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(平成23年4月13日更新:教務第1課)
○医学教育モデルコアカリキュラムの改訂に当たって
○ 医学教育モデル・コア・カリキュラムの基本理念と利用上の留意点等について 1
○ 医学教育モデル・コア・カリキュラム概要(図表) 6
○ 平成22年度改訂版・医学教育モデル・コア・カリキュラム改訂概要 7
○ 医師として求められる基本的な資質 11
A 基本事項..............................................................................................................................12
1 医の原則................................................................................................................12
(1)医の倫理と生命倫理....................................................................................12
(2)患者の権利....................................................................................................12
(3)医師の義務と裁量権....................................................................................12
(4)インフォームドコンセント.................................................................................12
2 医療における安全性確保...................................................................................13
(1)安全性の確保................................................................................................13
(2)医療上の事故等への対処と予防..............................................................13
(3)医療従事者の健康と安全...........................................................................13
3 コミュニケーションとチーム医療.........................................................................13
(1)コミュニケーション..........................................................................................13
(2)患者と医師の関係........................................................................................14
(3)患者中心のチーム医療................................................................................14
4 課題探究・解決と学習の在り方.........................................................................14
(1)課題探求・解決能力.....................................................................................14
(2)学習の在り方.................................................................................................14
(3)医学研究への志向の涵養..........................................................................15
(4)生涯学習への準備.......................................................................................15
(5)医療の評価・検証.........................................................................................15
B 医学・医療と社会................................................................................................................16
(1)社会・環境と健康..........................................................................................16
(2)地域医療........................................................................................................16
(3)疫学と予防医学............................................................................................16
(4)生活習慣と疾病............................................................................................16
(5)保健、医療、福祉と介護の制度................................................................17
(6)死と法.............................................................................................................17
(7)診療情報........................................................................................................17
(8)臨床研究と医療............................................................................................17
C 医学一般.............................................................................................................................18
1 生命現象の科学..................................................................................................18
(1)生命現象の物質的基礎..............................................................................18
(2)生命の最小単位-細胞................................................................................19
(3)生物の進化と多様性...................................................................................19
(4)生態と行動....................................................................................................20
2 個体の構成と機能..............................................................................................20
(1)細胞の構成と機能.......................................................................................20
(2)組織・各臓器の構成、機能と位置関係...................................................21
(3)個体の調節機構とホメオスタシス.............................................................21
(4)個体の発生...................................................................................................22
(5)生体物質の代謝..........................................................................................22
(6)遺伝と遺伝子...............................................................................................23
3 個体の反応..........................................................................................................23
(1)生体と微生物...............................................................................................23
(2)免疫と生体防御...........................................................................................24
(3)生体と放射線・電磁波・超音波.................................................................25
(4)生体と薬物....................................................................................................25
4 病因と病態...........................................................................................................26
(1)遺伝子異常と疾患・発生発達異常..........................................................26
(2)細胞傷害・変性と細胞死............................................................................26
(3)代謝障害.......................................................................................................26
(4)循環障害.......................................................................................................26
(5)炎症と創傷治癒...........................................................................................26
D 人体各器官の正常構造と機能、病態、診断、治療...................................................27
1 血液・造血器・リンパ系.....................................................................................27
2 神経系..................................................................................................................28
3 皮膚系..................................................................................................................30
4 運動器(筋骨格)系............................................................................................32
5 循環器系..............................................................................................................33
6 呼吸器系..............................................................................................................35
7 消化器系..............................................................................................................37
8 腎・尿路系(体液・電解質バランスを含む)....................................................39
9 生殖機能..............................................................................................................40
10 妊娠と分娩...........................................................................................................42
11 乳房.......................................................................................................................42
12 内分泌・栄養・代謝系........................................................................................43
13 眼・視覚系............................................................................................................45
14 耳鼻・咽喉・口腔系.............................................................................................46
15 精神系...................................................................................................................47
E 全身におよぶ生理的変化、病態、診断、治療.............................................................48
1 感染症...................................................................................................................48
2 腫瘍.......................................................................................................................49
3 免疫・アレルギー疾患........................................................................................50
4 物理・化学的因子による疾患...........................................................................51
5 成長と発達...........................................................................................................52
6 加齢と老化...........................................................................................................53
7 人の死...................................................................................................................53
F 診療の基本.........................................................................................................................54
1 症候・病態からのアプローチ.............................................................................54
(1)ショック...........................................................................................................54
(2)発熱...............................................................................................................54
