ABC of 医療プロフェッショナリズム

出版社: 羊土社
著者:
発行日: 2020-02-20
分野: 医学一般  >  医学教育
ISBN: 9784758118699
電子書籍版: 2020-03-01 (第1刷)
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信頼される医師とは?必要なのはスキルと知識だけではない!患者中心のケア,守秘義務,チーム医療,またSNSやバーンアウトなど現代ならではの問題からプロフェッショナリズムを学べる!医学部教育や臨床研修に!

目次

  • Chapter1 なぜ医療プロフェッショナリズムが重要なのか
    1.はじめに
    2.専門職集団の形成とケアの義務
    3.それでは,「医療プロフェッショナリズム」とは何か?
    4.公衆の視点
    5.学生は?
    6.ロールモデリング
    7.プロフェッショナリズムからの逸脱
    8.医療の文化
    9.職業上のバーンアウトと自殺
    10.おわりに

    Chapter2 専門家としての価値観の獲得と形成
    1.はじめに
    2.コンピテンシーとしてのプロフェッショナリズム
    3.専門家としてのアイデンティティの形成
    4.専門家としての価値観形成の障壁
    5.省察と専門的能力の形成
    6.多職種連携とプロフェッショナリズム
    7.プロフェッショナリズムの維持におけるセルフケア
    8.おわりに

    Chapter3 患者中心のケ
    1.臨床医中心のケア
    2.患者中心のケアの進展
    3.コミュニケーションスキル
    4.検査・治療への同意
    5.省察的実践
    6.価値に基づく診療(values based practice:VBP)
    7.患者中心のケアの涵養
    8.意思決定の共有
    9.おわりに

    Chapter4 バーンアウト(燃え尽き症候群)とレジリエンス(回復力)
    1.バーンアウトの定義
    2.レジリエンス
    3.レジリエンスとメンタルヘルス障害
    4.医学生とバーンアウト
    5.専門家の苦悩
    6.バーンアウトが患者に及ぼす影響
    7.疲労困憊の原因
    8.支援メカニズム
    9.おわりに

    Chapter5 守秘義務とソーシャルメディア
    1.守秘義務 ― 背景
    2.ソーシャルメディア ― 背景
    3.臨床医がソーシャルメディアを利用する利点とリスク
    4.ソーシャルメディアでの守秘義務違反の蔓延
    5.ソーシャルメディアでの守秘義務違反の例
    6.守秘義務の違反 ― 法的,職業的,および倫理的考慮事項
    7.ソーシャルメディアへの適切な投稿
    8.専門機関による勧告
    9.ソーシャルメディアサイトへの投稿に関する最も重要なヒント
    10.おわりに

    Chapter6 ヘルスケアの文化
    1.はじめに
    2.文化とは何か?
    3.ヘルスケアにおけるヒエラルキーと権力についてはどうか?
    4.ヘルスケア文化をどのように経験するのか?
    5.どうすればヘルスケア文化を改善できるか?
    6.おわりに

    Chapter7 患者安全の確保
    1.はじめに
    2.“患者安全”とは何か?
    3.なぜ問題が発生するのかを理解する
    4.報告・学習システム
    5.正義(公正)の文化(just culture)と非難の文化(blame culture)との対比
    6.プロフェッショナリズムと患者安全
    7.おわりに

    Chapter8 リーダーシップと協働
    1.はじめに
    2.協働して仕事を行う
    3.協働してリーダーシップをとる
    4.自己認識と自己洞察
    5.コミュニケーション
    6.機能不全の協働
    7.協働,変化,複雑さ

    Chapter9 プロフェッショナリズムの倫理的および法的側面
    1.はじめに
    2.法律と職業ガイドラインに規定されているように行動できていても
      なぜ倫理を気にする必要があるのか?
    3.医療に適用される法律の認識
    4.倫理と職業上の境界線
    5.専門職種間倫理
    6.「誠実さ」とプロフェッショナリズム―これは何を意味するのか?

