{"id":188,"date":"2019-02-07T00:04:01","date_gmt":"2019-02-06T15:04:01","guid":{"rendered":"http:\/\/spell.umin.jp\/thespellblog\/?p=188"},"modified":"2019-02-07T11:00:29","modified_gmt":"2019-02-07T02:00:29","slug":"%e7%b7%8f%e5%90%88%e8%a8%ba%e7%99%82%e9%a0%98%e5%9f%9f%e3%81%ae%e3%82%b5%e3%83%96%e3%82%b9%e3%83%9a%e3%82%b7%e3%83%a3%e3%83%aa%e3%83%86%e3%82%a3%e3%81%a8%e3%81%af%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/spell.umin.jp\/thespellblog\/?p=188","title":{"rendered":"\u7dcf\u5408\u8a3a\u7642\u9818\u57df\u306e\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3068\u306f\uff1f"},"content":{"rendered":"
\"\"<\/div>\n

2018\u5e744\u6708\u306b\u65b0\u30fb\u5c02\u9580\u533b\u5236\u5ea6\u304c\u30b9\u30bf\u30fc\u30c8\u3057\u3066\uff0c2019\u5e742\u6708\u306e\u6642\u70b9\u3067\uff0c\u57fa\u672c\u9818\u57df\u306e\u5c02\u9580\u533b\u53d6\u5f97\u5f8c\u306e\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3092\u3069\u3046\u3059\u308b\u304b\u3068\u3044\u3046\u8b70\u8ad6\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\uff0e<\/p>\n

\u307e\u305a\uff0c\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3subspeciality\uff08\u901a\u79f0\u300c\u30b5\u30d6\u30b9\u30da\u300d\uff09\u3068\u306f\u306a\u306b\u304b\uff0c\u3068\u3044\u3046\u3053\u3068\u3092\u78ba\u8a8d\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\uff0e\u3057\u304b\u3057\uff0c\u3053\u308c\u304c\u304d\u3061\u3093\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u306a\u3044\uff0e\u305d\u306e\u305f\u3081\uff0c\u6df7\u4e71\u306e\u69d8\u76f8\u3092\u5448\u3057\u3066\u3044\u308b\uff0e\u65e5\u672c\u5c02\u9580\u533b\u6a5f\u69cb\u306e\u30b5\u30a4\u30c8<\/a>\u3092\u898b\u3066\u3082\uff0c\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u306b\u3064\u3044\u3066\u306e\u5b9a\u7fa9\u306f\u66f8\u304b\u308c\u3066\u304a\u3089\u305a\uff0c\u539a\u52b4\u7701\u306e\u691c\u8a0e\u4f1a\u8cc7\u6599<\/a>\u306b\u300c\u57fa\u672c\u9818\u57df\u304b\u3089\u5206\u5316\u3057\u305f\u3082\u306e\u300d\u3068\u66f8\u304b\u308c\u3066\u3044\u308b\u306e\u307f\u3067\u3042\u308b\uff0e\u3042\u308b\u533b\u5b66\u751f\u30fb\u7814\u4fee\u533b\u5411\u3051\u306e\u30b5\u30a4\u30c8<\/a>\u306b\u306f\uff0c<\/p>\n

\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3068\u306f\u3001\u8a3a\u7642\u79d1\u306e\u4e0b\u306b\u9023\u306a\u308b\u7d30\u5206\u5316\u3055\u308c\u305f\u5c02\u9580\u5206\u91ce\u306e\u3053\u3068\u3067\u3059\u3002\u5b9f\u306f\u300c\u25cb\u25cb\u79d1\u300d\u3068\u8a00\u3046\u8a3a\u7642\u79d1\u5358\u4f4d\u3067\u793a\u3055\u308c\u308b\u9818\u57df\u306f\u5e83\u3044\u610f\u5473\u3067\u306e\u5c02\u9580\u3067\u3042\u3063\u3066\u3001\u5b9f\u969b\u306b\u306f\u300c\u25cb\u25cb\u79d1\u300d\u306e\u4e0b\u306b\u306f\u7d30\u5206\u5316\u3055\u308c\u305f\u5c02\u9580\u5206\u91ce\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u5c02\u9580\u5206\u91ce\u3092\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3068\u547c\u3073\u3001\u305f\u3068\u3048\u3070\u5faa\u74b0\u5668\u5185\u79d1\u306a\u3089\u865a\u8840\u6027\u5fc3\u75be\u60a3\u3001\u4e0d\u6574\u8108\u3001\u5fc3\u4e0d\u5168\u3001\u6d88\u5316\u5668\u5185\u79d1\u306a\u3089\u4e0a\u90e8\u6d88\u5316\u7ba1\u3001\u4e0b\u90e8\u6d88\u5316\u7ba1\u3001\u809d\u80c6\u81b5\u306a\u3069\u3068\u3044\u304f\u3064\u3082\u306e\u5c02\u9580\u5206\u91ce\u306b\u5206\u3051\u3089\u308c\u307e\u3059\u3002<\/p><\/blockquote>\n

