Obeso V, Brown D, Aiyer M, Barron B, Bull J, Carter T, Emery M, Gillespie C, Hormann M, Hyderi A, Lupi C, Schwartz M, Uthman M, Vasilevskis EE, Yingling S, Phillipi C, eds.; for Core EPAs for Entering Residency Pilot Program. Toolkits for the 13 Core Entrustable Professional Activities for Entering Residency<\/strong>. Washington, DC: Association of American Medical Colleges; 2017. aamc.org\/initiatives\/coreepas\/publicationsandpresentations<\/a><\/p>\n\n\n\n AAMC\u304c\u3069\u306e\u3088\u3046\u306a\u7d44\u7e54\u306a\u306e\u304b\u306f\u3001Who We Are \uff0dAAMC<\/a>\u306b\u8aac\u660e\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n EPA\u306f\u5f8c\u8ff0\u3059\u308b\u3088\u3046\u306b\u3001\u8907\u6570\u306e\u30b3\u30f3\u30d4\u30c6\u30f3\u30b9\u306e\u30c9\u30e1\u30a4\u30f3\u304b\u3089\u69cb\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4ee5\u524d\u304b\u3089\u533b\u5b66\u90e8\u5352\u696d\u751f\u306b\u5fc5\u8981\u306a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u304c6\u3064\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u304c\u30012\u3064\u8ffd\u52a0\u3055\u308c\u30668\u3064\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n Physician Competencies Reference Set (PCRS) – FINAL, July 2013\u306b\u306f\u533b\u5e2b\u306b\u5fc5\u8981\u306a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306e\u30c9\u30e1\u30a4\u30f3\u3068\u3057\u3066\u4ee5\u4e0b\u306e8\u3064\u306e\u9805\u76ee\u3092\u4e0a\u3052\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3089\u306b\u3064\u3044\u3066\u306f\u3001\u4e0a\u8a18\u306e\u30ea\u30f3\u30af\u4e2d\u306eCore Entrustable Professional Activities for Entering Residency: Curriculum Developers\u2019 Guide<\/a>\u306eAppendix C\u306b\u8a18\u8ff0\u3055\u308c\u3066\u3044\u307e\u3059\u3002 Core Entrustable Professional Activities for Entering Residency: Toolkits for the 13 Core EPAs.<\/p>\n\n\n\n Contents 13\u306eEPA\u3092\u7ffb\u8a33\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002 \u5229\u7528\u30ac\u30a4\u30c9\u3068\u3057\u3066\u6b21\u306e\u69d8\u306b\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u30c4\u30fc\u30eb\u30ad\u30c3\u30c8\u306f\u3001\u300c\u30ec\u30b8\u30c7\u30f3\u30c8\u958b\u59cb\u6642\u306e\u4e2d\u6838\u7684\u306a\u59d4\u8a17\u53ef\u80fd\u306a\u5c02\u9580\u7684\u6d3b\u52d5\uff08EPA\uff09\u300d\u306e\u5b9f\u65bd\u306b\u95a2\u5fc3\u306e\u3042\u308b\u533b\u5b66\u90e8\u5411\u3051<\/u><\/strong>\u306e\u3082\u306e\u3067\u3059\u3002AAMC Core EPA Pilot Group\u306b\u3088\u3063\u3066\u66f8\u304b\u308c\u305f\u3053\u306e\u30c4\u30fc\u30eb\u30ad\u30c3\u30c8\u306f\u3001EPA Developer’s Guide\uff08AAMC 2014<\/a>\uff09\u306b\u6982\u8aac\u3055\u308c\u3066\u3044\u308bEPA\u306e\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u3092\u62e1\u5f35\u3057\u305f\u3082\u306e\u3067\u3059\u3002\u30d1\u30a4\u30ed\u30c3\u30c8\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u5b66\u751f\u304c\u533b\u5b66\u90e8\u306e\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u53c2\u52a0\u3057\u3001\u81e8\u5e8a\u6280\u80fd\u3092\u7d71\u5408\u3059\u308b\u3053\u3068\u306b\u719f\u9054\u3059\u308b\u306b\u3064\u308c\u3066\u3001\u533b\u5b66\u6559\u80b2\u8005\u304c\u906d\u9047\u3059\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u5b66\u751f\u306e\u884c\u52d5\u306e\u6bb5\u968e\u7684\u306a\u30b7\u30fc\u30b1\u30f3\u30b9\u3092\u7279\u5b9a\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u4e00\u9023\u306e\u884c\u52d5\u306f\u3001EPA\u3092\u7406\u89e3\u3059\u308b\u305f\u3081\u306e\u67a0\u7d44\u307f\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306b\u300113\u306eEPA\u305d\u308c\u305e\u308c\u306b\u3064\u3044\u30661\u30da\u30fc\u30b8\u306e\u56f3\u5f0f\u3067\u660e\u78ba\u306b\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n EPA\u304c\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u304b\u306f\u3001Toolkits