel training system in China, standardized residency training plays an important role in enriching residents’ clinical experience, improving their ability to communicate with patients and their clinical expertise. The difficulty of teaching neurology lies in the fact that there are many types of diseases, complicated conditions, and strong specialisation, which puts higher requirements on residents’ independent learning ability, the cultivation of critical thinking, and the learning effect. Based on the concept of ADDIE (Analysis-Design-Development-Implementation-Evaluation), this study combines the theory and clinical practice of flipped classroom teaching method to evaluate the teaching effect, so as to provide a basis and reference for the implementation of flipped classroom in the future of neurology residency training teaching.MethodsThe participants of the study were 90 neurology residents in standardised training in our hospital in the classes of 2019 and 2020. A total of 90 residents were divided into a control group and an observation group of 45 cases each using the random number table method. The control group used traditional teaching methods, including problem based learning (PBL), case-based learning (CBL), and lecture-based learning (LBL). The observation group adopted the flipped classroom teaching method based on the ADDIE teaching concept. A unified assessment of the learning outcomes of the residents was conducted before they left the department in the fourth week, including the assessment of theoretical and skill knowledge, the assessment of independent learning ability, the assessment of critical thinking ability, and the assessment of clinical practice ability. Finally, the overall quality of teaching was assessed.ResultsThe theoretical and clinical skills assessment scores achieved by the observation group were significantly higher than those of the control group, and the results were statistically significant (P < 0.001). The scores of independent learning ability and critical thinking ability of the observation group were better than those of the control group, showing statistically significant differences (P < 0.001). The observation group was better than the control group in all indicators in terms of Mini-Cex score (P < 0.05). In addition, the observation group had better teaching quality compared to the control group (P < 0.001).ConclusionBased on the concept of ADDIE combined with flipped classroom teaching method can effectively improve the teaching effect of standardized training of neurology residents, and had a positive effect on the improvement of residents’ autonomous learning ability, critical thinking ability, theoretical knowledge and clinical comprehensive ability.

RETHINKING UKRAINIAN MEDICAL TRAINING: STRATEGIES FOR MEDICAL EDUCATION AND SYSTEM IMPROVEMENT

This article delves into the current state and future prospects of Ukraine's healthcare system. It critically examines the strategic framework laid out in the “Strategy for the Development of the Healthcare System until 2030”. A pivotal aspect of the article is its analysis of the burden of cardiovascular diseases (CVDs) in Ukraine compared to the European Union. It highlights that the prevalence and impact of CVDs in Ukraine. &#x0D; The article underscores the necessity for comprehensive knowledge among medical professionals, especially in the context of the rising burden of cardiovascular diseases. It points out the inadequacies in the current medical education and training system in Ukraine in imparting this comprehensive knowledge. Drawing a comparison with the Chinese medical internship system, the article suggests that adopting a similar approach could significantly benefit Ukraine’s medical education system.&#x0D; In its conclusion, the authors emphasize the need to integrate foreign policies in training young physicians to build a more effective healthcare system.

Aligning our actions with our words: A systematic review of gender and racial diversity in surgical subspecialties.

Persistent racial and gender disparities are prevalent within the higher education and medical training system, notably seen in the underrepresentation of Hispanic or Latinos, Black Americans, and female surgeons compared to their respective population proportions. This study aims to quantify publications addressing ethnic or gender diversity across various surgical specialties, analyze publication trends, and explore specific topics within medical literature. The Database includes PubMed, Google Scholar, and Scopus. Employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), we conducted a systematic literature review utilizing the PubMed, Google Scholar, and Scopus databases. A broad inclusion criterion for both ethnic and gender diversity of plastic surgery, neurosurgery, otolaryngology, dermatology, orthopedic surgery, and gender surgery was utilized. The literature was selected between 2014 and 2024. In the content of our study, diversity in articles was defined as any article that focused on addressing gender or racial/ethnicity in the subspecialty. Of 1529 initially screened articles, 346 were included. Orthopedic surgery had the most diversity publications (n = 86), followed by general surgery (n = 67) and plastic surgery (n = 51). Significant increases in diversity publications were observed across all specialties. Orthopedic surgery showed the highest growth (+0.17 publications/year, p < 0.001), followed by plastic surgery (+0.12, p = 0.002) and general surgery (+0.11, p = 0.003). Race/ethnicity was the primary focus (51.4%), with fewer articles on gender (19.7%) or both (28.9%). Diversity topics included demographics, pipeline/recruitment, application process, training experience, leadership, and workplace treatment. These insights underscore the importance of continued efforts to promote diversity within surgical specialties to enhance patient care and outcomes. Further research and initiatives are needed to ensure equitable representation in surgical fields. Addressing diversity issues in surgical specialties is essential for improving healthcare outcomes and reducing disparities.

