{"id":11944,"date":"2018-06-04T18:01:58","date_gmt":"2018-06-04T09:01:58","guid":{"rendered":"http:\/\/itell-tao.com\/gotohiromichi\/?p=11944"},"modified":"2024-08-24T20:05:49","modified_gmt":"2024-08-24T11:05:49","slug":"surgery","status":"publish","type":"post","link":"https:\/\/itell-tao.com\/gotohiromichi\/footsteps\/medical_school\/%ef%bc%94%e5%b9%b4%e7%94%9f\/surgery\/","title":{"rendered":"\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u306e\u533b\u5b66\u90e8\u3001\u6700\u7d42\u5b66\u5e74\u306e\uff16\u767a\u76ee\u306e\u7814\u4fee\u5148\u306f\u5916\u79d1"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Collie\u3067\u306e<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/rural-gp\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u3078\u304d\u5730\u533b\u7642\u7814\u4fee<\/a>\u3082\u7d42\u3048\u3001\u307c\u304f\u306f\u30d1\u30fc\u30b9\u306b\u623b\u3063\u3066\u304d\u305f\u3002\u305d\u306e\u5f8c\u3001\uff11\u9031\u9593\u306e\u4f11\u307f\u304c\u3042\u308a\u3001\u305d\u306e\u9593\u306b\u307c\u304f\u306f\u8ad6\u6587\u3092\u66f8\u3044\u305f\u308a\u3001\u7570\u80fdvation\u306e\u7533\u8acb\u66f8\u3092\u7528\u610f\u3057\u3066\u3044\u305f\u3002\u672c\u5f53\u306f\u5352\u696d\u8a66\u9a13\u306b\u5411\u3051\u3066\u52c9\u5f37\u3059\u308b\u3079\u304d\u3068\u3053\u308d\u3060\u304c\u3001\u4eba\u751f\u306f\uff11\u5ea6\u3057\u304b\u306a\u3044\u3002\u6b32\u5f35\u308a\u306b\u751f\u304d\u3066\u307f\u3088\u3046\u3068\u601d\u3063\u305f\u306e\u3060\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4f11\u307f\u304c\u660e\u3051\u308b\u3068\u3001\u533b\u5b66\u90e8\u306e\u7814\u4fee\u306f\u7d9a\u304f\u3002\u3053\u308c\u307e\u3067\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/anaesthesia-pain\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u9ebb\u9154\u79d1<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/palliative-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u7de9\u548c\u30b1\u30a2<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/oncology\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u816b\u760d\u79d1<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/selective-neurosurgery\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u8133\u5916\u79d1<\/a>\u3001<a href=\"https:\/\/itell-tao.com\/gotohiromichi\/medical_school\/%EF%BC%94%E5%B9%B4%E7%94%9F\/rural-gp\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u3078\u304d\u5730\u533b\u7642<\/a>\u306e\u7814\u4fee\u306e\u8a71\u3092\u3057\u3066\u304d\u305f\u304c\u3001\u7b2c\uff16\u5f3e\u306e\u7814\u4fee\u5148\u306f\u3001<span style=\"font-size: 18pt;\">\u5916\u79d1<\/span>\u3067\u3042\u308b\u3002\u7814\u4fee\u5148\u306e\u75c5\u9662\u306f\u3001\u30b8\u30e5\u30f3\u30c0\u30e9\u30c3\u30d7\u75c5\u9662\u3060\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.silverthomashanley.com\/image.php?file=\/art\/rta\/projects\/Joondalup_Health_Campus_Banner_02.jpg\" alt=\"\u00e3\u0080\u008cjoondalup hospital\u00e3\u0080\u008d\u00e3\u0081\u00ae\u00e7\u0094\u00bb\u00e5\u0083\u008f\u00e6\u00a4\u009c\u00e7\u00b4\u00a2\u00e7\u00b5\u0090\u00e6\u009e\u009c\" \/><\/p>\n<p style=\"text-align: center;\">\u51fa\u5178\uff1a<a href=\"https:\/\/www.silverthomashanley.com\/projects\/joondalup-health-campus\/\" target=\"_blank\" rel=\"noopener noreferrer\">silverthomashanley.com<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.joondaluphealthcampus.com.au\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u30b8\u30e5\u30f3\u30c0\u30e9\u30c3\u30d7\u75c5\u9662<\/a>\u306f\u3001\u3053\u308c\u307e\u3067\u306e\u533b\u5b66\u751f\u751f\u6d3b\u306e\u306a\u304b\u3067\u4e00\u5ea6\u3082\u8a2a\u308c\u305f\u3053\u3068\u304c\u306a\u3044\u3002\u307c\u304f\u304c\u4f4f\u3093\u3067\u3044\u308b\u30b7\u30c6\u30a3\u304b\u3089\uff11\u6642\u9593\u3050\u3089\u3044\uff08\u3064\u307e\u308a\u3001\u5f80\u5fa9\uff12\u6642\u9593\uff09\u901a\u52e4\u306b\u304b\u304b\u308b\u306e\u3067\u3001\u3042\u307e\u308a\u884c\u304d\u305f\u3044\u5834\u6240\u3067\u306f\u306a\u304b\u3063\u305f\u304c\uff08\u6642\u9593\u304c\u3082\u3063\u305f\u3044\u306a\u3044\u306e\u3067\uff09\u3001\u4e57\u308a\u639b\u304b\u3063\u305f\u821f\u306f\u305c\u3072\u697d\u3057\u307f\u305f\u3044\u3068\u601d\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u305d\u308c\u3067\u306f\u3001\u3053\u308c\u307e\u3067\u306e\u3088\u3046\u306b\u3001\u5916\u79d1\u306e\u5b66\u7fd2\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u8aad\u3093\u3067\u3044\u3053\u3046\u3068\u601d\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u3075\u3080\u3075\u3080\u3002\u8033\u9f3b\u54bd\u5589\u79d1\u3068\u4e00\u822c\u3082\u3057\u304f\u306f\u5c02\u9580\u5916\u79d1\u306b\u305d\u308c\u305e\u308c\uff12\uff5e\uff13\u9031\u9593\u914d\u5c5e\u3055\u308c\u308b\u3093\u3060\u306a\u3002<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11947\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/1.jpg\" alt=\"\" width=\"974\" height=\"387\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/1.jpg 