{"id":1294,"date":"2018-06-15T13:40:51","date_gmt":"2018-06-15T13:40:51","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~ACP\/?p=1294"},"modified":"2018-06-28T01:44:41","modified_gmt":"2018-06-28T01:44:41","slug":"overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html","title":{"rendered":"Overcoming the Challenge to the World ! Dr\u2019s Dilemma, ACP Internal Medicine 2018,"},"content":{"rendered":"<p style=\"text-align: left;\">\u5ca1\u5c71\u5927\u5b66\u75c5\u9662\u7dcf\u5408\u5185\u79d1\u306e\u897f\u6751\u7fa9\u4eba\u5148\u751f\u3088\u308a\u3001Dr\u2019s Dilemma\u3078\u306e\u53c2\u52a0\u5831\u544a\u3092\u9802\u304d\u307e\u3057\u305f\u306e\u3067\u3001PRC\u59d4\u54e1\u4f1a\u304b\u3089\u3082\u5e83\u5831\u3044\u305f\u3057\u307e\u3059\u3002\u3000\uff08PRC\u3000\u524d\u7530\u6b63\u5f66\uff09<\/p>\n<p>\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb<\/p>\n<p>Overcoming the Challenge to the World !<br \/>\nDr\u2019s Dilemma, ACP Internal Medicine 2018,<\/p>\n<p style=\"text-align: right;\">\u5ca1\u5c71\u5927\u5b66\u75c5\u9662 \u7dcf\u5408\u5185\u79d1\/RFC\u5e83\u5831\u59d4\u54e1 \u897f\u6751\u7fa9\u4eba<\/p>\n<p>\u00a0\u300c\u82f1\u8a9e\u304c\u6bcd\u56fd\u8a9e\u306e\u30c1\u30fc\u30e0\u306b\u5982\u4f55\u306b\u7acb\u3061\u5411\u304b\u3046\u304b\u300d\u3001\u5c11\u3057\u3067\u3082\u826f\u3044\u7d50\u679c\u3092\u6b8b\u3059\u3079\u304f2018\u5e74\u5ea6ACP 2018\u5e74\u5ea6\u7dcf\u4f1a\u306b\u5411\u3051\u3066\u51fa\u56fd\u3057\u307e\u3057\u305f\u3002Dr\u2019s Dilemma\u306fACP Chapter\u3092\u6709\u3059\u308b\u5dde\u3001\u5730\u57df\u3001\u8af8\u56fd\u304b\u3089\u7d0450\u306e\u4ee3\u8868\u30c1\u30fc\u30e0\u304c\u96c6\u3044\u3001\u5185\u79d1\u306e\u77e5\u8b58\u3092\u7af6\u3046\u3001\u3044\u308f\u3070\u30c1\u30fc\u30e0\u5bfe\u6297\u5168\u7c73\u30af\u30a4\u30ba\u5927\u4f1a\u3067\u3059\u3002\u30af\u30a4\u30ba\u5927\u4f1a\u3068\u3044\u3046\u3068\u9673\u8150\u306b\u805e\u3053\u3048\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001Dr\u2019s Dilemma\u306b\u5411\u3051\u3066\u4e38\u4e00\u5e74\u304b\u3051\u3066\u6e96\u5099\u3057\u3066\u3044\u308b\u5dde\u3082\u3042\u308b\u307b\u3069\u3001\u4fa1\u5024\u306e\u3042\u308b\u5927\u4f1a\u3067\u3059\u3002\u4eca\u56de\u30012017\u5e74ACP\u65e5\u672c\u652f\u90e8\u7dcf\u4f1a\u3067\u958b\u50ac\u3055\u308c\u305fDr\u2019s Dilemma\u3067\u6e96\u512a\u52dd\u3068\u306a\u308a\u3001\u512a\u52dd\u30c1\u30fc\u30e0\u30e1\u30f3\u30d0\u30fc\u306e\u7df4\u99ac\u5149\u304c\u4e18\u75c5\u9662\u306e\u304a\u4e8c\u4eba\u3068\u30bf\u30c3\u30b0\u3092\u7d44\u307f\u3001\u65e5\u672c\u4ee3\u8868\u3068\u3057\u3066\u3053\u306e\u6804\u8a89\u3042\u308b\u5927\u4f1a\u306b\u53c2\u52a0\u3057\u307e\u3057\u305f\u3002\u904e\u53bb\u306b\u65e5\u672c\u30c1\u30fc\u30e0\u306f\u4e88\u9078\u7a81\u7834\u3092\u679c\u305f\u3057\u305f\u3053\u3068\u304c\u306a\u304f\u3001\u5fc5\u7136\u7684\u306b\u305d\u308c\u304c\u5927\u76ee\u6a19\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u7d0450\u30c1\u30fc\u30e0\u3042\u308b\u4e2d\u3067\u3001\u4e88\u9078\u901a\u904e\u3067\u304d\u308b\u306e\u306f\u4e0a\u4f4d20\u30c1\u30fc\u30e0\u3068\u72ed\u304d\u9580\u3067\u3059\u304c\u3001\u5168\u529b\u3067\u6311\u307f\u307e\u3059\u3002<\/p>\n<p>\u4e88\u9078\u306f5\u30c1\u30fc\u30e0\u7a0b\u5ea6\u306e\u5c0f\u30b0\u30eb\u30fc\u30d7\u306b\u5206\u3051\u3066\u958b\u50ac\u3055\u308c\u3001\u5404\u5c0f\u30b0\u30eb\u30fc\u30d7\u306e\u4e0a\u4f4d2\u30c1\u30fc\u30e0\u304c\u6e96\u6c7a\u52dd\u306b\u9032\u3080\