Student Feedback 2019

• I learned for the first time that pharmacists provide guidance and consultation on things other than medicine. Is this why they are called "town doctors"? I wonder if an era will come in our aging society where people go to the pharmacy whenever they feel unwell.

• I have surgery for esophageal cancer at Keio University Hospital in February. I participated to prepare for recurrence. The easy-to-understand talk from a patient's perspective was helpful for living out my natural life while coexisting with cancer in the future.

• In this free public lecture, recent research was explained in an easy-to-understand way. It gave me a chance to become interested in cancer drugs. I have several people around me undergoing cancer treatment, and I realized that the reason they all say they "don't have nausea" is because of the progress in drug research.

• Regarding cognitive behavioral therapy, there were many specific examples of how it can be used in what situations, rather than just knowledge, and I found the talk interesting. I will try to review it while testing it in my own life and work. (50s, Office Worker)

• It was very informative and enjoyable. I feel like I can look back on my past self and review things I should reflect on. As I was filling out the coping sheet myself, it became more and more fun and I couldn't stop. (50s, Pharmacy Pharmacist)

• I thought it might be difficult to apply to my own work, but hearing about cognitive behavioral therapy, I realized it can be used not only for patients but also for myself, making it a very meaningful lecture. (40s, Pharmacy Pharmacist)

• Based on my experience with counseling, I have been interested in cognitive behavioral therapy as a way to listen to patients during medication instruction, draw out symptoms (situations), and create an opportunity for improvement. I was relieved to find that what I casually do when interacting and talking with patients during drug administration is actually part of the skills of this therapy, and I want to use today's lecture for future medication instruction for patients. (50s, Clinic Pharmacist)

• Thank you for the wide-ranging and fulfilling content. The content was so dense that three hours felt like a waste. I would like a sequel. (50s, Pharmacy Pharmacist)

• The lecture on the latest gene therapy, a subject I knew nothing about, was very easy to understand and informative, and it was very beneficial. It was a very valuable workshop with substantial content. Thank you. This is my second time since last year, and I'm glad I took it again.

• I learned a lot about the importance of pharmacy-pharmacy collaboration and the difficulty of being mindful of language and patient interaction. Regarding genetics, although the content was difficult, it was good to have an active discussion.

• Both Dr. Aimono's and Dr. Udagawa's lectures were very easy to understand. Dr. Aimono's lecture was particularly interesting as it included actual cases. Finally, it was good to have a lecture (explanation) and a role-play. I realized that I should not answer questions involving genetic information lightly.

• The facilitator guided us well, so I was able to notice a wider range of things than the answers I had thought of in advance. It was educational to discuss practical content for problems often encountered in the field.

• As a supervising pharmacist, I was able to identify areas where my knowledge of the revised core curriculum was lacking (such as what can be done with Xerox, etc.). It was also good to be able to consult about points I was unsure about. (Pharmacy Pharmacist)

• Being able to hear various opinions from universities, pharmacies, and hospitals was helpful for future practical training. (Hospital Pharmacist)

• It was educational to hear about ideal training mainly from pharmacy teachers. I thought it would be good if a system could be created to allow for training in closer collaboration with the university. (University Faculty)

• It was good to hear the opinions of the participants and many tips that can be applied to practical training starting tomorrow. As the instructing side, I want to work with clear goals. (Pharmacy Pharmacist)

"1. How to Proceed with Clinical Research and Specific Examples" Dr. Mayumi Mochizuki

• It was very meaningful to be able to obtain the basic requirements and knowledge that must be understood when starting research. (Age unknown, Pharmacy Pharmacist)

• It was fun to learn the basics of clinical research. I would like to try it, but I still feel the hurdles are high. I would definitely like to try things like e-learning. (Age unknown, Hospital Pharmacist)

• It was a good opportunity to reorganize and update my knowledge regarding clinical research. Also, I found it interesting to learn that there are various studies starting from CQs from pharmacists. (Although corporate interest is mainly based on CQs from doctors.) I would like to follow up on this in the future. (50s, Office Worker)

• It further strengthened my impression that knowledge of statistics is important and that the hurdles are high. I also think I should study it for when the necessary opportunity arises. (50s, Pharmacy Pharmacist)