\u3068\u66f8\u304b\u308c\u3066\u3044\u308b\uff0e\u304a\u305d\u3089\u304f\u3053\u308c\u304c\u4e00\u822c\u7684\u306a\u7406\u89e3\u3068\u601d\u308f\u308c\u308b\u304c\uff0c\u3053\u308c\u306f\u7e26\u5272\u308a\u306e\u5c02\u9580\u9818\u57df\u304c\u591a\u6570\u5b58\u5728\u3059\u308b\u5185\u79d1\u3084\u5916\u79d1\u9818\u57df\u3092\u60f3\u5b9a\u3057\u305f\u7528\u8a9e\u3067\u3042\u308b\uff0e\u65e5\u672c\u5c02\u9580\u533b\u6a5f\u69cb\u304c\u516c\u958b\u3057\u3066\u3044\u308b\u8cc7\u6599<\/a>\u306b\u3088\u308b\u3068\uff0c<\/p>\n

\u5185\u79d1\u9818\u57df\uff1a\u6d88\u5316\u5668\u75c5\u3001\u5faa\u74b0\u5668\u3001\u547c\u5438\u5668\u3001\u8840\u6db2\u3001\u5185\u5206\u6ccc\u4ee3\u8b1d\u79d1\u3001\u7cd6\u5c3f\u75c5\u3001\u814e\u81d3\u3001\u809d\u81d3\u3001\u30a2\u30ec\u30eb\u30ae\u30fc\u3001\u611f\u67d3\u75c7\u3001\u8001\u5e74\u75c5\u3001\u795e\u7d4c\u5185\u79d1\u3001\u30ea\u30a6\u30de\u30c1\u3001\u6d88\u5316\u5668\u5185\u8996\u93e1\u3001\u304c\u3093\u85ac\u7269\u7642\u6cd5
\n\u5916\u79d1\u9818\u57df\uff1a\u6d88\u5316\u5668\u5916\u79d1\u3001\u547c\u5438\u5668\u5916\u79d1\u3001\u5fc3\u81d3\u8840\u7ba1\u5916\u79d1\u3001\u5c0f\u5150\u5916\u79d1\u3001\u4e73\u817a\u3001\u5185\u5206\u6ccc\u5916\u79d1
\n\u653e\u5c04\u7dda\u9818\u57df\uff1a\u653e\u5c04\u7dda\u8a3a\u65ad\u3001\u653e\u5c04\u7dda\u6cbb\u7642<\/p><\/blockquote>\n

\u304c\u65e5\u672c\u5c02\u9580\u533b\u6a5f\u69cb\u306b\u3088\u3063\u3066\u3059\u3067\u306b\u8a8d\u5b9a\u3055\u308c\u3066\u3044\u308b\u3068\u306e\u3053\u3068\u3067\u3042\u308b\uff0e<\/p>\n