(3)けいれん.......................................................................................................54
(4)意識障害・失神...........................................................................................54
(5)チアノーゼ.....................................................................................................54
(6)脱水...............................................................................................................54
(7)全身倦怠感..................................................................................................54
(8)肥満・やせ....................................................................................................55
(9)黄疸...............................................................................................................55
(10)発疹................................................................................................................55
(11)貧血................................................................................................................55
(12)出血傾向.......................................................................................................55
(13)リンパ節腫脹................................................................................................55
(14)浮腫................................................................................................................55
(15)動悸................................................................................................................55
(16)胸水................................................................................................................55
(17)胸痛................................................................................................................56
(18)呼吸困難.......................................................................................................56
(19)咳・痰.............................................................................................................56
(20)血痰・喀血.....................................................................................................56
(21)めまい............................................................................................................56
(22)頭痛...............................................................................................................56
(23)運動麻痺・筋力低下...................................................................................56
(24)腹痛................................................................................................................56
(25)悪心・嘔吐.....................................................................................................56
(26)嚥下困難・障害............................................................................................57
(27)食思(欲)不振..............................................................................................57
(28)便秘・下痢.....................................................................................................57
(29)吐血・下血.....................................................................................................57
(30)腹部膨隆(腹水を含む)・腫瘤....................................................................57
(31)蛋白尿............................................................................................................57
(32)血尿.................................................................................................................57
(33)尿量・排尿の異常.........................................................................................57
(34)月経異常........................................................................................................57
(35)関節痛・関節腫脹.........................................................................................58
(36)腰背部痛........................................................................................................58
2 基本的診療知識..................................................................................................58
(1)薬物治療の基本原理..................................................................................58
(2)臨床検査.......................................................................................................58
(3)外科的治療と周術期管理..........................................................................59
(4)麻酔................................................................................................................59
(5)食事と輸液療法...........................................................................................59
(6)医用機器と人工臓器..................................................................................60
(7)放射線等を用いる診断と治療...................................................................60
(8)内視鏡を用いる診断と治療.......................................................................60
(9)超音波を用いる診断と治療.......................................................................60
(10)輸血と移植....................................................................................................60
(11)リハビリテーション........................................................................................60
(12)介護と在宅医療............................................................................................61
(13)緩和医療・慢性疼痛....................................................................................61
3 基本的診療技能..................................................................................................61
(1)問題志向型システム...................................................................................61
(2)医療面接........................................................................................................61
(3)診療記録........................................................................................................61
(4)臨床判断........................................................................................................61
(5)身体診察........................................................................................................62
(6)基本的臨床手技...........................................................................................62
G 臨床実習.............................................................................................................................63
1 診療の基本...........................................................................................................63
2 診察法....................................................................................................................63
3 基本的臨床手技..................................................................................................65
4 診療科臨床実習..................................................................................................66
(1)内科系臨床実習...........................................................................................66
(2)外科系臨床実習...........................................................................................66
(3)救急医療臨床実習.......................................................................................67
5 地域医療臨床実習..............................................................................................67
○ 医学教育モデル・コア・カリキュラム(索引) 69
○ 準備教育モデル・コア・カリキュラム 89
1 物理現象と物質の科学......................................................................................91
(1)物質界の基本法則......................................................................................91
(2)力と法則........................................................................................................91
(3)振動と波動....................................................................................................92
(4)電気と磁気....................................................................................................92
(5)物質の相互作用..........................................................................................93
2 生命現象の科学.................................................................................................93
(1)生命現象の物質的基礎.............................................................................93
(2)生命の最小単位-細胞...............................................................................94
(3)生物の進化と多様性..................................................................................95
(4)生態と行動....................................................................................................95
3 情報の科学..........................................................................................................95
(1)情報リテラシー.............................................................................................95
(2)統計の基礎...................................................................................................96
(3)統計手法の適応..........................................................................................96
4 人の行動と心理...................................................................................................96
○ 準備教育モデル・コア・カリキュラム(索引) 99
○ 今回の改訂までの経過 105
○ 臨床参加型臨床実習の実施のためのガイドライン 107
○ 委員会設置要綱 149