Arts and Sciences A survey of interprofessional cooperation to the staff working with CoMSEP (coordinated, continuing, medical staff education program) graduates : concerning the profession of radiological technologist 1 2 3 4 1 5 6 7 7 8 9 7 1 2 3 4 5 6 7 89 Key words: interprofessional cooperation multidisciplinary collaboration team medicine questionnaire radiological technologist Abstract A questionnaire survey was conducted to medical staffs working with first graduates of the Coordinated Continuing Medical Staff Education Program CoMSEP. The target occupations were radiological technologist, medical technologist and physical therapist. Future necessity of cooperation of three job type was 81. However, the comprehension level of job content by job type was 43 on average, and the opportunities involved with other occupations in business was 5 on average. X-ray photography, CT, and MRI were recognized by 9 of staffs in other occupations, as the specialization of radiological technologists. Moreover, they wanted to learn how to interpret these medical images. The necessity of cooperation and the requirement among professions were clarified. We were able to obtain useful information for promotion of future interprofessional cooperation. 6 Coordinated, Continuing, Medical Staff Education Program CoMSEP 3 381 3 43 5XCT MRI9 3 1 1 Toshiya Akatsu 1 Masanori Maruyama 2 Tomoko Maruyama 3 Ryosuke Arai 4 Katsumi Miyamoto 1 Michiharu Sekimoto 5 Rumi Gotanda 6 Hiroyuki Tsushima 7 Yoshiyuki Ishimori 7 Yukari Ohashi 8 Haruhiko Ninomiya 9 Hitoshi Sato 7 1 Department of Radiological Technology, Tsukuba Medical center Hospital 2 Department of Rehabilitation, Aida Memorial Rehabilitation Hospital 3 Social Welfare Organization Saiseikai Imperial Gift Foundation, Inc Department of Clinical Laboratory, Ryugasaki Saiseikai Hospital 4 Rehabilitation Center, Ushiku Aiwa General Hospital 5 Department of Radiological Technology, Niigata University of Health and Welfare 6 Department of Radiological Technology, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare 7 Department of Radiological Sciences, Ibaraki Prefectural University of Health Sciences 8 Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences 9 Faculty of Medicine, University of Tsukuba Received June 28, 217; accepted May 25, 218 17 81
214 2 Coordinated, Continuing, Medical Staff Education Program CoMSEP 3-4 2 radiological technologist medical technologist MT physical therapist PT 3 13 e-learning Fig.1 2 CoMSEP 3 5-6 MT PT 3 3 3 CoMSEP 216 7 1 31 MT PT 3 CoMSEP 3 X Table 1 13 45 67 81 4 5 8 3 1 6 7 4 7 doctor Drnurse Ns 5 4 11 627 Fig.1 Scheme of CoMSEP 1 111 2 221 3 131 4 241 5 3 51 6 171 8 1 1 1 2 18 82 218. vol.65 no.79
