{"id":1173,"date":"2016-11-07T10:28:29","date_gmt":"2016-11-07T01:28:29","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1173"},"modified":"2016-11-07T10:28:29","modified_gmt":"2016-11-07T01:28:29","slug":"%e3%81%aa%e3%81%9c%e3%83%9d%e3%83%bc%e3%83%88%e3%83%95%e3%82%a9%e3%83%aa%e3%82%aa%e3%81%af%e6%88%90%e5%8a%9f%e3%81%a8%e5%a4%b1%e6%95%97%e3%82%92%e3%81%af%e3%82%89%e3%82%80%e3%81%ae%e3%81%8b%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1173","title":{"rendered":"\u306a\u305c\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u306f\u6210\u529f\u3068\u5931\u6557\u3092\u306f\u3089\u3080\u306e\u304b\uff1f"},"content":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d
\nErik Driessen, Jan van Tarwijk, et al. Portfolios in medical education: why do they meet with mixed success? A systematic review: Med Edu 2007; 41: 1224-1233<\/p>\n

\uff0d\u8981\u7d04\uff0d
\nIntroduction\uff1a<\/strong>
\n\u3000\u76f4\u8fd1\u306e20\u5e74\u4ee5\u4e0a\u306b\u308f\u305f\u308a\u3001\u77e5\u8b58\u3092\u8eab\u306b\u7740\u3051\u308b\u3053\u3068\u304b\u3089\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3078\u3068\u533b\u5b66\u6559\u80b2\u306e\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306f\u5927\u304d\u306a\u8ee2\u63db\u671f\u3092\u8fce\u3048\u3066\u3044\u308b\u300210-15\u5e74\u524d\u306b\u533b\u5b66\u6559\u80b2\u306e\u3059\u3079\u3066\u306e\u6bb5\u968e\u3067PF\u304c\u7d39\u4ecb\u3055\u308c\u3001PF\u306f\u5b66\u7fd2\u8005\u304c\u3044\u304b\u306b\u30bf\u30b9\u30af\u3092\u5b9f\u65bd\u3057\u3001\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3092\u8eab\u306b\u7740\u3051\u3066\u3044\u304f\u304b\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u3042\u308b\u6559\u80b2\u3068\u3057\u3066\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u30021990\u5e74\u4ee3\u521d\u671f\u306b\u533b\u5b66\u6559\u80b2\u306e\u4e16\u754c\u3067\u7d39\u4ecb\u3055\u308c\u3066\u4ee5\u964d\u3001PF\u306f\u6559\u80b2\u7814\u7a76\u306e\u5bfe\u8c61\u3068\u306a\u3063\u3066\u3044\u308b\u304c\u3001\u90e8\u5206\u7684\u306a\u5931\u6557\u3082\u542b\u3081\u305f\u6210\u529f\u3068\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n

Method\uff1a<\/strong>
\n\u3000PubMed(1966-2007)\u3001EMBASE(1989-2007)\u304b\u3089portfol\u3092\u30ad\u30fc\u30ef\u30fc\u30c9\u306b\u7528\u3044\u3066\u691c\u7d22\u3092\u884c\u3063\u305f\u3002Psych Info\u3068ERIC\u3067\u306fPortfol\u304a\u3088\u3073medical education\u3092\u30ad\u30fc\u30ef\u30fc\u30c9\u306b\u691c\u7d22\u3092\u884c\u3063\u305f\u3002\u691c\u7d22\u306f\u82f1\u8a9e\u3068\u30c9\u30a4\u30c4\u8a9e\u306e\u51fa\u7248\u7269\u306b\u5236\u9650\u3057\u305f\u3002
