研究者業績
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  2. 鋪野 紀好

鋪野 紀好

シキノ キヨシ  (Kiyoshi Shikino)

基本情報

所属
千葉大学 大学院医学研究院 地域医療教育学 特任准教授 (MD, PhD, MHPE, FACP, AFAMEE)
学位
博士（医学）(千葉大学)
医療者教育学 修士(2020年9月 米マサチューセッツ総合病院)
J-GLOBAL ID
201501003036145043
researchmap会員ID
B000249587
外部リンク

職歴

2008年3月 千葉大学医学部卒業

2008年4月 千葉市立青葉病院（臨床研修）

2010年4月 千葉大学医学部附属病院総合診療科 シニアレジデント

2011年4月 千葉大学医学部附属病院総合診療科 医員

2013年4月〜2022年3月 千葉大学医学部附属病院総合診療科 特任助教 兼 総合医療教育研修センター 

2022年4月 千葉大学大学院医学研究院地域医療教育学 特任准教授 兼 千葉大学医学部附属病院総合診療科 兼 総合医療教育研修センター （現職）

 

役職（学内）

千葉大学医学部附属病院総合診療専門研修プログラム 副プログラム責任者

千葉大学医学部附属病院総合診療科家庭医療専門研修プログラム 副プログラム責任者

千葉大学医学部附属病院総合診療科後期研修プログラム（家庭医療コース）プログラム責任者

千葉大学医学部附属病院卒後臨床研修プログラム（協力病院スタートプログラム）副責任者（2020年4月〜2022年3月）

 

学会活動（学外）

日本内科学会 専門医部会 幹事（講演会担当）（2019年7月〜2022年6月）

日本内科学会 リカレント教育ワーキンググループ 委員

日本プライマリ・ケア連合学会 代議員

日本プライマリ・ケア連合学会 プライマリ・ケア教育委員会 委員

日本プライマリ・ケア連合学会 コアコンピテンシー委員会 委員

日本プライマリ・ケア連合学会 専門研修支援委員会 委員

日本病院総合診療医学会 評議員

日本病院総合診療医学会 病院総合診療専門医試験委員会 実行委員長

日本病院総合診療医学会地区幹事

日本病院総合診療医学会 病院総合診療専門研修プログラムワーキンググループ 委員

日本病院総合診療医学会 診断エラーグループ 委員

日本医学教育学会 代議員

 

日本医学教育学会 学術大会運営委員会 委員

日本医学教育学会 医学教育モデル・コア・カリキュラム調査研究特別委員会 委員

American College of Physicians Japan Chapter Physicians Well-being Committee 委員長

American College of Physicians Japan Chapter Public Relations Committee 副委員長（2018年7月〜2023年6月）

 

その他の活動

日本専門医機構 総合診療専門医検討委員会 総合診療専門医認定試験委員会

日本専門医機構 総合診療専門医検討委員会 広報部会

日本専門医機構 総合診療専門医検討委員会 研修医・専攻医支援部会

医療系大学間共用試験実施評価機構 診療参加型臨床実習後客観的臨床能力試験 実施管理委員会

医療系大学間共用試験実施評価機構 診療参加型臨床実習後客観的臨床能力試験 解説・教育用動画作成・管理小委員会

日本医療教育プログラム推進機構 基本的臨床能力評価試験問題作成委員会

BMC Medical Education, Editorial board 

診断と治療 編集委員

厚生労働省 医師試験委員

文部科学省 高等教育局 医学教育課 技術参与（2021年4月〜2023年3月）

 

資格

日本内科学会 総合内科専門医・指導医

日本専門医機構 総合診療専門研修 特任指導医

日本プライマリ・ケア連合学会 プライマリ•ケア認定医・指導医

日本プライマリ・ケア連合学会 プライマリ・ケア認定薬剤師制度見学実習担当指導医

日本病院総合診療医学会 認定医・特任指導医

 