\u3044\u305a\u308c\u306b\u3057\u3066\u3082\uff0c\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u306f\u5404\u9818\u57df\u306e\u3046\u3061\uff0c\u300c\u3055\u3089\u306b\u9818\u57df\u3092\u9650\u5b9a\u3057\u3066\u7d30\u5206\u5316\u3055\u308c\u305f\u5c02\u9580\u5206\u91ce\u306b\u7279\u5316\u3057\u305f\u8a3a\u7642\u306e\u30b9\u30da\u30b7\u30e3\u30ea\u30b9\u30c8\u3068\u306a\u308b\u3082\u306e\u300d\u3068\u3044\u3048\u308b\u304c\uff0c\u305d\u3046\u3059\u308b\u3068\uff0c\u5168\u4f53\u3092\u5305\u62ec\u7684\u306b\u8a3a\u308b\u3068\u3044\u3046\u7dcf\u5408\u8a3a\u7642\u306e\u7406\u5ff5\u3068\u306f\u76f8\u5bb9\u308c\u306a\u3044\u3082\u306e\u3068\u306a\u308b\uff0e\u3059\u306a\u308f\u3061\uff0c\u300c\u7dcf\u5408\u8a3a\u7642\u533b\u304c\u30b5\u30d6\u30b9\u30da\u3092\u6301\u3064\u300d\u3068\u3044\u3046\u306e\u306f\u975e\u5e38\u306b\u9055\u548c\u611f\u304c\u5f37\u3044\uff0c\u3068\u3044\u3046\u304b\u56f0\u3063\u3066\u3057\u307e\u3046\u306e\u3067\u3042\u308b\uff0e<\/p>\n

\u3088\u304f\u533b\u5b66\u751f\u3084\u7814\u4fee\u533b\u304b\u3089\uff0c\u7dcf\u5408\u8a3a\u7642\u533b\u306b\u306a\u308a\u305f\u3044\u3068\u6253\u3061\u660e\u3051\u308b\u3068\uff0c\u300c\u305d\u308c\u306f\u7d50\u69cb\u3060\u304c\uff0c\u4f55\u304b\u5c02\u9580\u3092\u6301\u3064\u3079\u304d\u3060\u300d\u3068\u8a00\u308f\u308c\u308b\uff0c\u3068\u3044\u3046\u8a71\u3092\u8033\u306b\u3059\u308b\uff0e\u3053\u308c\u306f\uff0c\u7dcf\u5408\u8a3a\u7642\u306b\u306f\u5c02\u9580\u304c\u306a\u3044\u3068\u3044\u3046\u524d\u63d0\u306b\u7acb\u3063\u3066\u3044\u308b\uff0e\u3057\u304b\u3057\uff0c\u7dcf\u5408\u8a3a\u7642\u306b\u306f\u5c02\u9580\u304c\u306a\u3044\u308f\u3051\u3067\u306f\u306a\u3044\uff0c\u5c02\u9580\u533b\u6a5f\u69cb\u3082\u793a\u3059\u4ee5\u4e0b\u306e7\u3064\u306e\u30b3\u30a2\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\uff08\u8cc7\u8cea\u30fb\u80fd\u529b\uff09\u3092\u8eab\u306b\u3064\u3051\u3066\u3044\u308b\u3068\u3044\u3046\u5c02\u9580\u304c\u3042\u308b\uff0e<\/p>\n

\uff11\uff0e\u5305\u62ec\u7684\u7d71\u5408\u30a2\u30d7\u30ed\u30fc\u30c1
\n\uff12\uff0e\u4e00\u822c\u7684\u306a\u5065\u5eb7\u554f\u984c\u306b\u5bfe\u3059\u308b\u8a3a\u7642\u80fd\u529b
\n\uff13\uff0e\u60a3\u8005\u4e2d\u5fc3\u306e\u533b\u7642\u30fb\u30b1\u30a2
\n\uff14\uff0e\u9023\u643a\u91cd\u8996\u306e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8
\n\uff15\uff0e\u5730\u57df\u5305\u62ec\u30b1\u30a2\u3092\u542b\u3080\u5730\u57df\u5fd7\u5411\u30a2\u30d7\u30ed\u30fc\u30c1
\n\uff16\uff0e\u516c\u76ca\u306b\u8cc7\u3059\u308b\u8077\u696d\u898f\u7bc4
\n\uff17\uff0e\u591a\u69d8\u306a\u8a3a\u7642\u306e\u5834\u306b\u5bfe\u5fdc\u3059\u308b\u80fd\u529b<\/p><\/blockquote>\n

