\u3010\u6587\u732e\u540d\u3011
\n\u8457\u8005\u540d\uff1a\u6625\u7530\u3000\u6df3\u5fd7\u3001\u9326\u7e54\u3000\u5b8f
\n\u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1a\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u3068\u306f\u4f55\u304b\uff0e
\n\u96d1\u8a8c\u540d\u30fb\u66f8\u7c4d\u540d\uff1aJIM
\n\u767a\u884c\u5e74\uff1aP562?565, vol.22 no.8 2012-8<\/p>\n
\u3010\u8981\u7d04\u3011
\n\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u306e\u5b9a\u7fa9\u30fb\u57fa\u6e96<\/p>\n
\u3000\u3000Mosby’s Medical Dictionary 8th edition 2009\u3067\u306f”A short, straightforward piece of clinical advice(\u77ed\u304f\u5358\u5200\u76f4\u5165\u306a\u81e8\u5e8a\u4e0a\u306e\u30a2\u30c9\u30d0\u30a4\u30b9)”\u3001Whitman\u306f”Creative Medical Teaching, a compilation of definitions and discussions of individual items of medical education(\u5275\u4f5c\u7684\u306a\u81e8\u5e8a\u6559\u80b2\u3001\u3059\u306a\u308f\u3061\u3001\u6559\u80b2\u5b9f\u8df5\u306e\u5834\u306b\u3042\u308b\u500b\u3005\u306e\u8a18\u8ff0\u30fb\u8b70\u8ad6\u306e\u96c6\u5408\u4f53)”\u3068\u5b9a\u7fa9\u3057\u3066\u3044\u308b\u3002\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u3092\u6271\u3063\u305f721\u6587\u732e\u306e\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u300111\u306e\u8ad6\u6587\u304c\u30d1\u30fc\u30eb\u306e\u7279\u5fb4\u306b\u3064\u3044\u3066\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u3055\u308c\u3001\u305d\u306e\u3046\u30615\u3064\u306e\u8ad6\u6587\u306b\u5b9a\u7fa9\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u5171\u901a\u3057\u305f\u5305\u62ec\u7684\u306a\u5b9a\u7fa9\u306f\u660e\u78ba\u306b\u306a\u3063\u3066\u3044\u306a\u3044\u3002<\/p>\n
\u3000\u3000\u4e00\u65b9\u3001\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u306b\u3064\u3044\u3066\u3001Mangrulkar\u3089\u306f\u4ee5\u4e0b\u306e4\u3064\u306e\u57fa\u6e96\u3092\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n
1\uff09\t\u3042\u308b\u60a3\u8005\u304b\u3089\u5f97\u3089\u308c\u305f\u60c5\u5831\u306e\u4e2d\u3067\u3001\u4ed6\u306e\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3082\u4e00\u822c\u5316\u51fa\u6765\u308b\u3082\u306e\u3067\u3042\u308b\u3002
\n\u3000\u4e00\u822c\u5316\u306b\u95a2\u3057\u3066\u306f\u5e38\u306b\u305d\u306e\u7bc4\u56f2\u3068\u7a0b\u5ea6\u3092\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n
2\uff09\t\u7d4c\u9a13\u8c4a\u5bcc\u306a\u512a\u308c\u305f\u81e8\u5e8a\u533b\u304b\u3089\u5f97\u3089\u308c\u308b\u3082\u306e\u3067\u3042\u308b\u3002
