臨床診断学の勉強会
医学論文抄読会
当院内科では、医学雑誌New England Journal of Medicineに毎週掲載されるCase Recordsを丁寧に読み込み、論理的な臨床診断の考え方を学んでいます。詳細に検討された医学論文を毎週読むことで、医学的知識が豊富になるだけでなく、一流と言われる医師の臨床論考の過程をたどることは、日常臨床における論理的思考法を身につける上でも非常に役に立ちます。特に月はじめに掲載されるClinical Problem-Solvingについては、研修医をpresentor役とdiscussor役、各科専門医をファシリテイターにした、問題解決型のカンファレンスの教材に使用しています。以下に、New England journal of MedicineのClinical Problem-Solvingを使用した、当院の問題解決型カンファレンスの記事を掲載します。参考にしてください。
Case 7-2022: A 65-Year-Old Woman with Depression, Recurrent Falls, and Inability to Care for Herself
N Engl J Med 2022; 386: 977-986.
2022/4/26抄読
Confusion and Representative Restraint: An Exercise in Clinical Reasoning
J Gen Intern Med 2022; DOI: 10.1007/s11606-021-07219-0.
2022/4/12抄読
Case 5-2022: A 65-Year-Old Woman with Rapidly Progressive Weakness in the Right Arm and Recurrent Falls
N Engl J Med 2022; 386: 674-687.
2022/3/22抄読
Case 4-2022: A 55-Year-Old Man with Bilateral Hearing Loss and Eye Redness
N Engl J Med 2022; 386: 583-590.
2022/3/15抄読
Case 40-2021: A 9-Year-Old Boy with Transient Weakness, Facial Droop, and Slurred Speech
N Engl J Med 2021; 385: 2563-2572.
2022/2/8抄読
A 50-Year-Old Woman with Pain in the Left Upper Quadrant and Hypoxemia
N Engl J Med 2021; 385: 1995-2001.
2021/12/28抄読
Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures
N Engl J Med 2021; 385: 1894-1902.
2021/12/14抄読
Hearts and Minds
J Gen Intern Med 2021; DOI: 10.1007/s11606-020-06575-7.
2021/11/30抄読
Case 31-2021: A 21-Year-Old Man with Sore Throat, Epistaxis, and Oropharyngeal Petechiae
N Engl J Med 2021; 385: 1511-1520.
2021/11/9抄読
Case 25-2021: A 48-Year-Old Man with Fatigue and Leg Swelling
N Engl J Med 2021; 385: 745-754.
2021/09/28抄読
Case 24-2021: A 63-Year-Old Woman with Fever, Sore Throat, and Confusion
N Engl J Med 2021; 385: 641-648.
2021/09/21抄読
Case 23-2021: A 41-Year-Old Woman with Bloody Stools and Thrombocytopenia
N Engl J Med 2021; 385: 451-460.
2021/09/07抄読
Case 22-2021: A 64-Year-Old Woman with Cognitive Impairment, Headache, and Memory Loss
N Engl J Med 2021; 385: 358-368.
2021/08/31抄読
Case 21-2021: A 33-Year-Old Pregnant Woman with Fever, Abdominal Pain, and Headache
N Engl J Med 2021; 385: 265-274.
2021/08/24抄読
Case 19-2021: A 54-Year-Old Man with Irritability, Confusion, and Odd Behaviors
N Engl J Med 2021; 384: 2438-2445.
2021/08/03抄読
Case 18-2021: An 81-Year-Old Man with Cough, Fever, and Shortness of Breath
N Engl J Med 2021; 384: 2332-2340.
2021/07/27抄読
Case 17-2021: An 82-Year-Old Woman with Pain, Swelling, and Ecchymosis of the Left Arm
N Engl J Med 2021; 384: 2242-2250.
2021/07/20抄読