{"id":7136,"date":"2020-05-01T09:00:11","date_gmt":"2020-05-01T00:00:11","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7136"},"modified":"2023-12-27T15:32:52","modified_gmt":"2023-12-27T06:32:52","slug":"menu_14","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_14\/","title":{"rendered":"Menu 14\u3000 \u533b\u5b66\u82f1\u8a9e\u306e\u5b66\u3073\u65b9"},"content":{"rendered":"\"\"\r\n\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n\r\n

\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u533b\u5b66\u82f1\u8a9e\u306e\u5b66\u3073\u65b9<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n\r\n

\u73fe\u5728\u3001\u307b\u307c\u5168\u3066\u306e\u533b\u5b66\u90e8\u3067\u300c\u533b\u5b66\u82f1\u8a9e<\/strong>\u300d\u306e\u6559\u80b2\u304c\u5b9f\u65bd\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u305d\u306e\u6559\u80b2\u5185\u5bb9\u3084\u5230\u9054\u5ea6\u306e\u76ee\u6a19\u8a2d\u5b9a\u306f\u307e\u3060\u7d71\u4e00\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13<\/strong>\u306b\u306f\u82f1\u8a9e\u306e\u554f\u984c\u304c\u6bce\u5e74\u51fa\u984c\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f USMLE \u3068\u3044\u3046\u7c73\u56fd\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306e\u53d7\u9a13\u3092\u8003\u3048\u3066\u3044\u308b\u65b9\u304b\u3089\u3082\u3001\u53d7\u9a13\u306b\u5fc5\u8981\u306a\u533b\u5b66\u82f1\u8a9e\u306b\u95a2\u3057\u3066\u300c\u4f55\u3092<\/strong>\u300d\u300c\u3069\u306e\u3088\u3046\u306b\u3057\u3066<\/strong>\u300d\u5b66\u3093\u3067\u3044\u3063\u3066\u826f\u3044\u306e\u304b\u3088\u304f\u308f\u304b\u3089\u306a\u3044\u3001\u3068\u3044\u3046\u58f0\u3082\u3088\u304f\u805e\u304d\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u533b\u5b66\u82f1\u8a9e\u306e\u5b66\u3073\u65b9\u306b\u3064\u3044\u3066\u5c11\u3057\u304a\u8a71\u3057\u3057\u3066\u307f\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306b\u82f1\u8a9e\u306e\u554f\u984c\u304c\u3042\u308b\u3063\u3066\u672c\u5f53\uff1f<\/span><\/strong><\/span>
\r\n\u300c\u5e73\u621021\u5e74\u7248\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u51fa\u984c\u57fa\u6e96\u300d\u306b\u304a\u3044\u3066\u300c\u5fc5\u4fee\u306e\u57fa\u672c\u7684\u4e8b\u9805<\/strong>\u300018. \u4e00\u822c\u6559\u990a\u7684\u4e8b\u9805<\/strong>\uff08\u7d042%\uff09\u300d\u306e\u9805\u76ee\u306b\u300c\u8a3a\u7642\u306b\u5fc5\u8981\u306a\u4e00\u822c\u7684\u306a\u533b\u5b66\u82f1\u8a9e<\/strong><\/span>\u300d\u304c\u8a2d\u5b9a\u3055\u308c\u3001\u7b2c103\u56de\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\uff082009\u5e742\u6708\uff09\u304b\u3089\u533b\u5b66\u82f1\u8a9e\u306e\u5fc5\u4fee\u554f\u984c\u304c\u5404\u5e74<\/strong>1\u554f\u304b\u30893\u554f<\/strong><\/span>\u51fa\u984c\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/span>
\r\n\u51fa\u984c\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u3063\u3066\u304b\u3089\u3057\u3070\u3089\u304f\u306f\u3001\u4e0b\u8a18\u306e\u3088\u3046\u306a\u300c\u533b\u5b66\u82f1\u8a9e<\/strong>\u300d\u3068\u3001\u305d\u308c\u306b\u5bfe\u5fdc\u3059\u308b\u300c\u4e00\u822c\u82f1\u8a9e<\/strong>\u300d\u306e\u7528\u8a9e\u306e\u77e5\u8b58\u304c\u554f\u308f\u308c\u308b\u3088\u3046\u306a\u554f\u984c\u304c\u51fa\u984c\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/span>\r\n<\/p>\r\n\r\n

\r\n\u300c\u533b\u5b66\u7528\u8a9e\u306e\u77e5\u8b58\u3092\u554f\u3046\u554f\u984c\u300d<\/span><\/strong><\/span>
\r\n103F-4<\/span><\/strong>
\r\n\u4e88\u9632\u306boral vaccine\u3092\u4f7f\u7528\u3059\u308b\u306e\u306f\u3069\u308c\u304b\u3002<\/span>
\r\n\u3000a. Japanese encephalitis<\/span>
\r\n\u3000b. German measles<\/span>
\r\n\u3000c. whooping cough<\/span>
\r\n\u3000d. poliomyelitis<\/span>
\r\n\u3000e. measles<\/span>\r\n<\/p>\r\n\r\n

Japanese encephalitis<\/span><\/strong> \u300c\u65e5\u672c\u8133\u708e<\/strong>\u300d\u3084 poliomyelitis<\/strong><\/span> \u300c\u30dd\u30ea\u30aa\u306b\u3088\u308b\u810a\u9ac4\u708e\uff08\u6025\u6027\u7070\u767d\u9ac4\u708e<\/strong>\uff09\u300d\u306f\u533b\u5b66\u82f1\u8a9e\u3067\u3059\u304c\u3001German measles<\/strong><\/span> \uff08rubella<\/strong><\/span> \u300c\u98a8\u75b9<\/strong>\u300d\u306e\u4e00\u822c\u82f1\u8a9e\uff09\u3084 measles<\/strong><\/span> \uff08rubeola<\/strong><\/span> \u300c\u9ebb\u75b9<\/strong>\u300d\u306e\u4e00\u822c\u82f1\u8a9e\u3002\u65e5\u672c\u8a9e\u306e\u300c\u306f\u3057\u304b\u300d\u306e\u8868\u73fe\u306b\u76f8\u5f53\u3002\uff09\u306a\u3069\u306f\u4e00\u822c\u82f1\u8a9e\u3067\u3059\u3002\u300c\u767e\u65e5\u54b3<\/strong>\u300d\u3082\u533b\u5b66\u82f1\u8a9e\u3067\u306f pertussis<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u304c\u3001\u4e00\u822c\u82f1\u8a9e\u3067\u306f whooping cough<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e whoop<\/strong> \u3068\u306f\u6fc0\u3057\u304f\u54b3\u304d\u8fbc\u3093\u3060\u5f8c\u306b\u300c\u97f3\u3092\u7acb\u3066\u3066\u606f\u3092\u5438\u3044\u8fbc\u3080<\/strong>\u300d\u3068\u3044\u3046\u52d5\u4f5c\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u3064\u307e\u308a whooping cough \u3068\u306f\u3001\u300c\u97f3\u3092\u7acb\u3066\u3066\u606f\u3092\u5438\u3044\u8fbc\u3080\u3053\u3068\u304c\u5fc5\u8981\u306b\u306a\u308b\u304f\u3089\u3044\u6fc0\u3057\u304f\u54b3\u304d\u8fbc\u3080\u3053\u3068<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u306a\u306e\u3067\u3059\u3002 \u305f\u3060\u3001\u305d\u3093\u306a\u7d30\u304b\u3044\u3053\u3068\u304c\u5206\u304b\u3089\u306a\u304f\u3066\u3082\u300cd\u304c\u30dd\u30ea\u30aa\u3063\u307d\u3044\u306a\u3002\u30dd\u30ea\u30aa\u306e\u751f\u30ef\u30af\u30c1\u30f3\u306f\u7d4c\u53e3\u3060\u304b\u3089\u3053\u308c\u304c\u6b63\u89e3\uff01\uff082012\u5e749\u6708\u306b\u4e0d\u6d3b\u5316\u30ef\u30af\u30c1\u30f3\u306e\u6ce8\u5c04\u306b\u7d71\u4e00\u3055\u308c\u308b\u307e\u3067\u3001\u751f\u30ef\u30af\u30c1\u30f3\u3068\u4e0d\u6d3b\u5316\u30ef\u30af\u30c1\u30f3\u306e\u4e21\u65b9\u304c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3057\u305f\u3002\uff09\u300d\u3068\u3044\u3046\u5224\u65ad\u3067\u591a\u304f\u306e\u53d7\u9a13\u751f\u304c\u6b63\u89e3\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\r\n\r\n

