In early June of the second year, students are asked to submit thesis topics, with papers presented in December and formally submitted in January of the next year. Topics are wide-ranging and often build on prior experience and insights developed during first-year coursework and internships. The writing begins in earnest in the second year. The shortcut to an excellent thesis, however, is to build on the basic skills learned during the first year, and the curiosity and questions that they engender. Student theses, written in line with publication standards, have been accepted for publication in journals such as "Journal of Japanese Hospital Association," "Journal of the Japan Society for Healthcare Administration," "Japanese Bulletin of Social Psychiatry," "The Journal of Japanese Association of Occupational Therapists," and "The Japanese Journal of Quality and Safety in Healthcare."