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「イガケンGO」20171110
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2017/11/10に開催された「イガケンGO」のスライド資料です。
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Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
RachelPearson36
During this webinar, Anand Bagmar demonstrates how AI tools such as ChatGPT can be applied to various stages of the software development life cycle (SDLC) using an eCommerce application case study. Find the on-demand recording and more info at https://applitools.info/b59 Key takeaways: • Learn how to use ChatGPT to add AI power to your testing and test automation • Understand the limitations of the technology and where human expertise is crucial • Gain insight into different AI-based tools • Adopt AI-based tools to stay relevant and optimize work for developers and testers * ChatGPT and OpenAI belong to OpenAI, L.L.C.
Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
Applitools
To succeed in your career, you need a strategy for sending out ripples of influence. Here are 12 ways you can start doing just that.
12 Ways to Increase Your Influence at Work
12 Ways to Increase Your Influence at Work
GetSmarter
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Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...
Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
Unlocking the Power of ChatGPT and AI in Testing - A Real-World Look, present...
12 Ways to Increase Your Influence at Work
12 Ways to Increase Your Influence at Work
「イガケンGO」20171110
1.
2017年11月10日 五十嵐健祐
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五十嵐健祐(いがらしけんすけ) 群馬県高崎市出身 慶應義塾大学医学部卒 内科、循環器内科医 お茶の水内科院長 デジタルハリウッド校医兼特任准教授 https://www.fb.com/igakeso igarashi@ochanomizunaika.com お茶の水内科開発アプリ 心房細動検出アプリ 「ハートリズム」 かかりつけ患者さん向け オンライン診療受付アプリ 「お茶の水内科」 応急救護支援アプリ 「ハートレスキュー」 睡眠時無呼吸検出アプリ 「イビキー」 診察券機能付き ウォーキングアプリ 「おちゃないGO」 なんちゃってキュレーションメディア 「ちょっとキニナル情報たれ流しw」管理人
3.
今日は「イガケン」自体がテーマ らしいw 期間限定、あの伝説のポケモン「イガケン」が入手出来るかも!? 今回は「遠隔医療」や「コミュニティ」のようなテーマはありません。ゲスト五十 嵐健祐先生が自分の人生史を振り返りながら、何故今の活動に至ったのかを紐解い ていく企画です! 普段は「デジタルヘルス」や「遠隔医療」というテーマでまとめ講演が多いのです が、今回は人生を振り返りながらドクターでありアントレプレナーで有り続けるモ チベーションや原体験を探ります。 「人」に焦点をあてたSHIPだからこそ実現したスペシャル企画です。乞うご期待。 限定20名(スタッフ除く)です! 【イベント概要】 IGAKEN GO! 日時:11月10日(金)
20:00~23:30 場所:東京ヘルスアビレッジ 東京都新宿区大久保1-1-10 グンカン東新宿ビル 502 都営大江戸線副都心線「東新宿」駅A1出口より徒歩2分 参加費:3,000円(懇親会費込) *受付にてお支払いください 定員:20名 対象:五十嵐先生の人生に興味のある方 SHIPとは、Shinjuku Healthcare Incuvation Parkの略で、ヘルスケアに特化した インキュベーションコミュニティです。東京都の補助金事業で運営されております。 (HP参照:http://www.highz-inc.jp/cont11/main.html)
4.
今日の目次 ・生い立ち:生まれ、小学校、中学校、高校、浪人 ・大学生時代 ・研修医時代 ・開業医時代 ・これから ・質疑応答など、
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生い立ち ・1985年、群馬県高崎市生まれ、 ・両親は教師、母、小学理科、父、中学技術 ・三人兄弟の長男、弟と妹は双子 ・父方は農家、大工、母方、駅前の売店、ガソリン、トラック 小学校までは、科学少年、 週末は母と一緒におもしろ科学教室、 科学のアルバム、百科事典 分子模型を自作していたらしい 温泉、スキー
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小学校、中学校 ・多動児 ・じっと座っていられない ・教室の窓から紙飛行機を飛ばしていた ・いたずら好き、親を呼び出されていた ・学童保育、将棋、けん玉、水泳、木登り ・好きな科目は図画工作 ・得意な科目は数学、理科、 ・アインシュタインの特殊相対性理論を読んでいた ・おもしろ科学教室の講師を手伝い ・変わり者、いじめられたらやり返す ・中学校でも問題児
7.