\u3082\u3057\uff0c\u7dcf\u5408\u8a3a\u7642\u533b\u304c\u4f55\u3089\u304b\u306e\u5225\u306e\u8cc7\u683c\u3092\u53d6\u5f97\u3059\u308b\u3068\u3057\u305f\u3089\uff0c\u305d\u308c\u3089\u304c\u3044\u305a\u308c\u3082\u6c38\u7d9a\u7684\u306b\u7dad\u6301\u3067\u304d\u308b\u5fc5\u8981\u304c\u3042\u308b\uff0e\u305d\u3046\u3067\u306a\u3051\u308c\u3070\uff0c\u8ee2\u79d1\u307e\u305f\u306fjob change\u3068\u306a\u3063\u3066\u3057\u307e\u3046\uff0e\u7dcf\u5408\u8a3a\u7642\u5c02\u9580\u533b\u3068\u5faa\u74b0\u5668\u5c02\u9580\u533b\u3092\u4f75\u305b\u6301\u3064\u306e\u306f\u3069\u3046\u3060\u308d\u3046\u304b\uff0e\u5faa\u74b0\u5668\u5185\u79d1\u533b\u3068\u3057\u3066\u4ed5\u4e8b\u3092\u3057\u306a\u304c\u3089\uff0c\u7dcf\u5408\u8a3a\u7642\u5c02\u9580\u533b\u3092\u66f4\u65b0\u3059\u308b\u3053\u3068\u306f\u53ef\u80fd\u3060\u308d\u3046\u304b\uff0e\u3042\u308b\u3044\u306f\u9006\u306b\uff0c\u7dcf\u5408\u8a3a\u7642\u533b\u3068\u3057\u3066\u50cd\u304d\u306a\u304c\u3089\uff0c\u5faa\u74b0\u5668\u5c02\u9580\u533b\u3092\u66f4\u65b0\u3059\u308b\u3053\u3068\u306f\u53ef\u80fd\u3060\u308d\u3046\u304b\uff0e\u7269\u7406\u7684\u306b\u306f\u53ef\u80fd\u304b\u3082\u3057\u308c\u306a\u3044\u304c\uff0c\u304b\u306a\u308a\u7121\u7406\u304c\u3042\u308b\uff0e\u300c\u4e00\u822c\u7684\u306a\u5065\u5eb7\u554f\u984c\u306b\u5bfe\u3059\u308b\u8a3a\u7642\u80fd\u529b\u300d\u306f\u7279\u5b9a\u306e\u9818\u57df\u306b\u9650\u5b9a\u305b\u305a\u3042\u3089\u3086\u308b\u5065\u5eb7\u554f\u984c\u3092\u30ab\u30d0\u30fc\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u306e\u3067\uff0c\u5faa\u74b0\u5668\u306e\u5c02\u9580\u3067\u3042\u308b\u3068\u7dcf\u5408\u8a3a\u7642\u306f\u3067\u304d\u306a\u304f\u306a\u308b\uff0e\u307e\u305f\uff0c\u75be\u60a3\u306b\u7126\u70b9\u3092\u5f53\u3066\u308b\u5faa\u74b0\u5668\u5185\u79d1\u533b\u306b\u5bfe\u3057\u3066\uff0c\u7dcf\u5408\u8a3a\u7642\u533b\u306f\u60a3\u8005\u4e2d\u5fc3\u306e\u533b\u7642\u3092\u884c\u3044\uff0c\u5730\u57df\u5fd7\u5411\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u884c\u3046\u306a\u3069\uff0c\u3069\u3061\u3089\u304b\u3068\u3044\u3046\u3068\u751f\u6d3b\u80cc\u666f\u3084\u5fc3\u7406\u793e\u4f1a\u7684\u554f\u984c\u306b\u7126\u70b9\u3092\u5f53\u3066\u308b\u306e\u3067\uff0c\u5faa\u74b0\u5668\u5185\u79d1\u533b\u3067\u3042\u308a\u7dcf\u5408\u8a3a\u7642\u533b\u3067\u3082\u3042\u308b\u3068\u3044\u3046\u306e\u306f\u4e21\u7acb\u3057\u306a\u3044\uff0e\u9006\u306b\uff0c\u7dcf\u5408\u8a3a\u7642\u3092\u884c\u3063\u3066\u3044\u308b\u3068\u5faa\u74b0\u5668\u306e\u5c02\u9580\u7684\u306a\u30b9\u30ad\u30eb\u3092\u7dad\u6301\u3059\u308b\u306e\u306f\u56f0\u96e3\u3060\u308d\u3046\uff0e<\/p>\n