臨床研修協議会 プログラム責任者養成講習会 修了

臨床研修協議会 臨床研修指導医講習会 修了

共用試験医学系臨床実習後OSCE認定評価者

Center for Medical Simulation 指導者講習修了（Boston, MA）

Monash University and Harvard Macy Institute Leadership and Innovation in Health 修了（Melbourne, Australia）

American College of Physicians, Well-being Champion Training Program 修了（米国内科学会）


所属学会

日本内科学会

日本プライマリ•ケア連合学会（代議員）

日本病院総合診療医学会（評議員）

日本医学教育学会（代議員）

American College of Physicians（ACP、米国内科学会）

Society of General Internal Medicine（SGIM、米国総合内科学会）

Association for Medical Education in Europe（AMEE、欧州医学教育学会）

 

受賞

Best Presentation Award (Merit), Free Communications, Asia Pacific Medical Education Conference 2023

Young Leadership Award, American College of Physicians Japan Chapter 2022

Kurokawa Prize, Early Career Physician section, American College of Physicians Japan Chapter Annual Meeting 2018

Young Investigator Award, International session, 第50回日本医学教育学会大会

指導教官賞, 第117回日本内科学会講演会 医学生・研修医の日本内科学会ことはじめ

研究キーワード

 14

研究分野

 1

主要な経歴

 12
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学歴

 3

主要な委員歴

 37
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主要な受賞

 10
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論文

 175
  • Mitsuyasu Ohta, Yoshiyuki Ohira, Takanori Uehara, Kazunori Keira, Kazutaka Noda, Misa Hirukawa, Kiyoshi Shikino, Hideki Kajiwara, Fumio Shimada, Yusuke Hirota, Akiko Ikegami, Masatomi Ikusaka
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association 23(2) 119-129 2017年2月  査読有り
    BACKGROUND: Telediagnosis (TD), which uses information and communications technology, has recently undergone rapid development. Since no studies have compared the diagnostic precision of TD to that of face-to-face diagnosis (FD), we examined and compared the diagnostic accuracy of these diagnostic approaches among general medicine outpatients. METHODS: Data of 97 patients (45 men and 52 women with a mean age of 52 years) who underwent initial examinations at a regional hospital were analyzed. Two fully trained general medicine physicians were selected from a group of three physicians to perform FD and TD. Levels of agreement (as κ coefficients) were determined between TD and FD diagnoses as well as between final diagnoses and TD and FD diagnoses. RESULTS: The κ coefficients were 0.75 for TD and FD and 0.81 for both, the final diagnoses and the TD and FD diagnoses, revealing a sufficiently high level of diagnostic agreement. CONCLUSIONS: TD can provide the same level of diagnostic accuracy as FD among general medicine outpatients for adults. The help of medical assistants and the utilization of physical examination devices might enable medical staff to provide TD care similar in quality to FD. TD could be a useful diagnostic tool when medical work force is limited (e.g., in remote areas, during natural disasters, and in at-home care).
  • Y Hirose, K Shikino, M Ikusaka
    QJM : monthly journal of the Association of Physicians 109(11) 759-759 2016年11月  査読有り
  • Kiyoshi Shikino, Yuta Hirose, Seitaro Nakagawa, Masatomi Ikusaka
    BMJ case reports 2016 2016年9月14日  査読有り筆頭著者責任著者
  • Kiyoshi Shikino, Masatomi Ikusaka
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 188(11) 821-821 2016年8月9日  査読有り筆頭著者責任著者
  • Shikino Kiyoshi, Ikusaka Masatomi, Suzuki Shingo, Noda Kazutaka, Ohira Yoshiyuki, Yokokawa Daiki, Hirota Yusuke, Ikegami Akiko, Kajiwara Hideki, Kondo Takeshi, Uehara Takanori
    ACP(米国内科学会)日本支部年次総会プログラム集 2016 101-101 2016年6月  
  • Yokokawa Daiki, Ikusaka Masatomi, Shikino Kiyoshi, Hirose Yuta, Sogai Daichi, Hirota Yusuke, Ikegami Akiko, Kajiwara Hideki, Kondo Takeshi, Suzuki Shingo, Noda Kazutaka, Uehara Takanori, Ohira Yoshiyuki
    ACP(米国内科学会)日本支部年次総会プログラム集 2016 105-105 2016年6月  
  • Kiyoshi Shikino, Yoshiyuki Ohira, Masatomi Ikusaka
    Journal of general internal medicine 31(5) 582-582 2016年5月  査読有り筆頭著者責任著者
  • Kiyoshi Shikino, Masahito Miyahara, Kazutaka Noda, Yoshiyuki Ohira, Masatomi Ikusaka