u3053\u3068\u304c\u51fa\u6765\u307e\u3059\u3002\u6211\u3005\u306e\u30c1\u30fc\u30e0\u306b\u306f\u5f37\u8c6aWashington\u5dde\u3001Massachusetts\u5dde\u304c\u304a\u308a\u3001\u4e0a\u4f4d\u30c1\u30fc\u30e0\u5e38\u9023\u7d44\u3068\u306e\u52dd\u8ca0\u306b\u4e0d\u5b89\u3092\u62b1\u3048\u3064\u3064\u3082\u601d\u3044\u5207\u3063\u3066\u7a81\u6483\u3002\u30af\u30a4\u30ba\u306e\u30b9\u30bf\u30a4\u30eb\u306f\u4e00\u554f\u4e00\u7b54\u65b9\u5f0f\u3067\u3001\u307e\u305a\u30b9\u30af\u30ea\u30d7\u30c8\u304c\u8aad\u307f\u4e0a\u3052\u3089\u308c\u305f\u5f8c\u306b\u6587\u7ae0\u304c\u8868\u793a\u3055\u308c\u308b\u305f\u3081\u3001\u30ea\u30b9\u30cb\u30f3\u30b0\u80fd\u529b\u3068\u53cd\u5c04\u795e\u7d4c\u304c\u8981\u6c42\u3055\u308c\u307e\u3059\u3002\u65e5\u672c\u30c1\u30fc\u30e0\u306f\u306a\u3093\u3068\u304b\u30d7\u30e9\u30b9\u306e\u70b9\u6570\uff08\u554f\u984c\u3092\u8aa4\u7b54\u3059\u308b\u3068\u70b9\u6570\u304c\u5f15\u304b\u308c\u308b\uff09\u3067\u6700\u7d42\u554f\u984c\u306b\u6311\u307f\u307e\u3057\u305f\u304c\u3001\u4e88\u90784\u4f4d\u3067\u6e96\u6c7a\u52dd\u9032\u51fa\u306a\u3089\u305a\u3002Massachusetts\u5dde\u3092\u4e0a\u56de\u3063\u305f\u306e\u306f\u53ce\u7a6b\u3067\u3057\u305f\u304c\u3001\u6765\u5e74\u4ee5\u964d\u306b\u3082\u3053\u306e\u7d4c\u9a13\u3092\u751f\u304b\u3057\u3066\u3044\u3053\u3046\u3068\u601d\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u7dcf\u4f1a\u81ea\u4f53\u306f\u975e\u5e38\u306b\u5927\u898f\u6a21\u3067\u3001\u65e5\u672c\u3092\u4ee3\u8868\u3059\u308b\u4e16\u754c\u30ec\u30d9\u30eb\u306e\u5148\u751f\u65b9\u3068\u306e\u4ea4\u6d41\u3082\u56f3\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u307e\u3055\u306b\u5343\u8f09\u4e00\u9047\u306e\u30c1\u30e3\u30f3\u30b9\u3092\u3064\u304b\u3093\u3060\u3068\u3044\u3046\u601d\u3044\u3067\u3057\u305f\u3002\u6700\u5f8c\u306b\u306a\u308a\u307e\u3057\u305f\u304c\u3001\u4eca\u56deDr\u2019s Dilemma\u306b\u51fa\u5834\u3059\u308b\u306b\u3042\u305f\u308aACP\u65e5\u672c\u652f\u90e8\u304b\u3089\u65c5\u8cbb\u53ca\u3073\u53c2\u52a0\u8cbb\u306e\u4e00\u90e8\u3092\u30b5\u30dd\u30fc\u30c8\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3053\u3068\u306b\u5fa1\u793c\u7533\u3057\u4e0a\u3052\u308b\u3068\u5171\u306b\u3001\u6e29\u304b\u3044\u5fdc\u63f4\u3092\u3057\u3066\u304f\u3060\u3055\u3063\u305fACP\u65e5\u672c\u652f\u90e8\u3001\u81ea\u65bd\u8a2d\u306e\u7686\u69d8\u306b\u611f\u8b1d\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002<\/p>\n<p>\u51fa\u5834\u30e1\u30f3\u30d0\u30fc<\/p>\n<p>\u7df4\u99ac\u5149\u304c\u4e18\u75c5\u9662 \u7dcf\u5408\u8a3a\u7642\u79d1 \u4e09\u9ad8\u96bc\u4eba<\/p>\n<p>\u7df4\u99ac\u5149\u304c\u4e18\u75c5\u9662 \u7dcf\u5408\u8a3a\u7642\u79d1 \u677e\u672c\u670b\u5f18<\/p>\n<p>\u5ca1\u5c71\u5927\u5b66\u75c5\u9662 \u7dcf\u5408\u5185\u79d1 \u897f\u6751\u7fa9\u4eba<\/p>\n<div data-carousel-extra='{&quot;blog_id&quot;:1,&quot;permalink&quot;:&quot;https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html&quot;}' id='gallery-1' class='gallery galleryid-1294 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma1'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?resize=150%2C150&amp;ssl=1\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" aria-describedby=\"gallery-1-1296\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?resize=100%2C100&amp;ssl=1 100w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?resize=45%2C45&amp;ssl=1 