![\"\"](\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/02\/QMC-Dr.-Nogi.jpg?resize=150%2C150&ssl=1\")
<\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n
\n\uff1cHospital Medicine\uff1e<\/h2>\n
Hospital Medicine\u306e\u7814\u4fee\u306fThe Queen\u2019s Medical Center(QMC)\u3067\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u3067\u3042\u308b\u91ce\u6728\u771f\u5c06\u5148\u751f(Dr.Nogi)\u306e\u30b7\u30e3\u30c9\u30fc\u30a4\u30f3\u30b0\u3092\u884c\u3046\u5f62\u3067\u884c\u3044\u307e\u3057\u305f\u3002<\/p>\n
\u30cf\u30ef\u30a4\u306f\u3001\u4eba\u53e3\u306e\u3046\u3061\u5927\u307e\u304b\u306b\u30a2\u30b8\u30a2\u4eba\u304c40\uff05\u3001\u767d\u4eba\u304c25\uff05\u3001\u30cf\u30ef\u30a4\u30a2\u30f3\u3084\u30dd\u30ea\u30cd\u30b7\u30a2\u30f3\u304c10\uff05\u3001\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u304c10\uff05\u3001\u9ed2\u4eba\u304c\u6570\uff05\u3092\u5360\u3081\u5168\u7c73\u5e73\u5747\u3068\u6bd4\u8f03\u3057\u3066\u5927\u304d\u304f\u9055\u3046\u7279\u5fb4\u306e\u3042\u308b\u4eba\u53e3\u5f62\u614b\u3092\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u7c73\u56fd\u304c\u30df\u30af\u30ed\u30cd\u30b7\u30a2\u3084\u30d1\u30e9\u30aa\u3001\u30de\u30fc\u30b7\u30e3\u30eb\u8af8\u5cf6\u3068\u7d50\u3093\u3060\u81ea\u7531\u9023\u5408\u76df\u7d04\u306b\u542b\u307e\u308c\u308b\u533b\u7642\u652f\u63f4\u5354\u5b9a\u3092\u524d\u63d0\u3068\u3057\u3066\u3001QMC\u306f\u305d\u306e\u5730\u57df\u306b\u304a\u3051\u308b\u6700\u5927\u306e\u75c5\u9662\u3068\u3057\u3066\u56fd\u7c4d\u3001\u4eba\u7a2e\u3001\u5b97\u6559\u306a\u3069\u591a\u7a2e\u591a\u69d8\u306a\u30d0\u30c3\u30af\u30b0\u30e9\u30f3\u30c9\u3092\u6301\u3064\u60a3\u8005\u306e\u53d7\u3051\u5165\u308c\u3092\u884c\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u5e83\u57df\u304b\u3089\u53d7\u3051\u5165\u308c\u3092\u884c\u3046\u75c5\u9662\u3067\u3042\u308b\u305f\u3081\u8907\u96d1\u306a\u75c5\u614b\u306e\u60a3\u8005\u304c\u591a\u304f\u3001\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u304c\u5e45\u5e83\u3044\u75be\u60a3\u306e\u8a3a\u7642\u3092\u884c\u3046\u6240\u3092\u898b\u5b66\u3059\u308b\u4e8b\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u5f37\u304f\u5370\u8c61\u306b\u6b8b\u3063\u305f\u306e\u306f\u3001 \u6570\u591a\u304f\u306e\u30b3\u30f3\u30b5\u30eb\u30bf\u30f3\u30c8\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3057\u306a\u304c\u3089\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3057\u3066\u3044\u304f\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306e\u8a3a\u7642\u30b9\u30bf\u30a4\u30eb\u3067\u3057\u305f\u3002\u4f8b\u3048\u3070\u3001\u30ea\u30f3\u30d1\u816b\u306e\u3042\u308b\u60a3\u8005\u306e\u764c\u6cbb\u7642\u306b\u3064\u3044\u3066\u306fOncologist\u3084Radiologist\u3001\u6297\u304c\u3093\u5264\u526f\u4f5c\u7528\u306e\u5f37\u3044\u5614\u6c17\u306b\u3064\u3044\u3066\u306fPalliative care team\u3001\u767a\u71b1\u6027\u597d\u4e2d\u7403\u6e1b\u5c11\u75c7\u306b\u3064\u3044\u3066\u306fInfectious disease doctor\u3068\u3044\u3046\u3088\u3046\u306b\u3001\u6570\u591a\u304f\u306e\u30b3\u30f3\u30b5\u30eb\u30bf\u30f3\u30c8\u3068\u5354\u8b70\u3057\u306a\u304c\u3089\u5171\u306b\u8a3a\u7642\u306b\u5f53\u305f\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u305d\u306e\u4e2d\u3067\u3001\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306b\u306f\u5404\u5206\u91ce\u306e\u5c02\u9580\u533b\u304b\u3089\u4fe1\u983c\u3092\u7f6e\u304b\u308c\u308b\u77e5\u8b58\u3068\u3001 \u30c1\u30fc\u30e0\u306e\u6307\u63ee\u8005\u3068\u3057\u3066\u5404\u5c02\u9580\u533b\u3092\u6307\u63ee\u3057\u5354\u548c\u97f3\u306e\u3068\u308c\u305f\u533b\u7642\u3092\u884c\u3046\u30ea\u30fc\u30c0\u30fc\u30b7\u30c3\u30d7\u80fd\u529b\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u69d8\u3005\u306a\u4eba\u7a2e\u3084\u6c11\u65cf\u7684\u80cc\u666f\u3092\u3082\u3064\u4eba\u3005\u304c\u30df\u30c3\u30af\u30b9\u3055\u308c\u305f\u7279\u5fb4\u7684\u306a\u4eba\u53e3\u69cb\u6210\u3092\u3082\u3064\u30cf\u30ef\u30a4\u3067\u306f\u3001\u75be\u60a3\u306e\u6cbb\u7642\u3060\u3051\u3067\u306f\u306a\u304f\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u3084\u793e\u4f1a\u7684\u4e8b\u60c5\u306a\u3069\u60a3\u8005\u5168\u4f53\u50cf\u3092\u8e0f\u307e\u3048\u305f\u6cbb\u7642\u30b4\u30fc\u30eb\u3092\u8a2d\u5b9a\u3059\u308b\u9ad8\u3044\u80fd\u529b\u304c\u6c42\u3081\u3089\u308c\u3001\u75c5\u9662\u3084\u305d\u306e\u5730\u57df\u306e\u533b\u7642\u8cc7\u6e90\u306b\u8a73\u3057\u3044\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u304c\u3001\u69d8\u3005\u306a\u8077\u7a2e\u3001\u304b\u304b\u308a\u3064\u3051\u533b\u3001\u5bb6\u65cf\u3068\u30c1\u30fc\u30e0\u3092\u4f5c\u308a\u3001\u6700\u826f\u306e\u6cbb\u7642\u9078\u629e\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306e\u30cf\u30d6\u5f79\u3068\u3057\u3066\u306e\u5927\u304d\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u5b66\u3073\u307e\u3057\u305f\u3002<\/p>\n
\u5168\u7c73\u3067\u306f\u3001\u8a95\u751f\u304b\u3089\u7d0420\u5e74\u3092\u7d4c\u305f2016\u5e74\u5ea6\u306b\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u7dcf\u6570\u304c50,000\u4eba\u3092\u8d85\u3048\u3001 \u7c73\u56fd\u5185\u79d1\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u30fc\u6700\u5927\u306e\u898f\u6a21\u3092\u8a87\u308b\u5faa\u74b0\u5668\u5185\u79d1\u533b\u306e\u7dcf\u657022,000\u4eba\u3092\u306f\u308b\u304b\u306b\u4e0a\u56de\u308b\u6570\u3068\u306a\u3063\u305f\u3068NEJM\u3067\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u96c7\u7528\u306b\u3088\u308a\u3001\u533b\u7642\u8cbb\u524a\u6e1b\u3001\u5165\u9662\u65e5\u6570\u524a\u6e1b\u3001\u533b\u7642\u306e\u8cea\u5411\u4e0a\u3001\u60a3\u8005\u6e80\u8db3\u5ea6\u5897\u52a0\u3068\u3044\u3063\u305f\u7d50\u679c\u304c\u51fa\u3066\u304a\u308a\u5168\u7c73\u306e\u7d0475\uff05\u306e\u75c5\u9662\u3067\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u304c\u7a4d\u6975\u7684\u306b\u96c7\u7528\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002\u307e\u305f\u3001\u5916\u6765\u8a3a\u7642\u304c\u306a\u304f\u5165\u9662\u8a3a\u7642\u306b\u5c02\u5ff5\u3067\u304d\u308b\u4e8b\u30017\u65e5\u52e4\u52d9\/ 7\u65e5\u4f11\u307f\u3068\u3044\u3046\u30ef\u30fc\u30af\u30e9\u30a4\u30d5\u30d0\u30e9\u30f3\u30b9\u306e\u4fdd\u305f\u308c\u305f\u30b7\u30d5\u30c8\u5236\u5ea6\u306a\u3069\u304c\u4eba\u6c17\u3067\u3042\u308a\u5897\u52a0\u306e\u8981\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u5236\u5ea6\u306b\u306f\u3001\u5165\u9662\u3068\u5916\u6765\u8a3a\u7642\u306e\u7d99\u7d9a\u6027\u306e\u5206\u65ad\u3084\u5c02\u9580\u533b\u3068\u306e\u8a3a\u7642\u9818\u57df\u30aa\u30fc\u30d0\u30fc\u30e9\u30c3\u30d7\u306a\u3069\u306e\u30c7\u30e1\u30ea\u30c3\u30c8\u306e\u6307\u6458\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u3084\u306f\u308a\u3001\u533b\u7642\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u5411\u4e0a\u306b\u7e4b\u304c\u308b\u30e1\u30ea\u30c3\u30c8\u304c\u591a\u3044\u305f\u3081\u4eca\u5f8c\u3082\u7dcf\u6570\u304c\u5897\u52a0\u3057\u3066\u3044\u304f\u3068\u4e88\u60f3\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u3067\u3059\u3002\u65e5\u672c\u306b\u306f\u5165\u9662\u6cbb\u7642\u306e\u307f\u884c\u3046\u533b\u5e2b\u306f\u5c11\u306a\u3044\u3067\u3059\u304c\u3001\u8d85\u9ad8\u9f62\u5316\u793e\u4f1a\u3067\u591a\u75be\u75c5\u7f79\u60a3\u3092\u62b1\u3048\u308b\u9ad8\u9f62\u8005\u306e\u5165\u9662\u304c\u5897\u52a0\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u7c73\u56fd\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306e\u3088\u3046\u306a\u5404\u5c02\u9580\u533b\u306e\u65b9\u91dd\u3092\u307e\u3068\u3081\u6cbb\u7642\u65b9\u91dd\u3092\u7d71\u62ec\u3059\u308b\u533b\u5e2b\u306e\u5fc5\u8981\u6027\u304c\u4eca\u5f8c\u3055\u3089\u306b\u9ad8\u307e\u308a\u3001\u305d\u306e\u6570\u3082\u7c73\u56fd\u306e\u524d\u4f8b\u306e\u3088\u3046\u306b\u5897\u52a0\u3057\u3066\u3044\u304f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3044\u307e\u3057\u305f\u3002<\/p>\n
