{"id":62,"date":"2018-05-09T18:52:59","date_gmt":"2018-05-09T09:52:59","guid":{"rendered":"http:\/\/spell.umin.jp\/thespellblog\/?p=62"},"modified":"2018-05-18T18:50:55","modified_gmt":"2018-05-18T09:50:55","slug":"family-medicine-in-hospital%e3%81%a8%e3%81%84%e3%81%86%e7%94%9f%e3%81%8d%e6%96%b9","status":"publish","type":"post","link":"https:\/\/spell.umin.jp\/thespellblog\/?p=62","title":{"rendered":"Family Medicine in Hospital\u3068\u3044\u3046\u751f\u304d\u65b9"},"content":{"rendered":"<div class=\"veu_autoEyeCatchBox\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"264\" src=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop-1-e1525863684219.png?fit=500%2C264&amp;ssl=1\" class=\"attachment-large size-large wp-post-image\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/thespellblogtop-1-e1525863684219.png?w=500&amp;ssl=1 500w, 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\/>\n\u3000\u305d\u306e\u5f8c\uff0cSNS\u3084\u65e5\u672c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u9023\u5408\u5b66\u4f1a\u3067\u77e5\u308a\u5408\u3063\u305f\u5bb6\u5ead\u533b\u306e\u5148\u751f\u65b9\u3068\u8b70\u8ad6\u3092\u91cd\u306d\u308b\u3046\u3061\u306b\uff0c\u81ea\u5206\u304c\u65e5\u5e38\u8a3a\u7642\u3067\u91cd\u8996\u3057\u3066\u3044\u305f\u3053\u3068\u306e\u591a\u304f\u304c\u5bb6\u5ead\u533b\u7642\u306e\u7406\u8ad6\u7684\u80cc\u666f\u306b\u57fa\u3065\u3044\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u305f\uff0e\u3068\u308a\u308f\u3051\uff0c\u79c1\u304c\u5f97\u610f\u3068\u3059\u308bEvidence-Based Medicine\u306e\u8003\u3048\u65b9\u306f\u305d\u308c\u306b\u89aa\u548c\u6027\u304c\u9ad8\u304b\u3063\u305f\uff0e\u305d\u3057\u3066\uff0c\u65e5\u672c\u306e\u5bb6\u5ead\u533b\u7642\u306e\u7406\u8ad6\u7684\u652f\u67f1\u3067\u3042\u308b\u85e4\u6cbc\u5eb7\u6a39\u5148\u751f\u3068\u5ca1\u7530\u552f\u7537\u5148\u751f\u3068\u306e3\u4eba\u3067\u306e\u8b70\u8ad6\u304c\uff0c\u79c1\u306e\u7dcf\u5408\u8a3a\u7642\u306e\u6349\u3048\u65b9\u3092\u78ba\u56fa\u305f\u308b\u3082\u306e\u306b\u3057\u305f\uff0e\u306a\u308b\u307b\u3069\u7dcf\u5408\u8a3a\u7642\u3068\u306f\uff0c\u5bb6\u5ead\u533b\u7642\u306e\u7406\u8ad6\u306b\u57fa\u3065\u3044\u3066\u60a3\u8005\u3068\u81ea\u3089\u306e\u7f6e\u304b\u308c\u305f\u5834\u3092\u8a3a\u308b\u8a3a\u7642\u79d1\u306a\u306e\u3060\uff0e<br \/>\n\u3000\u4eca\u3067\u3082\u5fd8\u308c\u306a\u3044\u306e\u304c\u85e4\u6cbc\u5148\u751f\u306e\u8a00\u8449\u3060\uff0e\u300c\u7dcf\u5408\u8a3a\u7642\u79d1\u306e\u82f1\u8a33\u304cDepartment of General Medicine\u306a\u306e\u306f\u826f\u304f\u306a\u3044\u3067\u3059\u3088\uff0cDepartment of Family Medicine\u304c\u9069\u5207\u3067\u3059\u300d\uff0e\u885d\u6483\u3060\u3063\u305f\uff0e\u305d\u308c\u307e\u3067Family