\u3053\u306e\u3088\u3046\u306a\u7528\u8a9e\u306e\u77e5\u8b58\u3092\u554f\u3046\u554f\u984c\u304c\u7d9a\u3044\u305f\u5f8c\u3001\u7b2c109\u56de\uff082015\u5e742\u6708\uff09\u304b\u3089\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u300c\u7d39\u4ecb\u72b6<\/strong>\uff08\u82f1\u8a9e\u3067\u306f referral<\/strong><\/span> \u3068\u8a00\u3044\u307e\u3059\uff09\u300d\u3092\u4f7f\u3063\u305f\u5f62\u5f0f\u304c\u5897\u3048\u3066\u304d\u307e\u3057\u305f\u3002<\/span><\/p>\r\n\r\n

\r\n\u300c\u82f1\u8a9e\u306e\u7d39\u4ecb\u72b6\u3092\u8aad\u307e\u305b\u3066\u304b\u3089\u8a3a\u65ad\u30fb\u691c\u67fb\u30fb\u6cbb\u7642\u3092\u554f\u3046\u554f\u984c\u300d<\/span><\/strong><\/span>
\r\n109F-25<\/span><\/strong>
\r\n44\u6b73\u306e\u7537\u6027\u3002\u822a\u7a7a\u4f1a\u793e\u306e\u8077\u54e1\u306b\u4ed8\u304d\u6dfb\u308f\u308c\u3066\u7a7a\u6e2f\u5185\u306e\u8a3a\u5bdf\u6240\u3092\u53d7\u8a3a\u3057\u305f\u3002\u6301\u53c2\u3057\u305f\u82f1\u6587\u7d39\u4ecb\u72b6\u306e\u4e00\u90e8\u3092\u793a\u3059\u3002<\/span>
\r\nThis patient is a 44-year-old man with a complaint of right flank pain*. The pain suddenly occurred while he was on the airplane. It was colicky and radiated to the right inguinal region. Neither nausea nor diarrhea was associated. He had appendectomy when he was 8 years old.<\/span>
\r\nUrinalysis results: Protein (-), Sugar (-), Occult blood (2+)<\/span>
\r\n*flank pain: lateral abdominal pain<\/span>\r\n<\/p>\r\n\r\n

\r\n\u51fa\u5f35\u306e\u305f\u3081\u8fd1\u96a3\u56fd\u3078\u5411\u304b\u3046\u98db\u884c\u6a5f\u5185\u3067\u4e0a\u8a18\u306e\u75c7\u72b6\u3092\u8a8d\u3081\u305f\u305f\u3081\u3001\u5230\u7740\u76f4\u5f8c\u306b\u73fe\u5730\u306e\u7a7a\u6e2f\u5185\u306e\u8a3a\u5bdf\u6240\u3092\u53d7\u8a3a\u3057\u93ae\u75db\u85ac\u3092\u6295\u4e0e\u3055\u308c\u305f\u3002\u75bc\u75db\u306f\u6211\u6162\u3067\u304d\u308b\u7a0b\u5ea6\u306b\u306a\u308a\u3001\u4e88\u5b9a\u3092\u5909\u66f4\u3057\u3066\u6b21\u306e\u4fbf\u3067\u65e5\u672c\u306b\u5e30\u56fd\u3057\u305f\u3002\u73fe\u5728\u3001\u7d39\u4ecb\u72b6\u306b\u66f8\u304b\u308c\u305f\u75c7\u72b6\u306f\u6211\u6162\u3067\u304d\u308b\u7a0b\u5ea6\u306b\u7d9a\u3044\u3066\u304a\u308a\u3001\u65b0\u305f\u306b\u751f\u3058\u305f\u75c7\u72b6\u306f\u306a\u3044\u3002\u610f\u8b58\u306f\u6e05\u660e\u3002\u8eab\u9577165 cm\u3001\u4f53\u91cd68 kg\u3002\u4f53\u6e2937.1\u2103\u3002\u8108\u62cd76\/\u5206\u3001\u6574\u3002\u8840\u5727136\/76 mmHg\u3002<\/span>
\r\n\u3053\u306e\u60a3\u8005\u306b\u307f\u3089\u308c\u308b\u53ef\u80fd\u6027\u306e\u9ad8\u3044\u8eab\u4f53\u8a3a\u5bdf\u6240\u898b\u306f\u3069\u308c\u304b\u3002<\/span>
\r\n\u3000a. \u8178\u96d1\u97f3\u4ea2\u9032<\/span>
\r\n\u3000b. \u9670\u56a2\u306e\u900f\u5149\u6027<\/span>
\r\n\u3000c. \u8179\u90e8\u8840\u7ba1\u96d1\u97f3<\/span>
\r\n\u3000d. Blumberg\u5fb4\u5019<\/span>
\r\n\u3000e. \u808b\u9aa8\u810a\u67f1\u89d2\u306e\u53e9\u6253\u75db<\/span>\r\n<\/p>\r\n\r\n

\u3053\u306e\u7d39\u4ecb\u72b6\u306b\u3042\u308b\u82f1\u8a9e\u8868\u73fe\u306e\u591a\u304f\u306fMenu 13<\/span><\/span><\/a> \u3067\u8a73\u3057\u304f\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u305d\u3061\u3089\u3092\u3054\u89a7\u3044\u305f\u3060\u304f\u3068\u3057\u3066\u3001\u591a\u304f\u306e\u53d7\u9a13\u8005\u306f\u7d39\u4ecb\u72b6\u3092\u307b\u3068\u3093\u3069\u8aad\u307e\u305a\u306b\u300cUrinalysis \u3063\u3066\u3069\u3046\u305b\u5c3f\u691c\u67fb\u304b\u4f55\u304b\u3067\u3057\u3087\uff1foccult blood \u3063\u3066\u3088\u304f\u5206\u304b\u3089\u306a\u3044\u3051\u3069\uff08\u3053\u308c\u306f\u300c\u6f5c\u8840\u300d\u306e\u610f\u5473\uff09\u3001\u591a\u5206\u5c3f\u306b\u8840\u304c\u51fa\u3066\u3044\u308b\u3093\u3060\u308d\u3046\u304b\u3089\u814e\u30fb\u5c3f\u7ba1\u7d50\u77f3\u304c\u8a3a\u65ad\u3067\u3001e\u304c\u6b63\u89e3\uff01\u300d\u3068\u6b63\u89e3\u306b\u305f\u3069\u308a\u7740\u304f\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002<\/span><\/p>\r\n\r\n