    Clinical case reports 4(4) 451-2 2016年4月  査読有り筆頭著者責任著者
    Postherpetic pseudohernia must be suspected when a patient develops motor dysfunction coincident with or following a herpes zoster eruption.
  • Hideki Kajiwara, Yoshiyuki Ohira, Akiko Ikegami, Nao Hanazawa, Takako Masuyama, Tomoko Yamashita, Takeshi Kondo, Kiyoshi Shikino, Masatomi Ikusaka
    International journal of general medicine 9 199-204 2016年  査読有り
    INTRODUCTION: Anxiety and depressive symptoms are seen in patients with anxiety and mood disorders but are also common in those with organic disorders. However, since physical symptoms are predominant complaints from patients who visit nonpsychiatric outpatient clinics, anxiety and depressive symptoms are often unrecognized. It is important for physicians to be aware of these issues concurrent with the physical symptoms. We therefore examined whether a self-administered medical questionnaire could identify anxiety and depressive symptoms. PATIENTS AND METHODS: A total of 453 patients on their first visit to the Department of General Medicine, Chiba University Hospital, Chiba, Japan, participated in this study. They were asked to complete a medical questionnaire and the Hospital Anxiety and Depression Scale questionnaire before examination. Data on age, sex, number of complaints, symptom duration, and number of previous physicians were extracted from the medical questionnaire. These data were used as independent variables in logistic regression analysis to develop a predictive model for the presence of anxiety and depressive symptoms. RESULTS: Data from 358 (79.0%) patients were included in the analyses. Logistic regression analysis identified the following predictors: "three or more complaints" (odds ratio [OR] 2.39; 95% confidence interval [CI] 1.48-3.88) and "four or more previous physicians" (OR 1.72; 95% CI 1.10-2.69). In the predictive model for the presence of symptoms of anxiety and depression, the likelihood ratio was 2.40 (95% CI 1.33-4.34) in patients reporting both conditions and 1.35 (95% CI 1.04-1.77) in those reporting either condition. CONCLUSION: The presence of anxiety and depressive symptoms can be predicted from the items of a medical questionnaire in outpatients visiting a general medicine department of a university hospital. When patients report three or more complaints or four or more previous physicians on a medical questionnaire, physicians should consider the presence of anxiety or depression or both in differential diagnosis.
  • Takanori Uehara, Masatomi Ikusaka, Yoshiyuki Ohira, Kazutaka Noda, Shingo Suzuki, Kiyoshi Shikino, Takeshi Kondo, Hideki Kajiwara, Akiko Ikegami, Yusuke Hirota
    INTERNAL MEDICINE 55(24) 3675-3678 2016年  査読有り
    Cases of sprue-like enteropathy associated with olmesartan have sporadically been encountered since it was first reported in 2012, and their most characteristic manifestation is severe diarrhea. We herein report the first case of sprue-like enteropathy manifesting as Wernicke-Korsakoff syndrome due to vitamin B1 malabsorption with only minimally increased bowel movements. When patients are receiving olmesartan and they complain of nonspecific chronic gastrointestinal symptoms, it is important to consider changing the drugs before any serious malabsorption syndrome develops.
  • Shingo Suzuki, Kazutaka Noda, Yoshiyuki Ohira, Kiyoshi Shikino, Masatomi Ikusaka
    Rheumatology international 35(10) 1769-72 2015年10月  査読有り
