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Journal of Nippon Medical School

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Clinical Clerkship Course for Medical Students on Lumbar Puncture Using Simulators

Koji Adachi1,2, Akinobu Yoshimura2, Ryoko Aso2, Tsuguhiro Miyashita2,3, Daizo Yoshida1, Akira Teramoto1 and Toshiro Shimura2

1Department of Neurosurgery, Nippon Medical School
2Academic Quality and Development Office, Nippon Medical School
3Department of Radiology, Nippon Medical School


Lumbar puncture is a medical technique that physicians must learn and is, therefore, considered a basic medical procedure. The lumbar puncture simulators Lumbar-Kun (Lumbar Puncture Simulator) and Lumbar-Kun II (Lumbar Puncture Simulator II) (Kyoto Kagaku, Kyoto, Japan) are teaching aids designed for practicing spinal insertions. We describe and results of a lumbar puncture clerkship course, provided to 5th-year medical students during clinical clerkship activity. The aim of this study was to evaluate the effectiveness of the lumbar puncture clerkship course in the medical education program. Comprehension, technical achievement, and satisfaction were scored by students and instructors using a 6-point Likert scale. Scores for both comprehension and technical achievement were high, but technical achievement scores tended to be higher than comprehension scores. In addition, the scores students gave themselves were higher than the scores they were given by instructors. Student satisfaction was high. The lumbar puncture simulators, Lumbar-Kun and Lumbar-Kun II, achieved excellent overall impressions and represent useful tools for training in lumbar puncture procedures. In addition to the simulators, an appropriate preparatory text and a short lecture before training seemed to increase the educational effect of this lumbar puncture clerkship course for medical students.

J Nippon Med Sch 2012; 79: 430-437

Keywords
lumbar puncture simulator, lumbar puncture clerkship, medical students

Correspondence to
Koji Adachi, Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
adachi@nms.ac.jp

Received, April 3, 2012
Accepted, July 17, 2012