\u305d\u3057\u3066\u7b2c114\u56de\uff082020\u5e742\u6708\uff09\u3067\u306f\u3001\u5fc5\u4fee\u554f\u984c\u3068\u3057\u3066\u306e1\u554f\u306b\u81e8\u5e8a\u554f\u984c2\u554f\u3092\u52a0\u3048\u305f3\u554f\u304c\u3001\u8a2d\u554f\u3092\u542b\u3081\u5168\u6587\u82f1\u8a9e\u3067\u51fa\u984c<\/strong><\/span>\u3055\u308c\u307e\u3057\u305f\u3002\u548c\u82f1\u6df7\u5408\u3067\u51fa\u984c\u3055\u308c\u305f1\u554f\u3068\u5408\u308f\u305b\u308b\u3068\u7b2c114\u56de\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u3067\u306f\u5408\u8a084\u554f<\/strong><\/span>\u306e\u533b\u5b66\u82f1\u8a9e\u95a2\u9023\u554f\u984c\u304c\u51fa\u984c\u3055\u308c\u305f\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u300c\u5168\u6587\u82f1\u8a9e\u306e\u81e8\u5e8a\u554f\u984c\u300d<\/span><\/strong><\/span>
\r\n114A-31<\/span><\/strong>
\r\nA 26-year-old woman presented to the emergency room with palpitations and shortness of breath that started suddenly while she was eating breakfast.<\/span>
\r\nAlthough the health-screening examination performed three weeks ago showed delta waves in her ECG, echocardiography taken at a nearby hospital showed no abnormal findings. At presentation, she was slightly hypotensive with a blood pressure of 96\/68 mmHg. Her ECG on admission showed a narrow QRS-complex tachycardia at a rate of 180\/min. Neither ST elevation nor T wave abnormality was present.<\/span>\r\n<\/p>\r\n\r\n

\r\nWhat is the most probable diagnosis of the arrhythmia?<\/span>
\r\n\u3000a. Sinus tachycardia<\/span>
\r\n\u3000b. Sick sinus syndrome<\/span>
\r\n\u3000c. Ventricular tachycardia<\/span>
\r\n\u3000d. Supraventricular tachycardia<\/span>
\r\n\u3000e. Complete atrioventricular block<\/span>\r\n<\/p>\r\n\r\n

\u8a2d\u554f\u3092\u542b\u3081\u3066\u5168\u3066\u82f1\u8a9e\u3067\u306e\u51fa\u984c\u3067\u3001\u3055\u3089\u306b\u81e8\u5e8a\u554f\u984c\u3068\u3057\u3066\u306e\u51fa\u984c\u3067\u3042\u3063\u305f\u305f\u3081\u306b\u9a5a\u3044\u305f\u53d7\u9a13\u751f\u3082\u3044\u307e\u3057\u305f\u304c\u3001\u3053\u3053\u3067\u3082\u300cdelta waves \u3060\u304b\u3089 WPW \u3067\u3057\u3087\uff1f\u3060\u304b\u3089\u4e0a\u5ba4\u6027\u983b\u62cd\u306e d \u304c\u6b63\u89e3\uff01\u300d\u3068\u3044\u3046\u3053\u3068\u3067\u591a\u304f\u306e\u53d7\u9a13\u751f\u304c\u6b63\u89e3\u306b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002\u7279\u306b\u9078\u629e\u80a2\u306e\u82f1\u8a9e\u8868\u73fe\u306f\u65e5\u672c\u8a9e\u306e\u5faa\u74b0\u5668\u306e\u6388\u696d\u3067\u3082\u4e00\u822c\u7684\u306b\u4f7f\u308f\u308c\u3066\u3044\u308b\u82f1\u5358\u8a9e\u3060\u3063\u305f\u306e\u3067\u3001\u53d7\u9a13\u751f\u306e\u591a\u304f\u306f\u305d\u308c\u307b\u3069\u82e6\u52b4\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u304c\u3001\u554f\u984c\u81ea\u4f53\u306f\u78ba\u5b9f\u306b\u96e3\u5316\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3053\u306e\u3088\u3046\u306b\u65e5\u672c\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306e\u82f1\u8a9e\u554f\u984c\u3067\u3082\u7c73\u56fd\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u3067\u3042\u308b U<\/strong><\/span>nited S<\/strong><\/span>tates M<\/span><\/strong>edical L<\/strong><\/span>icensing E<\/span><\/strong>xamination (USMLE<\/strong><\/span>) \u3068\u540c\u3058\u3088\u3046\u306a\u82f1\u8a9e\u3067\u306e\u81e8\u5e8a\u554f\u984c<\/strong><\/span>\u304c\u51fa\u984c\u3055\u308c\u3066\u304d\u3066\u3044\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u5fc5\u7136\u7684\u306b\u65e5\u672c\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306e\u82f1\u8a9e\u554f\u984c\u5bfe\u7b56\u3068\u3057\u3066\u306fUSMLE\u5bfe\u7b56\u3092\u3059\u308b\u3053\u3068\u304c\u5408\u7406\u7684\u306a\u6e96\u5099<\/strong><\/span>\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\nUSMLE\u3063\u3066\u3069\u3093\u306a\u8a66\u9a13\u3067\u3001\u3069\u3093\u306a\u6e96\u5099\u304c\u5fc5\u8981\u306a\u306e\uff1f<\/span><\/strong><\/span>
\r\n\u3067\u306f\u3001\u7686\u3055\u3093\u3082\u4e00\u5ea6\u306f\u805e\u3044\u305f\u3053\u3068\u304c\u3042\u308b\u3053\u306e USMLE \u3063\u3066\u3069\u3093\u306a\u8a66\u9a13\u306a\u306e\u3067\u3057\u3087\u3046\uff1f<\/span>\r\n<\/p>\r\n\r\n