Medicine\u306f\u8a3a\u7642\u6240\u5bb6\u5ead\u533b\u7642\u3068\u601d\u3044\u8fbc\u3093\u3067\u3044\u305f\u304c\uff0c\u78ba\u304b\u306b\u75c5\u9662\u3067\u7dcf\u5408\u8a3a\u7642\u3092\u5b9f\u8df5\u3059\u308b\u969b\u306b\u306f\u5bb6\u5ead\u533b\u7642\u306e\u7406\u8ad6\u306b\u57fa\u3065\u304f\u306e\u3060\u304b\u3089\uff0c\u305d\u306e\u65b9\u304c\u3057\u3063\u304f\u308a\u6765\u308b\uff0e\u7c73\u56fd\u3067\u306f\uff0cGeneral Internal Medicine (GIM)\u306f\u75c5\u9662\u306e\u5916\u6765\u90e8\u9580\u306e\u8a3a\u7642\u3057\u304b\u884c\u308f\u305a\uff0cHospitalist\u306f\u5165\u9662\u60a3\u8005\u3092\u5c02\u9580\u306b\u8a3a\u308b\u75c5\u68df\u533b\u3067\u3042\u308b\uff0e\u5916\u6765\u3082\u884c\u3046Hospitalist\u3068\u3044\u3046\u610f\u5473\u306e\u65e5\u672c\u7248Hospitalist\u306f\uff0c\u3069\u3061\u3089\u304b\u3068\u3044\u3046\u3068\u7dcf\u5408\u5185\u79d1\u3067\u3042\u308b\uff0e\u7dcf\u5408\u5185\u79d1\u306f\u5185\u79d1\u306e\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3092\u6a2a\u65ad\u7684\u306b\u8a3a\u7642\u3059\u308b\u304c\uff0c\u75be\u60a3\u306e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306b\u4e3b\u773c\u3092\u7f6e\u304f\uff0e\u305d\u306e\u305f\u3081\uff0c\u7279\u306b\u5404\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u304b\u3089\u51fa\u5411\u3057\u3066\u304d\u305f\u300c\u5bc4\u305b\u96c6\u3081\u7dcf\u5408\u5185\u79d1\u96c6\u56e3\u300d\u3067\u3042\u308b\u3068\uff0c\u5404\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u306e\u9699\u9593\u306b\u843d\u3061\u8fbc\u3080\u60a3\u8005\u306e\u30b1\u30a2\u304c\u3067\u304d\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3046\uff0e\u4e00\u65b9\uff0c\u308f\u308c\u308f\u308c\u7dcf\u5408\u8a3a\u7642\u306f\u60a3\u8005\u306e\u751f\u6d3b\u80cc\u666f\u3084\uff0c\u5bb6\u65cf\uff0c\u5730\u57df\uff0c\u60a3\u8005\u81ea\u8eab\u306e\u4eba\u751f\u306e\u5074\u9762\u3092\u91cd\u8996\u3059\u308b\u306e\u3067\uff0cFamily Medicine\u306a\u3089\uff0c\u5bb6\u5ead\u533b\u7642\u306e\u7406\u8ad6\u3092\u57fa\u76e4\u3068\u3059\u308b\u3053\u3068\u304c\u660e\u78ba\u3067\u3042\u308b\uff0e\u7c73\u56fd\u3067\u3082Family Medicine\u304c\u75c5\u68df\u3092\u6301\u3061\u5165\u9662\u8a3a\u7642\u3092\u884c\u3063\u3066\u3044\u308b\uff0e\u7279\u306b\uff0c\u5185\u79d1\u3084\u6551\u6025\u306a\u3069\u3068\u306f\u5225\u306e\u72ec\u7acb\u3057\u305f\u8a3a\u7642\u79d1\uff08division\u3067\u306f\u306a\u304fdepartment\uff09\u3068\u3057\u3066\u9662\u5185\u306b\u5b58\u5728\u3059\u308b\u70b9\u304c\u91cd\u8981\u3060\uff0e<br \/>\n\u3000\u75c5\u9662\u306b\u7dcf\u5408\u8a3a\u7642\u90e8\u9580\u304c\u5b58\u5728\u3059\u308b\u610f\u7fa9\u306f\uff0c\u5730\u57df\u533b\u7642\u306b\u304a\u3051\u308b\u30cf\u30d6\u6a5f\u80fd\u306b\u3042\u308b\uff0e\u5730\u57df\u306e\u8a3a\u7642\u6240\u3084\u75c5\u9662\u304b\u3089\u306e\u7d39\u4ecb\u7a93\u53e3\u304c\u4e00\u672c\u5316\u3067\u304d\u308c\u3070\uff0c\u3069\u3053\u306e\u8a3a\u7642\u79d1\u306b\u304b\u304b\u308c\u3070\u3088\u3044\u304b\u8ff7\u3046\u3053\u3068\u3082\u306a\u3044\uff0e\u9662\u5185\u3067\u306e\u8a3a\u7642\u79d1\u540c\u58eb\u306e\u3064\u306a\u304e\u5f79\u3082\u62c5\u3046\u3053\u3068\u304c\u3067\u304d\u308b\uff0e\u60a3\u8005\u304c\u81ea\u5b85\u306b\u5e30\u3063\u3066\u304b\u3089\u306e\u751f\u6d3b\u306b\u652f\u969c\u304c\u306a\u3044\u3088\u3046\u306b\uff0c\u5165\u9662\u4e2d\u304b\u3089\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\uff0e<br \/>\n\u3000\u7dcf\u5408\u8a3a\u7642\u3092\u3059\u308b\u306b\u3057\u3066\u3082\u4f55\u304b\u5c02\u9580\u3092\u6301\u3063\u305f\u307b\u3046\u304c\u3044\u3044\uff0c\u3068\u3044\u3046\u58f0\u3092\u3088\u304f\u805e\u304f\uff0e\u88cf\u3092\u8fd4\u305b\u3070\uff0c\u7dcf\u5408\u8a3a\u7642\u306f\u5c02\u9580\u3067\u306f\u306a\u3044\u3068\u3044\u3046\u308f\u3051\u3060\u304c\uff0c\u305d\u308c\u306f\u6b63\u3057\u304f\u306a\u3044\uff0e\u7dcf\u5408\u8a3a\u7642\u306f\u60a3\u8005\u5168\u4f53\u3092\u8a3a\u308b\u306e\u304c\u5c02\u9580\u3067\u3042\u3063\u3066\uff0c\u5185\u79d1\u3068\u306f\u7570\u306a\u308a\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3092\u6301\u305f\u306a\u3044\uff0e\u4f8b\u3048\u3070\uff0c\u6d88\u5316\u5668\u3092\u5c02\u9580\u306b\u6301\u3064\u7dcf\u5408\u8a3a\u7642\u533b\u306a\u3069\u5b58\u5728\u3057\u306a\u3044\uff0e\u7dcf\u5408\u8a3a\u7642\u533b\u306e\u30d7\u30e9\u30b9\u30a2\u30eb\u30d5\u30a1\u306f\uff0c\u5c02\u9580\u3067\u306f\u306a\u304f\uff0c\u7279\u306b\u8208\u5473\u306e\u3042\u308b\u3082\u306e\u3092\u30b9\u30da\u30b7\u30e3\u30eb\u30fb\u30a4\u30f3\u30bf\u30ec\u30b9\u30c8\u3068\u3057\u3066\u6301\u3063\u3066\u3044\u308b\u3068\u3044\u3046\u3053\u3068\u3060\uff0e\u30b9\u30da\u30b7\u30e3\u30eb\u30fb\u30a4\u30f3\u30bf\u30ec\u30b9\u30c8\u306f\u81d3\u5668\u5225\u306e\u7279\u5b9a\u306e\u5206\u91ce\u3067\u306f\u306a\u304f\uff0c\u5c0f\u5150\u9818\u57df\uff0c\u5973\u6027\u533b\u7642\uff0c\u6551\u6025\uff0c\u96c6\u4e2d\u6cbb\u7642\uff0c\u5728\u5b85\u8a3a\u7642\uff0c\u81e8\u5e8a\u63a8\u8ad6\uff0c\u52d5\u6a5f\u3065\u3051\u9762\u63a5\uff0c\u6f22\u65b9\uff0cEBM\uff0c\u81e8\u5e8a\u7814\u7a76\uff0c\u81e8\u5e8a\u502b\u7406\u306a\u3069\u3068\u3044\u3063\u305f\u6a2a\u65ad\u7684\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u3067\u3042\u308b\uff0e\u3042\u304f\u307e\u3067\u3082\u5c02\u9580\u306f\u7dcf\u5408\u8a3a\u7642\u3067\u3042\u308a\uff0c\u5168\u4f53\u3068\u3057\u3066\u6271\u3046\u3053\u3068\u3092\u57fa\u672c\u3068\u3059\u308b\u306e\u304c\uff0cexclusive\u306a\u6982\u5ff5\u3067\u3042\u308b\u30b5\u30d6\u30b9\u30da\u30b7\u30e3\u30ea\u30c6\u30a3\u3092\u6301\u3064\u81d3\u5668\u5225\u5c02\u9580\u3068\u306f\u6839\u672c\u7684\u306b\u7570\u306a\u308b\u3068\u3053\u308d\u3060\uff0e<br \/>\n\u3000\u7dcf\u5408\u8a3a\u7642\u533b\u306f\uff0c\u300c\u5834\u300d\u306e\u30cb\u30fc\u30ba\u306b\u5408\u308f\u305b\u3066\u81ea\u3089\u306e\u59ff\u304b\u305f\u3061\u3092\u5909\u3048\u308b\uff0c\u30ab\u30e1\u30ec\u30aa\u30f3\u306e\u3088\u3046\u306a\u5b58\u5728\u3067\u3042\u308b\uff0e\u3053\u3053\u3067\u306e\u30cb\u30fc\u30ba\u3068\u306f\uff0c\u8a72\u5f53\u5730\u57df\u306b\u304a\u3044\u3066\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u3066\u5fc5\u8981\u3068\u3055\u308c\u3066\u3044\u308b\uff0c\u771f\u306e\u30cb\u30fc\u30ba\u3067\u3042\u308b\uff0e\u305d\u3057\u3066\u300c\u5834\u300d\u3068\u306f\uff0c\u305d\u306e\u5730\u57df\u306b\u3042\u308b\u75c5\u9662\u3067\u3042\u308a\uff0c\u8a3a\u7642\u6240\u3067\u3042\u308a\uff0c\u5728\u5b85\u3067\u3042\u308b\u304c\uff0c\u3069\u306e\u3088\u3046\u306a\u5834\u6240\u3067\u3042\u308c\u5bb6\u5ead\u533b\u7642\u306e\u7406\u8ad6\u306b\u57fa\u3065\u304f\u3053\u3068\u306b\u306f\u5909\u308f\u308a\u306a\u3044\uff0e\u3060\u304b\u3089\uff0c\u75c5\u9662\u306e\u7dcf\u5408\u8a3a\u7642\u79d1\u306f\u300cDepartment of Family Medicine in Hospital\u300d\u306a\u306e\u3060\uff0e\u75c5\u9662\u3067\u5bb6\u5ead\u533b\u7642\u3092\u5b9f\u8df5\u3057\uff0c\u6559\u80b2\u3092\u884c\u3046\uff0e\u307e\u3060\u516c\u5f0f\u306b\u540d\u4e57\u308b\u3053\u3068\u306f\u3067\u304d\u3066\u3044\u306a\u3044\u304c\uff0c\u3053\u308c\u304c\u79c1\u306e\u751f\u304d\u308b\u9053\u3067\u3042\u308b\uff0e<\/p>\n<p>\u6ce81\uff09\u672c\u30a8\u30f3\u30c8\u30ea\u30fc\u306f\uff0c\u30e1\u30c7\u30a3\u30ab\u30eb\u30fb\u30d7\u30ea\u30f3\u30b7\u30d7\u30eb\u793e<a href=\"https:\/\/www.doctor-agent.com\/service\/doctors-magazine\">\u30c9\u30af\u30bf\u30fc\u30ba\u30de\u30ac\u30b8\u30f3<\/a>2018\u5e745\u6708\u53f7\uff08Vol.223\uff09\u306e\u300c\u76ee\u304b\u3089\u30a6\u30ed\u30b3\u300d\u306b\u5bc4\u7a3f\u3057\u305f\u540c\u540d\u30bf\u30a4\u30c8\u30eb\u306e\u30b3\u30e9\u30e0\u306e\u5b57\u6570\u524a\u6e1b\u524d\u306e\u539f\u7a3f\u3067\u3042\u308b\uff0e\u540c\u793e\u306e\u8a31\u8afe\u3092\u5f97\u3066\u63b2\u8f09\u3057\u3066\u3044\u308b\uff0e<\/p>\n<p>\u6ce82\uff09\u53cb\u4eba\u306e\u7c73\u56fd\u30cd\u30a4\u30c6\u30a3\u30f4\u533b\u5e2b\u306b\u805e\u3044\u305f\u3068\u3053\u308d\uff0c\u300cFamily Medicine in Hospital\u300d\u306f\u8868\u73fe\u3068\u3057\u3066\u3042\u307e\u308a\u81ea\u7136\u3067\u306a\u304f\uff0c\u300cHospital Family Medicine\u300d\u306e\u65b9\u304c\u3057\u3063\u304f\u308a\u6765\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u306e\u56de\u7b54\u3092\u5f97\u305f\uff0e\u307e\u305f\uff0c\u8b70\u8ad6\u306e\u4e2d\u3067\u300cFamily medicine hospital