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研修医日記/医療法人社団 札幌皮膚病理診断科
Sapporo Dermatopathology Institute
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ダゲット留理/研修医日記1
研修にきて2ヶ月が経ちました。
夏の北海道は快適です。
そして、研究所は札幌駅にも近く暮らしやすいです。
何よりも、食べ物が美味しくてグルメな街。
週末もお気に入りのカフェに行ったり、食べ歩いたりと、生活も存分に楽しんでいます。

さて、研修のほうはというと、1ヶ月目は木村先生の丁寧な解説付きでひたすらスライドを見ました。
初日いきなり160件ほどスライドを見たと思います。
私たち研修医が見る検体数は、毎日およそ130~200件です。
最初はメモをとるだけで精一杯の状態。
1日ノート1冊ペースでした。
冗談抜きに右手は腱鞘炎になるかと思ったほどです。
3週間ほど経つとメモをとる量は減ってゆきました。
最近は自分が気になる例のみ書き留めています。
殴り書きのメモノートですが、現在12册目になります。
ちなみに、今日の検体数は200を超えていたらしいのですが、
「えっ?そんなにありましたっけ?」と話していたほどです。
だんだん感覚が「麻痺」してきたかもしれません。
木村先生の診断は速いです。
それでも初学者に対して理路整然と説明してくださります。
あれだけのスピードで、診断を翌日に残さない、スタッフにも残業なし、を徹底されるのはすごいと思います。スタッフの方々も手際がよく、無駄な動きはないといつも感心してしまいます。

木村先生はヒアリングをして、個人の希望を聞いてくれます。
臨機応変に研修を組み立てられるのも良い点です。
私は水曜午後に研究日をいただいたので、残りの1ヶ月で自分の課題を消化したいと思います。
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Wang Lei(王 雷)/The Third Month at Sapporo Dermatopathology Institute 
 Three months has past since I arrived at Sapporo. In this month I had the opportunity to participate the annual meeting of Japanese Society of Dermatopathology. Totally 34 cases were presented in the whole day and most of the cases were very difficult for me, it was estimated that I could only correctly diagnose about 60-70% of them. Through this meeting, I tested the diagnose ability of myself and realized I have a very large space for promotion. Another feeling of that meeting was that every speaker prepared delicate PPT for presentation; almost every case was accompanied by completely history, immunohistochemistry results and definite diagnosis. I am also impressed that all of the diagnosis from the speakers will be collected and put together for arriving the correct diagnose.


 I was also excited to have the opportunity to participate the memory ceremony of Professor Ackerman in Tokyo Ginza Hotel. All of the participators were trainees of Professor Ackerman or faithful fans of him. Professor Ackerman’s sister and nephew also attended the ceremony. In the ceremony everyone shared his memories with Professor Ackerman and I learned a lot of details of Professor Ackerman’s work and life. Even I did not meet him; I was greatly influenced by his articles, books and lectures. I am lucky and fortunate to be a student of Dr. Kimura, the best Japanese student of Ackerman.


 In this month I have almost finished an article about hemangioma. This work was finished base on an observation of more than 100 samples from Xijing hospital and Sapporo dermatopathology institute. Dr. Kimura told me to have original ideas and to prove it with strong evidences; I think this article may represent an original idea of me.


 One week ago my wife has arrived Sapporo. We are really happy to enjoy the life in Sapporo and we knew it was Dr. Kimura, who helped us to realize it.
Wang Lei(王 雷)/The Second Month at Sapporo Dermatopathology Institute
Time past very fast and I have been at Sapporo for two months.
There were many things needed for record in the past month.


 I really enjoy my training at Sapporo Dermatopathology Institute. Every working day I will read more than 100 cases and will encounter special cases which I have never seen in my experience or I only have read them from literature. I will make diagnosis to every case before Dr Kimura signing out; when I missed the diagnosis or when we have different opinions he will ask me for a short discussion. I really love this training method and feel I am improving in many aspects: I learned to read slides more carefully, even those common “cysts”, “nevus” and “dermatitis”; I accepted new opinions, just like “keratoacanthomas patten”. I get improved from my mistakes, such as misdiagnose trichodiscoma as fibrous papule, misdiagnose of melanoma as atypical fibroxanthoma, misdiagnose of poroid carcinoma as Bowen’s disease. I tried to record every mistake I have made and tried my best not to fall into the same trap.

 Dr. Kimura is not only a good teacher of dermatopathology, but also a good teacher of English. He modified my English pronunciation in many details. I really appreciate him for teaching me in many aspects. In the future I will have many opportunities to communicate with dermatopathologists in the world. I still have a long way to go, both in my diagnose skills and English speaking. I also want to thank him for send me books, rice, foods, T shirts and so on. It’s really lucky for me to have met such a good teacher in my life.


 In last month I attended the 386th Hokkaido Dermatology meeting together with Dr Kimura and Dr Anan at Asahikawa. The most impressive thing for me is the meeting was well organized and there were many participators, including both famous professors and young doctors. I am trying to compare it with the meeting in China in many aspects and feel we really need to learn a lot from our Japanese colleagues. On the meeting Dr. Kimura was very active and raised a lot of questions. In September it’s my turn to give a case presentation; I will try my best and prepare it well.

 Two weeks ago I was welcomed by all of the members of the institute. We enjoyed Japanese sushi at a very nice restaurant. I like the food and eat too much in that day. I would like to thank all of the members in the institute for your enthusiasm and warm helps.


 After the first month I became familiar with Sapporo and enjoy the simple life at here. In the weekend I will choose not to visit the city curiously, but to stay in the room to read a lot of books and articles. I know my time is limited and I have to get as much knowledge as I can.


 I am very excited because my wife will come to Sapporo in August. Dr. Kimura and Ms. Sato have given me many helps for applying the visa. In last year we hold the wedding ceremony in the same day that Dr Kimura visited Xi’an, but we don’t have time to enjoy our honeymoon because of my busy work. I hope we will have good memory at Sapporo.
荻原護久/研修医日記 1
はじめまして。Ackerman皮膚病理研究所で7月から3か月間予定で研修させて頂いております。

2カ月が経ちましたが、あっという間の毎日で、充実した日々を送らせていただいております。

私の当研究所を知るきっかけは、5年ほど前に東京で行われた某薬剤メーカー主催の記念会で木村先生の講演を聞いたことでした。その後、当研究所の講習会にも参加させていただき、『いつか本場の札幌で勉強できたならなあ』という淡い想いをもっていました。

しかし東京から離れていることもあり、なかなか決断することもできませんでしたが、あと数年で研修期間終了予定ということを知り、今回思い切って決断させていただきました。そして私の希望に、快く了承して下さった東邦大学の石河教授にも、とても感謝しております。有難うございました。

研修当初は、リーディングについていくのも精一杯でしたが、週を重ねるごとに、少しずつ理解もできるようになって自分で診断できる疾患も徐々に増えてきた気がします。疾患へのアプローチの仕方、皮膚科医や病理医の在り方、他雑学含め多岐にわたる木村先生のお話は毎日勉強になり新鮮な毎日です。また北大病理部や皮膚科のカンファレンスにも参加し、他大学を見学する機会をいただけることは、とてもいい刺激になっています。

今回学んだことを医局の後輩にも、伝えることができればと思っております。
研修もあと1か月を残すばかりとなりましたが、頑張っていきたいと思います。
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