Arts and Sciences Table 1 Questionnaire sheet including 1 questions regarding interprofessional cooperation 1 2 3 1 2 12 3 1 4 5 12 34 12 34 12 34 12 34 12 34 1 2 CT3 MRI4 5 6 IVR 7 89 1 6 6 7 3 123 4 5 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 8 9 1 1 2 CT3 MRI4 5 6 IVR 7 89 1 3 12 34 3 1 CPX 2 19 83
経験年数 MT PT 5 2 7 1 2 1 313 1 PT 3 121 MT 1411 PT 7 5 1Fig.3 1 627338 54 289 46 132 21 41 7 MT 66 1 143 23 PT 14 22 15 17 Fig.2 2 627 173 28 MT 29 33 PT 245 39 Fig.2 4 Dr Ns 85 3 43PT 31 Fig.4 5 89 XCT MRI 9 IVR 3 Fig.5 よく知っている知っているあまり知らない全く知らない 男性 22 女性 17 PT 39 MT 33 28 男性 21 女性 7 男性 1 Dr Ns MT 16 15 4 4 51 39 7 69 43 53 14 16 2 5 女性 23 PT 3 28 63 6 Fig.2 Breakdown of respondents Fig.4 Awareness of each job content 4 3 2 1 レントゲン CT 検査 MRI 検査超音波検査マンモグラフィ放射線治療被ばく 放射線管理核医学検査 消化管検査 MT PT IVR 91 92 92 89 92 89 88 6 87 58 88 5 88 35 87 34 88 25 91 1 Fig.3 Distribution of respondents experience Fig.5 Awareness of job content 2 84 218. vol.65 no.79
Arts and Sciences 6 25 72 Fig.6 7 Dr Ns 69 1 3 5 PT 1 Fig.7 MT PT CPX MT 8 5 Fig.5 18 XCT MRI 5 IVR 1 Fig.8 医療チームによるチームアプローチ 情報交換 連絡 合同勉強会 親睦会 その他 4 8 5 4 12 1 1 1 2 3 13 Fig.6 Priority for interprofessional cooperation 35 49 44 5 72 第一優先 第二優先 第三優先 9 3 69 11 433 7114 19 11 Fig.9 1 3 XCT MRI 6 かなり多い多い少ない全くない Dr 17 46 Ns 3 45 MT 16 15 41 4 PT 1 19 8 36 23 1 52 54 レントゲン CT 検査 MRI 検査超音波検査マンモグラフィ放射線治療被ばく 放射線管理核医学検査消化管検査 MT PT IVR 17 23 22 21 15 11 17 14 21 6 13 9 15 11 18 4 38 56 61 6 Fig.7 Opportunities to be involved with other professions Fig.8 Contents of job demanding interprofessional cooperation 21 85
全く必要ない MT MRI PT MRI X MT CT MRI PT 5 3 1 3 MT5 PT2 MT PT 2 MT PT あまり必要ない 19 必要 7 絶対必要 11 Fig.9 Demand of interprofessional cooperation in the three type of job 4Dr Ns 3 3 5 1 13 13 13 97 X CT MRI MT CT MRI 7 PT 8-11 MT PT 12-13 6154 IVR IVR IVR 6 IVR 2 22 86 218. vol.65 no.79
Arts and Sciences 7Dr Ns 3 3 4 Fig.4 8 5 Fig.5 9 11 2 MT6 PT3 3 1 Ns CT MRI 3 13 MT PT CoMSEP 3 14-16 IVR MRI 17 18-2 21-22 23-25 26-27 6 MT PT Dr Ns3 7 CoMSEP Table 1 1 Fig.1 CoMSEP Fig.2 Fig.3 Fig.4 Fig.5 Fig.6 Fig.7 Fig.8 Fig.9 3 6 23 87
1 http://www. mhlw.go.jp/shingi/21/3/dl/s319-9a.pdf 2 http://www.mext.go.jp/a_menu/koutou/iryou/13518. htm 214 3 CoMSEP http://www.md.tsukuba.ac.jp/comsep/ 214 4 45 3 135-143 214 5 3 6 1259-1262 215 6 36 2 194-197 216 7 64 5 517-526 215 8 43 4 349-357 216 9 36 3 151-156 212 1 MRI 42 7 539-546 215 11 ACL 212 2 3 212 http://minds4.jcqhc.or.jp/minds/ ACL/4_ch3_ACLinur.pdf 12 Core Ethics.3 239-247 27 13 1,529 2265 3 248-254 25 14 1 87 3 7-74 217 15 58 5 284-288 24 16 17 1 3-9 212 17 MRI MRI 212 18 --54 3 439-442 212 19ER 36 6 667-671 212 2 36 6 78-71 212 21 84 1 51-58 214 22 ICT 17 1 25-31 214 23 54 3 447-45 212 24 2 41-45 213 25 Supplement 214 867 215 26 TeamSTEPPS 37 1 88-96 217 27 41 3 6-13 216 24 88 218. vol.65 no.79