\u3088\u304f\u8aa4\u89e3\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u304c\u3001\u3053\u306e USMLE \u306f\u65e5\u672c\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306e\u3088\u3046\u306b\u300c\u3053\u308c\u306b\u53d7\u304b\u308c\u3070\u81e8\u5e8a\u533b\u3068\u3057\u3066\u306e\u8cc7\u683c\u304c\u4e0e\u3048\u3089\u308c\u308b\u300d\u3068\u3044\u3046\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3080\u3057\u308d\u300c\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306b\u53c2\u52a0\u3059\u308b\u305f\u3081\u306e\u624b\u7d9a\u304d\u306e\u4e00\u3064<\/span><\/span><\/a>\u300d\u3068\u3044\u3046\u3088\u3046\u306b\u8003\u3048\u305f\u65b9\u304c\u3053\u306e\u8a66\u9a13\u306e\u672c\u8cea\u3092\u6b63\u3057\u304f\u7406\u89e3\u3067\u304d\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306f\u5927\u304d\u304f\u5206\u3051\u3066 Residency Programs<\/strong><\/span> \u3068Fellowship Programs<\/span><\/strong> \u306e2\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002\u524d\u8005\u306f\u7c73\u56fd\u306e\u533b\u5b66\u751f\u304c\u533b\u5b66\u90e8\u3092\u5352\u696d\u3057\u305f\u5f8c\u306b\u53d7\u3051\u308b\u7814\u4fee\u3067\u3001\u8a3a\u7642\u79d1\u306b\u95a2\u308f\u3089\u305a\u7c73\u56fd\u3067 board certified doctor<\/strong><\/span>\u300c\u5c02\u9580\u533b\u300d<\/strong>\u306b\u306a\u308b\u305f\u3081\u306b\u306f\u5fc5\u9808\u306e\u7814\u4fee\u3067\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u7c73\u56fd\u3067\u306e\u6c38\u4f4f<\/strong>\u3092\u8003\u3048\u3066\u3044\u308b\u306e\u3067\u3042\u308c\u3070\u3001\u3053\u306e Residency Program \u3067\u306e\u7814\u4fee\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u305f\u3060\u7c73\u56fd\u3067\u306f\u5404\u8a3a\u7642\u79d1\u306e\u533b\u5e2b\u306e\u6570\u306b\u5236\u9650\u304c\u3042\u308a\u3001\u4eba\u6c17\u306e\u9ad8\u3044\u8a3a\u7642\u79d1\u306e Residency Program \u306bforeign medical graduates<\/strong> (FMG)<\/strong><\/span> \/international medical graduates (IMG)<\/strong><\/span>\u300c\u5916\u56fd\u306e\u533b\u5b66\u90e8\u3092\u5352\u696d\u3057\u305f\u533b\u5e2b<\/strong>\u300d\u304c\u30de\u30c3\u30c1\u30f3\u30b0\u3055\u308c\u308b\u3053\u3068\u306f\u73fe\u5b9f\u7684\u306b\u8003\u3048\u3066\u6975\u3081\u3066\u56f0\u96e3\u3067\u3059\u3002\u3067\u3059\u304b\u3089 orthopedics<\/strong> \u300c\u6574\u5f62\u5916\u79d1<\/strong>\u300d\u3084 plastic surgery<\/strong>\u300c\u5f62\u6210\u5916\u79d1<\/strong>\u300d\u3068\u3044\u3063\u305f\u7af6\u4e89\u7387\u306e\u9ad8\u3044\u8a3a\u7642\u79d1<\/span><\/a>\u3067\u306e\u7814\u4fee\u3092\u8003\u3048\u3066\u3044\u308b\u4eba\u306b\u3068\u3063\u3066\u306f\u3001 Residency Program \u3067\u306e\u7814\u4fee\u306f\u73fe\u5b9f\u7684\u306a\u9078\u629e\u80a2\u3068\u306f\u306a\u308a\u306b\u304f\u3044\u3068\u8a00\u3048\u307e\u3059\u3002\u305d\u306e\u305f\u3081 Residency Programs \u3067\u306f internal medicine, pediatrics, and family medicine \u3068\u3044\u3063\u305f\u8a3a\u7642\u79d1\u304c\u3001\u65e5\u672c\u306e\u533b\u5b66\u751f\u30fb\u533b\u5e2b\u306b\u3068\u3063\u3066\u306f\u73fe\u5b9f\u7684\u306a\u9078\u629e\u80a2\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\u3082\u3057\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306e\u5f8c\u306b\u65e5\u672c\u306b\u5e30\u56fd\u3059\u308b<\/strong>\u3053\u3068\u3092\u8003\u3048\u3066\u3044\u308b\u306a\u3089\u3070\u3001Fellowship Program<\/strong> \u3067\u306e\u7814\u4fee\u304c\u73fe\u5b9f\u7684\u306a\u9078\u629e\u80a2\u3068\u3057\u3066\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u7c73\u56fd\u306e\u533b\u5e2b\u304c\u3053\u306e Fellowship Program \u306b\u53c2\u52a0\u3059\u308b\u305f\u3081\u306b\u306f Residency Program \u3092\u4fee\u4e86\u3059\u308b\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u304c\u3001IMG \u3068\u306a\u308b\u65e5\u672c\u4eba\u533b\u5e2b\u306f\u305d\u308c\u3068\u540c\u7b49\u306e\u7814\u4fee\u3092\u65e5\u672c\u3067\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3064\u307e\u308a\u65e5\u672c\u3067\u521d\u671f\u7814\u4fee\u3001\u5f8c\u671f\u7814\u4fee\u3001\u8a8d\u5b9a\u533b\u8cc7\u683c\u53d6\u5f97\u3001\u5c02\u9580\u533b\u8cc7\u683c\u53d6\u5f97\u306a\u3069\u3092\u4e00\u901a\u308a\u6e08\u307e\u305b\u305f\u300c\u4e00\u4eba\u524d\u306e\u5c02\u9580\u533b<\/strong>\u300d\u3068\u306a\u3063\u3066\u304b\u3089\u5fdc\u52df\u3059\u308b\u308f\u3051\u3067\u3059\u3002\u305d\u306e\u969b\u306b\u306f\u3044\u304d\u306a\u308a Clinical Fellow<\/strong><\/span> \u3068\u3057\u3066\u5fdc\u52df\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u7814\u7a76\u3092\u76ee\u7684\u3068\u3057\u305f Research Fellow<\/strong><\/span> \u3068\u3057\u3066\u3001\u81e8\u5e8a\u7814\u4fee\u3092\u8003\u3048\u3066\u3044\u308b\u75c5\u9662\u3084\u8a3a\u7642\u79d1\u3067\u50cd\u304d\u3001\u305d\u3053\u3067\u4eba\u8108\u3092\u7bc9\u3044\u3066\u304b\u3089 Clinical Fellow \u3068\u3057\u3066\u5fdc\u52df\u3059\u308b\u3068\u3044\u3046\u6226\u7565\u304cIMG\u306b\u306f\u4e00\u822c\u7684\u306b\u306a\u308a\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3001\u3053\u306e Research Fellow \u3068\u3057\u3066\u306e\u7559\u5b66\u306f\u4e00\u822c\u7684\u306b\u300c\u7814\u7a76\u7559\u5b66<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u3001USMLE\u306b\u5408\u683c\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/span><\/p>\r\n\r\n

Residency \u306b\u305b\u3088 Fellowship \u306b\u305b\u3088\u3001\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306b\u306f\u6642\u9593\u3082\u304a\u91d1\u3082\u304b\u304b\u308a\u307e\u3059\u3002\u307e\u305a\u306f\u81ea\u5206\u304c\u7c73\u56fd\u306b\u6c38\u4f4f\u3057\u305f\u3044\u306e\u304b\u3001\u305d\u308c\u3068\u3082\u65e5\u672c\u306b\u5e30\u56fd\u3057\u305f\u3044\u306e\u304b\u3092\u8003\u3048<\/strong>\u3001\u305d\u306e\u4e0a\u3067\u3001\u3069\u306e\u3088\u3046\u306a\u7814\u4fee\u3092\u7c73\u56fd\u3067\u53d7\u3051\u305f\u3044\u306e\u304b\u3092\u8003\u3048\u308b\u3068\u3053\u308d\u304b\u3089\u59cb\u3081\u308b\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

