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Asian Journal of Ethics in Health and Medicine

2023 Volume 3

Immersive Roleplay and Intensive Training: Advancing Clinical Ethics Consultation in Japan


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  1. Department of Biomedical Ethics, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Abstract

Clinical ethics consultation (CEC) remains limited in Japan, partly due to the absence of a structured training system. To address this, we designed an “immersive role-play (IR)” program, which incorporates immersive theater techniques into role-play learning. This approach uses professional actors and studio settings to enhance authenticity and creates a dynamic, realistic scenario flow that engages participants deeply in the role-play experience. Between 2016 and 2019, we conducted an intensive CEC course for healthcare professionals that included IR as a core component. Following the sessions, participants completed an anonymous questionnaire evaluating IR’s educational value. Responses were recorded using a 4-point Likert scale assessing satisfaction and perceived learning outcomes. Additionally, an open-ended section invited participants to comment on IR’s effectiveness and areas for improvement. Overall, responses across all categories—usefulness, satisfaction, comprehension, and engagement—were positive. Compared with conventional role-play, participants rated IR significantly higher, particularly for its “realism,” “seriousness,” “awareness of communication skills,” and “recognition of narrative diversity.” In the open-text feedback, the most frequent remark highlighted that participants gained practical insights into procedural aspects of CEC. IR proves to be an effective hands-on training method, though it may not be universally suitable. It is most beneficial for individuals currently serving, or preparing to serve, as consultants. In contrast, novices and intermediate learners who have yet to build a solid foundation in CEC theory and skills may require alternative, stage-specific educational approaches before engaging in IR.


How to cite this article
Vancouver
Uneno Y, Todayama N. Immersive Roleplay and Intensive Training: Advancing Clinical Ethics Consultation in Japan. Asian J Ethics Health Med. 2023;3:40-53. https://doi.org/10.51847/4N6jGjIXgl
APA
Uneno, Y., & Todayama, N. (2023). Immersive Roleplay and Intensive Training: Advancing Clinical Ethics Consultation in Japan. Asian Journal of Ethics in Health and Medicine, 3, 40-53. https://doi.org/10.51847/4N6jGjIXgl

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