\u540c\u69d8\u306b\uff0c\u65e5\u672c\u5c02\u9580\u533b\u6a5f\u69cb\u306f\u8907\u6570\u306e\u57fa\u672c\u9818\u57df\u3092\u53d6\u5f97\u3059\u308b\u30c0\u30d6\u30eb\u30dc\u30fc\u30c9\u3092\u8a8d\u3081\u308b\u65b9\u5411\u3067\u691c\u8a0e\u3057\u3066\u3044\u308b\u304c\uff0c\u4f8b\u3048\u3070\uff0c\u6551\u6025\u5c02\u9580\u533b\u3068\u7dcf\u5408\u8a3a\u7642\u5c02\u9580\u533b\u306f\u6c38\u7d9a\u7684\u306b\u7dad\u6301\u3067\u304d\u308b\u3060\u308d\u3046\u304b\uff0e\u6551\u6025\u533b\u3068\u3057\u3066\u50cd\u3051\u3070\u7d99\u7d9a\u7684\u306a\u5916\u6765\u8a3a\u7642\u306b\u5f93\u4e8b\u3059\u308b\u3053\u3068\u306f\u56f0\u96e3\u3060\u308d\u3046\u3057\uff0c\u7dcf\u5408\u8a3a\u7642\u533b\u3068\u3057\u3066\u5f93\u4e8b\u3059\u308c\u3070\u6551\u6025\u75c7\u4f8b\u306e\u7d4c\u9a13\u304c\u3069\u3046\u3057\u3066\u3082\u5c11\u306a\u304f\u306a\u308b\uff0e<\/p>\n

\u3053\u306e\u3088\u3046\u306b\u7dcf\u5408\u8a3a\u7642\u306b\u306f\u9818\u57df\u3092\u72ed\u3081\u308b\u3068\u3044\u3046\u8003\u3048\u306e\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u306f\u305d\u3050\u308f\u306a\u3044\u3057\uff0c\u7dcf\u5408\u8a3a\u7642\u3067\u3042\u3063\u3066\u3082\u57fa\u672c\u9818\u57df\u306e\u5c02\u9580\u533b\u3092\u8907\u6570\u6301\u3064\u30c0\u30d6\u30eb\u30dc\u30fc\u30c9\u306f\u7dad\u6301\u3059\u308b\u3053\u3068\u304c\u56f0\u96e3\u3067\u3042\u308b\uff0e\u5185\u79d1\u3084\u5916\u79d1\u306e\u8003\u3048\u3092\u7dcf\u5408\u8a3a\u7642\u306b\u5f53\u3066\u306f\u3081\u3088\u3046\u3068\u3059\u308b\u306e\u3067\u6df7\u4e71\u304c\u751f\u3058\u308b\u306e\u3067\u3042\u308a\uff0c\u65e5\u672c\u5c02\u9580\u533b\u6a5f\u69cb\u306f\u7dcf\u5408\u8a3a\u7642\u9818\u57df\u306b\u304a\u3051\u308b\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3068\u3044\u3046\u8003\u3048\u3092\u6368\u3066\u308b\u3079\u304d\u3067\u3042\u308b\uff0e\u7dcf\u5408\u8a3a\u7642\u306f\uff0c\u7dcf\u5408\u8a3a\u7642\u306e\u4ed6\u306b\u306f\u3042\u308a\u3048\u306a\u3044\u306e\u304c\u539f\u5247\u3067\u3042\u308b\u304c\uff0c\u3082\u3057\u8ffd\u52a0\u3067\u8cc7\u683c\u3092\u53d6\u308b\u3068\u3057\u305f\u3089\uff0c\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3067\u306a\u304f\uff0c\u30b9\u30da\u30b7\u30e3\u30eb\u30a4\u30f3\u30bf\u30ec\u30b9\u30c8\u3068\u3057\u3066\uff0c\u7279\u5b9a\u306e\u9818\u57df\u3084\u6280\u8853\u3092\u6df1\u304f\u5b66\u3093\u3060\u3068\u3044\u3046\u8a8d\u8a3c\uff08\u8a8d\u5b9a\uff09\u3092\u7528\u610f\u3059\u308c\u3070\u826f\u3044\u3068\u601d\u3046\uff0e\u5b9f\u969b\uff0c\u7c73\u56fd\u3067\u306f\u300cCAQ\uff08certificate of added qualification\uff09\u300d\uff0c\u82f1\u56fd\u3067\u3082\u300cdiploma\u300d\u3068\u547c\u3070\u308c\u308b\u3088\u3046\u306a\uff0c\u8ffd\u52a0\u306e\u8cc7\u683c\u8a8d\u8a3c\u3068\u3044\u3046\u5f62\u306b\u306a\u3063\u3066\u3044\u308b\uff0e<\/p>\n