"2. The Process of Informed Consent Explanation and Acquisition" Dr. Nanae Tanemura, Dr. Yoshiko Tominaga

• It was educational because the details of the process of informed consent explanation and acquisition for patients, including points to note and risks, were explained clearly with a PowerPoint containing illustrations. (Age unknown, Pharmacy Pharmacist)

• It was fun to be able to study new knowledge. (Age unknown, Hospital Pharmacist)

• Regarding clinical research conducted by pharmacists, I had not thought much about how to describe risks on the IC, so it was useful to learn the approach. (50s, Office Worker)

• Although it was taught in an easy-to-understand manner, taking action requires coordination and collaboration with those around you. I intend to keep this in mind within my duties at the pharmacy. (50s, Pharmacy Pharmacist)

• When dealing with patients with mental disorders, I always feel it is truly sensitive; it's not just about empathizing with their life story and feelings, but also our choice of words and our sincere attitude when providing care. Today's talk was very helpful. Dr. Umeda's kind personality came through the lecture. Thank you very much. (40s, Occupation unknown)

• I work at a pharmacy in front of a psychiatric hospital, and I took this course because I didn't know how to handle patients receiving outpatient treatment. In today's lecture, many things applied to my patients, and I was able to understand a bit more about the symptoms of the illness. Thank you for the lecture based on practical experience. (30s, Pharmacy Pharmacist)

• It was very educational to learn about mental disorders from the basics. In particular, it was helpful to understand the specific direction of how to interact and communicate with actual patients in clinical practice. I was surprised that there are many more things to consider and empathize with regarding patients than I had thought. (20s, Pharmacy Pharmacist)

• I understood that since there is no absolute answer for psychiatric drugs, it is important to handle patients on a case-by-case basis. There was also talk about how to interact with people rather than just how to use drugs, which was very helpful. I would like to go home and read the many slides carefully. (60s, Pharmacy Pharmacist)

• I had imagined extremely pharmaceutical content, so I was betrayed in a good way. I found it very interesting. I tend to focus on the immediate issues, but I felt it is important to judge by looking closely at the surroundings and environment. He also carefully explained the extent of the patient's insight into their illness, which is something I'm usually concerned about, so I can approach medication counseling with confidence. (50s, Pharmacy Pharmacist)

Dr. Toshiaki Sendo

• I was reminded of the importance of pharmacokinetics. As a pharmacist, I want to study again so that I can propose the proper use of drugs. Thank you for creating this wonderful opportunity. (50s, Pharmacy Pharmacist)

• It was good as it felt like a review of the information on lithium I've received in previous courses. Since there are many more interactions of psychotropic drugs, I would have liked to hear about various cases and Dr. Sendo's experience even if it took twice as long. (40s, Pharmacy Pharmacist)

• I want to pay even more attention not only to blood concentrations but also to brain concentrations and self-inhibiting drugs. (50s, Hospital Pharmacist)

• I had always been unable to understand the talk about P-protein, so I'm glad I received an explanation today. It was easy to understand. (40s, Pharmacy Pharmacist)

• While many professors speak quickly, it was very good that he spoke clearly and understandably one by one. It was also good that he summarized at the end. (50s, Hospital Pharmacist)

• I was able to review pharmacokinetics specialized for the elderly. The example of flunitrazepam was very educational. I tend to stop thinking and assume that a decrease in renal function doesn't require consideration for lowering the dose, but I realized I need to re-examine the basics more. (40s, Pharmacy Pharmacist)

Dr. Katsuyoshi Mizukami

• I was surprised that DLB is often hidden among dementia in the elderly. I will keep sleep and the sense of smell in mind as checkpoints. The precautions for using benzodiazepines were educational. (50s, Clinic Pharmacist)

• Thank you for the interesting lecture. I was able to understand things I didn't know before and the issues involved, which was very helpful. (60s, Housewife)

• He explained everything from dementia and depression to caregiver depression in an easy-to-understand manner. Although it's difficult for us to propose dose reductions, I want to continue learning this as knowledge. (50s, Pharmacy Pharmacist)