    To investigate the clinical features and finger symptoms of eosinophilic fasciitis (EF), we reviewed five patients with EF. The chief complaint was pain, edema and/or stiffness of the extremities. The distal extremities were affected in all patients, and there was also proximal involvement in one patient. One patient had asymmetrical symptoms. All four patients with upper limb involvement had limited range of motion of the wrist joints, and three of them complained of finger symptoms. Two of these three patients showed slight non-pitting edema of the hands, and the other one had subcutaneous induration of the forearm. All four patients with lower limb symptoms had limited range of motion of the ankle joints, and two showed edema or induration of the legs. Inflammatory changes in the joints were not detected in any of the patients. Two patients displayed neither objective induration nor edema, and two patients had muscle tenderness. In conclusion, finger symptoms of patients with EF might be caused by fasciitis of the forearms, which leads to dysfunction of the long finger flexors and extensors as well as slight edema of hands. Limited range of motion of wrist and/or ankle joints indicates sensitively distal muscle dysfunction caused by fasciitis.
  • Kiyoshi Shikino, Shingo Suzuki, Kazutaka Noda, Yoshiyuki Ohira, Masatomi Ikusaka
    The American journal of medicine 128(9) e17-8-E18 2015年9月  査読有り筆頭著者責任著者
  • Kiyoshi Shikino, Kazutaka Noda, Yoshiyuki Ohira, Masatomi Ikusaka
    The American journal of medicine 128(5) e7-8-E8 2015年5月  査読有り筆頭著者責任著者
  • Kiyoshi Shikino, Masatomi Ikusaka, Fumio Shimada
    BMJ case reports 2015 2015年3月11日  査読有り筆頭著者責任著者
  • Kiyoshi Shikino, Masatomi Ikusaka, Toshihiko Takada
    Journal of general internal medicine 30(2) 263-263 2015年2月  査読有り筆頭著者責任著者
  • Kiyoshi Shikino, Masatomi Ikusaka, Yoshiyuki Ohira, Masahito Miyahara, Shingo Suzuki, Misa Hirukawa, Kazutaka Noda, Tomoko Tsukamoto, Takanori Uehara
    Advances in medical education and practice 6 143-8 2015年  査読有り筆頭著者責任著者
    BACKGROUND: This study aimed to clarify the influence of predicting a correct diagnosis from the history on physical examination by comparing the diagnostic accuracy of auscultation with and without clinical information. METHODS: The participants were 102 medical students from the 2013 clinical clerkship course. Auscultation was performed with a cardiology patient simulator. Participants were randomly assigned to two groups. Each group listened to a different simulated heart murmur and then made a diagnosis without clinical information. Next, a history suggesting a different murmur was provided to each group and they predicted the diagnosis. Finally, the students listened to a murmur corresponding to the history provided and again made a diagnosis. Correct and incorrect diagnosis rates of auscultation were compared between students with and without clinical information, between students predicting a correct or incorrect diagnosis from the history (correct and incorrect prediction groups, respectively), and between students without clinical information and those making an incorrect prediction. RESULTS: For auscultation with or without clinical information, the correct diagnosis rate was 62.7% (128/204 participants) versus 54.4% (111/204 participants), showing no significant difference (P=0.09). After receiving clinical information, a correct diagnosis was made by 102/117 students (87.2%) in the correct prediction group versus 26/87 students (29.9%) in the incorrect prediction group, showing a significant difference (P=0.006). The correct diagnosis rate was also significantly lower in the incorrect prediction group than when the students performed auscultation without clinical information (54.4% versus 29.9%, P<0.001). CONCLUSION: Obtaining a history alone does not improve the diagnostic accuracy of physical examination. However, accurately predicting the diagnosis from the history is associated with higher diagnostic accuracy of physical examination, while incorrect prediction is associated with lower diagnostic accuracy of examination.
  • Misa Hirukawa, Yoshiyuki Ohira, Takanori Uehara, Kazutaka Noda, Shingo Suzuki, Kiyoshi Shikino, Hideki Kajiwara, Takeshi Kondo, Akiko Ikegami, Yusuke Hirota, Masatomi Ikusaka
