{"created":"2025-04-21T01:37:18.398462+00:00","id":2000810,"links":{},"metadata":{"_buckets":{"deposit":"0c88c70c-6571-482d-beb8-8e6e964c3ee6"},"_deposit":{"created_by":90,"id":"2000810","owners":[90],"pid":{"revision_id":0,"type":"depid","value":"2000810"},"status":"published"},"_oai":{"id":"oai:tmu.repo.nii.ac.jp:02000810","sets":["1730506463145"]},"author_link":["64141","64605"],"control_number":"2000810","item_30002_access_rights4":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_30002_alternative_title1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"\"Selection and Concentration” in Medical Education: The Hospitalist Training System in Hawaii","subitem_alternative_title_language":"en"}]},"item_30002_bibliographic_information29":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2025-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"15","bibliographicPageStart":"1","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"茨城県立病院医学雑誌","bibliographic_titleLang":"ja"}]}]},"item_30002_creator2":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"伊東, 完","creatorNameLang":"ja"},{"creatorName":"イトウ, ヒロシ","creatorNameLang":"ja-Kana"},{"creatorName":"Ito, Hiroshi","creatorNameLang":"en"}],"familyNames":[{"familyName":"伊東","familyNameLang":"ja"},{"familyName":"イトウ","familyNameLang":"ja-Kana"},{"familyName":"Ito","familyNameLang":"en"}],"givenNames":[{"givenName":"完","givenNameLang":"ja"},{"givenName":"ヒロシ","givenNameLang":"ja-Kana"},{"givenName":"Hiroshi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"64141","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"野木, 真将","creatorNameLang":"ja"},{"creatorName":"ノギ, マサユキ","creatorNameLang":"ja-Kana"},{"creatorName":"Nogi, Masayuki","creatorNameLang":"en"}],"familyNames":[{"familyName":"野木","familyNameLang":"ja"},{"familyName":"ノギ","familyNameLang":"ja-Kana"},{"familyName":"Nogi","familyNameLang":"en"}],"givenNames":[{"givenName":"真将","givenNameLang":"ja"},{"givenName":"マサユキ","givenNameLang":"ja-Kana"},{"givenName":"Masayuki","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"64605","nameIdentifierScheme":"WEKO"}]}]},"item_30002_description9":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"茨城県の医師不足問題に対応するため，米国ハワイ州におけるホスピタリスト育成システムの実態を調査した。Queen’s Medical CenterおよびUniversity of Hawaii John A. Burns School of Medicineでは，教育重視の診療チーム編成や臨床推論を中心としたカンファレンスを通じて，自律的に行動できる医師を育成している。本研究はその教育手法と運営体制を記述し，日本の医療現場への応用可能性を考察した。教育と臨床の明確な分離と，「選択と集中」の概念を基にした教育体制の再編が，地域医療の持続可能性向上に寄与する可能性がある。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_30002_file35":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-04-21"}],"filename":"茨城県立病院医学雑誌4102p1.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"本文","objectType":"fulltext","url":"https://tmu.repo.nii.ac.jp/record/2000810/files/茨城県立病院医学雑誌4102p1.pdf"},"version_id":"3261fac5-f5d2-4791-b4a8-df9579f558b4"}]},"item_30002_language12":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_30002_resource_type13":{"attribute_name":"item_30002_resource_type13","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_30002_rights6":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"© 2025 茨城県立病院医学雑誌編集委員会. 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