{"id":978,"date":"2016-01-21T17:11:03","date_gmt":"2016-01-21T08:11:03","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=978"},"modified":"2016-01-21T17:11:03","modified_gmt":"2016-01-21T08:11:03","slug":"%e5%9b%b0%e9%9b%a3%e3%81%aa%e5%ad%a6%e7%bf%92%e8%80%85%e3%81%b8%e3%81%ae%e3%82%a2%e3%83%97%e3%83%ad%e3%83%bc%e3%83%81","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=978","title":{"rendered":"\u56f0\u96e3\u306a\u5b66\u7fd2\u8005\u3078\u306e\u30a2\u30d7\u30ed\u30fc\u30c1"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\nAMEE2015\u306b\u304a\u3051\u308b\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u201cManaging Trainees in Difficulty\u201d\u3088\u308a
\nManaging Trainees in Difficulty (version 3) -Practical Advice for Educational and Clinical Supervisors- Oct 2013 NACT UK: Supporting Excellence in Medical Education<\/p>\n

\u2015\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\u2015
\n\u3000\u300c\u56f0\u96e3\u306a\u5b66\u7fd2\u8005\u300d\u306f\u3044\u3064\u306e\u6642\u4ee3\u3082\u4e16\u754c\u306e\u3069\u3053\u3067\u3082\u3001\u6559\u80b2\u5b9f\u8df5\u3092\u3059\u308b\u8005\u306b\u3068\u3063\u3066\u3001\u6700\u3082\u56f0\u60d1\u3055\u305b\u3001\u6700\u3082\u6559\u80b2\u7684\u3067\u3042\u308b\u3002\u4eca\u56de\u3001AMEE2015\u3067\u300cManaging Trainees in Difficulty\u300d\u3068\u3044\u3046WS\u3092\u53d7\u8b1b\u3057\u3001\u30a2\u30d7\u30ed\u30fc\u30c1\u3068\u3057\u3066\u5b66\u3076\u3079\u304d\u70b9\u304c\u591a\u304f\u3042\u3063\u305f\u3002\u4eca\u56de\u3053\u306e\u5b66\u3073\u3092\u5171\u6709\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u3001\u6559\u80b2\u7d4c\u9a13\u8c4a\u5bcc\u306a\u6307\u5c0e\u533b\u9663\u304b\u3089\u3001\u5b9f\u6226\u7684\u306a\u5bfe\u5fdc\u65b9\u6cd5\u306b\u3064\u3044\u3066\u306e\u4ea4\u6d41\u3067\u304d\u305f\u3089\u3068\u8003\u3048\u305f\u3002<\/p>\n

\u2015\u8981\u7d04\u2015
\nGeneral Principles
\n1)\u65e9\u671f\u306e\u554f\u984c\u306e\u540c\u5b9a\u3068\u4ecb\u5165\u304c\u5fc5\u8981\u4e0d\u53ef\u6b20\u3067\u3042\u308b<\/strong>
\n\u60a3\u8005\u306e\u5b89\u5168\u3084\u6559\u80b2\u62c5\u5f53\u8005\u306e\u8105\u5a01\u306b\u306a\u308b\u3088\u3046\u306a\u6848\u4ef6\u3092\u53d6\u308a\u4e0a\u3052\u308b\u4e8b\u306f\u3001\u6307\u5c0e\u533b\u3068\u305d\u306e\u30c1\u30fc\u30e0\u306e\u8cac\u4efb\u3067\u3042\u308b\u3002<\/p>\n