Satisfaction and readiness for professional activity of students of the Institute of Osteopathy (Saint-Petersburg): a study using the DREEM questionnaire

Introduction. The educational program is an important factor of the training quality of a future specialist in the modern system of medical personnel training. The most important indicator of the educational program quality is the educational environment that influences the formation of competencies and the students′ success. Measurements of the educational environment with the help of developed and validated tools make it possible to change it in many ways, which will eventually improve the quality of medical education. To date, the rapid educational environment assessment system developed at the University of Dundee (Dundee Ready Education Environment Measure, DREEM questionnaire) is considered as a valid and reliable tool that is universally accepted for measuring the medical educational environment, assessing the strengths and weaknesses of the educational environment according to the educational program under study and determining the direction of improving the educational environment. The aim of the study is to evaluate the perception of the educational environment by students of the Institute of Osteopathy (Saint-Petersburg) using the DREEM questionnaire. Materials and methods. The study involved 80 students of the Institute of Osteopathy (Saint-Petersburg), studying in residency or professional retraining programs. Participants were surveyed using the DREEM questionnaire, consisting of 50 closed-ended statements, which are grouped into 5 subcategories. I. Students′ perception of the learning process (12 statements). II. Students′ perception of the role of lecturers in the educational process (11 statements). III. Students′ perceptions of their own academic performance (8 statements). IV. Students′ perceptions of the educational atmosphere (12 statements). V. Social self-perception and interaction with the environment (7 statements). Each of the 50 statements is rated on a 5-point scale: «Strongly agree» (4), «Agree» (3), «Not sure» (2), «Disagree» (1) and «Strongly disagree» (0). Satisfaction analysis was also carried out for individual statements. Results. The analysis of information obtained using the DREEM questionnaire showed that the educational environment created at the Institute of Osteopathy (Saint-Petersburg) was rated by students as ideal — 165,2 points; doctors studying in the residency educational program rate the educational environment statistically significantly (p &lt; 0,05) higher than those studying in the professional retraining program. Among the students studying in a residency program, the indicators of confidence in their readiness for professional activity are at a fairly high level — 3,5–3,7 points, while among the students studying in a professional training program, the indicators of confidence in their readiness for professional activity are at the level of 2–3,3 points. There are some indicators of the educational environment that require improvement. Conclusion. A detailed study of the level of the educational environment perception among students of the Institute of Osteopathy (Saint-Petersburg), studying in various educational programs, made it possible to identify the most problematic areas in the educational process implemented at the Institute, which makes it possible to develop proposals for improving the current educational environment. The issues of organizing social support for students and building confidence in their preparedness for practical activities deserve the greatest attention. It is also recommended to regularly conduct a study of the educational environment satisfaction among students of the Institute of Osteopathy to assess the dynamics of the indicators.

Research on hybrid synchronization methods in multi‐user collaborative VR simulation medical surgery training system

SummaryThe simulation training system based on VR technology has been applied in clinical medicine due to its immersive interactive experience, economy, and safety. In response to the limitation that most medical surgery training systems can only achieve single user operations, a hybrid synchronous model based multi‐user collaborative framework design is proposed to meet the needs of collaborative training in virtual reality teaching processes. Based on the characteristics of frame synchronization and state synchronization, the synchronization method has been improved. Based on frame synchronization, specific state synchronization is used on interactive events to improve the consistency of operation details and real‐time action. On this basis, a system prototype has been implemented using Unity 3D, and compared with traditional schemes, analysis shows that it has faster response speed for disconnected reconnection and more stable interaction state.

Integration Challenges and Opportunity of Implementing Non-Communicable Disease Screening Intervention with Tuberculosis Patient Care: A Mixed Implementation Study.