\u7c73\u56fd\u306eFamily medicine\u306e\u5b9a\u3081\u308b\u30b9\u30da\u30b7\u30e3\u30eb\u30a4\u30f3\u30bf\u30ec\u30b9\u30c8\u306e\u4f8b
\nAddiction Medicine
\nClinical Informatics
\nGeriatric Medicine
\nHospice and Palliative Medicine
\nSports Medicine
\n\uff08ACGME\u00a0– Specialties – Family Medicine<\/a>\uff09<\/p><\/blockquote>\n

\u30ab\u30ca\u30c0\u306eFamily Medicine\u306e\u5b9a\u3081\u308b\u30b9\u30da\u30b7\u30e3\u30eb\u30a4\u30f3\u30bf\u30ec\u30b9\u30c8\u306e\u4f8b
\nCare of the Elderly
\nClinician Scholar Program
\nEmergency Medicine
\nHospital Medicine
\nMother and Child Health
\nPalliative Care
\nSports Medicine
\n\uff08McGill University, CA – Department of Family Medicine – Enhanced Skills Programs<\/a>\uff09<\/p><\/blockquote>\n

\u3067\u306f\uff0c\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3068\u30b9\u30da\u30b7\u30e3\u30eb\u30a4\u30f3\u30bf\u30ec\u30b9\u30c8\u306f\u4f55\u304c\u9055\u3046\u306e\u304b\uff0e\u4f8b\u3048\u3070\uff0c\u7dcf\u5408\u8a3a\u7642\u533b\u306f\u5185\u8996\u93e1\u691c\u67fb\u3092\u884c\u3046\u304c\uff0cERCP\u3084ESD\u306a\u3069\u306e\u51e6\u7f6e\u3084\u6cbb\u7642\u306f\u884c\u308f\u306a\u3044\uff0e\u3053\u308c\u3089\u306f\u5c02\u9580\u6027\u304c\u9ad8\u304f\uff0c\u6d88\u5316\u5668\u5185\u79d1\u533b\u304c\u884c\u3046\u3079\u304d\u3060\u3068\u8003\u3048\u3066\u3044\u308b\u304b\u3089\u3067\u3042\u308b\uff0e\u3057\u305f\u304c\u3063\u3066\uff0c\u7dcf\u5408\u8a3a\u7642\u533b\u306b\u5fc5\u8981\u306a\u306e\u306f\uff0c\u5185\u8996\u93e1”\u5c02\u9580\u533b”\u3067\u306f\u306a\u304f\uff0c\u5185\u8996\u93e1”\u8a8d\u5b9a\u533b”\u3067\u3042\u308b\uff0e\u4e00\u901a\u308a\u306e\u624b\u6280\u304c\u3067\u304d\u308b\u3053\u3068\u3092\u8a8d\u8a3c\u3059\u308b\u304c\uff0c\u305d\u308c\u3092\u5c02\u9580\u3068\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3068\u3044\u3046\u306e\u3067\uff0c\u7dcf\u5408\u8a3a\u7642\u3068\u4e21\u7acb\u3059\u308b\uff0e\u3057\u305f\u304c\u3063\u3066\uff0c\u5c02\u9580\u533b\u3068\u306f\u5225\u306e\u8a8d\u8a3c\u3092\u4ed8\u4e0e\u3059\u308b\u306e\u304c\u3088\u3044\u3068\u3044\u3046\u3053\u3068\u306a\u306e\u3067\u3042\u308b\uff0e\u3064\u307e\u308a\uff0c\u5185\u8996\u93e1\u3092\u300c\u5c02\u9580\u3068\u3059\u308b\u300d\u7dcf\u5408\u8a3a\u7642\u533b\uff0c\u3067\u306f\u306a\u304f\uff0c\u5185\u8996\u93e1\u304c\u300c\u5f97\u610f\u306a\u300d\u7dcf\u5408\u8a3a\u7642\u533b\u3067\u3042\u308c\u3070\uff0c\u9055\u548c\u611f\u306f\u306a\u3044\uff0e\u8a00\u8449\u306e\u554f\u984c\u306b\u3053\u3060\u308f\u308a\u3059\u304e\u308b\u3068\u8a00\u308f\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u304c\uff0c\u8a00\u8449\u306f\u5171\u901a\u8a8d\u8b58\u3092\u6301\u3064\u305f\u3081\u306b\u91cd\u8981\u3067\u3042\u308b\uff0e\u5b9a\u7fa9\u305b\u305a\u306b\u306a\u3093\u3068\u306a\u304f\u4f7f\u3046\u3068\u8b70\u8ad6\u304c\u304b\u307f\u5408\u308f\u306a\u3044\u306e\u3067\u3042\u308b\uff0e<\/p>\n