45w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?zoom=2&amp;resize=150%2C150&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?zoom=3&amp;resize=150%2C150&amp;ssl=1 450w\" sizes=\"auto, 100vw\" data-attachment-id=\"1296\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma1\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?fit=2656%2C1494&amp;ssl=1\" data-orig-size=\"2656,1494\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr\u2019s Dilemma1\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr\u2019s Dilemma&lt;\/p&gt;\n\" data-medium-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?fit=300%2C169&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?fit=525%2C295&amp;ssl=1\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-1296'>\n\t\t\t\tDr\u2019s Dilemma\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma2'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?resize=150%2C150&amp;ssl=1\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?resize=100%2C100&amp;ssl=1 100w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?resize=45%2C45&amp;ssl=1 45w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?zoom=2&amp;resize=150%2C150&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?zoom=3&amp;resize=150%2C150&amp;ssl=1 450w\" sizes=\"auto, 100vw\" data-attachment-id=\"1297\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma2\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?fit=2656%2C1494&amp;ssl=1\" data-orig-size=\"2656,1494\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr\u2019s Dilemma2\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?fit=300%2C169&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/4cee7b32181168b64fbe16d3f544c2e7.jpg?fit=525%2C295&amp;ssl=1\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma3'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?resize=150%2C150&amp;ssl=1\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?resize=100%2C100&amp;ssl=1 100w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?resize=45%2C45&amp;ssl=1 45w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?zoom=2&amp;resize=150%2C150&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?zoom=3&amp;resize=150%2C150&amp;ssl=1 450w\" sizes=\"auto, 100vw\" data-attachment-id=\"1298\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma3\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?fit=2656%2C1494&amp;ssl=1\" data-orig-size=\"2656,1494\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr\u2019s Dilemma3\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?fit=300%2C169&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fa9186554437e59f218ef73be720d356.jpg?fit=525%2C295&amp;ssl=1\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a 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data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr\u2019s Dilemma4\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fe5cd6af5356367eee728d966b752829.jpg?fit=300%2C169&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fe5cd6af5356367eee728d966b752829.jpg?fit=525%2C295&amp;ssl=1\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a 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data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr\u2019s