Practicum for Clinical Genetics

Numbering Code P-PUB01 8N018 LJ90 Year/Term 2021 ・ Second semester
Number of Credits 2 Course Type Lecture
Target Year Professional degree students Target Student
Language Japanese Day/Period
Instructor name KOSUGI SHINJI (Graduate School of Medicine Professor)
Outline and Purpose of the Course [Basic information]
Class date and time: 5th and 6th periods of Fridays (biweekly)
Classroom: Building G, 3rd Floor, Seminar room
Level: Advanced
Staff in charge: Shinji Kosugi, Takahito Wada, Takahiro Yamada, Sayaka Takenouchi, Yasuji Yamazaki (Kobe University), Atsushi Asai (Tohoku University)

[Course overview]
Analysis of clinical problems that arise with the development of medical technology and issues in clinical research. The goal is for participants to acquire the “ability to think about problems on their own, seek solutions, and practice clinically” and to become practical, action-oriented medical professionals.
Course Goals 1) Understand the basics of medical ethics
・Understand the background of medical ethics, the transformation of the doctor-patient relationship, as well as the patient’s rights and the doctor’s responsibility.
2) Learn how to deal with ethical issues
・Recognize the existence of an issue and analyze it using a framework for thinking.
・Create a path for a solution through discussion.
・Think about how to apply medical ethics to clinical practice.
Schedule and Contents [1st/2nd lectures] 10/1 [Kosugi] “Ethics Committee/Transplantation Therapy and Ethics”: The history of the ethics review committee, current status, legal basis, structure, and issues in organ transplants from brain dead donors, living liver transplants, pancreatic islet transplants from cardiac death donors and living bodies, based on real cases.
[3rd/4th lectures] 10/22 [Asai] “Problems in Medical Resource Allocation”
[5th/6th lectures] 11/5 [Yamada] “Obstetrics and Gynecology and Ethics”: Since these particular fields involve embryos and unborn children, obstetrics and gynecology have inherent broad ethical issues, which these lectures examine.
[7th/8th lectures] 11/19 [Wada] “Pediatric Medicine and Ethics”: A look at guardianship in pediatric treatment, informed consent and assent, and medical ethics.
[9th/10th lectures] 12/5 [Yamazaki] “Law and Ethics ”: A comprehensive analysis of the relationship between morality, ethics, and law, as well as the natural law theory and legal positivism.
[11th/12th lectures] 12/17 [Takenouchi] “Terminal Care”: An analysis of the discontinuation of treatment, life-prolonging treatment, euthanasia, death with dignity, medical care for the elderly, DNR orders, advance instructions, and medical futility.
[13th/14th lectures] 1/7 [Yamada] “The Problem of Secondary (Accidental) Findings”: Learn how to handle secondary (accidental) findings, which have become common in today's era of the extensive use of genome information.
[15th/16th lectures] 1/21 [Kosugi] “Independent Research Presentation”: Presentation of independent theme research by graduate students who are taking the course.
Evaluation Methods and Policy Research presentations, active participation in discussions, reports, and attendance are evaluated comprehensively.

Presentation of independent research (the final step): Each student must present the outcome of investigating a theme of his/her own choice (any theme related to medical ethics) and looking for issues on his/her own. Each theme is discussed by everyone in the class. The time allocated (presentation + discussion) depends on the number of presenters, but it is between 15 and 20 minutes. (Please use PowerPoint in your presentation and distribute a handout to everyone). This is a required step for students and attendees from other majors and postgraduate courses as well.
Course Requirements Compulsory subject for first-year students in the Genetic Counselor Course:

The SPH elective
“Basic Medical Ethics” must be taken in advance as a prerequisite.

Availability for students majoring in Human Health Sciences: Contact us in advance
Study outside of Class (preparation and review) Instructions will be given accordingly
Textbooks Textbooks/References Other handouts distributed in class