Tago Masaki, Watari Takashi, Shikino Kiyoshi, Sasaki Yosuke, Takahashi Hiromizu, Shimizu Taro
Department of General Medicine, Saga University Hospital, Saga, Japan.
General Medicine Center, Shimane University Hospital, Shimane, Japan.
Int J Gen Med. 2021 Dec 29;14:10417-10421. doi: 10.2147/IJGM.S341050. eCollection 2021.
Owing to the social structure issues caused by Japan's super-aged society, health-care roles have become more complex, and the need for general physicians has increased. General hospitalists in Japan perform various roles. Thus, the ideal image of general hospitalists there has been unclear. We summarize the 10 key skills for Japanese hospitalists indicated in the specialty programs of the Japanese Society of Hospital General Medicine. We identified the following five crucial points for ideal general hospitalists: general mindset; leadership and management; community-based comprehensive care and cooperation with various professions; appropriate medical interviewing, physical examination, and diagnostic reasoning; and proactive education and academic activities. This paper presents five tips, which deal with why those items are necessary and how they should be learned.
由于日本超老龄化社会引发的社会结构问题，医疗保健角色变得更加复杂，对全科医生的需求也有所增加。日本的综合内科医生承担着多种角色。因此，日本综合内科医生的理想形象一直不明确。我们总结了日本综合内科医学会专业项目中指出的日本综合内科医生的10项关键技能。我们确定了理想的综合内科医生的以下五个关键点：总体思维模式；领导力和管理能力；基于社区的综合护理以及与各专业的合作；恰当的医学问诊、体格检查和诊断推理；积极主动的教育和学术活动。本文提出了五个小贴士，涉及这些要点为何必要以及应如何学习。
