http://jpsmodel.umin.jp/ - PowerPoint PPT Presentation

Title: http://jpsmodel.umin.jp/


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???? http//jpsmodel.umin.jp/
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(??55???????859?)
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??????????????????2004)
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???????2005
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20? 68.2 814 15.9
30? 62.9 1446 13.2
40? 58.9 1241 12.5
50? 52.5 664 11.3
60? 46.9 122 8.6
70? 46.0 23 13.8
80? 40.0 1 .
?? 60.6 4325 14.3
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????????????2006
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????????????????????? ?????????????(???)
?????????????primary care ????????????????????????
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???on call
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on call
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2?
24
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1. ???????????????????????????????(2004?3?)
2. 47??????(?????)?????????????(2004?4?)??????
3. ???????????????????????
4. 36?????????(2006?3???)
5. ?????????????(2007?1?)
6. ????????????60???????????

25
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2004?3? ?????????????????????? 2004?6? ???????????
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??? 2004?6? ????????????? ??(2006?3?) ??URL
http//jpsmodel.umin.jp ????????????????? 2005? ?
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2006?3??? 36???????????????? ????
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8,200?
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34

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39
????????????????????? ??????? UK, EU
source Royal College of Paediatrics and Child
Health 2003 THE WORKING TIME DIRECTIVES
(AMENDMENT) REGULATIONS 2003 - DEROGATION   The
provisions of the Working Time (Amendment)
Regulations 2003 Working Time Limits From 1
August 2004, doctors in training will be subject
to weekly working time limits, which will be
phased in as follows 58 hours from 1 August
2004 to 31 July 2007. 56 hours from 1 August
2007 to 31 July 2009. 48 hours from 1 August
2009.
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• NY Resident, USA
• Our Work Rules and the ACGME
• Hard Rules
•  
• 80 hours/wk
• 17 days off averaged over the block
• 30 hour duty limit, no admits after 24 hours
• 10 hours between shifts
•   Accredited Council for Graduate Medical
  Education

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43
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44
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45

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46
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(?????????????????????ICU???????)
47
????????????? ??????????????????
?????????????? ??????????? 5,000-6,500? NICU
9,000? ????????(200???)?????????
(?????????????????????????DPC????? ?????)
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