974w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/1-300x119.jpg 300w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/1-768x305.jpg 768w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/1-696x277.jpg 696w\" sizes=\"(max-width: 974px) 100vw, 974px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u3084\u308b\u3053\u3068\u306f\u3001Ward work, Outpatient clinics, Theatre work\u306a\u3093\u3067\u3059\u306d\u3002\u7e2b\u5408\u306e\u30ef\u30fc\u30af\u30b7\u30e7\u30c3\u30d7\u3082\u3042\u308b\u3002<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11948\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/2.jpg\" alt=\"\" width=\"962\" height=\"801\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/2.jpg 962w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/2-300x250.jpg 300w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/2-768x639.jpg 768w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/2-696x580.jpg 696w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/2-504x420.jpg 504w\" sizes=\"(max-width: 962px) 100vw, 962px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u5916\u79d1\u7814\u4fee\u306e\u4e2d\u3067\u78e8\u304b\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u81e8\u5e8a\u30b9\u30ad\u30eb\u306f\u4ee5\u4e0b\u306e\u3082\u306e\u3002<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11949\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/3.jpg\" alt=\"\" width=\"956\" height=\"319\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/3.jpg 956w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/3-300x100.jpg 300w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/3-768x256.jpg 768w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/3-696x232.jpg 696w\" sizes=\"(max-width: 956px) 100vw, 956px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u8033\u9f3b\u54bd\u5589\u306b\u95a2\u3059\u308c\u3070\u3001\u3053\u308c\u3089\u306e\u3053\u3068\u3092\u5b66\u3070\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11950\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/4.jpg\" alt=\"\" width=\"656\" height=\"1125\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/4.jpg 656w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/4-175x300.jpg 175w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/4-597x1024.jpg 597w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/4-245x420.jpg 245w\" sizes=\"(max-width: 656px) 100vw, 656px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u30aa\u30da\u5ba4\u3067\u306f\u3053\u3093\u306a\u3053\u3068\u3092\u5b9f\u7fd2\u30fb\u7fd2\u5f97\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11951\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/5.jpg\" alt=\"\" width=\"956\" height=\"311\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/5.jpg 956w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/5-300x98.jpg 300w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/5-768x250.jpg 768w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/5-696x226.jpg 696w\" sizes=\"(max-width: 956px) 100vw, 956px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u305d\u306e\u4ed6\u3001\u81e8\u5e8a\u30b9\u30ad\u30eb\u3084\u81e8\u5e8a\u8a66\u9a13\u304c\u3069\u306e\u3088\u3046\u306a\u75c5\u6c17\u306e\u8a3a\u65ad\u306b\u4f7f\u308f\u308c\u308b\u306e\u304b\u3092\u7406\u89e3\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11952\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/6.jpg\" alt=\"\" width=\"942\" height=\"291\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/6.jpg 942w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/6-300x93.jpg 300w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/6-768x237.jpg 768w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/6-696x215.jpg 