\n\u3000\u8ab0\u304c\u7d4c\u9a13\u8c4a\u5bcc\u306a\u512a\u308c\u305f\u81e8\u5e8a\u533b\u306a\u306e\u304b\u3092\u5224\u65ad\u3059\u308b\u3053\u3068\u306f\u96e3\u3057\u3044\u304c\u3001\u30b8\u30e7\u30f3\u30ba\u30fb\u30db\u30d7\u30ad\u30f3\u30b9\u5927\u5b66\u306e\u30a6\u30a3\u30ea\u30a2\u30e0\u30fb\u30aa\u30b9\u30e9\u30fc\u537f\u3084\u3001\u30ab\u30ea\u30d5\u30a9\u30eb\u30cb\u30a2\u5927\u5b66\u30b5\u30f3\u30d5\u30e9\u30f3\u30b7\u30b9\u30b3\u6821\u306e\u30ed\u30fc\u30ec\u30f3\u30b9\u30fb\u30c6\u30a3\u30a2\u30cb\u30fc\u5148\u751f\u306a\u3069\u304c\u63d0\u5531\u3057\u305f\u30d1\u30fc\u30eb\u306f\u65e5\u672c\u3060\u3051\u3067\u306a\u304f\u3001\u591a\u304f\u306e\u56fd\u306e\u533b\u5e2b\u306b\u53d7\u3051\u5165\u308c\u3089\u308c\u3066\u3044\u308b\u3002\u9031\u520a\u8a8c\u7b49\u306e\u4e00\u822c\u96d1\u8a8c\u306b\u63b2\u8f09\u3055\u308c\u305f\u533b\u5e2b\u30e9\u30f3\u30ad\u30f3\u30b0\u3084\u6559\u6388\u3060\u304b\u3089\u3068\u3044\u3063\u305f\u793e\u4f1a\u7684\u5730\u4f4d\u306a\u3069\u3067\u5224\u65ad\u3059\u308b\u3053\u3068\u306f\u614e\u307f\u305f\u3044\u3002\u3044\u3063\u305f\u3093\u3064\u304f\u3089\u308c\u305f\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u306f\u4eca\u306e\u6642\u4ee3\u3001\u30cd\u30c3\u30c8\u4e0a\u306e\u66f8\u304d\u8fbc\u307f\u306a\u3069\u3067\u4f1d\u308f\u3063\u3066\u3044\u304d\u3001\u305d\u306e\u60c5\u5831\u6e90\u3092\u78ba\u304b\u3081\u308b\u8853\u304c\u306a\u3044\u3053\u3068\u3082\u3042\u308b\u3002\u73fe\u5834\u3067\u306f\u6307\u5c0e\u533b\u304b\u3089\u5f8c\u671f\u7814\u4fee\u533b\u306b\u3001\u5f8c\u671f\u7814\u4fee\u533b\u304b\u3089\u521d\u671f\u7814\u4fee\u533b\u306b\u3068\u3044\u3046\u3088\u3046\u306b\u4f1d\u308f\u3063\u3066\u3001\u7591\u554f\u8996\u3055\u308c\u305a\u53d7\u3051\u5165\u308c\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u306e\u3088\u3046\u306a\u30d1\u30c3\u30b1\u30fc\u30b8\u5316\u3055\u308c\u305f\u60c5\u5831\u3084\u30c8\u30c3\u30d7\u30c0\u30a6\u30f3\u5f0f\u306e\u60c5\u5831\u4f1d\u9054\u306f\u3001\u6279\u5224\u7684\u601d\u8003\u3092\u6291\u3048\u305f\u308a\u81ea\u5df1\u6b63\u5f53\u5316\u306e\u624b\u6bb5\u3068\u3057\u3066\u4f7f\u308f\u308c\u3066\u3057\u307e\u3063\u305f\u308a\u3059\u308b\u53ef\u80fd\u6027\u3082\u3042\u308b\u3002\u81ea\u5206\u81ea\u8eab\u304c\u9593\u9055\u3048\u305f\u30e9\u30d9\u30ea\u30f3\u30b0\u3092\u884c\u3063\u3066\u3044\u306a\u3044\u304b\u3069\u3046\u304b\u306b\u3064\u3044\u3066\u5e38\u306b\u632f\u308a\u8fd4\u308a\u3001\u60c5\u5831\u6e90\u3092\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n
3\uff09\t\u3042\u307e\u308a\u77e5\u3089\u308c\u3066\u3044\u306a\u3044\u77e5\u8b58\u3092\u3046\u307e\u304f\u4f1d\u3048\u308b\u4e8b\u304c\u51fa\u6765\u308b\u3002
\n\u3000\u3053\u306e\u57fa\u6e96\u3082\u975e\u5e38\u306b\u3042\u3044\u307e\u3044\u3067\u3042\u308b\u3002\u5c02\u9580\u5bb6\u306e\u307b\u3068\u3093\u3069\u306f\u77e5\u3063\u3066\u3044\u308b\u304c\u7814\u4fee\u533b\u306f\u77e5\u3089\u306a\u3044\u3053\u3068\u3092\u30d1\u30fc\u30eb\u3068\u3044\u3046\u3053\u3068\u3082\u3042\u308b\u3060\u308d\u3046\u3057\u3001\u30d1\u30fc\u30eb\u306f\u3088\u304f\u77e5\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u308c\u3070\u30d1\u30fc\u30eb\u3067\u306f\u306a\u304f\u306a\