{"id":224,"date":"2013-10-10T13:57:47","date_gmt":"2013-10-10T04:57:47","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=224"},"modified":"2015-08-06T13:58:36","modified_gmt":"2015-08-06T04:58:36","slug":"%e8%87%a8%e5%ba%8a%e6%8e%a8%e8%ab%96%e3%81%ab%e3%81%8a%e3%81%84%e3%81%a6%e5%ad%a6%e7%bf%92%e8%80%85%e3%81%af%e4%bd%95%e3%81%ab%e3%81%a4%e3%81%be%e3%81%a5%e3%81%84%e3%81%a6%e3%80%81%e6%95%99%e8%82%b2","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=224","title":{"rendered":"\u81e8\u5e8a\u63a8\u8ad6\u306b\u304a\u3044\u3066\u5b66\u7fd2\u8005\u306f\u4f55\u306b\u3064\u307e\u3065\u3044\u3066\u3001\u6559\u80b2\u8005\u306f\u3069\u3046\u5bfe\u5fdc\u3067\u304d\u308b\u306e\u304b\uff1f\uff5e\u30a2\u30af\u30b7\u30e7\u30f3\u30ea\u30b5\u30fc\u30c1\u304b\u3089\u306e\u5b66\u7fd2\u8005\u8a3a\u65ad\u30fb\u4ecb\u5165\u30ac\u30a4\u30c9\u306e\u4f5c\u6210\uff5e"},"content":{"rendered":"

\u2015\u3000\u6587\u732e\u540d\u3000\u2015
\n\u3000Marie-Claude Audetat, Suzanne Laurin, Gilbert Sanche, Caroline Beique, Nathalie Caire Fon, Jean-Guy Blais and Bernard Charlin: Clinical reasoning difficulties: A taxonomy for clinical teachers Medical Teacher 2013 35: e984-e989
\n\u2028\u3000\u2015\u3000\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\u3000\u2015<\/p>\n

