JP2009168951A - Training system for medical examination by interview - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a training system for medical examination by interview enabling a user to learn, by using a monitor screen, the procedure of medical examination by interview for acquiring the symptoms of the disease set to a patient character by using a monitor screen. <P>SOLUTION: The training system for the medical examination by interview includes: a display means displaying the image of a patient character for whom symptom data based on the name of disease is predetermined; a speech input means for inputting user's speech of interview to the patient character; a speech recognition means converting the speech input by the speech input means into data and recognizing a keyword from the speech data; a question specifying means specifying the content of questions in the interview from the recognized keyword; a speech output creating means creating the speech on the basis of the answer data corresponding to the specified question to the patient character; a medical chart input means inputting the symptoms to the patient character; and a medical-examination-by-interview content evaluation means evaluating the medical examination by interview of the user by comparing the symptoms input by the medical chart input means with symptom data on the basis of the predetermined disease name of the patient character. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical inquiry training system using a monitor screen.

  As part of medical technology, patient interviews are important in diagnosing the patient's illness and providing appropriate medication and treatment.

  In some cases, the patient's dissatisfaction or distress is caused by the poorness of the procedure in the conversation with the patient and the inappropriateness of the question content, and accurate information on the determination of the disease cannot be obtained.

  And, such an inquiry act can be expected to improve the skill by a certain training. However, up to now, such training has mainly dealt with doctors themselves accumulating opportunities for actual interviews with patients or attending and attending interviews with experienced doctors.

  It is desirable to be able to train such interviews using a computer. Until now, the invention described in Patent Document 1 has been known as a technique in which a player (user) interacts with a character displayed on a screen using a computer. In the invention described in Patent Document 1, in the information providing system using the graphic-based character-type interactive agent, the behavior of the agent is dynamically changed according to the personality of the user (user) to meet the user's needs. It provides information in line with it.

In addition, there is an invention described in Patent Document 2 that presents a technique for training communication with an actual person including a medical interview. In the invention described in Patent Document 2, the cyber client displayed on the screen receives the information transmitted by the interviewer (user) and returns the words and facial expressions to the interviewer. This is to make the user know what kind of difference is occurring on the surface layer.
JP 2005-196645 A JP 2004-212687 A

  However, although the inventions described in any of the above-mentioned Patent Documents 1 and 2 can affect the character on the screen by the operation of the player (user), the predetermined character symptom of the player It is not a technique that a player acquires by operation.

  Therefore, an object of the present invention is to provide a medical interview training system that can learn, using a monitor screen, a medical interview procedure for acquiring disease symptoms set for a patient character using the monitor screen. There is to do.

  The medical interrogation training system according to the present invention that achieves the above object includes a display means for displaying an image of a patient character in which symptom data based on a disease name is predetermined, and a voice input for inputting a user's interrogation voice for the patient character Means, voice recognition means for converting the voice inputted by the voice input means into data, and recognizing a keyword from the voice data, question specifying means for specifying the question content of the inquiry from the recognized keyword, and the patient character Voice output generating means for generating a voice answer based on data corresponding to the identified question, chart input means for inputting symptoms to the patient character, and symptoms input by the chart input means Compared with symptom data based on a predetermined disease name of the patient character. Interview contents evaluation means for evaluating the diagnosis, characterized in that it has.

  The inquiry content evaluation means stores, as one mode, a set of one inquiry for the patient character and the answer of the patient character to the inquiry as one unit time, and the number of unit hours required for the inquiry It is characterized by having an inquiry time evaluation means for evaluating.

  Further, the inquiry content evaluation means includes patient emotion evaluation means for obtaining a change in the emotion value of the patient character corresponding to the question content of the inquiry to the patient character.

  The inquiry content evaluation means further includes communication evaluation means for obtaining a communication evaluation value with the patient character based on the question contents of the inquiry to the patient character.

  Furthermore, as one aspect, based on the inquiry time evaluation by the inquiry time evaluation means in the inquiry content evaluation means, the emotion value by the patient emotion evaluation means, and the communication evaluation value by the communication evaluation means, the inquiry content for the patient character is Comprehensive evaluation output means for making a comprehensive determination is provided.

  With the above features, the present invention can provide a system capable of training an inquiry using a computer. Then, by increasing the number of patient characters whose symptoms based on the disease name are predetermined, it is possible to train an inquiry that can deal with patients with more various diseases.

  Embodiments of the present invention will be described below with reference to the drawings.