Dilemma7\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/f096ef886c9ed75ecfc9555f0409b01b.jpg?fit=300%2C225&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/f096ef886c9ed75ecfc9555f0409b01b.jpg?fit=525%2C394&amp;ssl=1\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma6'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.jpg?resize=150%2C150&amp;ssl=1\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.jpg?resize=100%2C100&amp;ssl=1 100w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.jpg?resize=45%2C45&amp;ssl=1 45w, 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data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr\u2019s Dilemma6\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.jpg?fit=300%2C225&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.jpg?fit=525%2C394&amp;ssl=1\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a 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https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/568165c9c3d53942b728caa4fdbde5d1.jpg?zoom=2&amp;resize=150%2C150&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/568165c9c3d53942b728caa4fdbde5d1.jpg?zoom=3&amp;resize=150%2C150&amp;ssl=1 450w\" sizes=\"auto, 100vw\" data-attachment-id=\"1302\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma8\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/568165c9c3d53942b728caa4fdbde5d1.jpg?fit=1478%2C1108&amp;ssl=1\" data-orig-size=\"1478,1108\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr\u2019s Dilemma8\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/568165c9c3d53942b728caa4fdbde5d1.jpg?fit=300%2C225&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/568165c9c3d53942b728caa4fdbde5d1.jpg?fit=525%2C394&amp;ssl=1\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5ca1\u5c71\u5927\u5b66\u75c5\u9662\u7dcf\u5408\u5185\u79d1\u306e\u897f\u6751\u7fa9\u4eba\u5148\u751f\u3088\u308a\u3001Dr\u2019s Dilemma\u3078\u306e\u53c2\u52a0\u5831\u544a\u3092\u9802\u304d\u307e\u3057\u305f\u306e\u3067\u3001PRC\u59d4\u54e1\u4f1a\u304b\u3089\u3082\u5e83\u5831\u3044\u305f\u3057\u307e\u3059\u3002\u3000\uff08PRC\u3000\u524d\u7530\u6b63\u5f66\uff09 \u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb\u30fb Overcoming the Challenge to the World ! Dr\u2019s Dilemma, ACP Internal Medicine 2018, \u5ca1\u5c71\u5927\u5b66\u75c5\u9662 \u7dcf\u5408\u5185\u79d1\/RFC\u5e83\u5831\u59d4\u54e1 \u897f\u6751\u7fa9\u4eba \u00a0\u300c\u82f1\u8a9e\u304c\u6bcd\u56fd\u8a9e\u306e\u30c1\u30fc\u30e0\u306b\u5982\u4f55\u306b\u7acb\u3061\u5411\u304b\u3046\u304b\u300d\u3001\u5c11\u3057\u3067\u3082\u826f\u3044\u7d50\u679c\u3092\u6b8b\u3059\u3079\u304f2018\u5e74\u5ea6ACP 2018\u5e74\u5ea6\u7dcf\u4f1a\u306b\u5411\u3051\u3066\u51fa\u56fd\u3057\u307e\u3057\u305f\u3002Dr\u2019s Dilemma\u306fACP Chapter\u3092\u6709\u3059\u308b\u5dde\u3001\u5730\u57df\u3001\u8af8\u56fd\u304b\u3089\u7d0450\u306e\u4ee3\u8868\u30c1\u30fc\u30e0\u304c\u96c6\u3044\u3001\u5185\u79d1\u306e\u77e5\u8b58\u3092\u7af6\u3046\u3001\u3044\u308f\u3070\u30c1\u30fc\u30e0\u5bfe\u6297\u5168\u7c73\u30af\u30a4\u30ba\u5927\u4f1a\u3067\u3059\u3002\u30af\u30a4\u30ba\u5927\u4f1a\u3068\u3044\u3046\u3068\u9673\u8150\u306b\u805e\u3053\u3048\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001Dr\u2019s Dilemma\u306b\u5411\u3051\u3066\u4e38\u4e00\u5e74\u304b\u3051\u3066\u6e96\u5099\u3057\u3066\u3044\u308b\u5dde\u3082\u3042\u308b\u307b\u3069\u3001\u4fa1\u5024\u306e\u3042\u308b\u5927\u4f1a\u3067\u3059\u3002\u4eca\u56de\u30012017\u5e74ACP\u65e5\u672c\u652f\u90e8\u7dcf\u4f1a\u3067\u958b\u50ac\u3055\u308c\u305fDr\u2019s 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