for the 13 Core Entrustable Professional Activities for Entering Residency. Washington, DC: Association of American Medical Colleges; 2017\u3092\u8aad\u307e\u306a\u3044\u3068\u306a\u304b\u306a\u304b\u7406\u89e3\u3067\u304d\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u4e0a\u8a18\u306e\u30ea\u30f3\u30af\u304b\u3089Full Toolkit \uff08PDF\uff09<\/a>\u3092\u958b\u3044\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u300213\u306e\u30c4\u30fc\u30eb\u30ad\u30c3\u30c8\u306b\u95a2\u3057\u3066\u3072\u3068\u3064\u306e\u30d5\u30a1\u30a4\u30eb\u3068\u3057\u307e\u3068\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n Englander R\u3089\u306e\u8ad6\u6587\u304b\u3089\u91cd\u8981\u7528\u8a9e\u6982\u5ff5\u306e\u5b9a\u7fa9\u306b\u3064\u3044\u3066\u7d39\u4ecb\u3057\u3066\u304a\u304d\u307e\u3059\u3002 Core Entrustable Professional Activities for Entering Residency: Curriculum Developers\u2019 Guide<\/a>\u306b\u306f\u300113\u306eEPA\u306b\u3064\u3044\u3066\u3001\u305d\u308c\u305e\u308c\u3001\u6d3b\u52d5\u306e\u8a18\u8ff0\u3001\u6700\u3082\u95a2\u9023\u306e\u3042\u308b\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306e\u30c9\u30e1\u30a4\u30f3\u3001\u305d\u308c\u305e\u308c\u306e\u30c9\u30e1\u30a4\u30f3\u5185\u3067\u59d4\u8a17\u53ef\u80fd\u306a\u6c7a\u65ad\u306b\u3068\u3063\u3066\u91cd\u5927\u306a\uff08Critical\uff09\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3001\u304a\u3088\u3073\u305d\u308c\u305e\u308c\u306e\u91cd\u5927\u306a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306b\u3064\u3044\u3066\u3001\u59d4\u8a17\u53ef\u80fd\u524d\u306e\u884c\u52d5\uff08Behaviors\uff09\u3001\u59d4\u8a17\u53ef\u80fd\u306a\u884c\u52d5\u306b\u3064\u3044\u3066\u8a18\u8ff0\u304c\u8868\u306b\u307e\u3068\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u8868\u306b\u7d9a\u3044\u3066\u3001\u59d4\u8a17\u53ef\u80fd\u524d\u306e\u5b66\u7fd2\u8005\u306e\u5834\u5408\u306e\u671f\u5f85\u3055\u308c\u308b\u884c\u52d5\u3068\u4f8b\u3001\u59d4\u8a17\u53ef\u80fd\u306a\u5b66\u7fd2\u8005\u306e\u671f\u5f85\u3055\u308c\u308b\u884c\u52d5\u3068\u4f8b\u306b\u5bfe\u3059\u308b\u8a18\u8ff0\u304c\u3042\u308a\u307e\u3059\u3002 \u65e5\u672c\u306e\u5834\u5408\u306f\u3001\u5e73\u621028\u5e74\u5ea6\u6539\u8a02\u7248 \u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0<\/a> 133\u30da\u30fc\u30b8\u306b \u533b\u5e2b\u3068\u3057\u3066\u6c42\u3081\u3089\u308c\u308b\u57fa\u672c\u7684\u306a\u8cc7\u8cea\u30fb\u80fd\u529b\u306e\u9805\u306b\u30019\u3064\u306e\u9805\u76ee\u304c\u6319\u3052\u3089\u308c\u3066\u304a\u308a\u3001134\u30da\u30fc\u30b8\u304b\u3089\u306f\u3001\u81e8\u5e8a\u5b9f\u7fd2\u306e\u5230\u9054\u76ee\u6a19\u3068\u3057\u30669\u3064\u306e\u9805\u76ee\u304c\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u3001141\u30da\u30fc\u30b8 \u81e8\u5e8a\u5b9f\u7fd2\u3067\u5b66\u751f\u3092\u4fe1\u983c\u3057\u4efb\u305b\u3089\u308c\u308b\u5f79\u5272\uff08EPA: Entrustable Professional Activities)\u3068\u3057\u3066\u300113\u9805\u76ee\u306b\u3064\u3044\u30665\u6bb5\u968e\u8a55\u4fa1\u306e\u305f\u3081\u306e\u8868\u304c\u63b2\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30a2\u30e1\u30ea\u30ab\u306e\u5834\u5408\u3068\u6bd4\u3079\u308b\u3068\u3001\u307b\u307c\u540c\u3058\u9805\u76ee\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u76f8\u9055\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n ACGME \uff08Accreditation Council for Graduate Medical Education) <\/strong>\u7c73\u56fd\u5352\u5f8c\u533b\u5b66\u6559\u80b2\u8a8d\u5b9a\u8a55\u8b70\u4f1a\u306f\u5352\u5f8c\u6559\u80b2\u306b\u304a\u3051\u308b\u30de\u30a4\u30eb\u30b9\u30c8\u30fc\u30f3Milestones\u3092\u8a2d\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002Milestone Resources<\/a>\u3067\u3055\u307e\u3056\u307e\u306a\u8cc7\u6599\u304c\u516c\u958b\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n