高校生、浪人生 ・群馬県のバンカラ高校、高崎高校、高高(タカタカ) 文武両道、受験は何回でも出来る、高校時代は一回しかない ・翠巒祭実行委員会、応援指導部、下駄愛好会 ・学園祭広報、地域協賛、広告、マーケティング ・応援指導部、鼓手隊長、伝統と革新のバランス ・右手骨折、大学受験爆死、一年浪人 ・駿台お茶の水、神保町の古本屋、問題集一日一冊 ・哲学書、歴史書、文学書を読み漁る 岩波文庫の「青」と「白」 結果、「普遍なものなど何もない」ことを悟る ・「未知」がまだ残っている、脳か宇宙 ・一年後、慶医、慈恵、順天、東大理一、合格 理三不合格、東大を蹴って慶應へ
8.
今日の目次:やっと大学入学 ・生い立ち:生まれ、小学校、中学校、高校、浪人 ・大学生時代 ・研修医時代 ・開業医時代 ・これから ・質疑応答など、
9.
大学生 ・多動っぷりが炸裂 ・三田祭実行委員会、広報、出版、マスコミ対応 ・慶早戦実行委員会、六大学学園祭連盟、六慶祭 ・DTP、サークル冊子編集長、インカレも取材 ・jukusei150メーリス、ピーク8000人、新卒人材 ・SFC、村井研、国領研、ITの可能性のヤバさを知る ・マッキンゼー、メディヴァインターン ・株式会社ライフケアパートナーズ、仙台、グループホーム、市長選 ・株式会社ブレイクスルーラボラトリー、クリニック多店舗展開、仙台、 西新宿、高田馬場、目白、北千住、人材マネジメント、ハゲそうになる ・中国大連、日本人向けクリニック、薬卸、ステロイド反応性咳嗽 (CRC: Corticosteroid Responsive
Cough) 成人式の写真
10.
留年、停学、卒業 ・武林教授、公衆衛生学、再試ブッチ、無事留年 ・一年後、レポート、「仙台における施設型在宅訪問クリニックの立ち上 げ、日本の在宅医療の現状の課題と今後の展望」 ・末松医学部長呼び出し、停学、勉学に集中するように ・黒川先生、古川先生、人生相談 「まずは臨床をやってみて考えろ」←今振り返るとマジでその通り! ・一社売却、一社社長追い出され、一社精算 ・11月勉強スタート、クエスチョンバンク5週→医師国家試験合格 ・慶應の関連外、温泉、群馬の脳卒中病院へ ・学内で不定期で開催されたイガケン飲み→
11.
研修医 ・救急、自主的に勝手に当直、院内のPHS ・オンとオフが大事、オフは温泉 ・暇過ぎて「ハリソン内科学」通読w ・人間の死因:癌、心不全、肺炎、脳卒中、老衰 「救える疾患は血管疾患」 「認知症も修正可能なものは脳血管性認知症のリスク因子」と結論 「血管疾患を極めなければ!」→国立循環器病研究センターへ、 日本脳卒中学会、rt-PA講習会、質問しまくった、国循短期研修OKが出た ・脳血管内科、心血管カテーテル、心血管内科、猛者達 ・国循引退した先生、一次予防、減塩、禁煙、ウォーキング、脈チェック ・いきなり一次予防をやろうと決意! ・心房細動検出アプリ「ハートリズム」開発
12.
心房細動検出アプリ「ハートリズム」 日本初!アプリで心房細動検出!無症候性心房細動の発見、一次予防 デジタルヘルスとの出会い、目的、ITはそれを実現するための手段 開発のヒントは 温泉と酒
13.
今日の目次:後半です。 ・生い立ち:生まれ、小学校、中学校、高校、浪人 ・大学生時代 ・研修医時代 ・開業医時代 ・これから ・質疑応答など、
14.
