医学教育モデル・コア・カリキュラム(平成22年度改訂版)

医学教育モデル・コア・カリキュラム 平成22年度改訂版

                                        (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


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