696w\" sizes=\"(max-width: 942px) 100vw, 942px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u5916\u79d1\u306e\u6559\u79d1\u66f8\u306f\u305f\u304f\u3055\u3093\u3042\u308a\u3001\uff15\u9031\u9593\u3067\u8aad\u3081\u308b\u91cf\u306e\u3082\u306e\u306f\u3072\u3068\u3064\u3082\u306a\u3044\u3002\u8208\u5473\u306e\u3042\u308b\u4eba\u306fTextbook of Surgery\u3092\u66f8\u5e97\u3067\u624b\u306b\u53d6\u3063\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002\u91cd\u3044\u3067\u3059\u305e\u3002<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11953\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/7.jpg\" alt=\"\" width=\"942\" height=\"617\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/7.jpg 942w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/7-300x196.jpg 300w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/7-768x503.jpg 768w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/7-696x456.jpg 696w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/7-741x486.jpg 741w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/7-641x420.jpg 641w\" sizes=\"(max-width: 942px) 100vw, 942px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u6700\u5f8c\u306f\u3001\u5916\u79d1\u7814\u4fee\u306e\u8a55\u4fa1\u65b9\u6cd5\u3067\u3042\u308b\u3002\u8033\u9f3b\u54bd\u5589\u79d1\u3068\u4e00\u822c\u5916\u79d1\u3067\u4e00\u3064\u305a\u3064\u3001Structured Clinical Assessment\u304c\u3042\u308b\u3002\u3053\u308c\u306f\u3001\u3072\u3068\u308a\u306e\u60a3\u8005\u3055\u3093\u3092History-taking, physical examination, investigation, diagnosis, management, follow-up\u307e\u3067\u3092\u7db2\u7f85\u3057\u3001\u3069\u306e\u3088\u3046\u306a\u5de5\u7a0b\u3067\u60a3\u8005\u3055\u3093\u306e\u30b1\u30a2\u304c\u884c\u308f\u308c\u305f\u304b\u3001\u305d\u3057\u3066\u305d\u308c\u304c\u9069\u5207\u3067\u3042\u3063\u305f\u304b\u3092\u304a\u533b\u8005\u3055\u3093\u3068\u8b70\u8ad6\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u7279\u306b\u3001\u5916\u79d1\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306f\u3001\u3068\u3066\u3082\u96e3\u3057\u3044\u3002\u666e\u6bb5\u4f7f\u308f\u308c\u308b\u82f1\u8a9e\u3068\u306f\u9055\u3044\u3001\u7121\u99c4\u3092\u3067\u304d\u308b\u3060\u3051\u7701\u304d\u306a\u304c\u3089\u3082\u3001\u60a3\u8005\u3055\u3093\u306e\u533b\u5b66\u7684\u72b6\u614b\u3092\u7684\u78ba\u306b\u63cf\u5199\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u3053\u308c\u306f\u3001\u30ce\u30f3\u30cd\u30a4\u30c6\u30a3\u30d6\u306e\u307c\u304f\u306b\u3068\u3063\u3066\u3082\u3001\u30cd\u30a4\u30c6\u30a3\u30d6\u306e\u540c\u7d1a\u751f\u3068\u3063\u3066\u3082\u3001\u7fd2\u5f97\u304c\u96e3\u3057\u3044\u30b9\u30ad\u30eb\u3067\u3042\u308b\u3002\u935b\u932c\u3068\u6642\u9593\u306e\u307f\u304c\u3001\u305d\u306e\u7fd2\u5f97\u3092\u53ef\u80fd\u306b\u3057\u3066\u304f\u308c\u308b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-11954\" src=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/8.jpg\" alt=\"\" width=\"774\" height=\"1125\" srcset=\"https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/8.jpg 774w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/8-206x300.jpg 206w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/8-768x1116.jpg 768w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/8-705x1024.jpg 705w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/8-696x1012.jpg 696w, https:\/\/itell-tao.com\/gotohiromichi\/wp-content\/uploads\/2018\/06\/8-289x420.jpg 289w\" sizes=\"(max-width: 774px) 100vw, 774px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>\u6b21\u306e\u52d5\u753b\u306f\u3001\u307c\u304f\u304c\u5c0a\u656c\u3059\u308b\u5916\u79d1\u533b\u30a2\u30c8\u30fc\u30eb\u30fb\u30ef\u30f3\u30c7\u30a3\u5148\u751f\u304c\uff34\uff25\uff24\u3067\u8a71\u3057\u305f\u3082\u306e\u3067\u3042\u308b\u3002\u533b\u7642\u306b\u95a2\u3059\u308b\u300c\u81ea\u52d5\u8eca\u300d\u306e\u4f8b\u3048\u8a71\u306f\u3001\u533b\u8005\u3060\u3051\u3067\u306a\u304f\u60a3\u8005\u3055\u3093\u3082\u77e5\u3063\u3066\u304a\u304f\u3079\u304d\u3053\u3068\u304b\u3082\u3057\u308c\u306a\u3044\u3002<\/p>\n<p>&nbsp;<\/p>\n<div class=\"youtube-embed\" data-video_id=\"L3QkaS249Bc\"><iframe title=\"How do we heal medicine? | Atul Gawande\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/L3QkaS249Bc?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" 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