<\/p>\n
\uff1cFamily Medicine\uff1e<\/h2>\n
Family Medicine\u306e\u7814\u4fee\u306f\u30cf\u30ef\u30a4\u5927\u5b66\u30b8\u30e7\u30f3A\u30d0\u30fc\u30f3\u30ba\u533b\u5b66\u90e8\u306e\u5bb6\u5ead\u533b\u5b66\u81e8\u5e8a\u6559\u6388\u3067\u3042\u308b\u6e21\u6176\u6b21\u4ec1\u4e00\u5148\u751f(Dr. Tokeshi)\u306e\u30b7\u30e3\u30c9\u30fc\u30a4\u30f3\u30b0\u3092\u3059\u308b\u5f62\u3067\u884c\u3044\u307e\u3057\u305f\u30021\u65e5\u306e\u57fa\u672c\u7684\u306a\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb \u3068\u3057\u3066\u306f\u3001\u671d4\u6642\u9803\u304b\u3089\u5165\u9662\u60a3\u8005\u56de\u8a3a\u3092\u3057\u3066\u3001\u305d\u306e\u5f8c\u30016\u664230\u5206\u304b\u3089\u30e2\u30fc\u30cb\u30f3\u30b0\u30ec\u30af\u30c1\u30e3\u30fc\u3092\u53d7\u3051\u3066\u30018\u664230\u5206\u304b\u3089\u5916\u6765\u3092\u898b\u5b66\u3059\u308b\u3068\u3044\u3046\u3082\u306e\u3067\u3057\u305f\u3002\u62c5\u5f53\u60a3\u8005\u306e\u7dca\u6025\u5165\u9662\u306a\u3069\u306b\u5099\u3048\u3066\u3001Eating and Sleeping: Optional.\u3068\u3044\u3046\u30e2\u30c3\u30c8\u30fc\u306e\u3082\u306824\u6642\u9593\u30aa\u30f3\u30b3\u30fc\u30eb\u4f53\u5236\u3067\u7814\u4fee\u306b\u81e8\u307f\u307e\u3057\u305f\u3002<\/p>\n
\u30cf\u30ef\u30a4\u5927\u5b66\u533b\u5b66\u90e8\u306e\u4e00\u671f\u751f\u3067\u3042\u308bDr. Tokeshi\u306f\u3001\u7d0440\u5e74\u9593\u8001\u82e5\u7537\u5973\u554f\u308f\u305a\u3042\u3089\u3086\u308b\u5065\u5eb7\u554f\u984c\u3092\u6271\u3044\u3001\u4eca\u3067\u306f5\u4e16\u4ee3\u306b\u6e21\u308a\u8a3a\u7642\u3057\u3066\u3044\u308b\u5bb6\u65cf\u3082\u3042\u308b\u305d\u3046\u3067\u3059\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u533b\u5e2b\uff08PCP\uff09\u3068\u3057\u3066\u500b\u4eba\u3001\u5bb6\u65cf\u3001\u305d\u3057\u3066\u5730\u57df\u3092\u5bfe\u8c61\u3068\u3057\u3066\u3001\u9577\u3044\u671f\u9593\u306b\u6e21\u308a\u7d99\u7d9a\u7684\u306a\u4eba\u9593\u95a2\u4fc2\u3092\u4fdd\u3061\u3001\u8a3a\u7642\u671f\u9593\u306e\u77ed\u3044\u4ed6\u306e\u5c02\u9580\u533b\u3068\u7570\u306a\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u81e8\u5e8a\u554f\u984c\u3092\u6271\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u3088\u304f\u5206\u304b\u308a\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u30cf\u30ef\u30a4\u5728\u4f4f\u306e\u65e5\u7cfb\u4eba\u306b\u306f\u79fb\u6c11\u3084\u771f\u73e0\u6e7e\u653b\u6483\u306e\u6b74\u53f2\u306a\u3069\u72ec\u7279\u306a\u6b74\u53f2\u30fb\u6587\u5316\u7684\u80cc\u666f\u304c\u3042\u308a\u3001\u6226\u4e89\u306b\u591a\u5927\u306a\u5f71\u97ff\u3092\u53d7\u3051\u751f\u304d\u3066\u304d\u305f\u65b9\u304c\u591a\u304f\u3001\u82e5\u3044\u65b9\u3067\u3042\u3063\u3066\u3082\u5148\u7956\u306e\u79fb\u4f4f\u3084\u6226\u4e89\u306e\u6b74\u53f2\u3092\u629c\u304d\u306b\u3057\u3066\u306f\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u30fc\u3092\u8a9e\u308c\u306a\u3044\u65b9\u304c\u591a\u304f\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3057\u305f\u3002\u305d\u306e\u3088\u3046\u306a\u793e\u4f1a\u6b74\u306f\u7279\u306b\u7d30\u304b\u304f\u8074\u53d6\u3055\u308c\u3066\u304a\u308a\u3001\u5065\u5eb7\u554f\u984c\u3092\u6587\u5316\u7684\u3001\u793e\u4f1a\u7684\u8981\u7d20\u306a\u3069\u306e\u89b3\u70b9\u304b\u3089\u7406\u89e3\u3057\u5305\u62ec\u7684\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3057\u3066\u3044\u308b\u4e8b\u304c\u975e\u5e38\u306b\u7279\u5fb4\u7684\u3067\u3057\u305f\u3002\u4eca\u56de\u3001\u305d\u308c\u3089\u306e\u7279\u5fb4\u3084\u80fd\u529b\u304c\u30cf\u30ef\u30a4\u306e\u5bb6\u5ead\u533b\u7642\u306b\u304a\u3044\u3066\u306f\u7279\u306b\u91cd\u8981\u3067\u3042\u308b\u3053\u3068\u3092\u5b66\u3076\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002<\/p>\n
