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第4回日本シミュレーション医療教育学会 シンポジウム
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Yoshikazu Asada
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September 24, 2016
Education
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第4回日本シミュレーション医療教育学会 シンポジウム
Yoshikazu Asada
PRO
September 24, 2016
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Transcript
ҩྍͱڭҭɿֶੜʹର͢Δ ΠϯετϥΫγϣφϧσβΠϯͷ ڭҭͱͦͷҙٛ ࣏ࣗҩՊେֶɹใηϯλʔ ᕆాٛ
5BLF)PNF.FTTBHF w ҩྍऀʹͱͬͯʮڭҭʯৗۀͷதͰ ආ͚ͯ௨Εͳ͍߲ w ֶੜকདྷͷҩྍऀͱͯ͠ɺʮڭҭʯͷཧʹ ਫ਼௨͓ͯ͘͠ͱศར w ֶੜʮڭҭΛड͚ΔʯଆͰ͋ΔͨΊɺͦͷཧΛ ٯʹར༻͢Δ͜ͱͰɺΑΓֶͼͷޮՌΛߴΊΒΕΔ
ʮओମతʯͳʮֶͼʯΛɺͲ͏ͬͯҾ͖ى͔͜͢ʁ
w ҩྍऀΛࢦ͢ʹ͋ͨͬͯͷ ʮڭҭʯ࠶ߟ w ଜॻళ
ࣗݾհᕆాٛ w ࣏ࣗҩՊେֶɹใηϯλʔɹ*3෦ ʢ݄·ͰϝσΟΧϧγϛϡϨʔγϣϯηϯλʔʣ w ݄ɹത࢜ʢֶɿҩྍ҆શΛςʔϚʹݚڀʣ ݄ɹ࣏ࣗҩେʹۈ։࢝ ޙظ۽ຊେֶେֶӃڭतγεςϜֶઐ߈ ɹɹɹɹɹɹՊཤमੜʢશFϥʔχϯάʣ ݄ɹຊՊੜͰೖֶʢब࿑ܧଓʣ
݄ɹमྃʢظʣɹम࢜ʢڭतγεςϜֶʣ w ݱࡏͷݚڀɿ*3ɺ*%ɺֶशੳɺ FϥʔχϯάɺγϛϡϨʔγϣϯҩྍڭҭ
ླࠀ໌ ʮΠϯετϥΫγϣφϧσβΠϯͷجૅͱԿ͔Պֶత ͳڭ͑ํͷ͓༠͍ʯʰফݚमʱ ಛूڭҭɾݚमٕ๏ ୈ߸ ΠϯετϥΫγϣφϧσβΠϯ
w ୈষɹҩֶڭҭ w ୈষɹޢࢣཆ w ୈষɹҩྍγϛϡϨʔγϣϯ w ˞ୈষɹༀاۀӦۀݚम ʮڭҭֶʯͷઐॻʹɺ ҩྍݱͰͷ࣮ઓࣄྫ͕ొ
ҩྍʹ͓͚Δʮڭҭʯ w ҩྍऀͱͯ͠ w ಉ྅ɾޙഐͷڭҭ w ױऀͷࢦಋ࣏ྍ w ױऀՈͷࢦಋ w