    Chapter10 プロフェッショナリズムの教育と評価
    1.はじめに
    2.専門家になるということ
    3.カリキュラム
    4.学習の障壁
    5.評価
    6.選抜

    Chapter11 医療専門家に対する規制
    1.はじめに
    2.規制の枠組み
    3.診療適性の定義
    4.苦情の源と数
    5.権力の分離
    6.調査プロセス
    7.再検証
    8.国際的要因

    推薦書籍・論文・ウェブサイト
    付録 日本における医療プロフェッショナリズムと本書の活かし方

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

Chapter 1 なぜ医療プロフェッショナリズムが重要なのか

P.25 掲載の参考文献
1) ABIM Foundation, ACP-ASIM Foundation, European Federation of Internal Medicine:Medical professionalism in the new millennium:a physician charter. Ann Intern Med, 136:243-246, 2002
2) Chandratilake M, et al:Medical professionalism:what does the public think? Clin Med (Lond), 10:364-369, 2010
3) Papadakis MA, et al:Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med, 353:2673-2682, 2005
4) Karnieli-Miller O, et al:Which experiences in the hidden curriculum teach students about professionalism? Acad Med, 86:369-377, 2011
5) Landman MP, et al:Guidelines for maintaining a professional compass in the era of social networking. J Surg Educ, 67:381-386, 2010
6) Riskin A, et al:The Impact of Rudeness on Medical Team Performance:A Randomized Trial. Pediatrics, 136:487-495, 2015
7) West CP, et al:Interventions to prevent and reduce physician burnout:a systematic review and meta-analysis. Lancet, 388:2272-2281, 2016

Chapter 2 専門家としての価値観の獲得と形成

P.39 掲載の参考文献
1) Cruess RL, et al:Amending Miller's Pyramid to Include Professional Identity Formation. Acad Med, 91:180-185, 2016
2) Coulehan J:Viewpoint:today's professionalism:engaging the mind but not the heart. Acad Med, 80:892-898, 2005
3) [Intelligent Kindness:Reforming the culture of healthcare](Ballatt J & Campling P), RCPsych Publications, 2011
4) [When Breath Becomes Air](Kalanithi P), The Bodley Head, 2016
5) The Canadian Interprofessional Health Collaborative. http://www.cihc.ca(accessed December 2016)
6) The Mid Staffordshire NHS Foundation Trust Public Inquiry. Robert Francis QC. Department of Health, 2013. https://webarchive.nationalarchives.gov.uk/20150407084231/http://www.midstaffspublicinquiry.com/report(accessed December 2016)

Chapter 3 患者中心のケア

P.51 掲載の参考文献
1) [When Breath Becomes Air](Kalanithi P), The Bodley Head, 2016
2) [Intelligent Kindness:Reforming the culture of healthcare](Ballatt J & Campling P), RCPsych Publications, 2011
3) [ABC of Clinical Communication](Cooper N & Frain J, eds), Wiley, 2017
4) [Medical ethics today:The BMA Handbook of Ethics and Law](British Medical Association), Wiley-Blackwell, 2012
5) Thomas M, Burt & Parkes J:The Emergence of Evidence-based Practice. [Values-Based Health & Social Care:Beyond Evidence-Based Practice](McCarthy J & Rose R, eds), Sage, 2010
6) [The Doctor's Communication Handbook, 7th Edition](Tate P & Tate L), CRC Press, 2014
7) [Meetings between Experts:An Approach to Sharing Ideas in Medical Consultations](Tuckett D, et al), Routledge, 1985
8) [Health Care Professionalism at a Glance](Thistlethwaite J & McKimm J, eds), Wiley-Blackwell, 2015
9) Choosing wisely campaign:http://www.choosingwisely.co.uk/i-am-a-patient-carer/questions-ask-doctor/

Chapter 4 バーンアウト ( 燃え尽き症候群 ) とレジリエンス ( 回復力 )