  FIG. 1 is a schematic perspective view of a medical inquiry training system to which the present invention is applied. The apparatus main body 1 includes first (main) and second (sub) display surfaces having display surfaces in directions toward a user (hereinafter, simply referred to as a user) of a medical interview training system that is a medical student who receives medical interview training. These two display units 2 and 3, a microphone 4 for inputting a voice, and a speaker 5 for displaying a voice generated by a patient animation displayed on the first display unit 2. The second display unit 3 has a touch panel input function and also serves as an input unit. Therefore, a touch panel input pen 6 is prepared.

  The use of the camera 7 provided in the central part is not directly related to the implementation of the present invention. For example, the camera 7 captures an image of a medical student (user) during an inquiry and records it in the apparatus main body 1. Can be saved and used to redisplay and review the interview, or to allow the teaching professor and other medical students to observe the training.

  Specifically, after displaying the evaluation result of the interview, a menu (item) for viewing the video of the interview is added so that it can be viewed as a retrospect, and a menu display for viewing the captured video on the initial screen is displayed. When such a menu is selected, it is possible to confirm by displaying a list of captured images.

  FIG. 2 is a block diagram illustrating a configuration example of a computer apparatus that is accommodated in the apparatus main body 1 and implements the present embodiment.

  In FIG. 2, each functional unit exchanges data through a common bus 10. The ROM 11 can use various types of fixed storage memory devices, and stores a program and program data for carrying out the present invention described later.

  The RAM 12 temporarily stores data during program execution. A microphone 13B, which is a voice input means, is connected through the input amplifier 13A, and a speaker 14B is connected through the output amplifier 14A.

  An image generated by the graphic processor 15 is formed of polygons, and a texture held in the texture memory 16 is pasted and drawn in the video memory 17. The image data drawn in the video memory 17 is sequentially read and displayed on the first (main) and second (sub) display units 2 and 3.

  The CPU 18 functions as a voice recognition processing unit 20, a main control unit 21, and an inquiry content evaluation unit 22 by executing a program stored in the ROM 11.

  The voice recognition processing means 20 in the CPU 18 recognizes the keyword by converting the user's voice input by the voice input means by the voice recognition program stored in the ROM 11 into data.

  As one function of the main control means 21, there is a question specifying means for specifying the question content of the inquiry from the keyword recognized by the voice recognition processing means.

  The question specifying means specifies the content of the question of the corresponding user based on the keyword combination template. This template is included in a part of the program data.

  For example, based on a template with a combination of four keywords, 1 “patient name”, 2 “please”, 3 “enter” and 4 “please”, the user's question is “Please enter (xx)”. It is specified that guiding the patient (xx) to the examination room is the content.

  In another example, the user's question is “In addition to abdominal pain” based on a template with a combination of four keywords: 1 “abdominal pain”, 2 “other”, 3 “what is the symptom”, 4 “is there?” , "Do you have any symptoms?" Further, the question specifying means memorizes the answer contents of the previous patient character, specifies whether the user's remark (speech input) is “aizuchi” or “sympathy” for the patient, and evaluates the contents of the inquiry. The means 22 counts the number of times.

  As other functions of the main control means 21, there are an audio output generation means and a patient character display means. The voice output generation means obtains a predetermined answer of the corresponding patient character according to the scenario table with respect to the question content specified by the above-described question specification means, converts the obtained answer into voice, and outputs it to the speaker 14B. . The patient character display means displays the patient character and a message similar to the voice output on the first display unit 2. In the patient character display means, when the patient character is painful, it is expressed that the patient is in a serious disease state. In this case, the patient character display means is displayed so that the patient character in a seriously ill state wears the affected area and has a poor facial color, and a certain degree of symptoms can be seen from the appearance.

  In another example, when it is determined by the voice recognition processing means that voice input has been started, the patient character faces the front (the direction of the user) and displays a nodding gesture. Alternatively, when a keyword for reassuring the patient or a keyword for anxiety is determined in advance and it is determined that the corresponding keyword is inputted by speech by the speech recognition processing means, the facial expression of the patient character can be changed. Thus, it is possible to make an expression as if the patient character is actually listening to the user.

  The user performs an inquiry on the patient character (hereinafter referred to as a unit patient) displayed on the first display unit 2 and repeats the process of obtaining the patient's response to this. Thereby, the user can obtain the symptom which determines the disease name preset to the patient.

  Further, the user inputs the patient's symptom obtained at a predetermined position on the medical chart image displayed on the second display unit 3 by using the chart input means using the touch panel function of the second display unit 3.