\n\u9078\u629e\u57fa\u6e96\u3068\u3057\u3066\u3001\u4ee5\u4e0b\u306e3\u70b9\u3092\u6e80\u305f\u3059\u3082\u306e\u3068\u3057\u305f\u30021\uff0e\u533b\u5b66\u6559\u80b2\u3092\u76ee\u7684\u3068\u3057\u305f\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u306e\u5229\u7528\u306b\u7126\u70b9\u304c\u5f53\u3066\u3089\u308c\u3066\u3044\u308b\u30022\uff0e\u5352\u524d\u3001\u5352\u5f8c\u3001\u751f\u6daf\u6559\u80b2\u3092\u5bfe\u8c61\u30023\uff0e\u7d4c\u9a13\u7684\u30c7\u30fc\u30bf\u3067\u3042\u308b\u3002\u307e\u305f\u770b\u8b77\u306a\u3069\u306e\u4ed6\u306e\u5c02\u9580\u8077\u3001\u7ba1\u7406\u8005\u3001\u7d4c\u55b6\u3001\u6559\u80b2\u306e\u305f\u3081\u306e\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u3084\u30ed\u30b0\u30d6\u30c3\u30af\u3068\u3044\u3063\u305f\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u306b\u307e\u3064\u308f\u308b\u9053\u5177\u3001\u8a55\u4fa1\u3055\u308c\u305f\u30c7\u30fc\u30bf\u306e\u306a\u3044\u6587\u732e\u306f\u9664\u5916\u3057\u305f\u3002
\n\u30c7\u30fc\u30bf\u62bd\u51fa\u306b\u306f\u4fee\u6b63\u7248BEMEC\u306e\u30b3\u30fc\u30c7\u30a3\u30f3\u30b0\u30b7\u30fc\u30c8\u3092\u4f7f\u7528\u3057\u3001\u4ecb\u5165\u306e\u7d50\u679c\u306fKirkpatrick\u306e\u968e\u5c64\u3067\u8a55\u4fa1\u3057\u305f\u3002\u8a55\u4fa1\u8005\u9593\u306e\u4fe1\u983c\u6027\u306f\u3001\u5e73\u5747\u5316\u3057\u305f\u30c9\u30e1\u30a4\u30f3\u6e96\u62e0\u306e\u4fe1\u983c\u4fc2\u6570\u306a\u3044\u3057\u03ba\u4fc2\u6570\u3067\u63a8\u5b9a\u3057\u305f\u3002\u8907\u6570\u306e\u8a55\u4fa1\u8005\u9593\u306e\u4fe1\u983c\u6027\u306f\u30b9\u30d4\u30a2\u30de\u30f3-\u30d6\u30e9\u30a6\u30f3\u516c\u5f0f\u3092\u7528\u3044\u3066\u63a8\u5b9a\u3055\u308c\u305f\u3002<\/p>\n

Results\uff1a<\/strong>
\n\u30001939\u306e\u6587\u732e\u304c\u691c\u7d22\u3055\u308c\u3001\u9069\u683c\u57fa\u6e96\u3092\u6e80\u305f\u3057\u305f\u3082\u306e\u306f30\u4ef6\u3060\u3063\u305f\u3002\u5185\u8a33\u306f\u81e8\u5e8a\u306b\u5165\u308b\u524d\u306e\u5352\u524d\u533b\u5b66\u6559\u80b2\u304c9\u4ef6\u3001\u5352\u524d\u306e\u30af\u30ea\u30cb\u30ab\u30eb\u30af\u30e9\u30fc\u30af\u30b7\u30c3\u30d7\u306b\u95a2\u3059\u308b\u3082\u306e\u304c7\u4ef6\u3001\u5352\u5f8c\u533b\u5b66\u6559\u80b2\u304c9\u4ef6\u3001\u751f\u6daf\u5b66\u7fd2\u306b\u95a2\u3059\u308b\u3082\u306e\u304c5\u4ef6\u3060\u3063\u305f\u3002
\n\u300019\u306e\u6587\u732e\u3067\u306e\u8a55\u4fa1\u306fKirkpatrick\u306elevel1\u306e\u7d50\u679c\u3067\u3042\u308a\u3001level3\u306e\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306e\u6539\u5584\u3092\u8a55\u4fa1\u3057\u305f\u3082\u306e\u306f2\u4ef6\u3060\u3051\u3060\u3063\u305f\u3002\u60a3\u8005\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3092\u8a55\u4fa1\u3057\u305f\u6587\u732e\u306f\u306a\u304b\u3063\u305f\u3002
\n\u3000\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u306e\u76ee\u6a19\u3092Learning\u3068Assessment\u306e2\u3064\u304c\u6319\u3052\u3089\u308c\u305f\u3002
\n\"\u4e0a\u91ce\u5148\u751f\u56f3\u2460\"<\/a><\/p>\n

Goal 1. Learning<\/strong>