\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u304c\u306a\u3044\u3068\uff0c\u7dcf\u5408\u8a3a\u7642\u306e\u30ad\u30e3\u30ea\u30a2\u30d1\u30b9\u306b\u4e0d\u5b89\u3092\u899a\u3048\u308b\u533b\u5b66\u751f\u3084\u7814\u4fee\u533b\u3082\u3044\u308b\u304b\u3082\u77e5\u308c\u306a\u3044\uff0e\u305d\u3046\u3044\u3046\u4eba\u306e\u305f\u3081\u306b\u306f\uff0c\u7dcf\u5408\u8a3a\u7642\u306e\u9053\u306b\u9032\u3093\u3060\u8005\u304c\u5c02\u9580\u533b\u3092\u53d6\u5f97\u3057\u305f\u3042\u3068\u306b\u3055\u3089\u306a\u308b\u6210\u9577\u306e\u305f\u3081\u306b\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u5b66\u3079\u308b\u30d5\u30a7\u30ed\u30fc\u30b7\u30c3\u30d7\u30d7\u30ed\u30b0\u30e9\u30e0\u304c\u3059\u3067\u306b\u3044\u304f\u3064\u3082\u7528\u610f\u3055\u308c\u3066\u3044\u308b\uff0e\u533b\u5b66\u6559\u80b2\uff0c\u7814\u7a76\uff0c\u7d4c\u55b6\u306a\u3069\u306f\u4eba\u6c17\u304c\u9ad8\u3044\uff0e\u5728\u5b85\u533b\u7642\u3084\u7de9\u548c\u533b\u7642\u3068\u3044\u3063\u305f\u30b5\u30d6\u30b9\u30da\u306b\u8fd1\u3044\u5f62\u306e\u8a3a\u7642\u306e\u300c\u5834\u300d\u306e\u5f97\u610f\u5206\u91ce\u3068\u3044\u3046\u306e\u3092\u8eab\u306b\u3064\u3051\u308b\u8005\u3082\u591a\u3044\uff0e\u300c\u5834\u300d\u3068\u3044\u3046\u3068\uff0c\u8a3a\u7642\u6240\uff0c\u75c5\u9662\uff0c\u5927\u75c5\u9662\uff08\u5927\u5b66\uff09\uff0c\u3078\u304d\u5730\u30fb\u5cf6\u5dbc\u3082\u7dcf\u5408\u8a3a\u7642\u306e\u4e3b\u6226\u5834\u3068\u3057\u3066\u91cd\u8981\u3067\u3042\u308b\uff0e\u3042\u308b\u3044\u306f\u6f22\u65b9\u3084\u5973\u6027\u533b\u7642\uff0c\u601d\u6625\u671f\u533b\u7642\uff0c\u611f\u67d3\u75c7\uff0c\u30ea\u30cf\u30d3\u30ea\uff0c\u30b9\u30dd\u30fc\u30c4\u533b\u7642\u3082\u30aa\u30d7\u30b7\u30e7\u30f3\u3068\u3057\u3066\u8003\u3048\u3089\u308c\u308b\uff0e\u3053\u308c\u3089\u306f\uff0c\u7e26\u5272\u308a\u3067\u306a\u304f\u6a2a\u65ad\u7684\u306a\u6982\u5ff5\u306a\u306e\u3067\uff0c\u7dcf\u5408\u8a3a\u7642\u306e\u8cc7\u8cea\u30fb\u80fd\u529b\u3092\u7dad\u6301\u3057\u305f\u307e\u307e\u53d6\u5f97\u30fb\u66f4\u65b0\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3060\u308d\u3046\uff0e\u3057\u304b\u3057\uff0c\u5927\u4e8b\u306a\u306e\u306f\u8cc7\u683c\u3067\u306f\u306a\u304f\uff0c\u81ea\u5206\u306e\u3044\u308b\u5834\u3067\u4f55\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u308b\u306e\u304b\uff0c\u305d\u3057\u3066\u6c42\u3081\u3089\u308c\u305f\u5f79\u5272\u3092\u6f14\u3058\u308b\u305f\u3081\u306b\u3069\u306e\u3088\u3046\u306a\u3053\u3068\u3092\u5b66\u3076\u306e\u304b\uff0c\u306a\u306e\u3067\u306f\u306a\u3044\u3060\u308d\u3046\u304b\uff0e<\/p>\n