ACGME Milestones Guidebook for Residents and Fellows<\/a>\u306b\u306f\u3001Competency-Based Medical Education (CBME)\u306b\u3064\u3044\u3066\u306e\u89e3\u8aac\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u90e8\u5206\u3092\u7ffb\u8a33\u3059\u308b\u3068\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n \u201d\u30dd\u30a4\u30f3\u30c8 Entrustable professional activities (EPA)\u3068\u306f\u201d\u59d4\u8a17\u53ef\u80fd\u306a\u5c02\u9580\u7684\u6d3b\u52d5\u201d\u306e\u3053\u3068\u3067\u3059\u3002\u7814\u4fee\u751f\u304c\u305d\u306e\u6d3b\u52d5\u3092\u76e3\u7763\u306a\u3057\u3067\u5b9f\u884c\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u306a\u80fd\u529b\u3092\u767a\u63ee\u3057\u305f\u5f8c\u306b\u3001\u7814\u4fee\u751f\u306b\u5168\u9762\u7684\u306b\u59d4\u8a17\u3059\u308b\u3053\u3068\u304c … “EPA Entrustable Professional Activities \u201d\u59d4\u8a17\u53ef\u80fd\u306a\u5c02\u9580\u7684\u6d3b\u52d5\u201d” \u306e<\/span>\u7d9a\u304d\u3092\u8aad\u3080<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,39],"tags":[],"class_list":["post-1120","post","type-post","status-publish","format-standard","hentry","category-essay","category-med-edu"],"_links":{"self":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1120"}],"version-history":[{"count":18,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1120\/revisions"}],"predecessor-version":[{"id":1493,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=\/wp\/v2\/posts\/1120\/revisions\/1493"}],"wp:attachment":[{"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/info.zanet.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
1. \u60a3\u8005\u306e\u30b1\u30a2\uff08PC<\/strong> Patient Care\uff09: \u5065\u5eb7\u554f\u984c\u306e\u6cbb\u7642\u3068\u5065\u5eb7\u5897\u9032\u306e\u305f\u3081\u306b\u3001\u601d\u3044\u3084\u308a\u306e\u3042\u308b\u9069\u5207\u304b\u3064\u52b9\u679c\u7684\u306a\u3001\u60a3\u8005\u4e2d\u5fc3\u306e\u30b1\u30a2\u3092\u63d0\u4f9b\u3059\u308b\u3002
2. \u5b9f\u8df5\u306e\u305f\u3081\u306e\u77e5\u8b58\uff08KP<\/strong> Knowledge for Practice\uff09: \u78ba\u7acb\u3055\u308c\u305f\u751f\u7269\u533b\u5b66\u3001\u81e8\u5e8a\u533b\u5b66\u3001\u75ab\u5b66\u3001\u793e\u4f1a\u884c\u52d5\u5b66\u306b\u95a2\u3059\u308b\u77e5\u8b58\u3068\u3001\u3053\u308c\u3089\u306e\u77e5\u8b58\u3092\u60a3\u8005\u30b1\u30a2\u306b\u5fdc\u7528\u3067\u304d\u308b\u3053\u3068\u3092\u793a\u3059\u3002
3. \u5b9f\u8df5\u306b\u57fa\u3065\u304f\u5b66\u7fd2\u3068\u6539\u5584\uff08PBLI<\/strong> Practice-Based Learning and Improvement\uff09: \u81ea\u5df1\u306e\u60a3\u8005\u30b1\u30a2\u306b\u3064\u3044\u3066\u8abf\u67fb\u30fb\u8a55\u4fa1\u3057\u3001\u79d1\u5b66\u7684\u6839\u62e0\u3092\u8a55\u4fa1\u30fb\u5438\u53ce\u3057\u3001\u5e38\u306b\u81ea\u5df1\u8a55\u4fa1\u3068\u751f\u6daf\u5b66\u7fd2\u306b\u57fa\u3065\u304d\u60a3\u8005\u30b1\u30a2\u3092\u7d99\u7d9a\u7684\u306b\u6539\u5584\u3059\u308b\u80fd\u529b\u3092\u793a\u3059\u3002
4. \u5bfe\u4eba\u95a2\u4fc2\u304a\u3088\u3073\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u80fd\u529b\uff08ICS<\/strong> Interpersonal and Communication Skills\uff09: \u60a3\u8005\u3001\u5bb6\u65cf\u3001\u533b\u7642\u5f93\u4e8b\u8005\u3068\u306e\u52b9\u679c\u7684\u306a\u60c5\u5831\u4ea4\u63db\u3084\u5354\u529b\u95a2\u4fc2\u3092\u7bc9\u304f\u305f\u3081\u306e\u5bfe\u4eba\u95a2\u4fc2\u3084\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u80fd\u529b\u3092\u767a\u63ee\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002
5. \u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30ea\u30ba\u30e0\uff08P <\/strong>Professionalism\uff09\uff1a \u5c02\u9580\u5bb6\u3068\u3057\u3066\u306e\u8cac\u4efb\u3092\u679c\u305f\u3057\u3001\u502b\u7406\u7684\u539f\u5247\u3092\u9075\u5b88\u3059\u308b\u3053\u3068\u3092\u5b9f\u8a3c\u3059\u308b\u3002