    Internal medicine (Tokyo, Japan) 54(12) 1499-504 2015年  査読有り
    OBJECTIVE: This study was performed to investigate the factors influencing the correlation between physician satisfaction and patient satisfaction in an outpatient setting. METHODS: New patients attending the General Medicine Outpatient Clinic of Chiba University Hospital and their physicians were enrolled. After the initial consultation, both the patients and the physicians completed an anonymous questionnaire. RESULTS: There were 875 patients (381 men and 494 women; mean age: 54 years) and 10 physicians (4 men and 6 women; mean experience: 6 years). The satisfaction of the patients and the physicians was not correlated (r=0.14, p<0.001). A logistic regression analysis revealed that the factors associated with greater physician satisfaction were "guidance/advice from senior colleagues" [odds ratio (OR)=2.03; 95% confidence interval (CI)=1.76-2.34] and "confidence in the diagnosis" (OR=1.52; 95%CI=1.37-1.69), while "a difficult patient" (OR=0.73; 95%CI=0.68-0.78) was associated with reduced satisfaction. The factors associated with greater patient satisfaction were "the doctor listened carefully" (OR=1.98; 95%CI=1.62-2.42) and "my diagnosis is correct" (OR=1.57; 95%CI=1.41-1.74). One item in the questionnaire for the physicians, "I diagnosed psychogenic illness" (OR=0.87; 95%CI=0.81-0.94), was associated with lower patient satisfaction. CONCLUSION: The satisfaction of the patients and the physicians was not correlated. If only the factors promoting the satisfaction of one party are targeted, the satisfaction of the other party will not increase. The satisfaction of the physicians may be increased by receiving advice from mentors and an improved diagnostic ability, while the patients wants a physician who listens carefully and makes the correct diagnosis.
  • Kiyoshi Shikino, Masatomi Ikusaka, Yusuke Hirota, Eri Sato
    BMJ case reports 2014 2014年9月16日  査読有り筆頭著者責任著者
  • Kiyoshi Shikino, Masatomi Ikusaka, Tomoko Yamashita
    BMJ case reports 2014 2014年7月4日  査読有り筆頭著者責任著者
    A 34-year-old Japanese woman presented with a 2-year history of generalised bone pain, muscle weakness and gait disturbance. The patient had been following a restricted diet (without fish or dairy products) and avoiding ultraviolet exposure for 8 years to manage her worsening atopic dermatitis. Physical examination revealed generalised bone tenderness and bilateral symmetric proximal muscle weakness. Vitamin D-deficient osteomalacia was diagnosed based on the laboratory examination findings, which indicated high serum alkaline phosphatase, high intact parathyroid hormone, and low 25-hydroxyvitamin D levels. Her symptoms improved after oral active vitamin D and calcium administration. To the best our knowledge, this case is the first report of vitamin D-deficient osteomalacia in an adult patient due to excessive dietary restriction for managing atopic dermatitis. We emphasise the importance of increasing awareness of vitamin D deficiency as a risk factor for the development of osteomalacia, and caution against excessive avoidance of sun exposure and dietary restriction.
  • Kiyoshi Shikino, Takako Masuyama, Masatomi Ikusaka
    Journal of general internal medicine 29(7) 1072-3 2014年7月  査読有り筆頭著者責任著者
  • Shingo Suzuki, Masatomi Ikusaka, Masahito Miyahara, Kiyoshi Shikino
    BMJ case reports 2014 2014年4月9日  査読有り