お茶の水内科、開業へ ・心筋梗塞再発の多くが薬が切れていたことで起こる、ステント留置後の 抗血小板薬二剤併用療法、DAPT(Dual antiplatelet therapy) ・「バイアスピリンとプラビックスと処方箋に書くだけなら研修医明けた ばかりの自分でも出来る」「それで救える命もあるんじゃないか」 ・そもそも、高血圧症、脂質異常症、糖尿病、心房細動、一次予防をき ちっとやれば心筋梗塞、脳卒中はもっと防げるに違いない ・でも多くの医療機関は「予防が大事」と言いながら、多くの社会人が通 院困難な平日日中しか空けていない、需給の時間的ミスマッチ、土日や夜 間に空いていれば助かる人もいるんじゃないか(仮説) →世の中にないのであれば自分で作ってみよう!
(仮説検証) →開業GO! 開業資金300万円でも開業出来た!詳しくは「クリニック開業スターター ガイド」へ! →https://www.slideshare.net/KensukeIgarashi/20171010- 80640878
15.
困っている人がたくさんいた! ・どうせ開業するなら日本で一番競合が激しいところで勝負してみよう。 →大都会お茶の水、浪人時代の思い出の街 ・平日日中医療機関に行けなくて困っている人が予想以上にいっぱいいた ・開業初月から単月黒字を達成、4ヶ月で累積黒字に! ・待合室が満席になるようになり、開業後一年半で増床移転 ・現在、医師、非常勤含め5名、看護師4名、事務員、アルバイト含め10 名、合計20名くらいの職場に、かかりつけ患者さん13000人くらい
16.
さらに心血管疾患の予防のために ・神保町ウォーキングテラス、開設 →大爆死、1500万以上の損失 ・上野原に健康増進の村を作る→失敗 ・2015年8月10日「遠隔診療事務連絡」 さらなる治療継続負担の軽減のために、同年12月20日、 医療機関としていち早く遠隔診療を取り入れ アプリ「お茶の水内科オンライン」リリース 実臨床でどしどしオンライン診療を活用! 詳しくは「オンライン診療スターターガイド」へ! →https://www.slideshare.net/KensukeIgarashi/20170910- 79603188
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デジタルヘルスラボ、学会爆誕! ・医療においてITを活用して出来ることたくさんある、それをちゃんと学 べる場所が日本にない、 →なければ自分たちで作ろう!2015年、「デジタルヘルスラボ」爆誕! 石井、加藤、木野瀬らジョイン、デジハリ内での一大ラボに! ・毎回ディスカッションが終わらない、もっとアカデミックに! →デジタルヘルス学会、爆誕!2017年12月19日(火)大都会お茶の水 詳しくは→https://www.facebook.com/events/1318120594951776
18.
神田地域の一員として、 ・神田祭 ・神田古本まつり、神保町ブックフェスティバル ・神田カレーグランプリ、神田スポーツ祭り ・神保町映画祭、神保町音楽祭、神田ワイン祭り ・お茶の水アートピクニック、コーヒー、
19.
今日の目次:これから ・生い立ち:生まれ、小学校、中学校、高校、浪人 ・大学生時代 ・研修医時代 ・開業医時代 ・これから ・質疑応答など、 現世の妻「りんぴょこ」→
20.
将来の夢 大学生の頃に立てた将来の夢 (1)理想の医療機関を作ること (2)理想の教育機関を作ること (3)理想の社会保障システムを作ること (1)は予定より早く出来て来た、(2)もだんだん順調にイメージ通り に、(3)はまだこれからだけどたぶん出来る気がする(根拠なき自信) 今の夢: 「自分で温泉を掘るって、そこで美味しい酒を飲むこと」←NEW! 最高の人生の締めくくり方 参考:江戸、掘ればほぼ必ず海水=ナトリウム塩化物泉が出る、1000 メートルくらい掘れば温泉の定義=源泉温25度以上を満たす、 ただの採掘費用、土地確保の問題、「夢」ではなく、現実的な目標
21.
まとめ ・自分の人生に遠慮はないか?迷ったら未来の匂いがするほうへ ・世の中に確実なものなど一つもない、自分の直感を信じること ・困難や不確実性を楽しむのがコツ、人生は一度だけ、後悔のないように テイクホームメッセージ ・岩波文庫の「青」と「白」 ・アドバイス「まずは臨床」 ・世の中にないものは自分で作る
22.
質疑応答タイム! ・生い立ち:生まれ、小学校、中学校、高校、浪人 ・大学生時代 ・研修医時代 ・開業医時代 ・これから ・質疑応答など、
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