• It was very educational to hear from a physician's perspective. The talk about dementia that is easily misdiagnosed as depression was particularly interesting. (20s, Hospital Pharmacist)

• I learned about the difficulty of diagnosing depression and Lewy body dementia. I want to continue studying mental health for the elderly in the future. (50s, Pharmacy Pharmacist)

• Thank you for the very easy-to-understand lecture. I hope to help improve the quality of life for patients by providing cognitive-behavioral therapy-like guidance at the pharmacy. I will also actively work on the issue of polypharmacy. (50s, Pharmacy Pharmacist)

• It was full of helpful topics, and I was taking notes the whole time. I would like to hear more details about the individual episodes. (50s, Pharmacy Pharmacist)

• (First half) I felt that the fact that supplements have become almost necessary for athletes' performance is in sync with the era where people easily take them in their daily diet. Therefore, I need to keep in mind that this knowledge should be spread from childhood, and I will start with what I can do. (Second half) The task of summarizing opinions was fresh and gave me vitality for tomorrow. (40s, Pharmacy Pharmacist)

• (First half) The ADRV cases were very interesting, and I want to apply them to my future activities. Also, the information about supplements was helpful. (Second half) It was interesting to see how the approaches to individual problems differed slightly. It was good to exchange information on daily consultation situations. (30s, Pharmacy Pharmacist)

• (First half) The points to be careful about were explained clearly based on actual cases, making it easy to understand. I will keep them in mind for opportunities to apply them in practice. (Second half) The content was difficult, but communication with the other participants was good, and I enjoyed learning. (30s, Pharmacy Pharmacist)

• (First half) I heard that recent athletes take many supplements. I was surprised and think it's necessary to raise awareness. In particular, since the age of prominent athletes is getting younger, I think it may be necessary to address this in school education. (Second half) I learned many new things from the case studies. (60s, Housewife)

• (First half) I was able to gain new knowledge. In particular, I was struggling with how to guide athletes regarding supplement intake, so it was helpful. (Second half) The "Ideal Sports Pharmacist" was exactly what I should aim for in the future. (50s, Hospital Pharmacist)

• (First half) I clearly understood the difficulty of choosing supplements and that many athletes take them. I thought it would take time to judge because they contain many types of ingredients. (Second half) Each athlete has their own background. I felt that responses need to be made based on that. (40s, Pharmacy Pharmacist)

Dr. Taishiro Kishimoto

• The content was very interesting, and I'm looking forward to seeing how medical care will change in the future. It seems difficult to decide how to handle information, operations, and security issues, but I definitely hope it spreads. (50s, Occupation not entered)

• I learned that remote psychiatric care has started with the development of artificial intelligence technology, and it's wonderful that evidence is being obtained. I want to take an interest in this from now on. (60s, Pharmacy Pharmacist)

• I heard Dr. Kishimoto's lecture about a year ago. It has progressed even further this time. And I felt that the introduction of AI is particularly advancing in the field of psychiatry. I am currently working at a pharmacy near a psychiatric clinic, and I believe that medication is just one of many treatments, and it's important to reduce medication as much as possible! (50s, Pharmacy Pharmacist)

• From now on, artificial intelligence technology will be used in various situations, and I have high expectations. (50s, Pharmacy Pharmacist)

• In the lecture about medical care using cutting-edge AI technology, there were some parts I didn't fully understand, but it was good to feel new knowledge and directions. (60s, Pharmacy Pharmacist)

Dr. Ken Inada

• Regarding off-label use, I thought I knew about the use of anti-epileptic drugs, but I didn't actually understand it. The actual differentiation was explained in very easy-to-understand words, which was educational. (50s, Occupation not entered)

• I clearly understood the importance of using contraindicated drugs in off-label treatment. I understood that anti-epileptic drugs are often used for mental disorders. (60s, Pharmacy Pharmacist)

• The lecture was easy to understand as it was about the drugs I see most often while handling psychiatric prescriptions. Also, I want to avoid polypharmacy. I will continue to support patients as a pharmacist under a clinic doctor who shares Dr. Inada's idea of promoting simple prescriptions. (50s, Pharmacy Pharmacist)