    A 50-year-old Japanese man was referred to our department with pain in his limb joints persisting for 3 months. Although his joints showed no redness, swelling or tenderness, he had a limited range of motion of his hip and shoulder joints, suggesting a diagnosis of polymyalgia rheumatica (PMR). However, his relatively young age and subacute course along with the absence of morning stiffness made the diagnosis uncertain. We performed positron emission tomography/CT, which revealed 18F-fluorodeoxyglucose uptake in bilateral upper and lower joints, consistent with PMR. There was also uptake by a sacral tumour, suggesting a diagnosis of paraneoplastic syndrome. Immunoglobulin A-κ type M protein was detected in serum and bone marrow aspiration/biopsy identified diffuse proliferation of atypical plasma cells, confirming a diagnosis of multiple myeloma. The patient received chemotherapy, which alleviated his limb pain, and achieved stringent complete remission after autologous peripheral blood stem cell transplantation.
  • Shingo Suzuki, Masatomi Ikusaka, Yoshiyuki Ohira, Masahito Miyahara, Kazutaka Noda, Hideki Kajiwara, Kiyoshi Shikino, Takeshi Kondo
    Japanese journal of radiology 31(11) 731-6 2013年11月  査読有り
    PURPOSE: We hypothesized that even with appropriate clinical information, abnormal CT findings can still be missed if correct diagnostic predictions are not made. MATERIALS AND METHODS: Of 388 total students (97 5th-year medical students × 4), students who detected abnormalities without clinical information were eliminated. The remaining students (hereafter, subjects) obtained clinical information, made diagnostic predictions, and reevaluated images. The proportion of failures in detecting abnormalities was compared between the correct prediction group and the incorrect prediction group. In the correct prediction group, the relationship between failures of detection and the ranking of the correct diagnosis was also examined. RESULTS: A total of 341 subjects were assessed. The proportion of subjects who failed to detect abnormalities in the correct prediction group (47.7 %, 93/195) was significantly lower (P < 0.001) than in the incorrect prediction group (85.6 %, 125/146). In the correct prediction group, the proportion of subjects who failed to detect abnormalities was significantly lower (P = 0.004) when the correct diagnosis was ranked first (38.5 %, 42/109) compared with lower rankings (59.3 %, 51/86). CONCLUSION: Making appropriate diagnostic predictions and estimating the possibility of them based on clinical information is important to avoid missing abnormal CT findings.
  • Kiyoshi Shikino, Kazutaka Noda, Masatomi Ikusaka
    Journal of general internal medicine 28(4) 591-591 2013年4月  査読有り筆頭著者責任著者
  • Shikino Kiyoshi, Ikusaka Masatomi, Miyahara Masahito, Ohira Yoshiyuki
    General Medicine 14(2) 135-137 2013年  
    A 51-year-old woman presented with a 3-month history of left-sided chest pain. The pain was colicky, without associated tenderness, and involved the T5-8 thoracic dermatomes. We suspected referred pain from peptic ulcer, and upper gastrointestinal endoscopy revealed multiple ulcers in the middle-third of the gastric lesser curvature. As the patient was on non-steroidal anti-inflammatory drug (NSAID) treatment for tension headaches, NSAID-induced peptic ulcer was diagnosed. Proton-pump inhibitor (PPI) treatment resulted in prompt pain relief. There are few reports of chest pain as the sole presenting symptom of peptic ulcer. Nevertheless, although rare, peptic ulcer should also be considered in the differential diagnosis of chest pain.
  • Kiyoshi Shikino, Masatomi Ikusaka, Masahito Miyahara, Yoshiyuki Ohira
    Internal medicine (Tokyo, Japan) 51(13) 1807-1807 2012年  査読有り筆頭著者責任著者

MISC

 403
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主要な書籍等出版物

 23
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主要な講演・口頭発表等

 132
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担当経験のある科目(授業)

 11
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所属学協会

 6
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主要な共同研究・競争的資金等の研究課題

 30
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主要なメディア報道

 37
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その他

 7
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