{"id":1308,"date":"2018-06-15T13:48:16","date_gmt":"2018-06-15T13:48:16","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~ACP\/?p=1308"},"modified":"2018-07-19T06:12:39","modified_gmt":"2018-07-19T06:12:39","slug":"overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018-2","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-2018-2.html","title":{"rendered":"Overcoming the Challenge to the World ! Dr\u2019s Dilemma, ACP Internal Medicine 2018"},"content":{"rendered":"<p>&nbsp;<\/p>\n<h1>Overcoming the Challenge to the World !<br \/>\nDr\u2019s Dilemma, ACP Internal Medicine 2018<\/h1>\n<p>Department of General Medicine, Okayama University Hospital<br \/>\nChair, Resident-Fellow Committee, American College of Physician Japan Chapter<\/p>\n<p style=\"text-align: right;\">Yoshito Nishimura M.D.<\/p>\n<p>\u00a0I departed from Japan to New Orleans with determination to fight against the United States teams in the Dr\u2019s Dilemma National Competition in ACP Internal Medicine Meeting 2018. Dr\u2019s Dilemma is a competition to test the medical knowledge of around 50 teams, each representing each ACP chapters around the World. I participated in the competition with doctors from Nerima Hikarigaoka Hospital, the champion team in the 2017 ACP Japan Chapter Dr\u2019s Dilemma Competition. In the elimination round, we fought against 4 teams including the state of Washington and Massachusetts. Quizzes were first read loud by the speaker, and the scripts were shown up on the screen afterward. Although we could reach the final question, we could not go through to the semi-final round. We ended up being the 4<sup>th<\/sup>, taking out the Massachusetts team. Not only I could compete in the great competition, the conference itself also gave me opportunities to expand the wave of exchange with physicians around the world, making the experience was an one chance in a million, I deeply appreciate everyone in the ACP Japan Chapter and Okayama University Hospital, Department of General Medicine, for substantial support. Finally, I would like to thank ACP Japan Chapter for supporting us with travel grants.<\/p>\n<p>Dr\u2019s Dilemma Japan Chapter Members<\/p>\n<p>Nerima Hikarigaoka Hospital, Department of Medicine<\/p>\n<p>Hayato Mitaka M.D.<\/p>\n<p>Nerima Hikarigaoka Hospital, Department of Medicine<\/p>\n<p>Tomohiro Matsumoto M.D.<\/p>\n<p>Okayama University Hospital, Department of General Medicine<\/p>\n<p>Yoshito Nishimura M.D.<\/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-2018-2.html&quot;}' id='gallery-1' class='gallery galleryid-1308 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-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-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-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 href='https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma4'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fe5cd6af5356367eee728d966b752829.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\/fe5cd6af5356367eee728d966b752829.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fe5cd6af5356367eee728d966b752829.jpg?resize=100%2C100&amp;ssl=1 100w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fe5cd6af5356367eee728d966b752829.jpg?resize=45%2C45&amp;ssl=1 45w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fe5cd6af5356367eee728d966b752829.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\/fe5cd6af5356367eee728d966b752829.jpg?zoom=3&amp;resize=150%2C150&amp;ssl=1 450w\" sizes=\"auto, 100vw\" data-attachment-id=\"1299\" 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-dilemma4\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/fe5cd6af5356367eee728d966b752829.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 Dilemma4\" data-image-description=\"\" data-image-caption=\"\" 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 href='https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma5'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/25464568a26ffac0c39258c05655fd5e.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\/25464568a26ffac0c39258c05655fd5e.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/25464568a26ffac0c39258c05655fd5e.jpg?resize=100%2C100&amp;ssl=1 100w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/25464568a26ffac0c39258c05655fd5e.jpg?resize=45%2C45&amp;ssl=1 45w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/25464568a26ffac0c39258c05655fd5e.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\/25464568a26ffac0c39258c05655fd5e.jpg?zoom=3&amp;resize=150%2C150&amp;ssl=1 450w\" sizes=\"auto, 100vw\" data-attachment-id=\"1300\" 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-dilemma5\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/25464568a26ffac0c39258c05655fd5e.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 Dilemma5\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/25464568a26ffac0c39258c05655fd5e.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, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.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\/a6e5362b3aa7f327b003eb484da17b6f.jpg?zoom=3&amp;resize=150%2C150&amp;ssl=1 450w\" sizes=\"auto, 100vw\" data-attachment-id=\"1295\" 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-dilemma6\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/a6e5362b3aa7f327b003eb484da17b6f.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 Dilemma6\" data-image-description=\"\" data-image-caption=\"\" 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 href='https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018.html\/drs-dilemma7'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/f096ef886c9ed75ecfc9555f0409b01b.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\/f096ef886c9ed75ecfc9555f0409b01b.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/f096ef886c9ed75ecfc9555f0409b01b.jpg?resize=100%2C100&amp;ssl=1 100w, 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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","protected":false},"excerpt":{"rendered":"<p>&nbsp; Overcoming the Challenge to the World ! Dr\u2019s Dilemma, ACP Internal Medicine 2018 Department of General Medicine, Okayama University Hospital Chair, Resident-Fellow Committee, American College of Physician Japan Chapter Yoshito Nishimura M.D. \u00a0I departed from Japan to New Orleans with determination to fight against the United States teams in the Dr\u2019s Dilemma National Competition in ACP Internal Medicine Meeting 2018. Dr\u2019s Dilemma is a competition to test the medical knowledge of around 50 teams, each representing each ACP chapters around the World. I participated in the competition with doctors from Nerima Hikarigaoka Hospital, the champion team in the 2017 ACP Japan Chapter Dr\u2019s Dilemma Competition. In the elimination round, &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/15\/overcoming-the-challenge-to-the-world-drs-dilemma-acp-internal-medicine-2018-2.html\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Overcoming the Challenge to the World ! Dr\u2019s Dilemma, ACP Internal Medicine 2018&#8221;<\/span><\/a><\/p>\n","protected":false},"author":8,"featured_media":1296,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[9,7,21,18],"tags":[],"class_list":["post-1308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-committee","category-newsletterenglish","category-publication","category-resident-fellow-committee"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/51345a68083fe2c12653bd12e083ca84.jpg?fit=2656%2C1494&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9nUTT-l6","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/1308","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/comments?post=1308"}],"version-history":[{"count":7,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/1308\/revisions"}],"predecessor-version":[{"id":1515,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/1308\/revisions\/1515"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/media\/1296"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/media?parent=1308"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/categories?post=1308"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/tags?post=1308"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}