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u6307\u5c0e\u533b\u3068\u3057\u3066\u8a00\u8a9e\u5316\u3055\u308c\u3066\u3044\u306a\u3044\u4e8b\u3092\u30d1\u30fc\u30eb\u3068\u3057\u3066\u4f1d\u3048\u308b\u4e8b\u306b\u9577\u3051\u305f\u4eba\u3082\u3044\u308b\u304c\u3001\u3053\u306e\u300c\u8a00\u8a9e\u5316\u80fd\u529b\u300d\u306f\u826f\u3044\u6307\u5c0e\u533b\u306b\u6c42\u3081\u3089\u308c\u308b\u80fd\u529b\u306e\u4e00\u3064\u3068\u8a00\u3063\u3066\u3082\u826f\u3044\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
4\uff09\t\u6ce8\u610f\u3092\u60f9\u304d\u30a4\u30f3\u30d1\u30af\u30c8\u306e\u3042\u308b\u3053\u3068\u304c\u6700\u3082\u91cd\u8981\u3067\u3042\u308a\u3001\u7c21\u5358\u3067\u3001\u7406\u89e3\u3057\u3084\u3059\u304f\u3001\u899a\u3048\u3084\u3059\u304f\u3042\u308b\u3079\u304d\u3067\u3042\u308b\u3002
\n\u3000\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u306f1973\u5e74\u3001Norman Miler\u304c\u63d0\u5531\u3057\u305fFactoids(\u4e8b\u5b9f\u306e\u3088\u3046\u306a\u3082\u306e)\u3068\u3082\u8868\u73fe\u3055\u308c\u308b\u3002Factoids\u3068\u3044\u3046\u306e\u306f\u3001\u300c\u8a3c\u660e\u3055\u308c\u3066\u3044\u306a\u3044\u304c\u3001\u7e70\u308a\u8fd4\u3057\u5370\u5237\u3055\u308c\u305f\u308a\u653e\u9001\u3055\u308c\u305f\u308a\u3057\u3066\u4fe1\u7528\u3092\u5f97\u305f\u3082\u306e\u300d\u3067\u3042\u308b\u3002\u8a3c\u660e\u3055\u308c\u308b\u3068\u3044\u3046\u3088\u308a\u3082\u3001\u53d7\u3051\u5165\u308c\u3089\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u7279\u5fb4\u3067\u3042\u308b\u3002
\n(Mangrulkar RS, et al : What is the role of the clinical “pearl”? Am J Med 113 : 617-624, 2002)
\n\u3000\u3000\u3053\u308c\u3089\u306e\u70b9\u3092\u5341\u5206\u306b\u7406\u89e3\u3057\u305f\u4e0a\u3067\u3001\u81e8\u5e8a\u533b\u306f\u8a3a\u7642\u30c4\u30fc\u30eb\u3068\u3057\u3066\u3001\u307e\u305f\u6307\u5c0e\u533b\u306f\u6307\u5c0e\u306e\u30c4\u30fc\u30eb\u3068\u3057\u3066\u3001\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u3092\u4f7f\u3046\u3002
\n\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u3068\u79d1\u5b66\u7684\u601d\u8003\u306b\u304a\u3051\u308b\u63a8\u8ad6
\n\u3000\u3000\u79d1\u5b66\u7684\u601d\u8003\u306b\u306f\u3001\u6f14\u7e79\u3068\u5e30\u7d0d\u3068\u3044\u3046\uff12\u7a2e\u985e\u306e\u63a8\u8ad6\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u3002\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u3001\u79d1\u5b66\u7684\u601d\u8003\u306b\u304a\u3051\u308b\u3053\u308c\u3089\uff12\u7a2e\u985e\u306e\u63a8\u8ad6\u3092\u3046\u307e\u304f\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u3064\u3044\u6f14\u7e79\u7684\u601d\u8003\u3067\u66f8\u304b\u308c\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u3082\u3068\u306b\u3057\u3066\u5185\u7684\u59a5\u5f53\u6027\u3092\u8003\u3048\u308b\u4e8b\u304c\u79d1\u5b66\u7684\u601d\u8003\u3068\u8003\u3048\u3066