\r\n\u3082\u3057\u3053\u3046\u3044\u3063\u305f\u3001 Residency Programs \u3084 Fellowship Programs \u306b\u5fdc\u52df\u3057\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u308b\u306a\u3089\u3070\u3001\u5fc5\u305a\u4e0b\u8a18\u306e USMLE \u306e3\u3064\u306e\u8a66\u9a13\u5168\u3066\u306b\u5408\u683c\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span>
\r\n\u3000\u2022\u3000Step 1<\/span><\/span><\/a><\/span>
\r\n\u3000\u2022\u3000Step 2 Clinical Knowledge (CK)<\/span><\/a><\/span>
\r\n\u3000\u2022\u3000Step 2 Clinical Skills (CS)<\/span><\/span>
\r\nUSMLE \u306b\u306f\u3082\u3046\u4e00\u3064 Step 3<\/span> \u3068\u3044\u3046\u8a66\u9a13\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u7c73\u56fd\u3067\u306e\u7814\u4fee\u4e2d\u306b\u53d7\u9a13\u3059\u308b\u8a66\u9a13\u306a\u306e\u3067\u3001\u5fdc\u52df\u306e\u969b\u306b\u306f Step 1, 2 CK, and 2 CS \u306e3\u3064\u306e\u8a66\u9a13\u306e\u307f\u306e\u5408\u683c<\/strong>\u304c\u6c42\u3081\u3089\u308c\u308b\u306e\u3067\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

USMLE \u306e\u8a66\u9a13\u306e\u8a73\u7d30\u3068\u53d7\u9a13\u5bfe\u7b56\u306b\u95a2\u3057\u3066\u306f\u702c\u5d5c\u667a\u4e4b<\/strong>\uff08\u305b\u3056\u304d \u3068\u3082\u3086\u304d\uff09\u5148\u751f\u304c\u307e\u3068\u3081\u3066\u3044\u308b\u3053\u3061\u3089<\/span><\/span><\/a>\u306e\u30b5\u30a4\u30c8\u304c\u6700\u3082\u5145\u5b9f\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u8a73\u7d30\u306f\u3053\u3061\u3089\u3092\u3054\u89a7\u3044\u305f\u3060\u3051\u308c\u3070\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u3053\u3053\u3067\u3001\u305d\u308c\u305e\u308c\u306e\u8a66\u9a13\u3092\u5c11\u3057\u4e71\u66b4\u306b\u307e\u3068\u3081\u308b\u3068\u4e0b\u8a18\u306e\u901a\u308a\u306b\u306a\u308a\u307e\u3059\u3002<\/span>
\r\n\u3000\u2022 Step 1<\/strong>: \u57fa\u790e\u533b\u5b66\u306eMCQ\u554f\u984c<\/strong><\/span>\u3002\u65e5\u672c\u306eCBT \u306b\u8fd1\u3044\u304c\u3001\u3088\u308a\u6df1\u3044\u5185\u5bb9\u304c\u554f\u308f\u308c\u308b\u3002\u6771\u4eac\u3068\u5927\u962a\u3067\u53d7\u9a13\u53ef\u80fd\u3002<\/span>
\r\n\u3000\u2022 Step 2 CK<\/strong>: \u81e8\u5e8a\u533b\u5b66\u306eMCQ\u554f\u984c<\/strong><\/span>\u3002\u65e5\u672c\u306e\u56fd\u8a66\u306b\u8fd1\u3044\u304c\u3001\u5185\u5bb9\u306f\u7c73\u56fd\u533b\u5b66\u90e8\u306e3\u5e74\u6b21\u306e\u81e8\u5e8a\u5b9f\u7fd2\u79d1\u76ee\u3067\u3042\u308b internal medicine, family medicine, general surgery, psychiatry, neurology, pediatrics, ObGyn, and emergency medicine \u306e8\u3064\u306e\u9818\u57df\u306b\u96c6\u4e2d\u3057\u3066\u3044\u308b\u3002\u6771\u4eac\u3068\u5927\u962a\u3067\u53d7\u9a13\u53ef\u80fd\u3002<\/span>
\r\n\u3000\u2022 Step 2 CS<\/strong>: 12\u4eba\u306e\u6a21\u64ec\u60a3\u8005\u3068\u306e\u75c5\u6b74\u8074\u53d6<\/strong>\u30fb\u8eab\u4f53\u8a3a\u5bdf<\/strong>\u30fb\u60a3\u8005\u6559\u80b2<\/strong>\u3068\u3001\u305d\u308c\u3092\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u4e0a\u306e\u8a3a\u7642\u9332<\/strong>\u306b\u307e\u3068\u3081\u308b\u81e8\u5e8a\u5b9f\u6280\u8a66\u9a13<\/strong><\/span>\u3002\u65e5\u672c\u306eOSCE\u3088\u308a\u3082\u5b9f\u8df5\u7684\u3067\u3001\u9ad8\u3044\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u80fd\u529b\u304c\u554f\u308f\u308c\u308b\u3002\u7c73\u56fd5\u30ab\u6240\u306e\u8a66\u9a13\u4f1a\u5834\u3067\u306e\u307f\u53d7\u9a13\u53ef\u80fd\u3002<\/span>\r\n<\/p>\r\n\r\n

\u305f\u3060\u5b9f\u969b\u306b Residency Program \u306b\u30de\u30c3\u30c1\u30f3\u30b0\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u3053\u308c\u3089\u306e\u8a66\u9a13\u306b\u5408\u683c\u3059\u308b\u3060\u3051\u3067\u306f\u4e0d\u5341\u5206\u3067\u3001\u300c\u7c73\u56fd\u306e\u75c5\u9662\u3067\u81e8\u5e8a\u5b9f\u7fd2\u30fb\u7814\u4fee\u3092\u7d4c\u9a13\u3057\u3001\u305d\u306e\u969b\u306b\u6307\u5c0e\u3057\u3066\u304f\u308c\u305f\u533b\u5e2b\u304b\u3089\u300e\u7d20\u6674\u3089\u3057\u3044\u300f\u63a8\u85a6\u72b6\u3092\u3082\u3089\u3046<\/strong><\/span>\u300d\u3053\u3068\u304c\u5fc5\u9808\u3068\u306a\u308a\u307e\u3059\u3002\u307e\u305f \u5c65\u6b74\u66f8\u3067\u306f\u3001\u5b66\u751f\u6642\u4ee3\u306e\u8ab2\u5916\u6d3b\u52d5\u3068\u3057\u3066\u306e\u81e8\u5e8a\u7814\u4fee<\/strong><\/span>\u3084\u7814\u7a76\u6d3b\u52d5<\/strong><\/span>\u3001\u30ea\u30fc\u30c0\u30fc\u30b7\u30c3\u30d7<\/strong><\/span>\u304c\u6c42\u3081\u3089\u308c\u308b\u793e\u4f1a\u6d3b\u52d5\u3084\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2<\/strong><\/span>\u306a\u3069\u306e\u793e\u4f1a\u8ca2\u732e\u6d3b\u52d5\u306a\u3069\u3082\u8a55\u4fa1\u306e\u5bfe\u8c61\u3068\u306a\u308b\u305f\u3081\u3001\u3053\u3046\u3044\u3063\u305f\u8ab2\u5916\u6d3b\u52d5\u3092\u5b66\u751f\u6642\u4ee3\u304b\u3089\u5341\u5206\u306b\u7a4d\u307f\u91cd\u306d\u3066\u304a\u304f\u3053\u3068\u3082\u30de\u30c3\u30c1\u30f3\u30b0\u3067\u306f\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\u305f\u3060 Fellowship Program \u3078\u306e\u30de\u30c3\u30c1\u30f3\u30b0\u3067\u306f\u3001\u7814\u7a76\u7559\u5b66\u3092\u901a\u3057\u3066\u81e8\u5e8a\u5b9f\u7fd2\u5148\u3092\u78ba\u4fdd\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u306a\u305f\u3081\u3001\u5fc5\u305a\u3057\u3082\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7d4c\u9a13\u304c\u5fc5\u8981\u3068\u306f\u306a\u308a\u307e\u305b\u3093\u3002<\/span><\/p>\r\n\r\n

