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11/22(水)

●目指す医師像
総合内科医
問診を極めたい

●今の目標

●本日の新患・診断
・吐血 乳頭部腫瘍?
・上部消化管穿孔

●本日の勤務時間
6時半〜23時

●本日行ったこと・見たこと・知ったこと
・外科カンファ
・ラパコレ
・鼠径ヘルニア修復

●今日うまくいかなかったこと・失敗
・救急な問診をし損ねた。
・カンファのプレゼンがどうにもうまくいかない。覚えていられない。15名程度なのだけれど。
責任を持っている患者がいないから、経過を覚えられない? 手術に入ってないからわからない?
患者の深いけれど大切なポイントを流してしまうのはだめ。無責任な気持ちでいるから流してしまう?? カルテを見ながらプレゼンしてみようか。
・知ったかぶりをしていると言われる。自覚はないが、そんな顔をしているのかな? 記録資料を探したがっているところをそうみられるのか? 悔しい気持ちが顔に出ているのかな? 検索すべき知識なのか、聞くべき知識なのか、嗅覚が働いていない。

●今の気持ち・今後学びたいこと・気づいたこと
・知ったかぶり、言い訳、おべっか、は、教える気がおきないもの。でも言い訳しないと、状況どこまでも悪くなっていくしなぁ。教えてもらわなくてもいいという方針でいくか?
・病気ありき、という考え方だとおこられるのだけれど、その感覚がまだつかめない。頭の構造をどうかえよう?

●明日の予定
・ACLS講習手伝い

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