\u3000\u3042\u3056\u3044\u3067\u306f\u5e73\u621026\u5e741\u30012\u6708\u306b\u518d\u7814\u4fee\u3092\u5e0c\u671b\u3057\u3066\u3044\u308b\u533b\u5e2b\u306e\u7814\u4fee\u53d7\u3051\u5165\u308c\u304c\u6c7a\u307e\u3063\u305f\u3002\u3057\u304b\u3057\u3001\u79c1\u81ea\u8eab\u306e\u3053\u30531\u5e74\u3042\u307e\u308a\u306e\u6559\u80b2\u6d3b\u52d5\u306f\u533b\u5b66\u751f\u5b9f\u7fd2\u3068\u9060\u9694\u6559\u80b2\u304c\u4e3b\u3067\u3042\u308a\u3001\u533b\u5e2b\u7814\u4fee\u53d7\u3051\u5165\u308c\u306b\u3064\u3044\u3066\u306f\u30d6\u30e9\u30f3\u30af\u304c\u3042\u308b\u3002\u305d\u306e\u305f\u3081\u3001\u5bb6\u5ead\u533b\u7642\u30b3\u30a2\u306e\u6559\u80b2\u3092\u884c\u3046\u30c1\u30e3\u30f3\u30b9\u306f\u591a\u304f\u3042\u3063\u305f\u3082\u306e\u306e\u3001\u81e8\u5e8a\u63a8\u8ad6(\u203b\u3053\u3053\u3067\u306f\u8a3a\u65ad\u3060\u3051\u3067\u306a\u304f\u81e8\u5e8a\u6c7a\u65ad\u3082\u542b\u3081\u308b)\u6559\u80b2\u306e\u30c1\u30e3\u30f3\u30b9\u306f\u5c11\u306a\u304b\u3063\u305f\u3002\u2028\u3000\u81e8\u5e8a\u6c7a\u65ad\u306b\u304a\u3044\u3066\u3001\u56f0\u96e3\u306a\u5b66\u7fd2\u8005\u304c\u3076\u3064\u304b\u308b\u554f\u984c\u3001\u305d\u306e\u8a3a\u65ad\u3068\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u3064\u3044\u3066\u4f53\u7cfb\u7684\u306b\u6349\u3048\u76f4\u3059\u3053\u3068\u306e\u91cd\u8981\u6027\u3092\u611f\u3058\u3066\u3044\u305f\u3068\u3053\u308d\u3001\u30a2\u30af\u30b7\u30e7\u30f3\u30ea\u30b5\u30fc\u30c1\u306e\u624b\u6cd5\u3092\u7528\u3044\u3066\u6559\u80b2\u8eca\u5411\u3051\u306e\u4f53\u7cfb\u7684\u306a\u30ac\u30a4\u30c9\u3092\u4f5c\u6210\u3057\u305f\u7814\u7a76\u3092\u898b\u3064\u3051\u305f\u3002\u6700\u7d42\u6210\u679c\u7269\u306e\u30ac\u30a4\u30c9\u306f\u975e\u5e38\u306b\u5305\u62ec\u7684\u3067\u5b9f\u8df5\u7684\u3067\u3042\u308b\u305f\u3081\u3001\u662f\u975e\u5171\u4eca\u56de\u306e\u30b8\u30e3\u30fc\u30ca\u30eb\u30af\u30e9\u30d6\u3067\u5171\u6709\u3057\u305f\u3044\u3002
\n\u2028\u3000\u2015\u3000\u8981\u7d04\u3000\u2015
\n\u3010\u80cc\u666f\u3011\u2028\u3000\u81e8\u5e8a\u63a8\u8ad6\u306f\u533b\u5b66\u5b9f\u8df5\u3067\u306e\u57fa\u76e4\u3067\u3042\u308b\u3002\u73fe\u6642\u70b9\u3067\u306f\u3001\u81e8\u5e8a\u63a8\u8ad6\u306b\u304a\u3051\u308b\u56f0\u96e3\u3055\u3001\u305d\u306e\u7279\u5b9a\u306e\u65b9\u6cd5\u3001\u6559\u80b2\u3067\u306e\u6539\u5584\u65b9\u6cd5\u306b\u3064\u3044\u3066\u306e\u78ba\u7acb\u3057\u305f\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u306f\u5b58\u5728\u3057\u306a\u3044\u3002<\/p>\n

\u3010\u76ee\u7684\u3011\u2028\u00a0 \u00a0 \u00a0\u2460\u5b66\u7fd2\u8005\u306e\u5916\u6765\u3001\u30b1\u30fc\u30b9\u30b5\u30de\u30ea\u30fc\u3001\u30ab\u30eb\u30c6\u306e\u8a55\u4fa1\u306e\u969b\u306b\u3001\u6700\u3082\u983b\u5ea6\u306e\u9ad8\u3044\u81e8\u5e8a\u63a8\u8ad6\u306e\u56f0\u96e3\u3055\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u3000
\n\u00a0 \u00a0 \u00a0\u2461\u533b\u5b66\u6559\u80b2\u8005\u304c\u3001\u5b66\u7fd2\u8005\u8a3a\u65ad\u3068\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u3092\u3053\u306e\u9818\u57df\u306b\u304a\u3044\u3066\u884c\u3046\u969b\u306b\u52a9\u3051\u3068\u306a\u308b\u30ac\u30a4\u30c9\u3092\u958b\u767a\u3059\u308b\u3053\u3068<\/p>\n