\u5bb6\u5ead\u533b\u304c\u5927\u304d\u304f\u95a2\u4fc2\u3059\u308b\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\uff08PC\uff09\u3068\u3044\u3046\u8996\u70b9\u3067\u7c73\u56fd\u5168\u4f53\u306b\u76ee\u3092\u5411\u3051\u308b\u3068\u3001\u516c\u7684\u306a\u7686\u4fdd\u967a\u306f\u306a\u304f\u9ad8\u984d\u306a\u533b\u7642\u8cbb\u306b\u5099\u3048\u3066\u5404\u500b\u4eba\u304c\u4fdd\u967a\u4f1a\u793e\u3068\u5951\u7d04\u3092\u7d50\u3076\u306e\u304c\u57fa\u672c\u3067\u3001\u591a\u75be\u75c5\u7f79\u60a3\u306e\u3042\u308b\u9ad8\u9f62\u8005\u3084\u4f4e\u6240\u5f97\u8005\u304c\u4fdd\u967a\u306b\u52a0\u5165\u3057\u3066\u6cbb\u7642\u3092\u53d7\u3051\u308b\u306b\u306f\u53b3\u3057\u3044\u73fe\u72b6\u304c\u3042\u308b\u305d\u3046\u3067\u3059\u30022010\u5e74\u306b\u306f\u30aa\u30d0\u30de\u30b1\u30a2\u6cd5\u304c\u6210\u7acb\u30572020\u5e74\u307e\u3067\u306e\u533b\u7642\u4fdd\u967a\u52a0\u5165\u7387\u5897\u52a0\u3092\u76ee\u6307\u3059\u3088\u3046\u306b\u7c73\u56fd\u306e\u533b\u7642\u5236\u5ea6\u6539\u9769\u304c\u9032\u3081\u3089\u308c\u3001\u533b\u7642\u8cbb\u524a\u6e1b\u3084\u516c\u5e73\u3055\u306b\u7e4b\u304c\u308b\u3068\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3001\u65e5\u672c\u306b\u306f\u56fd\u6c11\u7686\u4fdd\u967a\u5236\u5ea6\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u7dcf\u5408\u8a3a\u7642(\u5bb6\u5ead\u533b\u3084\u75c5\u9662\u7dcf\u5408\u533b\u3092\u542b\u3093\u3060\u540d\u79f0)\u306e\u5c02\u9580\u533b\u5236\u5ea6\u304c\u59cb\u307e\u3063\u305f\u3070\u304b\u308a\u3067\u5bb6\u5ead\u533b\u5b66\u306e\u5c02\u9580\u533b\u80b2\u6210\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u78ba\u7acb\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u65e5\u672c\u306e\u60a3\u8005\u306f\u533b\u7642\u3078\u306e\u30b2\u30fc\u30c8\u30ad\u30fc\u30d1\u30fc\u3067\u3042\u308b\u304b\u304b\u308a\u3064\u3051\u5bb6\u5ead\u533b\u3092\u6301\u305f\u305a\u3001\u533b\u7642\u3078\u306e\u30d5\u30ea\u30fc\u30a2\u30af\u30bb\u30b9\u3092\u901a\u3057\u3066\u81d3\u5668\u75be\u60a3\u3054\u3068\u306b\u5c02\u9580\u533b\u3092\u53d7\u8a3a\u3059\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u591a\u75be\u75c5\u7f79\u60a3\u3092\u3082\u3064\u9ad8\u9f62\u8005\u304c\u6025\u5897\u3057\u3066\u3044\u308b\u65e5\u672c\u3067\u306f\u3001\u30cf\u30ef\u30a4\u306e\u5bb6\u5ead\u533b\u306e\u3088\u3046\u306a\u3001\u81d3\u5668\u3060\u3051\u3067\u306f\u306a\u304f\u4eba\u3092\u4eba\u3068\u3057\u3066\u8a3a\u308b\u3001\u5168\u4eba\u7684\u306a\u5074\u9762\u304b\u3089\u3042\u3089\u3086\u308b\u81e8\u5e8a\u554f\u984c\u3092\u675f\u306d\u3066\u5bfe\u5fdc\u3059\u308b\u3053\u3068\u306e\u3067\u304d\u308b\u5730\u57df\u306b\u6839\u3056\u3057\u305f\u30b8\u30a7\u30cd\u30e9\u30ea\u30b9\u30c8\u306e\u5fc5\u8981\u6027\u304c\u4eca\u5f8c\u3055\u3089\u306b\u9ad8\u307e\u3063\u3066\u3044\u304f\u3068\u601d\u308f\u308c\u307e\u3059\u3002\u65e5\u672c\u3067\u3082\u3053\u308c\u304b\u3089\u5c02\u9580\u533b\u7814\u4fee\u5236\u5ea6\u304c\u78ba\u7acb\u3055\u308c\u5bb6\u5ead\u533b\u306e\u5f79\u5272\u3092\u679c\u305f\u3059\u8a13\u7df4\u3055\u308c\u305f\u533b\u5e2b\u304c\u6570\u591a\u304f\u8a95\u751f\u3057\u3066\u3044\u304f\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n
<\/p>\n
\uff1c\u6559\u80b2\uff1e<\/h2>\n