\u3067\u306f\u3001\u3053\u3046\u3044\u3063\u305f\u65e5\u672c\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306e\u82f1\u8a9e\u554f\u984c\u306b\u3082\u5bfe\u5fdc\u3067\u304d\u3001 USMLE \u306b\u3082\u5408\u683c\u3057\u3066\u3001\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306b\u3082\u901a\u7528\u3059\u308b\u82f1\u8a9e\u529b\u3092\u8eab\u306b\u3064\u3051\u308b\u306b\u306f\u3069\u3046\u3059\u308c\u3070\u826f\u3044\u306e\u3067\u3057\u3087\u3046\u304b\uff1f\u3053\u3053\u304b\u3089\u306f\u300c\u4f55\u3092<\/strong>\u300d\u300c\u3069\u306e\u3088\u3046\u306b\u3057\u3066<\/strong>\u300d\u5b66\u3093\u3067\u3044\u3051\u3070\u826f\u3044\u306e\u304b\u306b\u3064\u3044\u3066\u7c21\u5358\u306b\u8aac\u660e\u3057\u3066\u3044\u304d\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n\r\n

\r\n\u533b\u5b66\u82f1\u8a9e\u3063\u3066\u300c\u4f55\u3092\u300d\u300c\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u300d\u5b66\u3079\u3070\u3044\u3044\u306e\uff1f<\/span><\/strong>
\r\n\u305d\u3082\u305d\u3082\u533b\u5b66\u82f1\u8a9e<\/strong>\u3063\u3066\u4f55\u306a\u306e\u3067\u3057\u3087\u3046\uff1f\u5192\u982d\u3067\u533b\u5b66\u90e8\u3067\u306e\u533b\u5b66\u82f1\u8a9e\u6559\u80b2\u306f\u3001\u305d\u306e\u6559\u80b2\u5185\u5bb9\u3084\u5230\u9054\u5ea6\u306e\u76ee\u6a19\u8a2d\u5b9a\u306f\u7d71\u4e00\u3055\u308c\u3066\u3044\u306a\u3044\u3068\u8ff0\u3079\u307e\u3057\u305f\u304c\u3001\u79c1\u304c\u7406\u4e8b\u3092\u52d9\u3081\u3066\u3044\u308b\u300c\u65e5\u672c\u533b\u5b66\u82f1\u8a9e\u6559\u80b2\u5b66\u4f1a<\/span><\/span><\/a><\/strong>\u300d\u3067\u306f\u300c\u533b\u5b66\u6559\u80b2\u306e\u30b0\u30ed\u30fc\u30d0\u30eb\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306e\u533b\u5b66\u82f1\u8a9e\u6559\u80b2\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/span><\/span><\/strong><\/span><\/a><\/span>\u300d\u3068\u3044\u3046\u3082\u306e\u30922015\u5e74\u306b\u767a\u884c\u3057\u307e\u3057\u305f\u3002\u3053\u306e\u533b\u5b66\u82f1\u8a9e\u6559\u80b2\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f Vocabulary\u30fbReading\u30fbWriting\u30fbCommunication \u3068\u3044\u30464\u3064\u306e\u904b\u7528\u80fd\u529b\u306b\u95a2\u3057\u3066\u3001\u305d\u308c\u305e\u308c\u300c\u533b\u5b66\u90e8\u5352\u696d\u6642\u306b\u5168\u54e1\u304c\u7fd2\u5f97\u3059\u3079\u304d\u5185\u5bb9<\/strong>\u300d\u3068\u300c\u533b\u5b66\u90e8\u5352\u696d\u6642\u306b\u7fd2\u5f97\u304c\u671b\u307e\u3057\u3044\u5185\u5bb9<\/strong>\u300d\u306b\u5bfe\u5fdc\u3059\u308b\u76ee\u5b89\u3092\u8a2d\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u300c\u533b\u5b66\u90e8\u5352\u696d\u6642\u306b\u5168\u54e1\u304c\u7fd2\u5f97\u3059\u3079\u304d\u5185\u5bb9<\/strong>\u300d\u3092\u8a55\u4fa1\u3059\u308b\u8a66\u9a13\u3068\u3057\u3066\u300c\u65e5\u672c\u533b\u5b66\u82f1\u8a9e\u691c\u5b9a\u8a66\u9a13\u5fdc\u7528\u7d1a<\/strong><\/span><\/span><\/a><\/span>\u300d\u3068\u3044\u3046\u3082\u306e\u3082\u8a2d\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span>\r\n<\/p>\r\n\r\n