• There are many parts that are difficult to ask patients visiting for mental disorders, and I sometimes wondered why they were taking anti-epileptic drugs, but I learned a lot from this lecture. (30s, Pharmacy Pharmacist)

• I understood that explanation is important when using drugs off-label (always following the four principles). (60s, Pharmacy Pharmacist)

• The detailed explanation of anti-epileptic drugs was very educational. I want to use it for medication counseling starting tomorrow. (60s, Pharmacy Pharmacist)

Dr. Yasumichi Arai

• The data on supercentenarians was explained in an easy-to-understand way. Although times and environments are changing, I felt there are many things to learn. (50s, Hospital Pharmacist)

• Since there is a serviced housing for the elderly next to my workplace, this was a very valuable lecture as I face elderly people every day. I listened while comparing frail people with supercentenarians. It was convincing. (60s, Pharmacy Pharmacist)

• I clearly understood that continuing things is important. Practicing healthy lifestyle habits according to age. I learned that for that purpose, we sometimes need to borrow the power of the community. (60s, Pharmacy Pharmacist)

• The number of general people interested in preventive medicine and health maintenance is increasing. It was a good opportunity to think about how pharmacists should interact with those people, as well as those who are not interested. I'm glad I could learn the details of the survey. (40s, Housewife)

Dr. Hidetaka Wakabayashi

• I learned about rehab nutrition for the first time. I was surprised to find that the Mediterranean diet is part of frailty treatment. I want to study more from now on. (60s, Pharmacy Pharmacist)

• It was a good opportunity to think about how pharmacists should be involved in drug therapy for the life model. I felt a strong need to study nutrition, supplements, etc. (40s, Housewife)

• This lecture made me realize the importance of nutrition. I am often asked about nutrition and diet during medication counseling, and I used to recommend consulting a nutritionist, but I decided to gain some knowledge myself. I also want to actively intervene in polypharmacy. (40s, Pharmacy Pharmacist)

• A dream of participating in a rehabilitation team while being a pharmacist has sprouted. I always hear in training that medical care requires teamwork and multidisciplinary collaboration, and I see that it is also very important in rehabilitation. I want to deepen my learning so that I can become a forward-looking pharmacist. (50s, Housewife)

• There isn't much contact between rehabilitation and pharmacists, but I recognized again that it is necessary. In particular, I think the awareness on the pharmacist side is more lacking. I felt there are areas that need to be changed. (40s, Hospital Pharmacist)

• I felt the potential of genomic therapy because cancer gene testing using panel tests allows us to consider dosages and treatment policies based on genetic polymorphisms.

• It was very educational to learn about PGx and package inserts. I'm glad I understood the importance of cancer genomic medicine.

• In Dr. Tsuji's lecture, he talked about the background of how actual drugs became first-line treatments, which deepened my understanding of the drugs I usually dispense and audit. In Dr. Terada's lecture, I learned not only about the reality of cancer genomic medicine but also about ethical considerations.

• It was very helpful because I was not aware that UGT1A1 is related to germline mutations and about NUDT15 for AZA. It was helpful to see how pharmacists are involved in treatment strategies considering PGx.

• It was very educational as it was the first time I heard the term PGx. I used to think of genomic medicine as a world only seen on TV, but I was surprised to learn that such efforts in clinical practice are being carried out at university hospitals with research facilities.

Shihoko Sato

• I will be taking the Dementia Supporter Training Course in June! I'm reflecting on how I tend to get flustered and act rushed when there are many people waiting at the pharmacy. (60s, Pharmacy Pharmacist)

• It was good to understand the situation on the ground. I felt strongly that pharmacists must participate more actively in community care meetings. I want to share information and take an interest in the lives of elderly people in the community. (60s, Hospital Pharmacist)

• The specific ways to interact with people with dementia were very clear. I was able to understand the current state of dementia care in the community. (50s, Office Worker)

• The lecture on dementia from a field perspective was very helpful. My mother has dementia, so I intend to use the methods of interaction in the future. (50s, Clinic Pharmacist)

• It was very easy to understand, and I could feel the warmth and compassion for people with dementia. I am currently caring for my 100-year-old parent, so I gained a lot of courage. (50s, Housewife)