\n\u3000\u751f\u6daf\u6559\u80b2\u3067\u306ePF\u306e\u5229\u7528\u306f\u6210\u529f\u3068\u5931\u6557\u3092\u542b\u3093\u3060\u7d50\u679c\u3068\u306a\u3063\u3066\u3044\u308b\u3002\u3044\u304f\u3064\u304b\u306e\u6587\u732e\u3067\u306fPF\u306freflective learning\u3092\u523a\u6fc0\u3059\u308b\u53ef\u80fd\u6027\u304c\u5831\u544a\u3055\u308c\u3001\u751f\u6daf\u6559\u80b2\u306e\u8a08\u753b\u3084\u63a8\u79fb\u3092\u898b\u5b88\u308b\u3046\u3048\u3067\u52a9\u3051\u306b\u306a\u308b\u3002
\n\u3000\u65e5\u3005\u306e\u4ed5\u4e8b\u306e\u8ca0\u8377\u304c\u8ab2\u3055\u308c\u308b\u4e2d\u3067\u3001PF\u3092\u7dad\u6301\u3057\u3066\u3044\u304f\u306b\u306f\u6642\u9593\u304c\u3068\u3089\u308c\u308b\u3068\u3044\u3046\u5074\u9762\u3082\u3042\u308a\u3001\u304b\u3051\u3089\u308c\u308b\u6642\u9593\u306e\u6b20\u5982\u306f\u751f\u6daf\u6559\u80b2\u3001\u5352\u5f8c\u6559\u80b2\u306b\u304a\u3044\u3066\u554f\u984c\u3068\u306a\u3063\u3066\u3044\u308b\u3002
\n\u3000Mathers\u3089\u306fPF\u306b\u95a2\u3057\u3066\u3001\u5b9f\u73fe\u53ef\u80fd\u6027\u3092\u9ad8\u3081\u308b\u305f\u3081\u306b\u66f8\u985e\u3092\u6e1b\u3089\u3057\u3066\u300c\u3088\u308a\u30b9\u30de\u30fc\u30c8\u306b\u3059\u308b\u300d\u3088\u3046\u63d0\u8a00\u3057\u3066\u3044\u308b\u3002
\n\u3000PF\u306e\u66f8\u5f0f\u3082\u91cd\u8981\u3067\u3001\u660e\u78ba\u3067\u3042\u308a\u306a\u304c\u3089\u500b\u3005\u306e\u5b66\u7fd2\u8005\u306e\u30e6\u30cb\u30fc\u30af\u306a\u5b66\u3073\u3092\u63cf\u5199\u3067\u304d\u308b\u67d4\u8edf\u306a\u69cb\u9020\u304c\u6709\u52b9\u3067\u3042\u308b\u3002\u591a\u304f\u306e\u5b66\u7fd2\u8005\u306f\u3069\u306e\u3088\u3046\u306a\u7a2e\u985e\u306e\u60c5\u5831\u3092\u8a18\u8f09\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u308b\u304b\u3092\u77e5\u308a\u305f\u304c\u3063\u3066\u3044\u305f\u3002
\n\u3000\u591a\u304f\u306e\u7814\u7a76\u3067\u30e1\u30f3\u30bf\u30fc\u306b\u3088\u308b\u5341\u5206\u306a\u652f\u63f4\u304c\u4e0d\u8db3\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u5831\u544a\u3057\u3066\u3044\u305f\u3002\u307e\u305f\u6e96\u5099\u3068\u5c0e\u5165\u306e\u4e0d\u8db3\u306b\u95a2\u9023\u3059\u308b\u554f\u984c\u3082\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002<\/p>\n

Goal 2. Assessment<\/strong>
\n\u3000PF\u8a55\u4fa1\u306e\u59a5\u5f53\u6027\u3092\u8abf\u67fb\u3055\u308c\u305f\u7814\u7a76\u3067\u306f\u3001\u78ba\u304b\u306b\u632f\u308a\u8fd4\u308b\u80fd\u529b\u306e\u59a5\u5f53\u306a\u8a66\u9a13\u3068\u8a3c\u660e\u3055\u308c\u3066\u3044\u305f\u30026\u3064\u306e\u7814\u7a76\u3067\u306fPF\u306e\u8a55\u4fa1\u8005\u9593\u4fe1\u983c\u6027\u3092\u63a8\u5b9a\u3057\u3066\u304a\u308a\u3001\u305d\u306e\u5e73\u5747\u306f0.63\u3060\u3063\u305f\u3002\u8a55\u4fa1\u8005\u304c\u5897\u3048\u308b\u3068\u4e0a\u6607\u3059\u308b\u50be\u5411\u306b\u3042\u308a\u30012\uff0c3\uff0c4\u540d\u306e\u8a55\u4fa1\u8005\u3067\u305d\u308c\u305e\u308c0.77\u30010.84\u30010.87\u3068\u306a\u3063\u305f\u3002\u5c0f\u96c6\u56e3\u3067\u8a55\u4fa1\u3057\u305f\u308a\u3001\u5b9f\u969b\u306e\u8a55\u4fa1\u306e\u524d\u5f8c\u306b\u8a55\u4fa1\u8005\u9593\u3067\u8b70\u8ad6\u3057\u305f\u308a\u3001\u30eb\u30fc\u30d6\u30ea\u30c3\u30af\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u63d0\u6848\u3057\u3066\u3044\u308b\u3002<\/p>\n