6. \u30b7\u30b9\u30c6\u30e0\u306b\u57fa\u3065\u3044\u305f\u5b9f\u8df5\uff08SBP<\/strong> Systems-Based Practice\uff09\uff1a\u6700\u9069\u306a\u30d8\u30eb\u30b9\u30b1\u30a2\u3092\u63d0\u4f9b\u3059\u308b\u305f\u3081\u306b\u3001\u30d8\u30eb\u30b9\u30b1\u30a2\u306e\u5927\u304d\u306a\u6587\u8108\u3068\u30b7\u30b9\u30c6\u30e0\u306b\u5bfe\u3059\u308b\u8a8d\u8b58\u3068\u5bfe\u5fdc\u3001\u304a\u3088\u3073\u30b7\u30b9\u30c6\u30e0\u5185\u306e\u4ed6\u306e\u30ea\u30bd\u30fc\u30b9\u3092\u52b9\u679c\u7684\u306b\u6d3b\u7528\u3059\u308b\u80fd\u529b\u3092\u5b9f\u8a3c\u3059\u308b\u3002
7. \u5c02\u9580\u5bb6\u9593\u306e\u30b3\u30e9\u30dc\u30ec\u30fc\u30b7\u30e7\u30f3\uff08IPC<\/strong> Interprofessional Collaboration\uff09\uff1a\u5b89\u5168\u3067\u52b9\u679c\u7684\u306a\u60a3\u8005\u30fb\u4f4f\u6c11\u4e2d\u5fc3\u306e\u30b1\u30a2\u3092\u6700\u9069\u5316\u3059\u308b\u305f\u3081\u306b\u3001\u5c02\u9580\u8077\u9593\u30c1\u30fc\u30e0 \u306b\u53c2\u52a0\u3059\u308b\u80fd\u529b\u3092\u8a3c\u660e\u3059\u308b\u3002
8. \u500b\u4eba\u7684\u304a\u3088\u3073\u5c02\u9580\u7684\u306a\u958b\u767a\uff08PPD<\/strong> Personal and Professional Development:\uff09: \u751f\u6daf\u306b\u308f\u305f\u3063\u3066\u81ea\u5df1\u304a\u3088\u3073\u5c02\u9580\u7684\u306a\u6210\u9577\u3092\u7dad\u6301\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u306a\u8cc7\u8cea\u3092\u793a\u3059\u3002
\u7565\u8a9e\uff1aPC<\/strong>, KP, PBLI, ICS, P, SBP, <\/strong>and IPC, PPD<\/strong>
\u6982\u5ff5\u7684\u306a\u67a0\u7d44\u307f\u3092\u69cb\u7bc9\u3059\u308b\u305f\u3081\u306b\u3001\u8d77\u8349\u59d4\u54e1\u4f1a\u306e\u30e1\u30f3\u30d0\u30fc\u306f\u307e\u305a\u3001\u6b21\u306e\u3088\u3046\u306a\u5171\u901a\u8a8d\u8b58\u3092\u6301\u3063\u305f\u3068\u8ff0\u3079\u3089\u308c\u3066\u3044\u307e\u3059\u3002
1. \u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\uff1a\u77e5\u8b58\u3001\u6280\u80fd\u3001\u4fa1\u5024\u89b3\u3001\u614b\u5ea6\u306a\u3069\u306e\u8907\u6570\u306e\u8981\u7d20\u3092\u7d71\u5408\u3057\u305f\u3001\u533b\u7642\u5c02\u9580\u5bb6\u306e\u89b3\u5bdf\u53ef\u80fd\u306a\u80fd\u529b\u3002\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306f\u89b3\u5bdf\u53ef\u80fd\u3067\u3042\u308b\u305f\u3081\u3001\u305d\u306e\u7fd2\u5f97\u3092\u78ba\u5b9f\u306b\u3059\u308b\u305f\u3081\u306b\u6e2c\u5b9a\u30fb\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002
2. \u59d4\u8a17\u53ef\u80fd\u306a\u5c02\u9580\u7684\u6d3b\u52d5\uff08EPA\uff09: EPA\u3068\u306f\u3001\u5c02\u9580\u8077\u3068\u3057\u3066\u306e\u5b9f\u8df5\u306e\u5358\u4f4d\u3067\u3042\u308a\u3001\u5341\u5206\u306a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3092\u7372\u5f97\u3057\u305f\u7814\u4fee\u751f\u304c\u3001\u76e3\u7763\u3055\u308c\u305a\u306b\u884c\u3046\u3053\u3068\u3092\u4efb\u3055\u308c\u308b\u696d\u52d9\u3084\u8cac\u4efb\u3068\u5b9a\u7fa9\u3055\u308c\u308b\u3002EPA\u306f\u3001\u305d\u306e\u904e\u7a0b\u3068\u7d50\u679c\u304c\u72ec\u7acb\u3057\u3066\u5b9f\u884c\u53ef\u80fd\u3001\u89b3\u5bdf\u53ef\u80fd\u3001\u6e2c\u5b9a\u53ef\u80fd\u3067\u3042\u308a\u3001\u3057\u305f\u304c\u3063\u3066\u59d4\u8a17\u306e\u5224\u65ad\u306b\u9069\u3057\u3066\u3044\u308b\u3002
3. \u30de\u30a4\u30eb\u30b9\u30c8\u30fc\u30f3\uff1a\u30de\u30a4\u30eb\u30b9\u30c8\u30fc\u30f3\u3068\u306f\u3001\u3042\u308b\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306e\u9054\u6210\u30ec\u30d9\u30eb\u3092\u793a\u3059\u884c\u52d5\u8a18\u8ff0\u5b50\u3067\u3042\u308b\uff08ACGME Milestones project\u306b\u3088\u308b\uff09\u3002