\u7c73\u56fd\u306e\u533b\u5b66\u6559\u80b2\u306b\u3064\u3044\u3066\u5b66\u3076\u3053\u3068\u3082\u51fa\u6765\u307e\u3057\u305f\u3002\u30cf\u30ef\u30a4\u5927\u5b66\u533b\u5b66\u90e8\u306fProblem Based Learning\uff08PBL\uff09\u3068\u3044\u3046\u6559\u80b2\u5236\u5ea6\u3092\u3044\u3061\u65e9\u304f\u53d6\u308a\u5165\u308c\u305f\u5168\u7c73\u3067\u3082\u4eba\u6c17\u306e\u9ad8\u3044\u533b\u5b66\u90e8\u3067\u3042\u308a\u3001Dr.Tokeshi\u306e\u8a3a\u7642\u6240\u3067\u3082\u6c34\u66dc\u65e5\u306e\u5348\u5f8c\u306a\u3069\u5916\u6765\u8a3a\u7642\u306e\u306a\u3044\u6642\u9593\u3092\u5229\u7528\u3057\u3066\u30cf\u30ef\u30a4\u5927\u5b66\u533b\u5b66\u90e81\u5e74\u751f\u306b\u5bfe\u3057\u3066\u3001\u547c\u5438\u5668\u75be\u60a3\u3092\u6301\u3064\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2\u60a3\u8005\u306e\u554f\u8a3a\u3068\u8eab\u4f53\u8a3a\u5bdf\u3092\u884c\u3046PBL\u65b9\u5f0f\u306e\u5b9f\u7fd2\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u3002Asthma\u3084Laugh syncope\u306a\u3069\u3092\u65e2\u5f80\u306b\u3082\u3064\u8208\u5473\u6df1\u3044\u75c7\u4f8b\u306b\u3064\u3044\u3066\u3001\u6570\u6642\u9593\u304b\u3051\u3066\u7db2\u7f85\u7684\u306b\u554f\u8a3a\u3001\u8eab\u4f53\u8a3a\u5bdf\u3001\u30ab\u30eb\u30c6\u8a18\u8f09\u3001\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3046\u5b9f\u7fd2\u304c\u884c\u308f\u308c\u3001\u305d\u306e\u5f8c\u4eba\u5de5\u547c\u5438\u5668\u3092\u5b9f\u969b\u306b\u88c5\u7740\u3057\u3066\u30e2\u30fc\u30c9\u8a2d\u5b9a\u3092\u5b66\u3076\u6642\u9593\u304c\u8a2d\u3051\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u6559\u80b2\u3082\u91cd\u8981\u8996\u3055\u308c\u3066\u304a\u308a\u3001\u533b\u5b66\u90e81\u5e74\u751f\u304c\u307b\u3068\u3093\u3069\u5b8c\u74a7\u306a\u3001\u6d41\u308c\u308b\u3088\u3046\u306a\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3063\u3066\u304a\u308a\u611f\u5fc3\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306b\u65e9\u304f\u304b\u3089\u8ab2\u984c\u3068\u306a\u308b\u30c6\u30fc\u30de\u3092\u4e0e\u3048\u308b\u4e8b\u3067\u5b66\u751f\u306e\u80fd\u52d5\u7684\u306a\u59ff\u52e2\u3084\u611f\u5fc3\u3092\u5f15\u304d\u51fa\u3057\u3066\u3044\u304f\u4e8b\u304cPBL\u306e\u672c\u8cea\u30fb \u76ee\u7684\u3067\u3042\u308a\u3001\u30cf\u30ef\u30a4\u5927\u5b66\u533b\u5b66\u90e8\u3067\u91cd\u8981\u8996\u3055\u308c\u3066\u3044\u308b\u6559\u80b2\u30b9\u30bf\u30a4\u30eb\u3067\u3042\u308b\u3053\u3068\u3092\u5b66\u3073\u307e\u3057\u305f\u3002\u30cf\u30ef\u30a4\u5927\u5b66\u3067\u306f\u3001\u8b1b\u7fa9\u306b\u52a0\u3048\u3066\u3053\u306e\u3088\u3046\u306b\u8a3a\u7642\u6240\u306a\u3069\u306e\u73fe\u5834\u306b\u51fa\u3066\u5b9f\u969b\u306b\u60a3\u8005\u3092\u554f\u8a3a\u8a3a\u5bdf\u3059\u308b\u6559\u80b2\u30b9\u30bf\u30a4\u30eb\u304c\u6614\u304b\u3089\u5f53\u305f\u308a\u524d\u306e\u3088\u3046\u306b\u884c\u308f\u308c\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002\u3053\u306e\u70b9\u306f\u3001\u53d7\u52d5\u7684\u3067\u5ea7\u5b66\u4e2d\u5fc3\u3001\u77e5\u8b58\u306e\u6697\u8a18\u306b\u504f\u308a\u304c\u3061\u306a\u65e5\u672c\u306e\u6559\u80b2\u5236\u5ea6\u3068\u5bfe\u6bd4\u7684\u306a\u6240\u3060\u3068\u611f\u3058\u307e\u3057\u305f\u3002William Osler\u306e\u201cListen to your patient, he is telling you the diagnosis.\u201d\u3068\u3044\u3046\u540d\u8a00\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u307e\u3055\u306b\u6700\u9ad8\u306e\u6559\u5e2b\u3067\u3042\u308b\u60a3\u8005\u304b\u3089\u75be\u60a3\u306b\u3064\u3044\u3066\u5b66\u3076\u74b0\u5883\u304c\u7528\u610f\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u533b\u5b66\u90e81\u5e74\u751f\u306f\u9031\u306b\u6570\u56de\u3053\u306e\u3088\u3046\u306aPBL\u3092\u884c\u3063\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002\u307e\u305f\u3001\u81e8\u5e8a\u6559\u6388\u3068\u3057\u3066\u7d0440\u5e74\u9593\u306b\u6e21\u308a\u5bb6\u5ead\u533b\u5b66\u306e\u6559\u80b2\u306b\u529b\u3092\u6ce8\u3044\u3067\u304a\u3089\u308c\u308bDr.Tokeshi\u306e\u8a3a\u7642\u6240\u3067\u306e\u7814\u4fee\u306fThe Tokeshi Dojo\uff08\u9053\u5834\uff09\u3068\u3057\u3066\u6709\u540d\u3067\u3001\u5171\u306b\u7814\u4fee\u3057\u305f\u30cf\u30ef\u30a4\u5927\u5b663\u5e74\u751f\u306e\u533b\u5b66\u751f\u306f\u3001\u5916\u6765\u3067\u554f\u8a3a\u3057\u3066\u30ab\u30eb\u30c6\u3092\u8a18\u5165\u3057\u3001\u30d0\u30a4\u30bf\u30eb\u6e2c\u5b9a\u3001 \u63a1\u8840\u306a\u3069\u306e\u624b\u6280\u3092\u884c\u3044\u306a\u304c\u3089\u3001\u5165\u9662\u60a3\u8005\u306e\u5165\u9662\u7ba1\u7406\u3084\u5165\u9662\u30fb \u9000\u9662\u30b5\u30de\u30ea\u30fc\u8a18\u8f09\u306a\u3069\u5fd9\u3057\u304f\u5b9f\u6226\u529b\u3068\u3057\u3066\u50cd\u3044\u3066\u3044\u307e\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306b\u3001\u533b\u5b66\u90e81\u5e74\u751f\u306e\u6642\u304b\u3089\u5b9f\u969b\u306b\u81e8\u5e8a\u306e\u73fe\u5834\u306b\u51fa\u3066\u3001\u5352\u696d\u6642\u306b\u306f\u5373\u6226\u529b\u3068\u306a\u308b\u3088\u3046\u306b\u8003\u3048\u3089\u308c\u305f\u30a2\u30a6\u30c8\u30ab\u30e0\u91cd\u8996\u306e\u5b9f\u7528\u7684\u306a\u6559\u80b2\u304c\u884c\u308f\u308c\u3066\u3044\u308b\u3088\u3046\u306b\u611f\u3058\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u5185\u79d1\u30ec\u30b8\u30c7\u30f3\u30c8\u306e\u52c9\u5f37\u4f1a\u306b\u53c2\u52a0\u3059\u308b\u6a5f\u4f1a\u304c\u3042\u308a\u307e\u3057\u305f\u304c\u3001\u30ec\u30b8\u30c7\u30f3\u30c8\u306b\u3088\u308b\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u304c\u884c\u308f\u308c\u3001 \u75c7\u4f8b\u3084\u8ad6\u6587\u306b\u3064\u3044\u3066\u6d3b\u767a\u306a\u8b70\u8ad6\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u4e3b\u8a34\u304b\u3089\u9451\u5225\u75be\u60a3\u3092\u6319\u3052\u3001\u554f\u8a3a\u3084\u8eab\u4f53\u8a3a\u5bdf\u3001\u691c\u67fb\u3092\u901a\u3057\u3066\u9451\u5225\u3092\u7d5e\u308a\u8fbc\u307f\u8a3a\u65ad\u306b\u7d50\u3073\u3064\u3051\u3066\u3044\u304f\u81e8\u5e8a\u63a8\u8ad6\u306e\u8a13\u7df4\u3084\u3001\u8ad6\u6587\u3092\u5f15\u7528\u3057\u8a3a\u7642\u306b\u6279\u5224\u7684\u541f\u5473\u3092\u884c\u3046\u6a5f\u4f1a\u304c\u591a\u304f\u7528\u610f\u3055\u308c\u3066\u3044\u308b\u3068\u611f\u3058\u307e\u3057\u305f\u3002\u305d\u308c\u3089\u306e\u70b9\u306f\u7c73\u56fd\u533b\u5b66\u6559\u80b2\u306e\u9577\u6240\u3067\u3042\u308a\u3001\u305d\u306e\u3088\u3046\u306a\u6a5f\u4f1a\u304c\u5c11\u306a\u3044\u65e5\u672c\u306e\u533b\u5b66\u6559\u80b2\u306b\u53d6\u308a\u5165\u308c\u308b\u3079\u304d\u70b9\u3060\u3068\u611f\u3058\u307e\u3057\u305f\u3002\u9650\u3089\u308c\u305f\u6642\u9593\u3067\u306f\u3042\u308a\u307e\u3057\u305f\u304c\u3001\u65e5\u7c73\u533b\u5b66\u6559\u80b2\u306e\u9055\u3044\u306b\u3064\u3044\u3066\u5b66\u3076\u3088\u3044\u6a5f\u4f1a\u3068\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n
\n\u6700\u5f8c\u306b\u306a\u308a\u307e\u3057\u305f\u304c\u3001\u30cf\u30ef\u30a4\u3067\u3001Hospital Medicine\u3068Family Medicine\u306b\u3064\u3044\u3066\u6df1\u304f\u5b66\u3076\u4e8b\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u4eba\u7a2e\u3001\u6c11\u65cf\u7684\u80cc\u666f\u3001\u5730\u7406\u7684\u80cc\u666f\u3001\u7d4c\u6e08\u7684\u80cc\u666f\u306a\u3069\u69d8\u3005\u306a\u8996\u70b9\u304b\u3089\u7c73\u56fd\u306e\u533b\u7642\u5236\u5ea6\u3092\u306e\u305e\u304d\u8fbc\u3080\u4e8b\u304c\u51fa\u6765\u305f\u3068\u601d\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3001\u533b\u5b66\u6559\u80b2\u5236\u5ea6\u306b\u3064\u3044\u3066\u3082\u65e5\u7c73\u3092\u6bd4\u8f03\u3057\u3066\u5b66\u3076\u4e8b\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306a\u5b66\u3073\u306e\u591a\u3044\u5145\u5b9f\u3057\u305f\u7814\u4fee\u306e\u6a5f\u4f1a\u3092\u4e0e\u3048\u3066\u304f\u3060\u3055\u3063\u305fDr.Nogi\u3001Dr.Tokeshi\u3001\u305d\u3057\u3066ACP \u95a2\u4fc2\u8005\u306e\u7686\u69d8\u306b\u6df1\u304f\u611f\u8b1d\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002\u672c\u5f53\u306b\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<\/p>\n
2018\u5e741\u6708\u3000\u85e4\u5d0e\u667a\u793c<\/p>\n","protected":false},"excerpt":{"rendered":"