Discussion\uff1a<\/strong>
\n\u3053\u306e\u6587\u732e\u306fPF\u306b\u95a2\u3059\u308b\u6700\u521d\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u3042\u308b\u3002\u8a55\u4fa1\u8005\u9593\u4fe1\u983c\u6027\u306f\u3001PF\u304c\u4e3b\u89b3\u7684\u3067\u3042\u308b\u6027\u8cea\u304b\u3089\u4e88\u6e2c\u3055\u308c\u305f\u3082\u306e\u3068\u77db\u76fe\u3057\u305f\u7d50\u679c\u3067\u3042\u3063\u305f\u3002PF\u306f\u7dcf\u62ec\u7684\u8a55\u4fa1\u3068\u5f62\u6210\u7684\u8a55\u4fa1\u3092\u76ee\u7684\u306b\u4f7f\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u3060\u308d\u3046\u3002
\n\u52b9\u679c\u7684\u306b\u6271\u3046\u305f\u3081\u3001\u9069\u5207\u306a\u5c0e\u5165\u3068\u30e1\u30f3\u30bf\u30ea\u30f3\u30b0\u3001\u80cc\u666f\u3068\u65b9\u7565\u3092\u7d50\u3073\u3064\u3051\u3001\u5b66\u7fd2\u8005\u3068\u6559\u80b2\u8005\u306e\u53cc\u65b9\u306b\u60c5\u5831\u63d0\u4f9b\u3092\u884c\u3044\u3001\u5b66\u7fd2\u8005\u306e\u81ea\u7531\u3092\u640d\u306a\u308f\u306a\u3044\u660e\u78ba\u306a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u63d0\u4f9b\u3057\u3001\u5b66\u7fd2\u8005\u3068\u30e1\u30f3\u30bf\u30fc\u306e\u9650\u3089\u308c\u305f\u6642\u9593\u306e\u4e2d\u3067\u4f7f\u3044\u52dd\u624b\u306e\u826f\u3055\u304c\u6c42\u3081\u3089\u308c\u308b\u3002
\n\u4eca\u5f8c\u306fPF\u306e\u6709\u52b9\u6027\u3084\u4f7f\u3044\u52dd\u624b\u306e\u826f\u3055\u3001\u5168\u4eba\u7684\u8a55\u4fa1\u306b\u7528\u3044\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u3001\u30e1\u30f3\u30bf\u30fc\u306b\u6c42\u3081\u3089\u308c\u308b\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306b\u3064\u3044\u3066\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u6c42\u3081\u3089\u308c\u308b\u3002<\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n\u30002016\u5e7410\u67085\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d Erik Driessen, Jan van Tarwijk, et al. Portfolios in medical education: why do they meet with mixed succ … \u7d9a\u304d\u3092\u8aad\u3080 \u306a\u305c\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u306f\u6210\u529f\u3068\u5931\u6557\u3092\u306f\u3089\u3080\u306e\u304b\uff1f<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-1173","post","type-post","status-publish","format-standard","hentry","category-20"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1173","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1173"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1173\/revisions"}],"predecessor-version":[{"id":1175,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1173\/revisions\/1175"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1173"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1173"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}