P.61 掲載の参考文献
1) https://php.nhs.uk; or https://gphealth.nhs.uk; or https://www.bma.org.uk/advice/work-life-support/yourwellbeing/doctor-support-service.
2) Anagnostopoulos F, et al:Physician burnout and patient satisfaction with consultation in primary health care settings:evidence of relationships from a one-with-many design. J Clin Psychol Med Settings, 19:401-410, 2012
3) [The vital signs in primary care:A guide for GPs seeking help and advice](Balme E & Gerada C), Royal Medical Benevolent Fund, 2016. http://rmbf.org/wp-content/uploads/2017/01/rmbf-the-vital-signs-in-primary-care.pdf
4) Cecil J, et al:Behaviour and burnout in medical students. Med Educ Online, 19:25209, 2014. doi:10.3402/meo.v19.25209. eCollection 2014
5) Dunn LB, et al:A conceptual model of medical student well-being:promoting resilience and preventing burnout. Acad Psychiatry, 32:44-53, 2008
6) Maslach C:Burnout:a multidimensional perspective. [Professional burnout:Recent developments in theory and research](Schaufeli WB, et al, eds), Taylor & Francis, 1993 doi:10.4324/9781315227979-3
7) Rosen IM, et al:Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med, 81:82-85, 2006
8) Shanafelt TD, et al:Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med, 136:358-367, 2002
9) Willcock SM, et al:Burnout and psychiatric morbidity in new medical graduates. Med J Aust, 181:357-360, 2004. https://onlinelibrary.wiley.com/doi/abs/10.5694/j.1326-5377.2004.tb06325.x?sid=nlm%3Apubmed(accessed April 2017)

Chapter 5 守秘義務とソーシャルメディア

P.71 掲載の参考文献
1) ABIM Foundation, ACP-ASIM Foundation, European Federation of Internal Medicine:Medical professionalism in the new millennium:a physician charter. Ann Intern Med, 136:243-246, 2002
2) AMA (American Medical Association):Professionalism in the Use of Social Media:Code of Medical Ethics Opinion 2.3.2. www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/page(accessed February 2017) https://www.ama-assn.org/delivering-care/ethics/professionalism-use-social-media(2019年11月アクセス)
3) Chretien KC & Kind T:Social media and clinical care:ethical, professional, and social implications. Circulation, 127:1413-1421, 2013
4) Fogelson NS, et al:Beyond likes and tweets:an in-depth look at the physician social media landscape. Clin Obstet Gynecol, 56:495-508, 2013
5) General Medical Council:Doctors' Use of Social Media. www.gmc-uk.org/guidance/ethical_guidance/21186.asp(accessed February 2017). https://www.gmc-uk.org/ethical-guidance/ethicalguidance-for-doctors/doctors-use-of-social-media(2019年11月アクセス)
6) von Muhlen M & Ohno-Machado L:Reviewing social media use by clinicians. J Am Med Inform Assoc, 19:777-781, 2012

Chapter 6 ヘルスケアの文化

P.81 掲載の参考文献
1) [Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. Executive Summary](Francis R), The Stationery Office, 2013
2) Hafferty FW:Beyond curriculum reform:confronting medicine's hidden curriculum. Acad Med, 73:403-407, 1998
3) [The Hidden Curriculum in Higher Education](Margolis E), Routledge, 2001
4) Monrouxe LV and Rees CE:Healthcare Professionalism:Improving Practice through Reflections on Workplace Dilemmas. Nurs Stand, 31:33, 2017
5) Rees CE, et al:Narrative, emotion and action:analysing 'most memorable' professionalism dilemmas. Med Educ, 47:80-96, 2013