\u3053\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u82f1\u8a9e\u306e4\u6280\u80fd\u306b\u5206\u3051\u3066\u533b\u5b66\u82f1\u8a9e\u306e\u904b\u7528\u80fd\u529b\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u533b\u5b66\u82f1\u8a9e\u3067\u300c\u4f55\u3092<\/strong>\u300d\u5b66\u3076\u3079\u304d\u304b\u3001\u3068\u3044\u3046\u3053\u3068\u3092\u5b9a\u7fa9\u3059\u308b\u3068\u300c\u533b\u5e2b\u3068\u3057\u3066\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3092\u82f1\u8a9e\u3067\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u80fd\u529b<\/strong><\/span>\u300d\u3068\u8a00\u3048\u307e\u3059\u3002\u3064\u307e\u308a\u300c\u533b\u7642\u9762\u63a5<\/strong><\/span>\u300d\u300c\u8eab\u4f53\u8a3a\u5bdf<\/strong><\/span>\u300d\u300c\u60a3\u8005\u6559\u80b2<\/strong><\/span>\u300d\u3068\u3044\u3063\u305f\u60a3\u8005\u3055\u3093\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3<\/strong>\u3084\u3001\u300c\u75c7\u4f8b\u5831\u544a<\/strong><\/span>\u300d\u300c\u8ad6\u6587\u8aad\u89e3<\/strong><\/span>\u300d\u300c\u8ad6\u6587\u57f7\u7b46<\/strong><\/span>\u300d\u300c\u53e3\u982d\u767a\u8868<\/strong><\/span>\u300d\u3068\u3044\u3063\u305f\u4ed6\u306e\u533b\u5e2b\u3084\u533b\u7642\u8005\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3<\/strong>\u3092\u82f1\u8a9e\u3067\u3067\u304d\u308b\u80fd\u529b\u3092\u8eab\u306b\u3064\u3051\u308b\u3053\u3068\u304c\u3001\u533b\u5b66\u82f1\u8a9e\u6559\u80b2\u3067\u306e\u5b66\u4fee\u5185\u5bb9\u3068\u306a\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u3067\u306f\u3001\u305d\u306e\u3088\u3046\u306a\u300c\u533b\u5e2b\u3068\u3057\u3066\u306e\u82f1\u8a9e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u80fd\u529b<\/strong>\u300d\u3092\u300c\u3069\u306e\u3088\u3046\u306b<\/strong>\u300d\u5b66\u3079\u3070\u826f\u3044\u306e\u3067\u3057\u3087\u3046\uff1f\u305d\u3053\u3067\u6700\u3082\u6709\u52b9\u306a\u65b9\u6cd5\u304c\u300c\u533b\u5b66\u82f1\u8a9e\u3092\u5b66\u3076<\/span>\u300d\u306e\u3067\u306f\u306a\u304f\u3001\u300c\u533b\u5b66\u3092\u82f1\u8a9e\u3067\u5b66\u3076<\/strong><\/span>\u300d\u3068\u3044\u3046\u65b9\u6cd5\u3067\u3059\u3002\u3053\u308c\u306f\u5916\u56fd\u8a9e\u5b66\u4fee\u306e\u5206\u91ce\u3067\u306f\u300c\u5185\u5bb9\u8a00\u8a9e\u7d71\u5408\u578b\u5b66\u4fee<\/strong>: C<\/strong>ontent and L<\/strong>anguage I<\/strong>ntegrated L<\/strong>earning (CLIL<\/strong><\/span>)\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e CLIL \u306f\u65e5\u672c\u306e\u5c0f\u4e2d\u9ad8\u7b49\u5b66\u6821\u3067\u306e\u82f1\u8a9e\u6559\u80b2\u306b\u5c0e\u5165\u3059\u308b\u306b\u306f\u3068\u3066\u3082\u96e3\u3057\u3044\u65b9\u6cd5\u306a\u306e\u3067\u3059\u304c\u3001\u53d7\u9a13\u3092\u901a\u3057\u3066\u57fa\u790e\u82f1\u8a9e\u529b\u304c\u5099\u308f\u3063\u3066\u3044\u308b\u533b\u5b66\u751f\u306b\u306f\u3001\u5927\u5909\u6709\u52b9\u306a\u5b66\u4fee\u65b9\u6cd5<\/strong>\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u73fe\u306b\u82f1\u8a9e\u3092\u6bcd\u8a9e\u3068\u3057\u306a\u3044\u56fd\u3084\u5730\u57df\u306e\u533b\u5b66\u90e8\u3067\u3082\u82f1\u8a9e\u306e\u6559\u79d1\u66f8\u3092\u4f7f\u3044\u3001\u5b9a\u671f\u8a66\u9a13\u3082\u82f1\u8a9e\u3067\u51fa\u984c\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u65e5\u672c\u306e\u3088\u3046\u306b\u6bcd\u8a9e\u3060\u3051\u3067\u533b\u5b66\u6559\u80b2\u3092\u3059\u308b\u56fd\u306e\u65b9\u304c\u4e16\u754c\u3067\u306f\u5c11\u6570\u6d3e<\/strong>\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u3055\u3089\u306b\u533b\u5e2b\u304c\u76ee\u6307\u3059\u82f1\u8a9e\u529b\u306e\u6700\u4f4e\u57fa\u6e96\u3068\u3057\u3066\u3001Common European Framework of Reference for Languages<\/strong>\uff08\u30e8\u30fc\u30ed\u30c3\u30d1\u8a00\u8a9e\u5171\u901a\u53c2\u7167\u67a0<\/strong>\uff09\u300c\u901a\u79f0 CEFR<\/span><\/strong>\uff08\u30bb\u30d5\u30a1\u30fc\u30eb<\/strong>\uff09\u300d\u3067\u5b9a\u3081\u3089\u308c\u3066\u3044\u308b CEFR B2 \u30ec\u30d9\u30eb<\/strong><\/span><\/span><\/a> \u304c\u8003\u3048\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u300e\u4e2d\u4e0a\u7d1a\u30ec\u30d9\u30eb<\/strong>\u300f\u306e\u82f1\u8a9e\u529b\u3067\u3042\u308a\u3001\u56fd\u7c4d\u3084\u6bcd\u8a9e\u306b\u95a2\u308f\u3089\u305a\u5168\u3066\u306e\u533b\u5e2b\u304c\u7372\u5f97\u3059\u3079\u304d\u6700\u4f4e\u9650\u306e\u82f1\u8a9e\u529b<\/strong>\u3068\u8a00\u3048\u307e\u3059\u3002\u307e\u305fUSMLE\u306e\u5408\u683c\u81ea\u4f53\u306b\u306f CEFR B2 \u30ec\u30d9\u30eb\u306e\u82f1\u8a9e\u529b\u3067\u3082\u5bfe\u5fdc\u3067\u304d\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u81e8\u5e8a\u7559\u5b66\u3059\u308b\u3068\u306a\u308b\u3068 CEFR C1 \u30ec\u30d9\u30eb<\/span><\/strong>\uff08<\/span>\u300e\u4e0a\u7d1a\u30ec\u30d9\u30eb\u300f<\/span><\/strong>\uff09<\/span><\/span><\/a>\u4ee5\u4e0a\u306e\u82f1\u8a9e\u529b\u304c\u5fc5\u8981\u3067\u3059\u3002<\/span><\/p>\r\n\r\n

\u3057\u304b\u3057\u56fd\u969b\u6559\u80b2\u4ea4\u63db\u5354\u8b70\u4f1a\uff08CIEE\uff09\u65e5\u672c\u4ee3\u8868\u90e8\u306b\u3088\u308b\u3068\u3001\u65e5\u672c\u306e\u533b\u5b66\u90e8\u306eTOEFL ITP \u306e\u5e73\u5747\u70b9\u306f\u4e2d\u7d1a\u3067\u3042\u308bCEFR B1\u30ec\u30d9\u30eb\u306b\u76f8\u5f53\u3059\u308b483\u70b9<\/span>\u3067\u3059\u3002\u7686\u3055\u3093\u3082\u540c\u7d1a\u751f\u306e\u82f1\u8a9e\u529b\u3092\u898b\u3066\u5b89\u5fc3\u3055\u308c\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001COVID-19 pandemic \u4ee5\u964d\u306e\u4e16\u754c\u3067\u306f\u8a3a\u7642\u306e\u30aa\u30f3\u30e9\u30a4\u30f3\u5316\u3082\u9032\u307f\u3001\u65e5\u672c\u306e\u533b\u5e2b\u306b\u6c42\u3081\u3089\u308c\u308b\u82f1\u8a9e\u529b\u3082\u3069\u3093\u3069\u3093\u9ad8\u304f\u306a\u3063\u3066\u3044\u304f\u3053\u3068\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n\r\n

