Ｓａｉｎｔ−Ｆｒａｎｃｅｓ Guide

今年度はやっつけ仕事だった学生教育ですが、来年度（来週）からは本腰を入れてやらなければ。ＧＩＯやＳＢＯとか計画書に書かされるのですが、こういうお題目が役に立った試しはないです。研修医のＥＰＯＣも全然役に立たないので、神戸大では廃止したい、と提案しているところです。

では、どんなものが役に立つかというと、例えばこんな本です。Saint-Francesの学生実習用の教科書で、入院、外来用があります。とてもいいことがたくさん書いてある。

Clinical medicine is not about how much you know. Instead, it is about
1. Methodically applying what you ko know;
2. Recognizing when you do not know; and
3. Knowing how to find the knowledge you need.

Recognize that human interactions are complex. Expect complexity.

Tacit knowledge may limit the ability of your superiors to teach you. Tacit knowledge means knowing how to perform a task but not remembering how you learned it. Once a skill has become tacit, it is difficult to teach it to students. This is why experts in a topic can be the worst teachers and why some of your best attendings may find it hard to explain to you how they do the great things they do. This book provides insight into what has made your great role models great.

We are what we repeatedly do. Excellence then is not an act, but a habit.

Medicine requires teamwork. Each team member has a role. Roles are ultimately established by the team.

文章もとても美しいですね。