Despite the comorbidity, early detection and treatment of the two diseases are highly recommended; however, a few pilot studies were conducted, which are mainly focused on diabetes mellitus screening and the integration opportunity and challenges were not known. The study aimed to identify integrated implementation challenges and opportunities of non-communicable disease and risk factors screening intervention with tuberculosis patient care. A mixed implementation study design was used. Data were collected from a sample of 443 tuberculosis patients, 21 key informants and facility observations. For quantitative data, descriptive statistics for proportion were summarized in tables and figures. Four distinct implementation frame was adapted for thematic analysis of audio recordings, daily verbatim transcription, and descriptive field notes. The prevalence of hypertension and diabetes mellitus among tuberculosis patients were 6.55% and 5.64%, respectively. Totally 9 subthemes and 21 new codes were developed, of which 13 and 8 new codes were developed for integrated implementation challenges and opportunities, respectively. The absence of medical equipment, skill and knowledge training, record and report system, cooperative integration, feedback, referral system, shortage of supporting agencies, and services not free were external challenges, whereas lack of trained health workers, focal persons, and increased workload and absence of awareness creation were internal challenges. Despite the challenges, the presence of health extension programs, non-governmental organizations, community health care insurance and associations for diabetes mellitus were external opportunities. Availability of assigned focal persons, trained stakeholders, guidelines, information systems and compatible tuberculosis program structure were internal opportunities. The majority of TB patients were not comorbid with NCDs. We build a favourable system for integrated implementation developing an integration platform and structural authority at a different organization by addressing identified challenges and applying facilitators is crucial.

Medical resident’s pursuing specialty and differences in clinical proficiency among medical residents in Japan: a nationwide cross-sectional study

ImportanceStandardized examinations assess both learners and training programs within the medical training system in Japan. However, it is unknown if there is an association between clinical proficiency as assessed by the General Medicine In-Training Examination (GM-ITE) and pursuing specialty.ObjectiveTo determine the relative achievement of fundamental skills as assessed by the standardized GM-ITE based on pursuing career specialty among residents in the Japanese training system.DesignNationwide cross-sectional study.SettingMedical residents in Japan who attempted the GM-ITE in their first or second year were surveyed.ParticipantsA total of 4,363 postgraduate years 1 and 2 residents who completed the GM-ITE were surveyed between January 18 and March 31, 2021.Main measuresGM-ITE total scores and individual scores in each of four domains assessing clinical knowledge: 1) medical interview and professionalism, 2) symptomatology and clinical reasoning, 3) physical examination and treatment, and 4) detailed disease knowledge.ResultsWhen compared to the most pursued specialty, internal medicine, only those residents who chose general medicine achieved higher GM-ITE scores (coefficient 1.38, 95% CI 0.08 to 2.68, p = 0.038). Conversely, the nine specialties and “Other/Not decided” groups scored significantly lower. Higher scores were noted among residents entering general medicine, emergency medicine, and internal medicine and among those who trained in community hospitals with higher numbers of beds, were more advanced in their training, spent more time working and studying, and cared for a moderate but not an extreme number of patients at a time.ConclusionsLevels of basic skill achievement differed depending on respective chosen future specialties among residents in Japan. Scores were higher among those pursuing careers in general medical fields and lower among those pursuing highly specialized careers. Residents in training programs devoid of specialty-specific competition may not possess the same motivations as those in competitive systems.

Lessons From the Delta.

Lessons From the Delta.

Novel machine learning based approach for analysing the adoption of metaverse in medical training: A UAE case study