• I was able to hear stories similar to what I always feel, and by hearing about various cases, I realized these things happen everywhere nowadays and hope to apply this to future responses. (60s, Pharmacy Pharmacist)

• I think it was concise, well-paced, and very substantial in content. I learned a lot. I want to apply this to both my work and personal life. (50s, Pharmacy Pharmacist)

• I was able to reconfirm and recognize things I thought I already knew or understood. I didn't know about the "Orange Ring," so I definitely want to wear one at my workplace in the future. To that end, I want to deepen my understanding of dementia. (50s, Pharmacy Pharmacist)

• I work at a dispensing pharmacy that also handles home care and has conducted Dementia Supporter Training Courses. Personally, I am not involved in home visits, so my main role is handling things within the pharmacy, but I've started using more creative ways of writing instructions so patients don't struggle after returning home. To ensure my work leads to the next step, I want to make deeper suggestions to patients, inform them about Community General Support Center activities, and coordinate with them. (50s, Pharmacy Pharmacist)

• Dementia is a familiar and serious issue. It is very reassuring to know there is a support system. Specific examples were provided, and I learned a lot. (50s, Hospital Pharmacist)

Tetsuji Kawazoe

• I reaffirmed that pharmacists must work with an understanding of a person's entire life, like a care manager, rather than just focusing on dispensing, delivery, or how to take medicine at home (using calendars). (70s, Housewife)

• Thank you for the passionate lecture. The problems in the field were clearly highlighted, which was very interesting. My motivation for work has increased. (60s, Hospital Pharmacist)

• I gained a good understanding of what pharmacists should do as we face a super-aging society. In particular, clarifying issues through ICF was very educational. (50s, Office Worker)

• I learned about the importance and methods of prescription suggestions. I plan to try and find one patient per month for a prescription suggestion. The importance of task analysis, the significance of the environment, and the keyword "lonely" were very interesting. It was a very engaging lecture! (50s, Clinic Pharmacist)

• I learned a great deal. I was moved by how much improvement can be achieved by carefully identifying the root causes—whether it's a decline in function, environmental factors, psychological factors, or lifestyle factors. This is true integrated medicine, medicine seen through the five senses, and the importance of visual diagnosis!! I was moved by this true form of medical care. (50s, Housewife)

• I always face the problem of polypharmacy and was always searching for how to approach doctors about it. I try to make suggestions accompanied by the most recent data (such as conference presentations), but in the case of patients transferring hospitals, many doctors do not change the existing medications. (60s, Pharmacy Pharmacist)

• I was very moved. I even learned about how to be as a person. Also, I was happy to feel that my way of working in daily operations is not wrong. (50s, Pharmacy Pharmacist)

• I was able to broaden my knowledge of individual cases starting from global definitions such as ICF classification and WHO definitions. I want to rethink what I can do from my position as a pharmacist. (50s, Pharmacy Pharmacist)

• To become a "true family pharmacist," I do feel that prescription suggestions are a high hurdle. However, I am currently practicing a style of approaching treatment with goals, understanding the medication, and consulting with the primary doctor to reduce the dose if it's no longer needed. I will try to go one step further for the sake of patients and their families. (50s, Pharmacy Pharmacist)

• I was completely absorbed in the talk because of the entertaining speaking style. I'm glad I could hear about such valuable experiences. (50s, Hospital Pharmacist)

• It was very educational. (40s, Pharmacy Pharmacist)

• The explanation of how to use representative drugs was easy to understand. (60s, Pharmacy Pharmacist)

• Thank you for teaching us so much interesting content. (60s, Housewife)

• I attend Professor Watanabe's sessions every year. This time was also easy to understand, including explanations of patient situations, and I felt it was very beneficial. Since we don't see meta-analysis data in the field, it seems very useful as new knowledge (as it's not in drug collections or package inserts). (40s, Pharmacy Pharmacist)

• I listened to the lecture while thinking of a bipolar disorder patient I am currently dealing with. it was very helpful. (60s, Pharmacy Pharmacist)