\u8b1d\u8f9e\uff1a\u672c\u30a8\u30f3\u30c8\u30ea\u30fc\u306e\u57f7\u7b46\u306b\u5f53\u305f\u308a\uff0c\u85e4\u6cbc\u5eb7\u6a39\u5148\u751f\uff08\u533b\u7642\u798f\u7949\u751f\u5354\u9023\u5bb6\u5ead\u533b\u7642\u5b66\u958b\u767a\u30bb\u30f3\u30bf\u30fc\uff09\u3068\u5ca1\u7530\u552f\u7537\u5148\u751f\uff08\u4e80\u7530\u30d5\u30a1\u30df\u30ea\u30fc\u30af\u30ea\u30cb\u30c3\u30af\u9928\u5c71\uff09\u3068\u306e\u6df1\u3044\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u304b\u3089\u591a\u304f\u306e\u77e5\u898b\u3092\u5f97\u3066\uff0c\u7406\u89e3\u304c\u6df1\u307e\u3063\u305f\uff0e\u539a\u304f\u5fa1\u793c\u3092\u7533\u3057\u4e0a\u3052\uff0c\u611f\u8b1d\u306e\u610f\u3092\u8868\u3059\u308b\uff0e<\/p>\n

\"\"
\n\uff08\u6d41\u5c71\u5e02\u306e\u30f4\u30a1\u30a4\u30aa\u30ea\u30f3\u5de5\u623f<\/a>\u306b\u3066\uff0c2013\/2\/25\u64ae\u5f71\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

2018\u5e744\u6708\u306b\u65b0\u30fb\u5c02\u9580\u533b\u5236\u5ea6\u304c\u30b9\u30bf\u30fc\u30c8\u3057\u3066\uff0c2019\u5e742\u6708\u306e\u6642\u70b9\u3067\uff0c\u57fa\u672c\u9818\u57df\u306e\u5c02\u9580\u533b\u53d6\u5f97\u5f8c\u306e\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3092\u3069\u3046\u3059\u308b\u304b\u3068\u3044\u3046\u8b70\u8ad6\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\uff0e \u307e\u305a\uff0c\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3subspeciality\uff08\u901a\u79f0\u300c\u30b5\u30d6\u30b9\u30da\u300d […]<\/p>\n","protected":false},"author":1,"featured_media":46,"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,"vkexunit_cta_each_option":"0","footnotes":""},"categories":[3],"tags":[25,7,6],"class_list":["post-188","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-25","tag-7","tag-6"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop.png?fit=500%2C263&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9TdsT-32","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts\/188","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=188"}],"version-history":[{"count":16,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts\/188\/revisions"}],"predecessor-version":[{"id":205,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/posts\/188\/revisions\/205"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=\/wp\/v2\/media\/46"}],"wp:attachment":[{"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=188"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/spell.umin.jp\/thespellblog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}