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Background <p>Clinical clerkships are essential in medical education, but ethical and legal restrictions limit the invasive procedures performed by medical students in Japan. The 2023 revision of the Medical Practitioners’ Act permits students to conduct supervised procedures, such as venous blood collection and ultrasound examinations, after passing certain exams. This study investigates the public acceptance of these procedures, identifies barriers, and explores strategies to enhance medical student education patient–student collaboration.</p> Methods <p>A cross-sectional internet-based survey was conducted in Japan from April 4–6, 2023, targeting 3,771 participants aged 18–79, stratified by sex and age. The attitudes and consent toward the medical procedures performed by students were assessed using a seven-point scale and bipolar adjective items. Demographic and socioeconomic factors were investigated as covariates. Open-ended responses were analyzed qualitatively. Linear regression with covariate adjustments was performed using Stata SE version 16.</p> Results <p>Out of 3,771 participants, 37.8% were from the Kanto region, 59.9% were married, 56.7% had children, and 44.7% had at least a college-level education. Women generally held more negative views toward the attitudes and consent process of medical students performing abdominal ultrasound examinations. In contrast, elderly individuals (70–79 years) and homemakers had a more positive perception regarding blood collection. The primary reason for consent was contributing to medical education (93.2%), whereas the key reasons for declining consent involved students’ skills (82.7%) and lack of trust (81.8%).</p> Conclusion <p>Older individuals and homemakers were more receptive toward procedures performed by medical students, particularly invasive ones. Addressing concerns about technical competence, privacy, and anxiety through improved communication, transparency, and supervised training can enhance patient acceptance and trust in medical education.</p>

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Public acceptance and attitudes toward procedures performed by medical students in Japan: a nationwide online survey

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月21日

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  • Eriko Okada,
  • Nobutoshi Nawa,
  • Shoko Yoshida,
  • Yu Akaishi,
  • Ayako Kashimada,
  • Masanaga Yamawaki

摘要

Background

Clinical clerkships are essential in medical education, but ethical and legal restrictions limit the invasive procedures performed by medical students in Japan. The 2023 revision of the Medical Practitioners’ Act permits students to conduct supervised procedures, such as venous blood collection and ultrasound examinations, after passing certain exams. This study investigates the public acceptance of these procedures, identifies barriers, and explores strategies to enhance medical student education patient–student collaboration.

Methods

A cross-sectional internet-based survey was conducted in Japan from April 4–6, 2023, targeting 3,771 participants aged 18–79, stratified by sex and age. The attitudes and consent toward the medical procedures performed by students were assessed using a seven-point scale and bipolar adjective items. Demographic and socioeconomic factors were investigated as covariates. Open-ended responses were analyzed qualitatively. Linear regression with covariate adjustments was performed using Stata SE version 16.

Results

Out of 3,771 participants, 37.8% were from the Kanto region, 59.9% were married, 56.7% had children, and 44.7% had at least a college-level education. Women generally held more negative views toward the attitudes and consent process of medical students performing abdominal ultrasound examinations. In contrast, elderly individuals (70–79 years) and homemakers had a more positive perception regarding blood collection. The primary reason for consent was contributing to medical education (93.2%), whereas the key reasons for declining consent involved students’ skills (82.7%) and lack of trust (81.8%).

Conclusion

Older individuals and homemakers were more receptive toward procedures performed by medical students, particularly invasive ones. Addressing concerns about technical competence, privacy, and anxiety through improved communication, transparency, and supervised training can enhance patient acceptance and trust in medical education.