\u3057\u307e\u3044\u304c\u3061\u3060\u304c\u3001\u5e30\u7d0d\u7684\u306a\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u3082\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u6709\u7528\u306a\u60c5\u5831\u3067\u3042\u308a\u3001\u3053\u308c\u3089\u3092\u767a\u4fe1\u3057\u30c7\u30fc\u30bf\u306e\u91cf\u3092\u7a4d\u307f\u91cd\u306d\u308b\u4e8b\u3082\u30ea\u30b5\u30fc\u30c1\u30af\u30a8\u30b9\u30c1\u30e7\u30f3\u3068\u3057\u3066\u8cea\u7684\u691c\u8a3c\u3057\u3066\u3044\u304f\u306e\u3082\u3001\u91cd\u8981\u306a\u79d1\u5b66\u7684\u4efb\u52d9\u306e\u5fc5\u8981\u3067\u3042\u308b\u3068\u3044\u3048\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n
\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30d1\u30fc\u30eb\u3068\u81e8\u5e8a\u6559\u80b2<\/p>\n
\u3000\u3000\u81e8\u5e8a\u6559\u80b2\u306e\u30c4\u30fc\u30eb\u3068\u3057\u3066\u4f7f\u7528\u3059\u308b\u6642\u306b\u306f\u3001\u4ee5\u4e0b\u306e4\u3064\u306e\u57fa\u6e96\u3067\u5224\u65ad\u3059\u308b\u306e\u304c\u3088\u3044\u3068\u3044\u308f\u308c\u308b\u3002
\n\u2460\t\u60c5\u5831\u6e90\u306e\u59a5\u5f53\u6027\u306e\u691c\u8a0e<\/p>\n
\u2461\t\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u306e\u6bd4\u8f03
\n\u3000\u3059\u3079\u3066\u306e\u30d1\u30fc\u30eb\u306b\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u8abf\u3079\u308b\u306e\u306f\u5b9f\u969b\u7684\u3067\u306f\u306a\u3044\u304c\u3001\u691c\u8a3c\u3059\u308b\u59ff\u52e2\u306f\u6301\u3064\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n
\u2462\t\u5b89\u5168\u6027\u3068\u8cbb\u7528\u5bfe\u52b9\u679c\u306e\u691c\u8a0e\uff1a\u7279\u306b\u6cbb\u7642\u306b\u95a2\u3057\u3066<\/p>\n
\u2463\t\u5b9f\u8df5\u6027\u30fb\u8ee2\u7528\u53ef\u80fd\u6027\u306e\u691c\u8a0e
\n\u3000\u9ad8\u5b89\u75c5\u306e\u30de\u30cd\u30fc\u30b8\u30e1\u30f3\u30c8\u306b\u3064\u3044\u3066\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u96d1\u8a8c\u3088\u308a\u3082\u30ea\u30a6\u30de\u30c1\u79d1\u306b\u3068\u3063\u3066\u5f79\u306b\u7acb\u3064\u60c5\u5831\u3060\u308d\u3046\u3057\u3001\u5c02\u9580\u5bb6\u306f\u7686\u77e5\u3063\u3066\u3044\u308b\u304c\u7814\u4fee\u533b\u304c\u77e5\u3089\u306a\u3044\u3053\u3068\u3067\u3042\u308c\u3070\u3001\u7814\u4fee\u533b\u3092\u6307\u5c0e\u3059\u308b\u6642\u306b\u306f\u5f79\u306b\u7acb\u3064\u60c5\u5831\u306b\u306a\u308b\u3060\u308d\u3046\u3002\u96c6\u56e3\u30fb\u80cc\u666f\u306b\u304a\u3044\u3066\u305d\u306e\u30d1\u30fc\u30eb\u304c\u8ee2\u7528\u53ef\u80fd\u304b\u3069\u3046\u304b\u3001\u4e00\u822c\u5316\u306e\u7bc4\u56f2\u3092\u691c\u8a0e\u3057\u3066\u767a\u4fe1\u3059\u308b\u3053\u3068\u3082\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n
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\u3010\u958b\u50ac\u65e5\u3011
\n2012\u5e748\u67088\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"
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