\u3010\u624b\u6cd5\u3011
\n\u3000\u3000\u2460\u6982\u5ff5\u7684\u67a0\u7d44\u307f\uff1b\u4ee5\u4e0b\u306e\u4e8c\u3064\u3092\u63a1\u7528\u3057\u305f\u3002
\n1.A parallel between the processes of clinical reasoning and educational reasoning.
\n\u3000\u81e8\u5e8a\u6559\u80b2\u8005\u304c\u5b66\u7fd2\u8005\u3092\u6307\u5c0e\u3059\u308b\u969b\u306b\u3001\u60a3\u8005\u306e\u81e8\u5e8a\u63a8\u8ad6\u3068\u5b66\u7fd2\u8005\u8a3a\u65ad\u3092\u540c\u6642\u4e26\u884c\u3067\u884c\u3063\u3066\u304a\u308a\u3001\u305d\u306e\u30d7\u30ed\u30bb\u30b9\u306f\u3044\u3000\u305a\u308c\u3082\u554f\u984c\u89e3\u6c7a\u7684\u601d\u8003(\u60c5\u5831\u53ce\u96c6\u2192\u4eee\u8aac\u5f62\u6210\u2192\u8a3a\u65ad\u2192\u5bfe\u5fdc)\u3068\u3044\u3046\u70b9\u3067\u5171\u901a\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u30e2\u30c7\u30eb\u3002
\n2.\u604a\u50cd\u69cb\u6210\u30d7\u30ed\u30bb\u30b9
\n\u3000\u7814\u7a76\u8005\u304c\u7b2c\u4e09\u8005\u7684\u306b\u89b3\u5bdf\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u5bfe\u8c61\u3067\u3042\u308b\u81e8\u5e8a\u6559\u80b2\u8005\u3092\u968f\u6240\u3067\u5dfb\u304d\u8fbc\u3093\u3067\u3001\u7814\u7a76\u3092\u3092\u9032\u3081\u308b\u67a0\u7d44\u307f\u3067\u3001\u5177\u4f53\u7684\u306a\u30ea\u30b5\u30fc\u30c1\u30c7\u30b6\u30a4\u30f3\u3068\u3057\u3066\u53c2\u52a0\u578b\u30a2\u30af\u30b7\u30e7\u30f3\u30ea\u30b5\u30fc\u30c1\u3092\u63a1\u7528\u3002<\/p>\n

\u3000\u3000\u2461\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\uff1b\u5bb6\u5ead\u533b\u7642\u30ec\u30b8\u30c7\u30f3\u30b7\u30fc\u3092\u9078\u629e\u3057\u305f\u3002\u7406\u7531\u3068\u3057\u3066\u306f\u3001\u8a3a\u65ad\u4e0a\u306e\u4e0d\u78ba\u5b9f\u6027\u3068\u8a3a\u65ad\u306e\u8aa4\u308a\u3084\u9045\u308c\u304c\u591a\u3044\u79d1\u30c8\u30c3\u30d73\u306e\u4e00\u3064\u3060\u304b\u3089\u3067\u3042\u308b\u3002<\/p>\n

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\n\u3000\u3000\u2463\u7814\u7a76\u30d7\u30ed\u30bb\u30b9\u2028\u3000\u3000\u3000\u53c2\u52a0\u578b\u30a2\u30af\u30b7\u30e7\u30f3\u30ea\u30b5\u30fc\u30c1\u306b\u4ee3\u8868\u3055\u308c\u308b\u65b9\u6cd5\u3067\u3001\u8a08\u753b–\u884c\u52d5–\u89b3\u5bdf–\u632f\u308a\u8fd4\u308a\u3068\u3044\u3046\u30b5\u30a4\u30af\u30eb\u3092\u884c\u3063\u305f\u3002\u5177\u4f53\u7684\u306b\u306f\u30012009\u5e744\uff5e8\u6708\u306e\u9593\u306b3\u6642\u9593\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u3092\u304f\u308a\u304b\u3048\u3057\u884c\u3063\u305f\u3002\u3053\u306e3\u6642\u9593\u30bb\u30c3\u30b7\u30e7\u30f3\u306e\u4e2d\u3067\u306f\u30c6\u30fc\u30de\u306b\u5bfe\u3059\u308b\u632f\u308a\u8fd4\u308a\u3068\u62bd\u51fa\u3092\u884c\u3063\u305f\u3002\u30bb\u30c3\u30b7\u30e7\u30f3\u540c\u58eb\u306e\u9593\u306e\u671f\u9593\u3067\u3001\u53c2\u52a0\u8005\u3067\u3042\u308b\u81e8\u5e8a\u5bb6\u304c\u30bb\u30c3\u30b7\u30e7\u30f3\u3067\u898b\u3044\u3060\u3057\u305f\u8a08\u753b\u3092\u5b9f\u884c\u3057\u3001\u89b3\u5bdf\u3092\u884c\u3063\u305f\u3002\u305d\u306e\u7d50\u679c\u3092\u8e0f\u307e\u3048\u3066\u66f4\u306b3\u6642\u9593\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u3067\u632f\u308a\u8fd4\u308a\u30fb\u62bd\u51fa\u3092\u884c\u3046\u30fb\u30fb\u30fb\u3068\u3044\u3046\u30d7\u30ed\u30bb\u30b9\u3092\u7e70\u308a\u8fd4\u3057\u305f\u3002\u30c7\u30fc\u30bf\u304c\u98fd\u548c\u3059\u308b\u307e\u3067\u884c\u3044\u30018\u56de\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u304c\u884c\u308f\u308c\u305f\u3002\u2028\u3000\u3053\u3053\u3067\u306e\u7d50\u679c\u3092\u30e2\u30f3\u30c8\u30ea\u30aa\u30fc\u30eb\u5927\u5b66\u306eFD\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u3067\u5171\u6709\u3057\u300117\u540d\u306e\u591a\u5206\u91ce\u306e\u81e8\u5e8a\u6559\u80b2\u8005\u304b\u3089\u59a5\u5f53\u6027\u306e\u8a55\u4fa1\u3092\u53d7\u3051\u305f\u3002<\/p>\n