\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3068EPA\uff08Entrustable Professional Activities\uff09\u3068\u3044\u3046\u3001\u6587\u732e\u4e0a\u6709\u529b\u306a2\u3064\u306e\u6982\u5ff5\u7684\u67a0\u7d44\u307f\u306e\u5229\u70b9\u3068\u6b20\u70b9\u3092\u691c\u8a0e\u3057\u305f\u5f8c\u3001\u8d77\u8349\u59d4\u54e1\u4f1a\u306fEPA\u3092\u63a1\u7528\u3059\u308b\u3053\u3068\u306b\u3057\u305f\u3002\u306a\u304a\u3001EPA\u3068\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306f\u76f8\u4e92\u306b\u6392\u4ed6\u7684\u306a\u3082\u306e\u3067\u306f\u306a\u3044<\/u>\u3053\u3068\u306b\u7559\u610f\u3055\u308c\u305f\u3044\u3002\u305d\u308c\u3069\u3053\u308d\u304b\u3001EPA \u306f\u5b9a\u7fa9\u4e0a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306e\u7d71\u5408\u3092\u5fc5\u8981\u3068\u3057\u3001\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306f\uff08EPA \u306e\u67a0\u7d44\u3067\u63d0\u4f9b\u3067\u304d\u308b\u3088\u3046\u306b\uff09\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u3068\u3044\u3046\u6587\u8108\u3067\u8a55\u4fa1\u3055\u308c\u308b\u306e\u304c\u6700\u826f\u3067\u3042\u308b\u3002
EPA\u306f\u4ed5\u4e8b\u306e\u5358\u4f4d\u3067\u3042\u308a\u3001\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306f\u500b\u4eba\u306e\u80fd\u529b\u3067\u3042\u308b\u3002EPA \u306e\u7279\u5fb4\u306e 1 \u3064\u306f\u3001\u901a\u5e38\u3001\u9818\u57df\u6a2a\u65ad\u7684\u306b\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306e\u7d71\u5408\u3092\u5fc5\u8981\u3068\u3059\u308b<\/u>\u3053\u3068\u3067\u3042\u308b\u3002\u3053\u306e\u6982\u5ff5\u3092\u672c\u696d\u52d9\u306b\u9069\u7528\u3059\u308b\u305f\u3081\u3001\u8d77\u8349\u59d4\u54e1\u4f1a\u306f\u300113 \u306e EPA \u306e\u305d\u308c\u305e\u308c\u306b\u3064\u3044\u3066\u3001\u59d4\u8a17\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u306b\u6700\u3082\u91cd\u8981\u306a 5\uff5e8 \u306e\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3092\u6c7a\u5b9a\u3059\u308b\u305f\u3081\u306e\u30de\u30c3\u30d4\u30f3\u30b0\u4f5c\u696d\u3092\u5b9f\u65bd\u3057\u305f\u3002\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306f\u3001”Reference List for General Physician Competencies “\uff08\u4e0a\u8a18\u306e8\u3064\uff09\u304b\u3089\u9078\u629e\u3057\u305f\u3002
\u56f31\u306b\u5b66\u751f\u304b\u3089\u5c02\u9580\u533b\u307e\u3067\u306eEPA\u306e\u95a2\u4fc2\u3092\u3001\u56f32\u306bEPA, DOC, Competency, Milestone\u306e\u95a2\u4fc2\u3092\u793a\u3057\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u3001\u4e0a\u8a18\u306e\u30ea\u30f3\u30af\u4e2d\u306eCurriculum Developers’ Guide<\/a>\u306eFigure 1, 2\u3092\u7ffb\u8a33\u3057\u305f\u3082\u306e\u3067\u3059\u3002Fuculty and Learners\u2019 Guide<\/a>\u306b\u3082\u540c\u3058\u56f3\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n![\"\"](\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2022\/02\/epa-three-levels-1024x645.png\")
![\"\"](\"https:\/\/info.zanet.biz\/wp\/wp-content\/uploads\/2022\/02\/epa-doc-c-m-1024x593.png\")
\u305d\u3057\u3066\u300113\u306eEPA\u306b\u5bfe\u3059\u308b\u30c4\u30fc\u30eb\u30ad\u30c3\u30c8\u304c\u63d0\u4f9b\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n
EPA 1 Toolkit: Gather a History and Perform a Physical Examination
EPA 2 Toolkit: Prioritize a Differential Diagnosis Following a Clinical Encounter
EPA 3 Toolkit: Recommend and Interpret Common Diagnostic and Screening Tests
EPA 4 Toolkit: Enter and Discuss Orders and Prescriptions
EPA 5 Toolkit: Document a Clinical Encounter in the Patient Record
EPA 6 Toolkit: Provide an Oral Presentation of a Clinical Encounter
EPA 7 Toolkit: Form Clinical Questions and Retrieve Evidence to Advance Patient Care
EPA 8 Toolkit: Give or Receive a Patient Handover to Transition Care Responsibility
EPA 9 Toolkit: Collaborate as a Member of an Interprofessional Team
EPA 10 Toolkit: Recognize a Patient Requiring Urgent or Emergent Care and Initiate Evaluation and Management
EPA 11 Toolkit: Obtain Informed Consent for Tests and\/or Procedures
EPA 12 Toolkit: Perform General Procedures of a Physician
