女性診療の視点による心身医学教育  [in Japanese] Training for Psychosomatic Medicine Applied to Medically Treated Women  [in Japanese]

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Author(s)

    • 森村 美奈 Morimura Mina
    • 大阪市立大学大学院医学研究科総合医学教育学 Department of Medical Education and General Practice, Osaka City University Graduate School of Medicine

Abstract

<p>日本において心身医学を立ち上げた先人たちの教育方針が, 現在の医学教育の根幹をなしているといえる. そこで, 本学の医学教育の変遷とともに, 女性診療の視点での心身医学教育を検討してみた. 女性診療における心身医療を学ぶうえで重要なアウトカムは, "世代ごとの女性ホルモンの変化や女性特有の疾患が女性の心身に及ぼす影響を理解し, それに配慮して診療ができる" ことであると考える. そこで, われわれは女性診療に関する講義と, 女性診療のシミュレーション実習や臨床実習を試みてきた. その中で, 女性ホルモンの周期的変化が作り出すさまざまな心身症状や, 女性ホルモンの低下と心理的・社会的背景が関与する周閉経期の医療について, 医学生や研修医が能動的に学ぶ教育を目指している. すなわち単に病気を診るだけでなく, 一人の女性に起きた心身の変化とその相関および社会的背景を理解できる医療者が育つ環境を作っていきたい.</p>

<p>The foundation of medical education in today's Japan is based on the ideas of pioneers who introduced psychosomatic medicine to Japan. Based on this premise, we reviewed the existing training methods and curriculum of psychosomatic medicine along with the transition of medical education for women at our medical school.</p><p>During studying psychosomatic medicine relating to women's health, our most important realizations include an essential understanding of the overall effects on women's mental and physiological states, and of hormonal changes due to the age of patients and specific female diseases. These findings make it possible to treat female patients accordingly.</p><p>Above all, for this purpose we have designed curriculums for psychosomatic medicine with the focus on woman's health and by utilizing simulation workshops and clinical practical training.</p><p>Our basic objective is to formulate the most appropriate curriculum for medical students and resident physicians, primarily focusing on the psychosomatic symptoms of periodic female hormonal changes and decreases in the female hormone level of perimenopausal patients with different psychological and social backgrounds.</p><p>In summary we would like continuously to identify the overriding psychological and social circumstances through which medical personnel may learn to understand a patient's specific disease. We would also attach importance to the learning environment where medical persons may come to understand psychosomatic symptoms affecting patients and their measurable correlation to the mental state and the social background.</p>

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 58(8), 696-702, 2018

    Japanese Society of Psychosomatic Medicine

Codes

  • NII Article ID (NAID)
    130007539599
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • ISSN
    0385-0307
  • NDL Article ID
    029361323
  • NDL Call No.
    Z19-26
  • Data Source
    NDL  J-STAGE 
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