ࢢຽͷߨԋձɾߨशձ w ڭҭऀͱͯ͠ w ֶੜʢؚΉ࣮शੜʣͷڭҭ ʮڭ͑Δʯ͜ͱ͕ ৗత
ҩֶੜͱʮڭҭʯ w NFEJDBMTUVEFOUTBSFGVUVSFSFTJEFOUTBOEGBDVMUZ NFNCFSTXIPXJMMIBWFUFBDIJOHSPMFT w BTUFBDIJOHJTBOFTTFOUJBMBTQFDUPGQIZTJDJBO QBUJFOUJOUFSBDUJPO NFEJDBMTUVEFOUTNBZCFDPNFNPSF
F⒎FDUJWFDPNNVOJDBUPSTBTBSFTVMUPGTVDIUSBJOJOH w NFEJDBMTUVEFOUTXJUIBCFUUFSVOEFSTUBOEJOHPG UFBDIJOHBOEMFBSOJOHQSJODJQMFTNBZCFDPNFCFUUFS MFBSOFST %BOEBWJOP. 4OFMM- 8JTFNBO+8IZNFEJDBMTUVEFOUTTIPVMEMFBSO IPXUPUFBDI.FE5FBDI+VM r
࣮ࡍͷतۀࣄྫ
w ΑΓɺҩֶ෦ੜֶظʢʙ݄ʣͷ બतۀͱͯ͠ʮΠϯετϥΫγϣφϧɾσβΠϯ ೖʯΛ։ߨ w तۀճɺશճɻਓ࠷େਓ w ࢼݧແ͠ɺ࠷ऴϨϙʔτ͋Γ w ॓ճʹճఔ
γϥόεຊจ w ɹʮΠϯετϥΫγϣφϧɾσβΠϯʢҎԼɺ*%ʣʯʮڭतγεςϜֶʯͱ͍ ͏ݴ༿Λฉ͍ͨ͜ͱ͕͋Δਓগͳ͍͔͠Ε·ͤΜɻ*%ͱɺڭҭΛΑΓྑ͘ ʢޮతɺޮՌతɺͦͯ͠ັྗతʹʣ͢ΔͨΊͷख๏Λٻ͢Δɺ࣮ફతͳֶ Ͱ͢ɻ w ɹ*%ʮڭ͑Δʯ͜ͱͷཧͰ͕͢ɺཪΛฦͤɺͲ͏ͬͨΒࣗʹͱͬͯ࠷ దͳʮֶͼʯ͕Ͱ͖Δͷ͔Λཧղ͢Δʹ༗ޮͰ͢ɻ͜ͷՊͰ*%ʹ͍ͭͯɺ ʮڭ͑ΔʯࢹͱʮֶͿʯࢹɺͭͷࢹ͔ΒཧղΛਂΊ͍͖ͯ·͢ɻ
w ɹैདྷͷʮतۀʯʮߨٛʯͰͣͬͱ࠲Γͳ͕ΒडతʹֶͿ͜ͱଟ͔ͬͨ ͔ͱࢥ͍·͕͢ɺຊՊͰσΟεΧογϣϯͳͲΛ௨ͯ͠ೳಈతͳֶशͷػձ Λఏڙ͍͖ͯ͠·͢ɻຊՊͷडߨΛ௨ͯ͡*%ͷར༻ํ๏Λମݧ͍͚ͯͨͩ͠Ε ͱࢥ͍·͢ɻ w ɹҩࢣͱ͍͏ཱੜ֔ɺֶशऀʢ৽͍ࣝ͠εΩϧΛֶͼଓ͚ΔʣͰ͋Γɺ ಉ࣌ʹڭҭऀ ֶੜޙഐͷࢦಋɺױऀຊਓՈͷڭҭ Ͱ͋Γ·͢ɻ*% ʹؔ͢ΔݟΛʹ͚ͭΔ͜ͱ͕ɺօ͞ΜͷͷྐͱͳΔ͜ͱΛئ͍ͬͯ·͢ɻ