\u4f7f\u3044\u52dd\u624b\u306e\u3088\u3044\u300c\u65e9\u671f\u306e\u8b66\u544a\u30b5\u30a4\u30f3\u300d\u306f\u300cUnderstanding doctors\u2019 performance\u300d\u304b\u3089\u5f15\u7528\u3057\u3066\u3044\u308b\u3002<\/span>
\n \u3000\u30001.The \u201c disappearing act\u201d\uff1a\u30b3\u30fc\u30eb\u306b\u51fa\u306a\u3044\u3001\u59ff\u3092\u6d88\u3059\u3001\u9045\u523b\u3059\u308b\u3001\u75c5\u6b20\u3059\u308b<\/span>
\n \u3000\u30002.Low work rate\uff1a\u6bb5\u53d6\u308a\uff08\u60a3\u8005\u306b\u8d74\u304d\u3001\u8aac\u660e\u3057\u3001\u6c7a\u5b9a\u3059\u308b\uff09\u304c\u9045\u3044\u3002\u65e9\u304f\u51fa\u52e4\u3057\u3001\u5e30\u5b85\u3082\u9045\u3044\u308f\u308a\u306b\u3001\u7d0d\u5f97\u3067\u304d\u308b\u4ed5\u4e8b\u91cf\u3092\u3053\u306a\u3057\u3066\u3044\u306a\u3044<\/span>
\n \u3000\u30003.Ward rage\uff1a\u611f\u60c5\u306e\u7206\u767a\u3001\u76f8\u624b\u3092\u6012\u9cf4\u308b\u3001\u73fe\u5b9f\u306a\u3044\u3057\u60f3\u50cf\u3067\u306e\u8efd\u8511<\/span>
\n \u3000\u30004.Rigidity\uff1a\u4e0d\u78ba\u5b9f\u6027\u306b\u8010\u3048\u3089\u308c\u306a\u3044\u3001\u59a5\u5354\u3092\u8a31\u3055\u306a\u3044\u3001\u512a\u5148\u9806\u4f4d\u3092\u3064\u3051\u3089\u308c\u306a\u3044\u3001\u4e0d\u9069\u5207\u306a\u300c\u5185\u90e8\u544a\u767a\u300d\u3092\u3059\u308b<\/span>
\n \u3000\u30005.Bypass syndrome\uff1a\u5f8c\u8f29\u3084\u770b\u8b77\u5e2b\u304c\u3001\u5f53\u4e8b\u8005\u306e\u610f\u898b\u3084\u30d8\u30eb\u30d7\u3092\u907f\u3051\u3066\u3044\u308b<\/span>
\n \u3000\u30006.Career problem\uff1a\u8a66\u9a13\u306b\u53d7\u304b\u3089\u306a\u3044\u3001\u30ad\u30e3\u30ea\u30a2\u9078\u629e\u304c\u66d6\u6627\u3001\u533b\u5b66\u3078\u5e7b\u6ec5\u3057\u3066\u3044\u308b<\/span>
\n \u3000\u30007.Insight failure\uff1a\u5efa\u8a2d\u7684\u6279\u5224\u3092\u62d2\u7d76\u3059\u308b\u3001\u81ea\u5df1\u9632\u5fa1\u3059\u308b\u3001\u8a00\u3044\u8fd4\u3059<\/span>
\n \u3000\u30008.Lack of engagement in educational processes\uff1a\u8a55\u4fa1\u3067\u304d\u306a\u3044\u3001\u4e8b\u4f8b\u304b\u3089\u5b66\u3076\u4e8b\u304c\u9045\u3044\u3001\u30dd\u30fc\u30c8\u30d5\u30a9\u30ea\u30aa\u4f5c\u6210\u306b\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3\u304c\u4f4e\u3044\u3001
\n\u3000\u3000\u3000\u632f\u308a\u8fd4\u308a\u304c\u4e4f\u3057\u3044<\/span>
\n \u3000\u30009.Lack of initiative\/appropriate professional engagement\uff1a\u78ba\u56fa\u305f\u308b\u30d2\u30a8\u30e9\u30eb\u30ad\u30fc\u306e\u3042\u308b\u6587\u5316\u3067\u533b\u5b66\u6559\u80b2\u3092\u53d7\u3051\u3066\u304d\u305f\u3088\u3046\u306a\u5b66\u7fd2\u8005\u306b
\n\u3000\u3000\u3000\u3088\u304f\u307f\u3089\u308c\u308b\u3002\u305d\u306e\u3088\u3046\u306a\u5b66\u7fd2\u8005\u306f\u3001\u4e0a\u7d1a\u533b\u304c\u6c7a\u3081\u305f\u60a3\u8005\u306e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u306b\u3064\u3044\u3066\u7591\u554f\u3092\u6295\u3052\u304b\u3051\u308b\u3053\u3068\u3084\u3001\u5065\u5168\u306a\u81ea\u5df1\u4e3b\u5f35\u3092\u3057\u306a\u3044<\/span>
\n \u3000\u300010.Inappropriate attitudes\uff1a\u7537\u6027\u4e3b\u5c0e\u578b\u306e\u6587\u5316\u7684\u80cc\u666f\u304c\u3042\u308a\u3001\u5b66\u7fd2\u8005\u306f\u5973\u6027\u3068\u540c\u7b49\u306e\u7acb\u5834\u3067\u50cd\u304f\u4e8b\u306b\u6163\u308c\u3066\u3044\u306a\u3044<\/span><\/p>\n