\u7d50\u679c\uff1b\u5148\u884c\u7814\u7a76\u3092\u8e0f\u307e\u3048\u3066\u3001\u81e8\u5e8a\u63a8\u8ad6\u306e\u30d7\u30ed\u30bb\u30b9\u3092\u4ee5\u4e0b\u306e\u4e09\u3064\u306b\u5206\u3051\u3066\u8003\u3048\u305f\u3002\u2028\u30001.\u4eee\u8aac\u5f62\u6210\u3068\u60c5\u5831\u53ce\u96c6\u306e\u65b9\u5411\u6027\u3000\u2028\u30002.\u4eee\u8aac\u306e\u7cbe\u932c\u3068\u691c\u8a3c\u3000\u2028\u30003.\u8a3a\u65ad\u3042\u308b\u3044\u306f\u554f\u984c\u306e\u7279\u5fb4\u4ed8\u3051\u3068\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u8a08\u753b<\/p>\n

\u3000\u5b66\u7fd2\u8005\u304c\u5448\u3059\u308b\u81e8\u5e8a\u63a8\u8ad6\u306e\u56f0\u96e3\u3055\u306f1\u30671\u3064\u30012\u30013\u306f\u305d\u308c\u305e\u308c2\u3064\u305a\u3064\u306e\u5408\u8a085\u3064\u306b\u96c6\u7d04\u3055\u308c\u305f\u3002\u305d\u308c\u305e\u308c\u306b\u3064\u3044\u3066\u3001\u5b66\u7fd2\u8005\u304c\u69d8\u3005\u306a\u30b9\u30fc\u30d1\u30fc\u30d0\u30a4\u30ba\u306e\u5834\u9762\u306b\u304a\u3044\u3066\u793a\u3059\u624b\u304c\u304b\u308a\u3001\u7279\u5b9a\u3059\u308b\u305f\u3081\u306e\u554f\u3044\u306e\u4f8b\u3001\u56f0\u96e3\u3055\u306e\u539f\u56e0\u3068\u3057\u3066\u8003\u3048\u3046\u308b\u4eee\u8aac\u3001\u56f0\u96e3\u3055\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u6559\u80b2\u6226\u7565\u3092\u7279\u5b9a\u3057\u305f\u3002\u305d\u308c\u3092\u96c6\u7a4d\u3057\u305f\u3082\u306e\u3092\u8e0f\u307e\u3048\u3066\u3001\u81e8\u5e8a\u6559\u80b2\u8005\u306e\u305f\u3081\u306e\u30ac\u30a4\u30c9\u3092\u4f5c\u6210\u3057\u305f\u3002\u2028\u7d50\u8ad6\uff1b\u3053\u306e\u30ac\u30a4\u30c9\u306f\u81e8\u5e8a\u6559\u80b2\u8005\u304c\u3001\u81e8\u5e8a\u6559\u80b2\u306e\u4e2d\u3067\u3001\u3042\u308b\u3044\u306f\u7279\u5b9a\u306e\u81e8\u5e8a\u63a8\u8ad6\u306e\u96e3\u3057\u3055\u3092\u62b1\u3048\u305f\u5b66\u7fd2\u8005\u306b\u5408\u308f\u305b\u305f\u6539\u5584\u6559\u80b2\u3092\u65bd\u3059\u306b\u3042\u305f\u308a\u3001\u6709\u76ca\u306a\u30c4\u30fc\u30eb\u3068\u306a\u308b\u306b\u9055\u3044\u306a\u3044\u3002