• I deal with bipolar patients every day at the pharmacy where I work. I had heard it is a disease currently attracting much attention and where many things are being clarified... but also that diagnosis is very difficult and prescriptions are hard to determine. However, today's lecture cleared up the things I was hazy about, and it will be immediately useful for my work starting tomorrow. I will do my best in handling and instructing patients. (50s, Pharmacy Pharmacist)

• I am satisfied with the very substantial content of the lecture. I was grateful that Professor Watanabe's lecture was held throughout the day instead of being split into two sessions with different instructors. (60s, Pharmacy Pharmacist)

• As someone personally involved, it was an eye-opener. Thank you for the packed content. I am a young woman myself taking lamotrigine, and I discovered that even in cases where "lamotrigine can't be used for a young woman," antipsychotics can be used! I wanted to know if there are cases where skin symptoms from lamotrigine are actually safe. (Age unknown, Pharmacy Pharmacist)

Takeshi Ebihara

• I learned about interacting with children with disabilities and their families. I reaffirmed that humanity is important for a pharmacist. (50s, Pharmacy Pharmacist)

• In my daily dispensing, I don't often interact with people with disabilities, but I attended the lecture while thinking of several applicable patients. I received many hints from the actual examples. I thought the phrase "Relationships transcend expertise" applies not only to people with disabilities but also to interacting with patients in general. (50s, Pharmacy Pharmacist)

• I want to help with consultations for people with severe disabilities, but because my knowledge is overwhelmingly lacking, there were times I couldn't listen to everything they had to say. However, learning that any starting point is fine made me feel much lighter. (40s, Pharmacy Pharmacist)

• I learned that there are many parents who do not want to take their children with disabilities outside, and I hope for a society where people can feel free to go out even if they have a disability. (Age/Occupation not entered)

• This was something I have been interested in for a long time and wanted to hear about, so it was a good learning experience. I realized there are many, many things I can do in terms of involvement and support as a pharmacist. (50s, Hospital Pharmacist)

• The point about "different dispensing for the same prescription" was interesting. I thought it wasn't a problem if it was within the packaging error range, but it's a problem that there are serious cases. (50s, Pharmacy Pharmacist)

Mamoru Ichikawa

• I intend to sleep well on my days off. And by knowing the required sleep time, I will try to get enough sleep. I thought the "But-Then Method" could be used in medication instruction. (40s, Pharmacy Pharmacist)

• The "way of communicating" was very helpful. Regarding "sleep debt," I want to think about and research elderly people who complain they can't sleep and their sleeping pills. I requested this course because it's a theme that is usually difficult to approach. I am satisfied. (60s, Pharmacy Pharmacist)

• I experienced something wonderful—the points, emphasis, and timing—truly like a TV program producer. I hope to use this to raise awareness as a risk factor for the onset of diseases. (50s, Pharmacy Pharmacist)

• It was a very well-paced, funny, and interesting lecture. I learned a lot about how to present information in an exciting way. (60s, Pharmacy Pharmacist)

• The method of "conveying" so that it is "received" was interesting. (50s, Pharmacy Pharmacist)

• The talk followed specific cases and was very easy to understand. The before and after were clearly separated, which was interesting. I listened to the second half while applying it to myself. (60s, Hospital Pharmacist)

• I understood well that the concept of Mibyo (pre-symptomatic disease) is important for extending healthy life expectancy, and that Kampo medicine is useful for that. I also reaffirmed the importance of increasing muscle strength and core training. (50s, Office Worker)

• It was very clear. The three hours went by in a flash. I had taken the course last year and it was very good, so I was looking forward to it. Thank you to everyone involved. (50s, Pharmacy Pharmacist)

• I was convinced by the explanation that the need for Kampo is increasing along with changes in social conditions. I felt that the need for health preservation (Yojo) was being preached not only for the elderly but for all generations, and I want to value and utilize today's lecture in the future. (60s, Pharmacy Pharmacist)

• I really understood the "knack" of Kampo (though I still need much more study...). To be honest, I used to dislike Kampo medicine, but I felt such a deep, bottomless power that I became very interested. From now on, I intend to study Kampo medicine more and more. (50s, Pharmacy Pharmacist)