2)\u74b0\u5883\u3084\u4e8b\u5b9f\u3092\u51fa\u6765\u308b\u3060\u3051\u7d20\u65e9\u304f\u660e\u3089\u304b\u306b\u3057\u3001\u591a\u304f\u306e\u60c5\u5831\u3092\u53d6\u308a\u5bc4\u305b\u308b<\/strong>
\n\u3000\u591a\u304f\u306e\u6848\u4ef6\u306f\u65e9\u671f\u306b\u3001\u6559\u80b2\u62c5\u5f53\u8005\u3068\u5b66\u7fd2\u8005\u306e\u9593\u3067\u3001\u73fe\u5b9f\u7684\u306a\u5b66\u7fd2\u30d7\u30e9\u30f3\u3092\u4f5c\u6210\u3059\u308b\u4e2d\u3067\u3001\u8ff0\u3079\u3089\u308c\u3066\u3044\u308b\u3002\u30aa\u30fc\u30d7\u30f3\u3067\u652f\u63f4\u7684\u306a\u6587\u5316\u3067\u3042\u308c\u3070\u3001\u81e8\u5e8a\u30c1\u30fc\u30e0\u306f\u3001\u5b66\u7fd2\u8005\u306e\u30b9\u30ad\u30eb\u3092\u4f38\u3070\u3059\u3088\u3046\u306b\u6559\u80b2\u3059\u308b\u3057\u3001\u6539\u5584\u3059\u3079\u304d\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u3084\u73fe\u72b6\u306e\u56f0\u96e3\u3055\u306b\u5efa\u8a2d\u7684\u306a\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3092\u3059\u308b\u3060\u308d\u3046\u3002
\n\u3000\u5168\u3066\u306e\u60c5\u5831\u3092\u96c6\u3081\u3066\u7167\u5408\u3057\u3001\u5224\u65ad\u3092\u5f62\u6210\u3059\u308b\u3002
\n\u3000\u60a3\u8005\u3084\u5f53\u4e8b\u8005\u306e\u5b89\u5168\u306b\u95a2\u308f\u308b\u554f\u984c\u306f\u4ed6\u306e\u5168\u3066\u306b\u512a\u5148\u3059\u308b<\/p>\n

3)\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u304c\u4f4e\u3044\u306e\u306f\u75c7\u5019\u3067\u3042\u3063\u3066\u3001\u8a3a\u65ad\u3067\u306f\u306a\u3044\u3002\u305d\u306e\u6839\u672c\u306e\u539f\u56e0\u3092\u63a2\u7d22\u3059\u308b\u4e8b\u304c\u5fc5\u8981\u4e0d\u53ef\u6b20\u3067\u3042\u308b<\/strong>
\n\u30001.\u81e8\u5e8a\u80fd\u529b\u306e\u554f\u984c\uff08\u77e5\u8b58\u3001\u6280\u8853\u3001\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u6280\u91cf\uff09
\n\u30002.\u500b\u4eba\u7684\u3001\u4eba\u683c\u7684\u3001\u884c\u52d5\u4e0a\u306e\u554f\u984c\uff08\u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30ea\u30ba\u30e0\u3001\u30e2\u30c1\u30d9\u30fc\u30b7\u30e7\u30f3\u3001\u6587\u5316\u7684\u5b97\u6559\u7684\u80cc\u666f\u3082\u542b\u3080\uff09
\n\u30003.\u75c5\u6c17\uff08\u500b\u4eba\u3082\u3057\u304f\u306f\u5bb6\u65cf\u306e\u30b9\u30c8\u30ec\u30b9\u3001\u30ad\u30e3\u30ea\u30a2\u306b\u5bfe\u3059\u308b\u4e0d\u6e80\u3001\u7d4c\u6e08\u7684\u554f\u984c\uff09
\n\u30004.\u74b0\u5883\u306e\u554f\u984c\uff08\u7d44\u7e54\u3001\u696d\u52d9\u8ca0\u62c5\u91cf\u3001\u30cf\u30e9\u30b9\u30e1\u30f3\u30c8\uff09<\/p>\n

