JMSA had its first Journal Club meeting on October 20th, 2016. The event was organized by Shoko Mori, a third year medical student at SUNY Downstate College of Medicine and 2016 Raymond Sekiguchi MD-JMSA Scholarship Recipient. The JMSA Journal Club, her scholarship project, was started in the hopes of bringing together JMSA students, researchers, and physicians in an educational and meaningful environment to learn about current research topics and also network with other JMSA members. Her mentors for the project are JMSA physicians Dr. Maki Kano and Dr. Yuzuru Anzai.
The first meeting of the Journal Club was facilitated by Dr. Satoko Kanahara, who is a board certified Internal Medicine and Pediatrics physician practicing at Community Healthcare Network in the Bronx. The two papers that were discussed were "Body-Mass Index in 2.3 Million Adolescent and Cardiovascular Death in Adulthood" by Gilad Twig et. al published in the New England Journal of Medicine and "Timing of Allergenic Food Introduction to the Infant Diet and Risk of Allergic or Autoimmune Disease: A Systematic Review and Meta-Analysis" by Despo Ierodiakonou et. al published in JAMA.
The event was attended by medical students from Mount Sinai, Cornell, Columbia, and SUNY Downstate, and was a great opportunity to meet other students and learn from these two journal articles. The JMSA Journal Club will hold its next meeting in the Spring and hopes to continue to bring together more JMSA members.
Coordination of discharge care is critical to reducing hospital readmissions and ensuring optimal patient outcomes, particularly among the elderly demographic. This is a pressing issue for health care delivery in both Japan and the US, where aging trends coincide with high rates of inpatient care utilization, increasing complexity of medical care, and shifting family structures with diminishing ability to provide appropriate care for elderly family members. The overall objectives of this project are to conduct an international comparison of the discharge coordination process for older patients at two large academic medical centers in Japan and the US: Tokyo Medical and Dental University Hospital of Medicine in Tokyo and Massachusetts General Hospital in Boston. A combination of patient demographic analysis, clinical observation sessions, stakeholder interviews, and patient interviews enabled process charting of the discharge coordination process for geriatric patients, from admission through discharge. This study highlights interesting case management roles that have evolved at each center while also demonstrating the need for greater institutional engagement to support a streamlined, patient-centered approach to discharge coordination. This project provides a foundation for understanding the broader opportunities, obstacles, and future trends facing discharge coordination services at large academic medical institutions in Japan and the US.
JMSA Shadowing Program Report 3
The shadowing opportunity I had through JMSA will influence me throughout my pursuit in medicine. I arrived at Thomas Jefferson University Hospital to shadow cardiothoracic surgeons Dr. Hitoshi Hirose, Dr. Shinya Unai, and Dr. Daiso Tanaka [JMSA Mentors].
Upon my arrival, the first case was for a coronary artery bypass graft (CABG). We first reviewed the angiogram previously taken from the patient. The team of anesthesiologist, nurses, physician assistant, and surgeon worked to set up the sterile environment and completed the procedure in six hours. There were a few unexpected complications, such as the physical state of the tissue due to the natural aging process; however, the overall process of reattaching the femoral vein to the heart went smoothly. They brought the patient to the waiting room and consulted the family members to review the status of the patient.
The next procedure I observed was a cardiac transection to remove the patient from an extracorporeal membrane oxygenation (ECMO) machine. The cardiac transection took around two hours, and the patient was intubated to provide efficient oxygenation of the blood from the lungs and taken back to the Cardiovascular Intensive Care Unit (CVICU) for the completion of the recovery.
After speaking to the surgeons who originally came from Japan, I learned the differences that Japanese surgeons face of working on average 80-100 hours/week and with decreased amount of pay. In America, they work with a larger surgical team and have opportunities for young surgeons to receive extensive training in cardiothoracic surgery. This experience allowed me to expand my curiosity, and strengthen my desire to work with a team of health professionals, as I witnessed the strength of impact they have on the lives and families of others.
JMSA Shadowing Program Report 2
JMSA Shadowing Program Report 1
Message from Christina Theodorou:
Through the JMSA Shadowing Program, I was able to shadow Dr. Erich Anderer [JMSA mentor], a Japanese-American neurosurgeon practicing at Maimonides Medical Center in Brooklyn. I watched as he performed an laminectomy on one of his patients, and got a chance to see a spinal cord for the first time (aside from my anatomy cadaver!). As a student at Northwestern's Feinberg School of Medicine, I haven't had the chance to rotate through a community hospital and it was very interesting to talk with Dr. Anderer about the differences between large academic centers and community hospitals. Through the JMSA Shadowing Program, I was able to spend a day one-on-one with an attending surgeon, in a field I may not have had the chance to explore otherwise. It was a wonderful experience and I recommend it to anyone interested in the field of medicine, at any level of training.
JMSA Project Report 6
Lisa Akiyama (Medical Student, Oakland University: William Beaumont School of Medicine, Rochester, MI)
Project: To educate Japanese women about cervical cancer screening.
JMSA Project Report 5
Noah Berland (Medical Student, NYU School of Medicine, New York, NY)
Project: To Create JMSA Physician Maps on Google Maps
JMSA Project Report 4
Dan Ebner (Medical Student, Warren Alpert Medical School of Brown University, Providence, RI)
Project: Studying the health effects of radiation, evacuation, diet, and stress in Kawauchi Village, within the exclusion zone of the Fukushima Nuclear Disaster.