The outbreak of the COVID-19 pandemic led to disruptions in the delivery of medical training across borders, posing challenges in observing and practicing advanced surgical techniques with cutting-edge medical equipment from foreign countries. However, the utilization of educational approaches centred on the “Metaverse” concept has emerged as a promising solution to address the escalating demand for virtual medical education. Traditional technologies like Zoom video conferencing were found insufficient for comprehensive medical instruction, prompting the emergence of innovative digital teaching methodologies within the medical community of the United Arab Emirates (UAE). This study aims to investigate how students perceive the effectiveness of the Metaverse system in achieving medical training objectives in the UAE. The research employs a unique conceptual framework that links individual attributes with technological factors. By employing a blend of structural equation modelling (SEM) and machine learning (ML) methodologies, along with the analysis of importance-performance maps (IPMA), the research evaluates the factors that contribute to measuring the viability of the Metaverse system for medical training. This evaluation is conducted using data gathered from a cohort of 879 university students. The findings indicated that the OneR classifier demonstrates the highest accuracy among classifiers in forecasting users' inclination to embrace the Metaverse system for medical training, achieving an 80.7% accuracy rate. Furthermore, the study reveals a strong positive association between perceived usefulness and perceived usability, highlighting the significant impact of personal attributes and technological elements on students' decisions. Notably, individuals with a greater willingness to embrace uncertainty and innovative technologies are more inclined to use the Metaverse system for medical education. In conclusion, this multi-analytical investigation sheds light on the potential of the Metaverse system to enhance medical training and addresses the challenges posed by the COVID-19 pandemic. The findings carry important implications for the field of information systems and provide valuable insights for medical educators seeking effective solutions during times of disruption.

Design of an IoT-Based Remote Learning System for Medical Skill Training in the Age of COVID-19: Focusing on CPR Skill Training

Medical skill education has been scaled down due to the COVID-19 pandemic. In particular, the decrease in CPR skill training has caused the quality of medical services to deteriorate. While new online education methods have emerged, few studies exist on online teaching and its effects. Since the online teaching of medical skills presents several challenges for instructors, it has not been as effective as face-to-face training. This study designed a new remote system focusing on medical skill education. The proposed video-based application prototype uses an IoT device to measure CPR performance metrics and provides real-time data to users. It was tested using the Kano model on a small group of subjects. The effects of skill training were analyzed quantitatively and qualitatively. A comparative analysis of the remote group and face-to-face group revealed similar average values for appropriate compression depth. In other categories, the remote group fared poorer than the face-to-face group. Considering the high scores given to system usability in the USE survey, remote education shows promise as an alternative to face-to-face education. The significance of this study lies in being the first to develop and test a remote education system for medical skill training in the age of COVID-19.

Academic Pediatric Surgery Capacity Building in Vietnam Through PASS, a Pediatric Acute Surgical Support Course.

Neonatal and pediatric surgical emergencies in Low and Low Middle Income countries remain a significant challenge in combatting the burden and inequities of global health. IPSAC-Vietnam is a small Non-Governmental Organization that has been engaged in a 12-year multi-pronged partnership with several children’s hospitals in Vietnam VN to enhance pediatric surgery capacity. We describe the health care, medical training and emergency system in VN as the background for IPSAC activities and development of Pediatric Acute Surgical Support (PASS) course. The course goal is to prepare health care personnel in the immediate management of neonatal/pediatric life-threatening surgical conditions and road injuries at their first point of entry into Vietnam hospitals. PASS is a horizontal outreach initiative that adopts an interprofessional, multidisciplinary, team-training, train-the-trainers, and outcome-based training approach. PASS can be used as a tool for sustainable horizontal capacity-building by champion leaders at the teaching children’s hospitals and medical universities in developing countries, to strengthen training for pediatric surgical emergencies, to integrate pediatric and pediatric surgical care and to advocate for a comprehensive approach to emergency care of the critically ill child.

Trauma Care Training in Vietnam: Narrative Scoping Review.

BackgroundThe model of trauma in Vietnam has changed significantly over the last decade and requires reforming medical education to deal with new circumstances. Our aim is to evaluate this transition regarding the new target by analyzing trauma and the medical training system as a whole.ObjectiveThis study aimed to establish if medical training in the developing country of Vietnam has adapted to the new disease pattern of road trauma emerging in its economy.MethodsA review was performed of Vietnamese medical school, Ministry of Health, and Ministry of Education and Training literature on trauma education. The review process and final review paper were prepared following the guidelines on scoping reviews and using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flowchart.ResultsThe current trauma training at the undergraduate level is minimal and involves less than 5% of the total credit. At the postgraduate level, only the specialties of surgery and anesthesia have a significant and increasing trauma training component ranging from 8% to 22% in the content. Trauma training, which focuses on practical skills, accounts for 31% and 32% of the training time of orientation courses for young doctors in “basic surgery” and “basic anesthesia,” respectively. Other relevant short course trainings, such as continuing medical education, in trauma are available, but they vary in topics, facilitators, participants, and formats.ConclusionsMedical training in Vietnam has not adapted to the new emerging disease pattern of road trauma. In the interim, the implementation of short courses, such as basic trauma life support and primary trauma care, can be considered as an appropriate method to compensate for the insufficient competency-related trauma care among health care workers while waiting for the effectiveness of medical training reformation.