4)\u78ba\u5b9f\u3067\u8a73\u7d30\u306a\u8a3a\u65ad\u306b\u3088\u3063\u3066\u3001\u52b9\u679c\u7684\u306a\u518d\u6559\u80b2\u304c\u3067\u304d\u308b\uff1a\u7570\u306a\u308b\u554f\u984c\u306f\u7570\u306a\u308b\u89e3\u6c7a\u65b9\u6cd5\u304c\u3042\u308b<\/strong>
\n\u3000\u7cd6\u5c3f\u75c5\u3084\u30e1\u30f3\u30bf\u30eb\u30d8\u30eb\u30b9\u306e\u554f\u984c\u3092\u62b1\u3048\u305f\u533b\u5e2b\u306f\u3001\u500b\u4eba\u306e\u529b\u91cf\u3084\u6d1e\u5bdf\u529b\u304c\u6b20\u3051\u3066\u3044\u308b\u533b\u5e2b\u3068\u306f\u307e\u305f\u9055\u3063\u305f\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u524d\u8005\u306f\u3001\u7523\u696d\u533b\u3084\u7dcf\u5408\u8a3a\u7642\u533b\u306e\u52a9\u3051\u304c\u5fc5\u8981\u306b\u306a\u308b\u3002\u5f8c\u8005\u306f\u3001\u652f\u63f4\u7684\u306a\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3001\u983b\u56de\u306e\u81e8\u5e8a\u7684\u30a2\u30c9\u30d0\u30a4\u30b9\u3001\u671b\u307e\u3057\u304f\u306a\u3044\u884c\u52d5\u306e\u88cf\u306b\u3042\u308b\u4fe1\u5ff5\u3092\u5909\u3048\u308b\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u304c\u5fc5\u8981\u3067\u3042\u308d\u3046\u3002<\/p>\n

5)\u660e\u6587\u5316\u3059\u308b<\/strong>
\n\u3000\u5b66\u7fd2\u8005\u306b\u5bfe\u3059\u308b\u5168\u3066\u306e\u8b70\u8ad6\u3084\u4ecb\u5165\u306f\u3001\u6587\u66f8\u5316\u3055\u308c\u3001\u5b66\u7fd2\u8005\u3068\u30ad\u30fc\u30d1\u30fc\u30bd\u30f3\uff08\u4fe1\u983c\u3001\u5b66\u6821\u9577\u306a\u3044\u3057GMC\uff09\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u30c4\u30fc\u30eb\u3068\u306a\u308b\u3002\u307e\u305f\u6559\u80b2\u62c5\u5f53\u8005\u3001\u30d7\u30ed\u30b0\u30e9\u30e0\u8cac\u4efb\u8005\u3001\u5b66\u6821\u9577\u306e\u3088\u3046\u306a\u91cd\u8cac\u306e\u3042\u308b\u8005\u306b\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3055\u308c\u3001\u3053\u306e\u30d7\u30ed\u30bb\u30b9\u304c\u9069\u5207\u306b\u7ba1\u7406\u3067\u304d\u3066\u3044\u308b\u304b\u3001\u304d\u3061\u3093\u3068\u7d50\u8ad6\u3065\u3051\u3089\u308c\u308b\u304b\u3092\u78ba\u8a8d\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n

6)\u4e0d\u5b89\u306f\u4f1d\u3048\u308b\u3079\u304d\u3067\u3042\u308b\u3001\u8a18\u9332\u306f\u3064\u3051\u308b\u3079\u304d\u3067\u3042\u308b\u3001\u6539\u5584\u7b56\u3092\u63a2\u308b\u3079\u304d\u3067\u3042\u308b<\/strong>
\n\u3000\u554f\u984c\u304c\u89e3\u6c7a\u3055\u308c\u308b\u307e\u3067\u9032\u5316\u306f\u6b62\u307e\u3063\u305f\u307e\u307e\u3067\u3042\u308d\u3046<\/p>\n

\u9298\u8a18\u3059\u308b\u4e8b\uff1a\u9069\u5207\u3067\u540c\u6642\u4e26\u884c\u306e\u6587\u66f8\u5316\u306f\u5fc5\u8981\u4e0d\u53ef\u6b20\u3067\u3042\u308b\u3002<\/strong><\/p>\n

\"\u5bae\u5730\uff06\u9577\u56f3\"<\/a><\/p>\n

\u2015\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u2015
\n\u8003\u5bdf<\/strong>
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\n\u3000\u30fb\u5bfe\u5fdc\u7d4c\u9a13\u3068\u30d5\u30ed\u30fc\u30c1\u30e3\u30fc\u30c8\u306e\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u6bd4\u3079\u3066\u3001\u3046\u307e\u304f\u3044\u3063\u3066\u3044\u305f\u3068\u3053\u308d\u3001\u3053\u3046\u3059\u308c\u3070\u3088\u308a\u3088\u304b\u3063\u305f\u3068\u611f\u3058\u308b\u3068\u3053\u308d\u306f\u3042\u308a\u307e\u3059\u304b\uff1f<\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
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