ֶशඪʢγϥόεΑΓʣ w *%ͷجຊ֓೦ʹ͍ͭͯɺ ༻ޠͷҙຯ۩ମྫΛճͰ͖Δ w ʑͷֶशڭҭͷ໘ʹ͓͍ͯɺ *%ͷݟΛͲ͏׆༻Ͱ͖Δ͔ɺ ۩ମྫͱͱʹઆ໌Ͱ͖Δ w *%ͷݟΛ࣮ࡍͷ໘Ͱ׆༻͠ɺֶश͓Αͼڭҭͷ
ޮՌɾޮɾັྗΛߴΊΔ͜ͱ͕Ͱ͖Δ ݴޠใ తٕೳ ଶ ͷ߲ʹண
ѻͬͨςʔϚʢʣ w ΨΠμϯεɿڭҭඪɾධՁํ๏ɾֶश༰ͷ߹ੑ w έϥʔͷ"3$4Ϟσϧ w ΨχΣʹΑΔֶशՌͷྨ w ධՁʢ"TTFTTNFOUˍ&WBMVBUJPOʣ w
ΨχΣͷڭतࣄ w શମͷ·ͱΊʢʴϦϑϨΫγϣϯʹ͍ͭͯʣ
ि·ͨ͗Ͱͷํུ ࣮ࢪ༰ ඪ ि ɹ̌ʣલͷिͷলͷίϝϯτ ɹ̍ʣϛχߨٛ ɹ̎ʣάϧʔϓσΟεΧογϣϯ ɹ̏ʣશମͰڞ༗ ɹ৽͍ࣝ͠ʢཧʣͷ ɹ֓೦Λऔಘ
ɹʮ༻ޠʯΑΓʮ֓೦ʯ िͷ॓ ɹ.PPEMF্ͰͷϛχϨϙʔτɿ ɹʮଞͷतۀΛ*%ͷࢹͰੳʯ ɹʮ֓೦ʯͷཧղΛ ɹࣄྫϕʔεͰ֬ೝ ि ɹ̌ʣલͷिͷলͷίϝϯτ ɹ̍ʣ॓ͷ݁Ռʹର͢Δίϝϯτ ɹɹɹʴશମͰͷσΟεΧογϣϯ ɹ̎ʣదٓɺՃͷࢿྉఏࣔઆ໌ ɹ֓೦ͷཧղʹ ɹϛε͕͋Δ߹मਖ਼ ɹʮ֓೦ʯ͔Βʮ༻ޠʯʹ ɹͭͳ͙ िͷ॓ ɹ.PPEMF্Ͱͷখςετ ɹʮ༻ޠʯͷཧղ
ʮڭҭʯͱʮֶशʯ w ڭҭͷతਓʑ͕ࣗͨͪͷڭҭΛଓ͚͍ͯ͘͜ ͱ͕Ͱ͖ΔΑ͏ʹ͢Δ͜ͱͰ͋Δɹʕɹݴ͍͑Ε ɺֶशͷతͱՌͷՄೳੑͷ࣋ଓͰ͋Δ w +PIO%FXFZʢஶʣ দ҆உʢ༁ʣຽओओٛͱ ڭҭʢ্ʣؠจݿؠॻళ
ΧʔΫύτϦοΫͷ̐ஈ֊ධՁ
ΞΫςΟϒɾϥʔχϯά w ओମతͳֶͼ w ʮओମతʯͳʮֶͼʯʢֶशऀͷͷʣΛ ʮఏڙ͢Δ༩͑Δಋೖ͢Δʯʢڭҭऀઢʣ ɾɾɾɾɾʁ
ԡ͚ͭ͠ʹͳ͍ͬͯ·ͤΜ͔ʁ
"3$4Ϟσϧͱֶशΰʔϧ w ࠷ݶͷϥΠϯʢ୯ҐΛམͱ͞ͳ͍ʣ ˠɹ֎ѹ͋ΓɹˠɹʮఘΊʯͳ͍ݶΓɺΔ w ՊͷʮຬʯϥΠϯ ˠɹʮຬΛऔΓ͍ͨʯֶੜૂ͏ w ͦΕҎ্ ˠɹຊʹʮ໘ന͍ʯʮࣗʹඞཁʯͱࢥͬͨΒɺ
ɹɹΔɻͦ͏Ͱͳ͚Εޙճ͠
ʮࣗͷͨΊͷʢֶशऀͷʣ*%ʯ w *%*OTUSVDUJPOBM%FTJHO w -%-FBSOJOH%FTJHO
5BLF)PNF.FTTBHF w ҩྍऀʹͱͬͯʮڭҭʯৗۀͷதͰ ආ͚ͯ௨Εͳ͍߲ w ֶੜকདྷͷҩྍऀͱͯ͠ɺʮڭҭʯͷཧʹ ਫ਼௨͓ͯ͘͠ͱศར w ֶੜʮڭҭΛड͚ΔʯଆͰ͋ΔͨΊɺͦͷཧΛ ٯʹར༻͢Δ͜ͱͰɺΑΓֶͼͷޮՌΛߴΊΒΕΔ
ʮओମతʯͳʮֶͼʯΛɺͲ͏ͬͯҾ͖ى͔͜͢ʁ