EPA 13 Toolkit: Identify System Failures and Contribute to a Culture of Safety and Improvement<\/p>\n\n\n\n
EPA 1 : \u75c5\u6b74\u3092\u8074\u53d6\u3057\u3068\u8eab\u4f53\u8a3a\u5bdf\u3092\u5b9f\u65bd\u3059\u308b
EPA 2 : \u81e8\u5e8a\u7684\u306a\u906d\u9047\u306e\u5f8c\u3001\u9451\u5225\u8a3a\u65ad\u306e\u512a\u5148\u9806\u4f4d\u3092\u6c7a\u3081\u308b
EPA 3 : \u4e00\u822c\u7684\u306a\u8a3a\u65ad\u691c\u67fb\u304a\u3088\u3073\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u3092\u63a8\u5968\u3057\u89e3\u91c8\u3059\u308b
EPA 4 : \u30aa\u30fc\u30c0\u30fc\u3068\u51e6\u65b9\u7b8b\u3092\u5165\u529b\u3057\u3001\u8b70\u8ad6\u3059\u308b
EPA 5 : \u60a3\u8005\u8a18\u9332\u306b\u81e8\u5e8a\u7684\u306a\u906d\u9047\u3092\u8a18\u9332\u3059\u308b
EPA 6 : \u81e8\u5e8a\u7684\u306a\u906d\u9047\u306b\u3064\u3044\u3066\u53e3\u982d\u3067\u8aac\u660e\u3059\u308b
EPA 7 : \u60a3\u8005\u30b1\u30a2\u3092\u4fc3\u9032\u3059\u308b\u305f\u3081\u306e\u30af\u30ea\u30cb\u30ab\u30eb\u30af\u30a8\u30b9\u30c1\u30e7\u30f3\u3092\u4f5c\u6210\u3057\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u53ce\u96c6\u3059\u308b
EPA 8 : \u30b1\u30a2\u8cac\u4efb\u3092\u79fb\u884c\u3059\u308b\u305f\u3081\u306e\u60a3\u8005\u5f15\u304d\u6e21\u3057\u3092\u5b9f\u65bd\u3059\u308b\u307e\u305f\u306f\u53d7\u9818\u3059\u308b
EPA 9 : \u5c02\u9580\u5bb6\u9593\u30c1\u30fc\u30e0\u306e\u30e1\u30f3\u30d0\u30fc\u3068\u3057\u3066\u5354\u529b\u3059\u308b
EPA 10 : \u7dca\u6025\u307e\u305f\u306f\u6551\u6025\u30b1\u30a2\u304c\u5fc5\u8981\u306a\u60a3\u8005\u3092\u8a8d\u8b58\u3057\u3001\u8a55\u4fa1\u3068\u7ba1\u7406\u3092\u958b\u59cb\u3059\u308b
EPA 11 : \u691c\u67fb\u3084\u51e6\u7f6e\u306e\u305f\u3081\u306e\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30b3\u30f3\u30bb\u30f3\u30c8\u3092\u53d6\u5f97\u3059\u308b
EPA 12 : \u533b\u5e2b\u3068\u3057\u3066\u306e\u4e00\u822c\u7684\u306a\u624b\u9806\u3092\u5b9f\u884c\u3059\u308b
EPA 13 : \u30b7\u30b9\u30c6\u30e0\u306e\u4e0d\u5177\u5408\u3092\u7279\u5b9a\u3057\u3001\u5b89\u5168\u3068\u6539\u5584\u306e\u6587\u5316\u306b\u8ca2\u732e\u3059\u308b<\/p>\n\n\n\n
\n\n\n\n
-\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af: “\u76f8\u4e92\u306b\u95a2\u9023\u3057\u3001\u76ee\u7684\u3092\u6301\u3063\u305f\u4e00\u9023\u306e\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3092\u7d44\u7e54\u7684\u3001\u69cb\u9020\u7684\u306b\u8868\u73fe\u3057\u305f\u3082\u306e”
-\u30b3\u30f3\u30d4\u30c6\u30f3\u30b9\u306e\u30c9\u30e1\u30a4\u30f3\uff08\u9818\u57df\uff09: \u5e83\u7bc4\u306a\u533a\u5225\u3067\u304d\u308b\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306e\u9818\u57df\u3067\u3001\u96c6\u5408\u4f53\u3068\u3057\u3066\u5c02\u9580\u8077\u306e\u4e00\u822c\u7684\u306a\u8a18\u8ff0\u7684\u306a\u67a0\u7d44\u307f\u3092\u69cb\u6210\u3059\u308b\u3082\u306e\u3002(\u8457\u8005\u306e\u5b9a\u7fa9)
-\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u30ea\u30b9\u30c8\uff1a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u30d5\u30ec\u30fc\u30e0\u30ef\u30fc\u30af\u5185\u306e\u5177\u4f53\u7684\u306a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3092\u5b9a\u7fa9\u3057\u305f\u3082\u306e\u3002(\u8457\u8005\u306e\u5b9a\u7fa9)
-\u30b3\u30f3\u30d4\u30c6\u30f3\u30b9: “\u3042\u308b\u6587\u8108\u306b\u304a\u3051\u308b\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u306e\u8907\u6570\u306e\u9818\u57df\u307e\u305f\u306f\u5074\u9762\u306b\u308f\u305f\u308b\u4e00\u9023\u306e\u80fd\u529b abilities\uff08\u77e5\u8b58\u3001\u6280\u80fd\u3001\u614b\u5ea6\u3001\u307e\u305f\u306f KSA\uff09\u300d\u3002\u30b3\u30f3\u30d4\u30c6\u30f3\u30b9\u306b\u95a2\u3059\u308b\u8a18\u8ff0\u306b\u306f\u3001\u95a2\u9023\u3059\u308b\u80fd\u529b\u3001\u6587\u8108\u3001\u304a\u3088\u3073\u8a13\u7df4\u306e\u6bb5\u968e\u3092\u5b9a\u7fa9\u3059\u308b\u305f\u3081\u306e\u8aac\u660e\u7684\u306a\u4fee\u98fe\u5b50\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u30b3\u30f3\u30d4\u30c6\u30f3\u30b9\u306f\u591a\u6b21\u5143\u7684\u304b\u3064\u52d5\u7684\u306a\u3082\u306e\u3067\u3042\u308b\u3002\u305d\u308c\u306f\u3001\u6642\u9593\u3001\u7d4c\u9a13\u3001\u8a2d\u5b9a\u306b\u3088\u3063\u3066\u5909\u5316\u3059\u308b” KSA: Knowledge, Skills, Attitudes