service\u300d\u3068\u3044\u3046\u6848\u3082\u51fa\u305f\u304c\uff0c\u3044\u304b\u3093\u305b\u3093\u7c73\u82f1\u306b\u306f\u306a\u3044\u6982\u5ff5\u3067\u3042\u308b\u305f\u3081\u306b\u9069\u5207\u306a\u82f1\u8a33\u304c\u306a\u304f\uff0c\u65e5\u672c\u8a9e\u3067\u300c\u75c5\u9662\u7dcf\u5408\u8a3a\u7642\u533b\u300d\u3068\u8a00\u3046\u3057\u304b\u306a\u3044\u3068\u3044\u3046\u610f\u898b\u3082\u3042\u3063\u305f\uff0e<\/p>\n<p>\u6ce83\uff09\u300c\u7dcf\u5408\u8a3a\u7642\uff0c\u5bb6\u5ead\u533b\u7642\u3092\u62c5\u3046\u533b\u5e2b\u300d\u306e\u7528\u8a9e\u306e\u6574\u7406\u306b\u3064\u3044\u3066\u306f\uff0c\u30e1\u30c7\u30a3\u30ab\u30eb\u30fb\u30b5\u30a4\u30a8\u30f3\u30b9\u30fb\u30a4\u30f3\u30bf\u30fc\u30ca\u30b7\u30e7\u30ca\u30eb<a href=\"https:\/\/goo.gl\/nta91N\">\u300cHospitalist\u300d2013\u5e74Vol.1 No.1<\/a>\u306b\u63b2\u8f09\u3055\u308c\u3066\u3044\u308b\u5ca1\u7530\u552f\u7537\u5148\u751f\u306e\u300c\u5bb6\u5ead\u533b\uff0cGeneral Practitioner\uff0c\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u533b\uff0c\u30b8\u30a7\u30cd\u30e9\u30ea\u30b9\u30c8\u3068\u306f\u3000\u305d\u306e\u5b9a\u7fa9\u304b\u3089\u898b\u3048\u3066\u304f\u308b\u3082\u306e\u300d\u306b\u308f\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u53c2\u7167\u306e\u3053\u3068\uff0e<\/p>\n<p>\u6ce84\uff09\u7c73\u56fd\u30cd\u30a4\u30c6\u30a3\u30f4\u533b\u5e2b\u306b\u3088\u308b\u3068\uff0c\u300cHospitalist\u300d\u306f\u57fa\u672c\u7684\u306b\u306f\u975e\u6559\u80b2\u75c5\u9662\uff08non-academic hospital\uff09\u306b\u3044\u308b\u533b\u5e2b\u3067\u3042\u308a\uff0c\u305d\u3046\u3044\u3063\u305f\u75c5\u9662\u306b\u306f\u7814\u4fee\u533b\u304c\u3044\u306a\u3044\u306e\u3067\uff0c\u5404\u8a3a\u7642\u79d1\u306e\u533b\u5e2b\u3092\u30b5\u30dd\u30fc\u30c8\u3059\u308b\uff08\u4f8b\u3048\u3070\uff0c\u624b\u8853\u4e2d\u306e\u5916\u79d1\u533b\u306b\u4ee3\u308f\u308a\u5165\u9662\u4e2d\u306e\u75c5\u68df\u306e\u60a3\u8005\u306e\u8a3a\u7642\u3092\u884c\u3046\uff09\u3082\u306e\u3067\u3042\u308b\uff0e\u306a\u306b\u304b\u5c02\u9580\u3092\u6301\u3064\u533b\u5e2b\u304c\u30ea\u30bf\u30a4\u30a2\u5f8c\u306b\u62c5\u5f53\u3059\u308b\u3053\u3068\u304c\u591a\u304f\uff0c\u300cHospitalist\u300d\u81ea\u4f53\u306bresidency program\u304c\u3042\u308b\u308f\u3051\u3067\u306f\u306a\u3044\uff08fellowship\u3068\u8ffd\u52a0\u8cc7\u683c\u306f\u3042\u308b\u304c\uff09\uff0e\u305d\u3046\u3044\u3046\u610f\u5473\u3067\uff0c\u300c\u65e5\u672c\u7248Hospitalist\u300d\u3068\u3044\u3046\u300c\u5c02\u9580\u300d\u306f\u79c1\u9054\u304c\u80b2\u3066\u3088\u3046\u3068\u3057\u3066\u3044\u308b\u3082\u306e\u3068\u306f\u7570\u306a\u308b\u3068\u3044\u3046\u610f\u5473\u3067\u9055\u548c\u611f\u3092\u62b1\u304f\uff0e<!--\u3044\u3044\u306d\u30dc\u30bf\u30f3--> <!--?php if(function_exists('the_ratings')) { the_ratings(); } ?--><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-108\" src=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/P1250342-1024x768.jpg?resize=750%2C563\" alt=\"\" width=\"750\" height=\"563\" srcset=\"https:\/\/i0.wp.com\/spell.umin.jp\/thespellblog\/wp-content\/uploads\/2018\/05\/P1250342.jpg?resize=1024%2C768&amp;ssl=1 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