\n\u2028\u3000\u2015\u3000\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3000\u2015\u2028\u3000\u2028\u3000\u8cea\u7591\u5fdc\u7b54\u4ee5\u5916\u306b\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30c6\u30fc\u30de\u3067\u306e\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3092\u884c\u3044\u305f\u3044\u3002\u2028\u3000\u3000\u30fb\u81e8\u5e8a\u63a8\u8ad6\u306b\u3064\u307e\u3065\u304f\u5b66\u7fd2\u8005\u306e\u8a55\u4fa1\u3092\u7686\u3055\u3093\u306f\u3053\u308c\u307e\u3067\u3069\u3093\u306a\u5834\u9762\u3067\u884c\u3063\u3066\u3044\u305f\u304b\uff1f\u2028\u3000\u3000\u30fb\u7686\u3055\u3093\u304c\u666e\u6bb5\u884c\u3063\u3066\u3044\u308b\u5b66\u7fd2\u8005\u3078\u306e\u554f\u3044\u3001\u5b66\u7fd2\u8005\u8a3a\u65ad\u3001\u4ecb\u5165\u3068\u6bd4\u3079\u3066\u3053\u306e\u30ac\u30a4\u30c9\u306f\u3069\u3046\u304b\uff1f\u2028\u3000\u3000\u30fb\u3082\u3057\u3001\u30b5\u30a4\u30c8\u3067\u3053\u306e\u30ac\u30a4\u30c9\u3092\u53d6\u308a\u5165\u308c\u308b\u3068\u3059\u308c\u3070\u3001\u3069\u3093\u306a\u65b9\u6cd5\u304c\u3042\u308b\u3060\u308d\u3046\u304b\uff1f
\n\u3000\u2028\u53c2\u7167\u8cc7\u6599\uff1a\u3000CLINICAL REASONING DIFFICULTIES
\nhttp:\/\/informahealthcare.com\/doi\/suppl\/10.3109\/0142159X.2012.733041\/suppl_file\/0142159X.2012.733041.pdf<\/a><\/p>\n

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\u2015\u3000\u6587\u732e\u540d\u3000\u2015 \u3000Marie-Claude Audetat, Suzanne Laurin, Gilbert Sanche, Caroline Beique, Nathalie Caire Fon, Jean-Guy B … \u7d9a\u304d\u3092\u8aad\u3080 \u81e8\u5e8a\u63a8\u8ad6\u306b\u304a\u3044\u3066\u5b66\u7fd2\u8005\u306f\u4f55\u306b\u3064\u307e\u3065\u3044\u3066\u3001\u6559\u80b2\u8005\u306f\u3069\u3046\u5bfe\u5fdc\u3067\u304d\u308b\u306e\u304b\uff1f\uff5e\u30a2\u30af\u30b7\u30e7\u30f3\u30ea\u30b5\u30fc\u30c1\u304b\u3089\u306e\u5b66\u7fd2\u8005\u8a3a\u65ad\u30fb\u4ecb\u5165\u30ac\u30a4\u30c9\u306e\u4f5c\u6210\uff5e<\/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-224","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\/224","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=224"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/224\/revisions"}],"predecessor-version":[{"id":225,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/224\/revisions\/225"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=224"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=224"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}