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\r\n\u3000\u2022\u3000\u65e5\u672c\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u306e\u82f1\u8a9e\u554f\u984c\u3067\u3082\u7c73\u56fd\u306e\u533b\u5e2b\u56fd\u5bb6\u8a66\u9a13\u3067\u3042\u308b USMLE \u3068\u540c\u3058\u3088\u3046\u306a\u82f1\u8a9e\u3067\u306e\u81e8\u5e8a\u554f\u984c<\/strong>\u304c\u51fa\u984c\u3055\u308c\u3066\u304d\u3066\u3044\u308b<\/span>
\r\n\u3000\u2022\u3000USMLE\u306f\u300c\u3053\u308c\u306b\u53d7\u304b\u308c\u3070\u81e8\u5e8a\u533b\u3068\u3057\u3066\u306e\u8cc7\u683c\u304c\u4e0e\u3048\u3089\u308c\u308b\u300d\u3068\u3044\u3046\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u300c\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306b\u53c2\u52a0\u3059\u308b\u305f\u3081\u306e\u624b\u7d9a\u304d\u306e\u4e00\u3064<\/strong><\/span><\/span><\/a>\u300d\u3067\u3042\u308b<\/span>
\r\n\u3000\u2022\u3000\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306b\u53c2\u52a0\u3059\u308b\u305f\u3081\u306b\u306f Step 1 \u3068 Step 2 CK \u306e2\u3064\u306e\u8a66\u9a13\u306b\u5408\u683c\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/span>
\r\n\u3000\u2022\u3000\u7c73\u56fd\u3067\u306e\u81e8\u5e8a\u7814\u4fee\u306f\u5927\u304d\u304f\u5206\u3051\u3066 Residency Programs<\/strong> \u3068Fellowship Programs<\/strong> \u306e2\u7a2e\u985e\u304c\u3042\u308b<\/span>
\r\n\u3000\u2022\u3000Residency Program \u306b\u30de\u30c3\u30c1\u30f3\u30b0\u3059\u308b\u305f\u3081\u306b\u306f\u300c\u7c73\u56fd\u306e\u75c5\u9662\u3067\u81e8\u5e8a\u5b9f\u7fd2\u30fb\u7814\u4fee\u3092\u7d4c\u9a13\u3057\u3001\u305d\u306e\u969b\u306b\u6307\u5c0e\u3057\u3066\u304f\u308c\u305f\u533b\u5e2b\u304b\u3089\u300e\u7d20\u6674\u3089\u3057\u3044\u300f\u63a8\u85a6\u72b6\u3092\u3082\u3089\u3046\u300d\u3053\u3068\u304c\u5fc5\u9808\u3068\u306a\u308b<\/span>
\r\n\u3000\u2022\u3000Residency Program \u306b\u30de\u30c3\u30c1\u30f3\u30b0\u3059\u308b\u305f\u3081\u306b\u306f\u5b66\u751f\u6642\u4ee3\u304b\u3089\u300c\u81e8\u5e8a\u7814\u4fee<\/strong>\u300d\u300c\u7814\u7a76\u6d3b\u52d5<\/strong>\u300d\u300c\u30ea\u30fc\u30c0\u30fc\u30b7\u30c3\u30d7<\/strong>\u300d\u300c\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2<\/strong>\u300d\u306b\u95a2\u3059\u308b\u696d\u7e3e\u4f5c\u308a\u304c\u91cd\u8981\u3068\u306a\u308b<\/span>
\r\n\u3000\u2022\u3000\u7c73\u56fd\u3067\u306e\u6c38\u4f4f<\/strong>\u3092\u8003\u3048\u3066\u3044\u308b\u306e\u3067\u3042\u308c\u3070\u3001Residency Program<\/strong> \u3067\u306e\u7814\u4fee\u304c\u5fc5\u8981\u3060\u304c\u3001\u65e5\u672c\u306e\u533b\u5b66\u90e8\u5352\u696d\u8005\u306b\u306f\u7af6\u4e89\u7387\u306e\u9ad8\u3044\u8a3a\u7642\u79d1<\/strong><\/span><\/span><\/a>\u3067\u306e\u30de\u30c3\u30c1\u30f3\u30b0\u306f\u307b\u307c\u4e0d\u53ef\u80fd\u3067\u3042\u308b<\/span>
\r\n\u3000\u2022\u3000\u65e5\u672c\u306b\u5e30\u56fd<\/strong>\u3059\u308b\u3053\u3068\u3092\u8003\u3048\u3066\u3044\u308b\u306a\u3089\u3070\u3001Fellowship Program<\/strong> \u3067\u306e\u7814\u4fee\u304c\u73fe\u5b9f\u7684\u306a\u9078\u629e\u80a2\u3067\u3042\u308b\u304c\u3001\u305d\u306e\u969b\u306b\u306f\u7814\u7a76\u3092\u76ee\u7684\u3068\u3057\u305f Research Fellow<\/strong> \u3068\u3057\u3066\u7559\u5b66\u3057\u3001\u81e8\u5e8a\u7814\u4fee\u5148\u3092\u78ba\u4fdd\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b<\/span>
\r\n\u3000\u2022\u3000\u533b\u5b66\u82f1\u8a9e\u3068\u306f\u300c\u533b\u5e2b\u3068\u3057\u3066\u306e\u82f1\u8a9e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u80fd\u529b<\/strong>\u300d\u3067\u3042\u308a\u3001\u5177\u4f53\u7684\u306b\u306f\u300c\u533b\u7642\u9762\u63a5<\/strong>\u300d\u300c\u8eab\u4f53\u8a3a\u5bdf<\/strong>\u300d\u300c\u60a3\u8005\u6559\u80b2<\/strong>\u300d\u3068\u3044\u3063\u305f\u60a3\u8005\u3055\u3093\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3084\u300c\u75c7\u4f8b\u5831\u544a<\/strong>\u300d\u300c\u8ad6\u6587\u8aad\u89e3<\/strong>\u300d\u300c\u8ad6\u6587\u57f7\u7b46<\/strong>\u300d\u300c\u53e3\u982d\u767a\u8868<\/strong>\u300d\u3068\u3044\u3063\u305f\u4ed6\u306e\u533b\u5e2b\u3084\u533b\u7642\u8005\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3092\u82f1\u8a9e\u3067\u3067\u304d\u308b\u80fd\u529b\u3068\u306a\u308b<\/span>
\r\n\u3000\u2022\u3000\u5168\u3066\u306e\u533b\u5e2b\u304c\u8eab\u306b\u3064\u3051\u308b\u3079\u304d\u4e00\u822c\u7684\u306a\u82f1\u8a9e\u529b\u306e\u76ee\u5b89\u3068\u3057\u3066 CEFR B2 \u30ec\u30d9\u30eb<\/strong>\u300c\u4e2d\u4e0a\u7d1a\u30ec\u30d9\u30eb<\/strong>\u300d<\/span><\/span><\/a>\u304c\u6319\u3052\u3089\u308c\u308b\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306e\u81e8\u5e8a\u7559\u5b66\u3092\u76ee\u6307\u3059\u306a\u3089 CEFR C1\u30ec\u30d9\u30eb<\/strong>\u300c\u4e0a\u7d1a\u30ec\u30d9\u30eb<\/strong>\u300d<\/span><\/a>\u4ee5\u4e0a\u306e\u82f1\u8a9e\u529b\u304c\u5fc5\u8981\u306b\u306a\u308b<\/span>
\r\n\u3000\u2022\u3000\u300c\u533b\u5b66\u82f1\u8a9e\u3092\u5b66\u3076\u300d\u306e\u3067\u306f\u306a\u304f\u3001\u300c\u533b\u5b66\u3092\u82f1\u8a9e\u3067\u5b66\u3076<\/strong>\u300d\u3053\u3068\u3067\u8eab\u306b\u3064\u3051\u308b\u306e\u304c\u533b\u5b66\u82f1\u8a9e\u5b66\u4fee\u306e\u738b\u9053\u3067\u3042\u308b<\/span>\r\n<\/p>\r\n\r\n

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\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

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