Chapter 7 患者安全の確保

P.92 掲載の参考文献
1) Vincent C, et al:Adverse events in British hospitals:preliminary retrospective record review. BMJ, 322:517-519, 2001
2) Brennan TA, et al:Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med, 324:370-376, 1991
3) [An organisation with a memory](Donaldson L, et al), Department of Health, 2000. http://patientsafety.health.org.uk/resources/organisation-memory(2016年10月アクセス)
4) [Patient safety](Vincent C), Elsevier Churchill Livingstone, 2006
5) [A Roadmap to a Just Culture:Enhancing the Safety Environment], Global Aviation Information Network (GAIN), 2004 https://www.flightsafety.org/files/just_culture.pdf(2016年10月アクセス)
6) [Doctors in Society:Medical Professionalism in a Changing World. Report of a working party](Royal College of Physicians of London), Royal College of Physicians, 2005 https://shop.rcplondon.ac.uk/products/doctors-in-society-medical-professionalism-in-a-changing-world?variant=6337443013(2016年10月アクセス)

Chapter 8 リーダーシップと協働

P.103 掲載の参考文献
1) [National Interprofessional Competency Framework](Canadian Interprofessional Health Collaborative), 2010. http://www.cihc.ca/files/CIHC_IPCompetenciesShort_Feb1210.pdf(2016年7月3日アクセス) ※https://www.chic-cpis.com/publication1.html(2019年11月アクセス)
2) Dawson JF, et al:Positive and Negative Effects of Team Working in Healthcare:'Real' and 'Pseudo' Teams and Their Impact on Healthcare Safety. Report, Aston University, 2008
3) [Being Interprofessional](Hammick M, et al), Polity, 2009
4) [Crossing the Quality Chasm:A new health system for the 21st century](Institute of Medicine), National Academy Press, 2001
5) Johnson DW and Johnson FP:Group dynamics. [Joining Together:Group Theory and Group Skills 9th edition], Pearson International, 2006
6) Salas E, et al:Is there a 'big five' in teamwork? Small Group Research, 36, 555-599, 2005. doi:10.1177/1046496405277134

Chapter 9 プロフェッショナリズムの倫理的および法的側面

P.113 掲載の参考文献
1) Ethical considerations for healthcare professionals dealing with domestic abuse. [Domestic Abuse](British Medical Association Board of Science), BMA, 2014
2) Hilton SR & Slotnick HB:Proto-professionalism:how professionalisation occurs across the continuum of medical education. Med Educ, 39:58-65, 2005
3) Toon P:Setting Boundaries. [Primary Care Ethics](Bowman D & Spicer J, eds), Radcliffe, 2007
4) Clark PG, et al:Theory and practice in interprofessional ethics:a framework for understanding ethical issues in health care teams. J Interprof Care, 21:591-603, 2007
5) Papanikitas A:Doctors should do as they're told--myth or reality? J R Soc Med, 102:40-42, 2009
6) [Everyday Medical Ethics and Law](British Medical Association Ethics Department), BMJ Books/Wiley-Blackwell, 2013

Chapter 10 プロフェッショナリズムの教育と評価

P.124 掲載の参考文献
1) [Professionalism in Medicine](Thistlethwaite J & Spencer J), CRC Press, 2008
2) [Measuring Medical Professionalism](Stern DT, eds), Oxford University Press, 2006
3) [Health Care Professionalism at a Glance](Thistlethwaite J & McKimm J, eds), Wiley-Blackwell, 2015
4) Cruess RL & Cruess SR:Teaching professionalism:general principles. Med Teach, 28:205-208, 2006
5) Cleland JA, et al:Is it me or is it them? Factors that influence the passing of underperforming students. Med Educ, 42:800-809, 2008
6) [The Hidden Curriculum in Higher Education](Margolis E), Routledge, 2001
7) Kelly M, et al:The clinical conscientiousness index:a valid tool for exploring professionalism in the clinical undergraduate setting. Acad Med, 87:1218-1224, 2012
8) McLachlan JC:The relationship between assessment and learning. Med Educ, 40:716-717, 2006
9) Patterson F, et al:Situational judgement tests in medical education and training:Research, theory and practice:AMEE Guide No. 100. Med Teach, 38:3-17, 2016

Chapter 11 医療専門家に対する規制

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ePhysicianHealth:https://ephysicianhealth.com

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