４月23日、札幌医科大学修士大学院生に対して、各大学院のコースについての説明会が行われた。以下の英文のスライドを用いて解説した。
Community and General Medicine
Our Department was established in 1999. Its mission is to make a significant contribution to community medical care in
1. Medical student education
As we become more and more actively involved in undergraduate medical education, not only do we find it vital in terms of generating patient-oriented physicians, but also important in terms of research since the methodology of medical education lags behind time and remains to be improved. We are currently planning to conduct the following research. Qualitative analysis of student education in medical interviewing. Qualitative analysis of student education in physical examination. Research on the role of generalists in medical student education
2. Common diseases/medical problems in primary care
We as generalists encounter common medical problems in our daily practice which are somewhat different from those of the usual population, as our clinic is located in a tertiary care setting. We intend to focus on these common problems and plan on conducting prospective research into their epidemiology, diagnosis, treatment, and natural history. Currently projects on the following are under protocol development. Headache、Dizziness, Insomnia, and so on.
3. Physical diagnosis
We have a special interest in the characteristics of physical findings in medical diagnosis, i.e., their specificity, sensitivity, positive/negative predictive values, and likelihood ratios. We plan to select important clinical findings encountered in primary care and study their sensitivity and specificity in comparison with the gold standard in diagnosis.
4. Cost-effectiveness analysis
Another of our interests is to study cost-effectiveness in health care, thereby understanding the logic behind important health policy decisions and also possibly contributing to such decision making.
5. Cultural aspects of medicine and medical care
The patient develops illnesses, and the physician and the surgeon diagnose and treat diseases. What is also important when working as a doctor is to understand the patients' background and culture and not just the disease the patient has. "Narrative-based medicine" is a new and old way of looking at medical care from the patient's perspective through the story that the patient gives. It departs from the traditional, biological model, and introduces sociological and anthropological methods into medicine. Our goal is to conduct quantitative research in this arena, e.g., on patients' behavior, their understanding of illnesses, and their compliance.（Wari Yamamoto）