-\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\uff1a”\u77e5\u8b58\u3001\u6280\u80fd\u3001\u4fa1\u5024\u89b3\u3001\u614b\u5ea6\u306a\u3069\u306e\u8907\u6570\u306e\u8981\u7d20\u3092\u7d71\u5408\u3057\u305f\u3001\u533b\u7642\u5c02\u9580\u5bb6\u306e\u89b3\u5bdf\u53ef\u80fd\u306a\u80fd\u529b\u3002\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306f\u89b3\u5bdf\u53ef\u80fd\u3067\u3042\u308b\u305f\u3081\u3001\u305d\u306e\u7fd2\u5f97\u3092\u78ba\u8a8d\u3059\u308b\u305f\u3081\u306b\u6e2c\u5b9a\u30fb\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002”
Englander R, Cameron T, Ballard AJ, Dodge J, Bull J, Aschenbrener CA: Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Acad Med 2013;88:1088-94. doi: 10.1097\/ACM.0b013e31829a3b2b PMID: 23807109<\/a><\/p>\n\n\n\n
\u4f8b\u3048\u3070\u3001EBM\u306b\u95a2\u9023\u306e\u3042\u308bEPA\u3067\u3042\u308b\u201dEPA 7 : \u60a3\u8005\u30b1\u30a2\u3092\u4fc3\u9032\u3059\u308b\u305f\u3081\u306e\u30af\u30ea\u30cb\u30ab\u30eb\u30af\u30a8\u30b9\u30c1\u30e7\u30f3\u3092\u4f5c\u6210\u3057\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u53ce\u96c6\u3059\u308b\u201d\u306f\u3001\u305d\u308c\u305e\u308c\u306e\u30c9\u30e1\u30a4\u30f3\u5185\u3067\u59d4\u8a17\u53ef\u80fd\u306a\u6c7a\u65ad\u306b\u3068\u3063\u3066\u91cd\u5927\u306a\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3068\u3057\u3066\u3001KP 3, KP 4, PBLI 1, PBLI 3, PBLI 6, PBLI 7, PBLI 9, ICS 2\u304c\u6319\u3052\u3089\u308c\u3066\u3044\u307e\u3059\u3002
\u4f8b\u3048\u3070\u3001KP 3\u306f\u3001\u201d\u81e8\u5e8a\u79d1\u5b66\u306e\u78ba\u7acb\u3055\u308c\u305f\u539f\u7406\u3068\u65b0\u3057\u3044\u539f\u7406\u3092\u3001\u8a3a\u65ad\u3068\u6cbb\u7642\u306e\u610f\u601d\u6c7a\u5b9a\u3001\u81e8\u5e8a\u4e0a\u306e\u554f\u984c\u89e3\u6c7a\u3001\u304a\u3088\u3073\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u30d8\u30eb\u30b9\u30b1\u30a2\u306e\u305d\u306e\u4ed6\u306e\u5074\u9762\u306b\u9069\u7528\u3059\u308b\u201d\u3068\u3044\u3046\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3067\u3059\u3002
Appendix C\u304cReference List of General Physician Competencies by Domain\u3067\u6700\u521d\u306b\u7d39\u4ecb\u3057\u305f\u3001PC<\/strong>, KP, PBLI, ICS, P, SBP, <\/strong>and IPC, PPD<\/strong>\u306e\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u304c\u30ea\u30b9\u30c8\u30a2\u30c3\u30d7\u3055\u308c\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u305d\u306e\u4ed6\u306e\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u306b\u3064\u3044\u3066\u3082\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n
\n\n\n\n
\n\n\n\n
\u25cfCBME \u306f\u3001\u4e3b\u8981\u306a\u80fd\u529b\u9818\u57df\uff08\u3059\u306a\u308f\u3061\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\uff09\u3092\u4f7f\u7528\u3057\u3066\u3001\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306e\u8a2d\u8a08\u3068\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u8a55\u4fa1\u3092\u884c\u3044\u307e\u3059\u3002
\u25cfCBME\u306f\u3001\u8cc7\u683c\u53d6\u5f97\u306b\u5fc5\u8981\u306a\u7279\u5b9a\u306e\u6642\u9593\u306b\u57fa\u3065\u304f\u306e\u3067\u306f\u306a\u304f\u3001\u533b\u7642\u884c\u70ba\u306b\u5fc5\u8981\u306a\u6a19\u6e96\u7684\u306a\u80fd\u529b\u306e\u30ec\u30d9\u30eb\u306b\u5230\u9054\u3059\u308b\u3053\u3068\u306b\u91cd\u70b9\u3092\u7f6e\u3044\u3066\u3044\u307e\u3059\u3002
\u25cf\u5185\u5bb9\u3001\u9032\u884c\u3001\u304a\u3088\u3073\u8a55\u4fa1\u306f\u3001\u500b\u3005\u306e\u5b66\u7fd2\u8005\u304c\u767a\u63ee\u3059\u308b\u80fd\u529b\u306b\u57fa\u3065\u3044\u3066\u884c\u308f\u308c\u307e\u3059\u3002