ACP\u65e5\u672c\u652f\u90e8\u56fd\u969b\u4ea4\u6d41\u30d7\u30ed\u30b0\u30e9\u30e0\u3000\u7814\u4fee\u5831\u544a\u66f8 \u85e4\u5d0e\u667a\u793c \u6d3e\u9063\u671f\u9593\u30002017\/10\/31~11\/21 2017\u5e7411\u6708\u3001ACP\u65e5\u672c\u652f\u90e8\u56fd\u969b\u4ea4\u6d41\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u901a\u3058\u3066\u3001\u30cf\u30ef\u30a4\u3067Hospital Medicine\u3068Family Medicine\u306e\u7814\u4fee\u3092\u3055\u305b\u3066\u9802\u304d\u307e\u3057\u305f\u306e\u3067\u5831\u544a\u3055\u305b\u3066\u9802\u304d\u307e\u3059\u3002 \uff1cHospital Medicine\uff1e Hospital Medicine\u306e\u7814\u4fee\u306fThe Queen\u2019s Medical Center(QMC)\u3067\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u3067\u3042\u308b\u91ce\u6728\u771f\u5c06\u5148\u751f(Dr.Nogi)\u306e\u30b7\u30e3\u30c9\u30fc\u30a4\u30f3\u30b0\u3092\u884c\u3046\u5f62\u3067\u884c\u3044\u307e\u3057\u305f\u3002 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\u6570\u591a\u304f\u306e\u30b3\u30f3\u30b5\u30eb\u30bf\u30f3\u30c8\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3057\u306a\u304c\u3089\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u5b9a\u3057\u3066\u3044\u304f\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306e\u8a3a\u7642\u30b9\u30bf\u30a4\u30eb\u3067\u3057\u305f\u3002\u4f8b\u3048\u3070\u3001\u30ea\u30f3\u30d1\u816b\u306e\u3042\u308b\u60a3\u8005\u306e\u764c\u6cbb\u7642\u306b\u3064\u3044\u3066\u306fOncologist\u3084Radiologist\u3001\u6297\u304c\u3093\u5264\u526f\u4f5c\u7528\u306e\u5f37\u3044\u5614\u6c17\u306b\u3064\u3044\u3066\u306fPalliative care team\u3001\u767a\u71b1\u6027\u597d\u4e2d\u7403\u6e1b\u5c11\u75c7\u306b\u3064\u3044\u3066\u306fInfectious disease doctor\u3068\u3044\u3046\u3088\u3046\u306b\u3001\u6570\u591a\u304f\u306e\u30b3\u30f3\u30b5\u30eb\u30bf\u30f3\u30c8\u3068\u5354\u8b70\u3057\u306a\u304c\u3089\u5171\u306b\u8a3a\u7642\u306b\u5f53\u305f\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u305d\u306e\u4e2d\u3067\u3001\u30db\u30b9\u30d4\u30bf\u30ea\u30b9\u30c8\u306b\u306f\u5404\u5206\u91ce\u306e\u5c02\u9580\u533b\u304b\u3089\u4fe1\u983c\u3092\u7f6e\u304b\u308c\u308b\u77e5\u8b58\u3068\u3001 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\uff1c\u6559\u80b2\uff1e \u7c73\u56fd\u306e\u533b\u5b66\u6559\u80b2\u306b\u3064\u3044\u3066\u5b66\u3076\u3053\u3068\u3082\u51fa\u6765\u307e\u3057\u305f\u3002\u30cf\u30ef\u30a4\u5927\u5b66\u533b\u5b66\u90e8\u306fProblem Based Learning\uff08PBL\uff09\u3068\u3044\u3046\u6559\u80b2\u5236\u5ea6\u3092\u3044\u3061\u65e9\u304f\u53d6\u308a\u5165\u308c\u305f\u5168\u7c73\u3067\u3082\u4eba\u6c17\u306e\u9ad8\u3044\u533b\u5b66\u90e8\u3067\u3042\u308a\u3001Dr.Tokeshi\u306e\u8a3a\u7642\u6240\u3067\u3082\u6c34\u66dc\u65e5\u306e\u5348\u5f8c\u306a\u3069\u5916\u6765\u8a3a\u7642\u306e\u306a\u3044\u6642\u9593\u3092\u5229\u7528\u3057\u3066\u30cf\u30ef\u30a4\u5927\u5b66\u533b\u5b66\u90e81\u5e74\u751f\u306b\u5bfe\u3057\u3066\u3001\u547c\u5438\u5668\u75be\u60a3\u3092\u6301\u3064\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2\u60a3\u8005\u306e\u554f\u8a3a\u3068\u8eab\u4f53\u8a3a\u5bdf\u3092\u884c\u3046PBL\u65b9\u5f0f\u306e\u5b9f\u7fd2\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u3002Asthma\u3084Laugh syncope\u306a\u3069\u3092\u65e2\u5f80\u306b\u3082\u3064\u8208\u5473\u6df1\u3044\u75c7\u4f8b\u306b\u3064\u3044\u3066\u3001\u6570\u6642\u9593\u304b\u3051\u3066\u7db2\u7f85\u7684\u306b\u554f\u8a3a\u3001\u8eab\u4f53\u8a3a\u5bdf\u3001\u30ab\u30eb\u30c6\u8a18\u8f09\u3001\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3046\u5b9f\u7fd2\u304c\u884c\u308f\u308c\u3001\u305d\u306e\u5f8c\u4eba\u5de5\u547c\u5438\u5668\u3092\u5b9f\u969b\u306b\u88c5\u7740\u3057\u3066\u30e2\u30fc\u30c9\u8a2d\u5b9a\u3092\u5b66\u3076\u6642\u9593\u304c\u8a2d\u3051\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u6559\u80b2\u3082\u91cd\u8981\u8996\u3055\u308c\u3066\u304a\u308a\u3001\u533b\u5b66\u90e81\u5e74\u751f\u304c\u307b\u3068\u3093\u3069\u5b8c\u74a7\u306a\u3001\u6d41\u308c\u308b\u3088\u3046\u306a\u75c7\u4f8b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3063\u3066\u304a\u308a\u611f\u5fc3\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306b\u65e9\u304f\u304b\u3089\u8ab2\u984c\u3068\u306a\u308b\u30c6\u30fc\u30de\u3092\u4e0e\u3048\u308b\u4e8b\u3067\u5b66\u751f\u306e\u80fd\u52d5\u7684\u306a\u59ff\u52e2\u3084\u611f\u5fc3\u3092\u5f15\u304d\u51fa\u3057\u3066\u3044\u304f\u4e8b\u304cPBL\u306e\u672c\u8cea\u30fb \u76ee\u7684\u3067\u3042\u308a\u3001\u30cf\u30ef\u30a4\u5927\u5b66\u533b\u5b66\u90e8\u3067\u91cd\u8981\u8996\u3055\u308c\u3066\u3044\u308b\u6559\u80b2\u30b9\u30bf\u30a4\u30eb\u3067\u3042\u308b\u3053\u3068\u3092\u5b66\u3073\u307e\u3057\u305f\u3002\u30cf\u30ef\u30a4\u5927\u5b66\u3067\u306f\u3001\u8b1b\u7fa9\u306b\u52a0\u3048\u3066\u3053\u306e\u3088\u3046\u306b\u8a3a\u7642\u6240\u306a\u3069\u306e\u73fe\u5834\u306b\u51fa\u3066\u5b9f\u969b\u306b\u60a3\u8005\u3092\u554f\u8a3a\u8a3a\u5bdf\u3059\u308b\u6559\u80b2\u30b9\u30bf\u30a4\u30eb\u304c\u6614\u304b\u3089\u5f53\u305f\u308a\u524d\u306e\u3088\u3046\u306b\u884c\u308f\u308c\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002\u3053\u306e\u70b9\u306f\u3001\u53d7\u52d5\u7684\u3067\u5ea7\u5b66\u4e2d\u5fc3\u3001\u77e5\u8b58\u306e\u6697\u8a18\u306b\u504f\u308a\u304c\u3061\u306a\u65e5\u672c\u306e\u6559\u80b2\u5236\u5ea6\u3068\u5bfe\u6bd4\u7684\u306a\u6240\u3060\u3068\u611f\u3058\u307e\u3057\u305f\u3002William Osler\u306e\u201cListen to your patient, he is telling you the diagnosis.\u201d\u3068\u3044\u3046\u540d\u8a00\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u307e\u3055\u306b\u6700\u9ad8\u306e\u6559\u5e2b\u3067\u3042\u308b\u60a3\u8005\u304b\u3089\u75be\u60a3\u306b\u3064\u3044\u3066\u5b66\u3076\u74b0\u5883\u304c\u7528\u610f\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002\u533b\u5b66\u90e81\u5e74\u751f\u306f\u9031\u306b\u6570\u56de\u3053\u306e\u3088\u3046\u306aPBL\u3092\u884c\u3063\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002\u307e\u305f\u3001\u81e8\u5e8a\u6559\u6388\u3068\u3057\u3066\u7d0440\u5e74\u9593\u306b\u6e21\u308a\u5bb6\u5ead\u533b\u5b66\u306e\u6559\u80b2\u306b\u529b\u3092\u6ce8\u3044\u3067\u304a\u3089\u308c\u308bDr.Tokeshi\u306e\u8a3a\u7642\u6240\u3067\u306e\u7814\u4fee\u306fThe Tokeshi Dojo\uff08\u9053\u5834\uff09\u3068\u3057\u3066\u6709\u540d\u3067\u3001\u5171\u306b\u7814\u4fee\u3057\u305f\u30cf\u30ef\u30a4\u5927\u5b663\u5e74\u751f\u306e\u533b\u5b66\u751f\u306f\u3001\u5916\u6765\u3067\u554f\u8a3a\u3057\u3066\u30ab\u30eb\u30c6\u3092\u8a18\u5165\u3057\u3001\u30d0\u30a4\u30bf\u30eb\u6e2c\u5b9a\u3001 \u63a1\u8840\u306a\u3069\u306e\u624b\u6280\u3092\u884c\u3044\u306a\u304c\u3089\u3001\u5165\u9662\u60a3\u8005\u306e\u5165\u9662\u7ba1\u7406\u3084\u5165\u9662\u30fb 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\u6700\u5f8c\u306b\u306a\u308a\u307e\u3057\u305f\u304c\u3001\u30cf\u30ef\u30a4\u3067\u3001Hospital Medicine\u3068Family Medicine\u306b\u3064\u3044\u3066\u6df1\u304f\u5b66\u3076\u4e8b\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u4eba\u7a2e\u3001\u6c11\u65cf\u7684\u80cc\u666f\u3001\u5730\u7406\u7684\u80cc\u666f\u3001\u7d4c\u6e08\u7684\u80cc\u666f\u306a\u3069\u69d8\u3005\u306a\u8996\u70b9\u304b\u3089\u7c73\u56fd\u306e\u533b\u7642\u5236\u5ea6\u3092\u306e\u305e\u304d\u8fbc\u3080\u4e8b\u304c\u51fa\u6765\u305f\u3068\u601d\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3001\u533b\u5b66\u6559\u80b2\u5236\u5ea6\u306b\u3064\u3044\u3066\u3082\u65e5\u7c73\u3092\u6bd4\u8f03\u3057\u3066\u5b66\u3076\u4e8b\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u3053\u306e\u3088\u3046\u306a\u5b66\u3073\u306e\u591a\u3044\u5145\u5b9f\u3057\u305f\u7814\u4fee\u306e\u6a5f\u4f1a\u3092\u4e0e\u3048\u3066\u304f\u3060\u3055\u3063\u305fDr.Nogi\u3001Dr.Tokeshi\u3001\u305d\u3057\u3066ACP 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