Introduction of Young Researchers' Association of Medical Physics and Questionnaire Survey on Medical Physics Education and Medical Physics Training System in Japan for Young Researchers in 2021

Details of Young Researchers' Association of Medical Physics (YRAMP) was introduced. In addition, several questionnaire surveys on medical physics education (MPE) or medical physicist training system (MPTS) in Japan have been conducted, none have targeted the current status and issues of MPE and MPTS. The purpose of this study was to investigate those from the perspective of researchers and students under 35-year-old (y.o.). The questionnaire survey was conducted between 14th September to 14th October 2021, for 112 members of the Young Researchers' Association of Medical Physics via Google Forms. The questionnaire was in two parts: MPE (Part1) and MPTS (Part2). Three subparts were constructed in Part1: Classroom lecture, Clinical training, Education course accredited by Japanese Board of Medical Physicist Qualification. Out of a total of 126 questions, 38 were mandatory to be answered. No personal information was collected. Ninety-three members (83.0%) were answered. The age structure of the respondents was as follows: 18-21, 22-26, 27-30, and 31-35 y.o.=5.4%, 36.6%, 39.8%, and 18.2%. Of the respondents, 74.2% and 11.8% answered that they first heard of "medical physics" or "medical physicist" when they were undergraduate students and in high school or younger, respectively. In Classroom lecture, 61.3%, 17.2%, and 21.5% of the respondents answered that they were "satisfied" or "moderately satisfied", "dissatisfied" or "moderately dissatisfied", and "Not sure" with the current MPE, respectively. In Clinical training, Education course, and MPTS, 58.1%, 21.5%, and 20.4% of the respondents answered that they were "satisfied" or "moderately satisfied", "dissatisfied" or "moderately dissatisfied", and "Not sure", respectively. In both MPE and MPTS, approximately 88% and 51% of the respondents answered that "holding lectures and study sessions for high school and undergraduate students" and "utilizing YouTube" would be useful in promoting MPE and MPTS in Japan, respectively. The results of the questionnaire survey will provide useful data for MPE and MPTS in Japan.

143 The Use of an Audio-Visual Streaming Solution to Deliver Portable COVID Compliant &lt;i&gt;in situ&lt;/i&gt; Simulation Training

Safe training in the current clinical workplace requires careful participant proximity management. Delivering simulation in a confined clinical environment can impact scenario fidelity and affect psychological safety The aim of the study was to assess the practical efficacy of a portable AV streaming solution to enable real-time The Scotia Medical Observation and Training System (smots™) offers a portable AV solution with flexibility, through the addition of cameras and microphones as required, to create bespoke simulation viewing. Smots™ was incorporated into the Smots™ was an effective platform to meet our aims. Delivery users reported smots™ to be reliable in streaming the AV footage to a target audience in a remote debriefing room. The system was compact, easily transportable and had a low burden of training to achieve user competence. Participant feedback was positive, in that the system provided good AV clarity and narration, thereby enabling a successful training evolution. Smots™ offers a reliable capability to stream simulation scenarios to an alternative viewing area with the ability to be relocated as needed. Local wireless broadcasting range is finite and may limit users’ ability to stream information to discrete departments within a larger trust. Mitigation is possible using a secondary streaming platform or integrating it into a secure internal Wi-Fi or ethernet network. Assistance from trust information technology departments is recommended and this capability is something our team will consider as a future option. Expanding connectivity is an effect multiplier, offering distanced, streamed training across trusts and regions, as well as the inclusion of participants working from home. The portable nature of this smots™ solution offers flexibility for rapid deployment to areas of novel clinical capability and community partnerships. This system has proved exceptionally useful during a prolonged period of social distancing, enabling ongoing high-efficacy