\u25cfCBME \u306f\u3001\u7814\u4fee\u533b\u3001\u30d5\u30a7\u30ed\u30fc\u3001\u6559\u54e1\u3001\u30d7\u30ed\u30b0\u30e9\u30e0\u3001\u8a8d\u5b9a\u6a5f\u95a2\u3001\u304a\u3088\u3073\u4e00\u822c\u5e02\u6c11\u304c\u5171\u6709\u3059\u308b\u30e2\u30c7\u30eb\u3092\u4f5c\u6210\u3057\u307e\u3059\u3002
\u25cfCBME\u306f\u3001\u7814\u4fee\u533b\u3084\u30d5\u30a7\u30ed\u30fc\u304c\u6539\u5584\u306e\u305f\u3081\u306b\u81ea\u3089\u884c\u52d5\u8a08\u753b\u3092\u7acb\u3066\u3089\u308c\u308b\u3088\u3046\u3001\u3088\u308a\u826f\u3044\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3001\u30b3\u30fc\u30c1\u30f3\u30b0\u3001\u632f\u308a\u8fd4\u308a\u3092\u53ef\u80fd\u306b\u3057\u307e\u3059\u3002
CBME\u3068\u306f\uff1f
CBME\u306f\u3001\u30b3\u30a2\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3084\u30de\u30a4\u30eb\u30b9\u30c8\u30fc\u30f3\u306e\u5b9f\u65bd\u3092\u542b\u3081\u3001\u7814\u4fee\u533b\u3084\u30d5\u30a7\u30ed\u30fc\u306e\u6559\u80b2\u306b\u5229\u7528\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u6587\u732e\u306b\u3088\u308b\u3068\u3001CBME\u306f\u300c\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3068\u3044\u3046\u7d44\u7e54\u7684\u67a0\u7d44\u307f\u3092\u7528\u3044\u3066\u3001\u533b\u5b66\u6559\u80b2\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u8a2d\u8a08\u3001\u5b9f\u65bd\u3001\u8a55\u4fa1\u3092\u884c\u3046\u30a2\u30a6\u30c8\u30ab\u30e0\u30d9\u30fc\u30b9\u306e\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong>\u300d\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u307e\u3059\uff08Frank et al.2010\uff09\u3002\u30b3\u30f3\u30d4\u30c6\u30f3\u30b7\u30fc\u3068\u306f\u3001\u8ab0\u304b\u304c\u4ed5\u4e8b\u3092\u3059\u308b\u305f\u3081\u306b\u5fc5\u8981\u306a\u4e3b\u8981\u306a\u80fd\u529b\u306e\u96c6\u5408\u3092\u8868\u3059\u3082\u306e\u3067\u3042\u308b\u3002\u4f8b\u3048\u3070\u3001\u5c06\u6765\u533b\u5e2b\u3068\u306a\u308b\u4eba\u306f\u7686\u3001\u60a3\u8005\u30b1\u30a2\u3092\u884c\u3046\u305f\u3081\u306e\u57fa\u672c\u7684\u306a\u77e5\u8b58\u3068\u80fd\u529b\u3092\u5099\u3048\u3066\u3044\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3053\u308c\u3089\u306e\u91cd\u8981\u306a\u80fd\u529b\u304c\u306a\u3051\u308c\u3070\u3001\u4ed5\u4e8b\u3092\u9042\u884c\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002
CBME\u306f\u3001\u5352\u696d\u3059\u308b\u3059\u3079\u3066\u306e\u5b66\u7fd2\u8005\u304c\u3001\u5b9f\u8df5\u3067\u60a3\u8005\u3092\u30b1\u30a2\u3059\u308b\u305f\u3081\u306e\u91cd\u8981\u306a\u5206\u91ce\u306b\u304a\u3051\u308b\u57fa\u672c\u7684\u306a\u80fd\u529b\u3092\u7372\u5f97\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u7814\u4fee\u533b\u3001\u30d5\u30a7\u30ed\u30fc\u3001\u305d\u306e\u4ed6\u306e\u533b\u5e2b\u306f\u3001\u3053\u308c\u3089\u306e\u80fd\u529b\u3092\u7372\u5f97\u3057\u305f\u3053\u3068\u3092\u793a\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u306f\u305a\u3067\u3059\u3002\u6ce8\u76ee\u3059\u3079\u304d\u306f\u3001\u3053\u308c\u306f\u3001\u6559\u80b2\u3084\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u304c\u7d14\u7c8b\u306b\u4f55\u5e74\u4fee\u4e86\u3057\u305f\u304b\uff08\u4f8b\u3048\u3070\u3001\u5185\u79d1\u306e\u5834\u5408\u306f3\u5e74\uff09\u306b\u57fa\u3065\u304f\u30e2\u30c7\u30eb\u3068\u306f\u7570\u306a\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u201d
Frank JR, Snell LS, Cate OT, Holmboe ES, Carraccio C, Swing SR, Harris P, Glasgow NJ, Campbell C, Dath D, Harden RM, Iobst W, Long DM, Mungroo R, Richardson DL, Sherbino J, Silver I, Taber S, Talbot M, Harris KA: Competency-based medical education: theory to practice. Med Teach 2010;32:638-45. doi: 10.3109\/0142159X.2010.501190 PMID: 20662574<\/a><\/p>\n\n\n\n
\n","protected":false},"excerpt":{"rendered":"