When I work as an industrial physician, psychosomatic knowledge is essential. Some people are suffering from mental disorders and can't engage in their work. The industrial physician has to help them come back to their work in cooperation with their doctors and company staff members. However, I have little experience about the therapy of mental disorders, so I decided to work as a physician at a hospital caring for patients with mental disorders once a week. I have worked on the front line of the emergency medical service for 35 years. I can cope with a variety of situations which require prompt treatments like surgeries in the head, chest, abdomen, and what's more, delivery, renal dialysis, and so on. I can deal with almost anything which needs urgent measures. However, I'm an ordinary man in the field of psychiatry and psychosomatic medicine.
If I work in a psychiatric hospital even one day in a week, I can, I thought, frankly ask questions I feel in my work as an industrial physician to professional psychiatrists for instance during lunch time. I would be able to see their consultation or get something in the conferences between professionals. You might say, "You should learn them by yourself!" I believe, it's correct, but I would lose my patience in such a way, and I'm going to learn professional techniques in the way of a shop boy near a temple.
(Vocabulary)
以下全て、『門前の小僧習わぬ経を読む』
A shop boy near a temple will recite the scriptures untaught.
You learn, without realizing it, from what is around you.
A saint's maid quotes Latin.
The sparrows near the school sing the primer.
産業医をするにあたり、心療内科の知識が不可欠と聞いているので、週に1日、精神科、心療内科を標榜している病院に内科医として勤務することにした。これまで救急医療に携わってきた。専門領域の境界を越えて、緊急で行わなければ救命できないような状況に対応するため、開頭、開胸、開腹、お産や透析、心カテなど、およそ緊急性が問われるものにはたいていのことに対応できる。が、心療内科や精神科だけは経験が無いのだ。
産業医業務の中で生まれた疑問点をランチをとりながら専門家に気軽に尋ねることが出来るし、専門家の診察を見学したり、専門医同士の会話の中に得るものが多々有ると思う。自分で勉強すれば良いのだろうが、根気が続かないだろうと思われ、『門前の小僧』方式で学ぶつもり。
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