  Further, the inquiry content evaluation means 22 by the CPU 18 compares the symptom input by the medical chart input means with a symptom based on a disease name predetermined for the patient, and evaluates the user's inquiry.

  The inquiry content evaluation means 22 further evaluates the results of the user's inquiry training based on the evaluation result. The result is displayed on the first display unit 2 by the main control means 21.

  Here, as another embodiment, a program and program data for implementing the present invention contained in the ROM 11, a main control means 21, and an inquiry content evaluation means 22 are provided on the server side, and a plurality of apparatus main bodies 1 and servers are provided. Can be connected, and the above-described inquiry content evaluation process can be executed. As a result, when the program and program data are added or updated, only the server side needs to be updated, so that the version upgrade operation can be performed easily.

  FIG. 3 is a schematic flow of processing of the medical inquiry training system having the above-described embodiment configuration. As pre-processing of the processing in FIG. 3, a processing procedure for introducing the training system and, if necessary, authenticating the user by the main control means 21 is included. However, in FIG. 3, such pre-processing is not an essential configuration for the features of the present invention, and is not shown for simplicity.

  In FIG. 3, when the use of the training system is started, the interview menu (step S1) is started.

  In this interview menu, the main control unit 21 displays user (user) information on the first display unit 2. On the other hand, a screen for selecting an inquiry target is displayed on the second display unit 3.

  FIG. 4 is a display example of the first and second display units 2 and 3 in the interview menu (step S1).

  FIG. 4A is a display example of the first display unit 2 based on the user's past training result information held in the RAM 12, and displays the user's past 10 averages and past 10 evaluations. Yes.

  FIG. 4B is an example of a screen for performing initial setting for execution of the inquiry training program.

  4B includes a patient selection field 100 and a disease name selection field 110.

  In the patient selection field 100, three patients of different ages are listed as examples. Any patient in the patient list can be designated and selected by the touch panel function of the second display unit 3. The order of this patient list can be randomized by the main control means 21 by pressing the random button 101.

  In the disease name selection list 110, four disease names are listed as examples. Any disease name in the disease name list can be designated and selected by the touch panel function of the second display unit 3. The order of the disease names can also be randomized by the main control means 21 by pressing the random button 111.

  By randomizing the patient list and the disease list, the user can perform training according to an inquiry scenario set by a plurality of combinations.

  In FIG. 4B, a field 123 for further selecting the support mode ON or OFF is displayed. By turning on the support mode, it is possible to obtain advice information about the interview during the interview training.

  Further, in FIG. 4B, by pressing the enroll execution button 124, the voice recognition processing means 20 allows the user to register his / her voice pattern in order to make voice recognition more reliable.

  Finally, the inquiry menu process (step S1) is completed by pressing the enter button 125.

  When the inquiry menu process (step S1) ends, the process proceeds to an inquiry process (step S2).

  In the inquiry process (step S2), the process proceeds while the main control means 21 refers to the scenario table.

  Here, a symptom based on a disease name is determined in advance for each of a plurality of patients displayed in the above-described inquiry menu process (step S1), and is stored in the ROM 11 as a part of program data.

  Symptoms based on the disease name are set in advance in the scenario table corresponding to the contents of the user's inquiry. 5A and 5B are diagrams showing a part of the scenario table.

  As examples, interview scenarios are configured for four disease cases in association with the patients in their 20s, 40s, and 60s shown in FIG.

  FIG. 5A is a diagram showing a part of a scenario table of a scene (introduction section) for prompting a patient in his twenties to enter the examination room. FIG. 5B is a diagram showing a part of an interview scenario table in a case where a patient in his twenties has symptoms of irritable colon.

  In FIG. 5A and FIG. 5B, corresponding to the utterance (II) of the doctor (user) in the order of scenario number (I), whether the utterance is an open format for asking the patient a free reply utterance or “high” or “no” (III) and whether it is an item in the questionnaire development (FIG. 5 corresponds to a part of the introductory part and the part of the question about abdominal pain) (IV) When the support mode is turned on (see FIG. 4), the supplementary explanation (V) displayed on the first display unit 2 and the patient response (VI) are respectively listed.

  In FIG. 5A, for example, as a scenario number 00001, a call (I) of “Please enter Mr. (XX)” is made from the examination room to the patient. In contrast, the patient response (answer) (VI) is specified.

  The patient's response (VI) is also the patient's emotional value [whether they are anxious about the user who is interviewing (anxiety A, B), normal state (normal A), or a sense of security, favor In response to the emotional state (favorites A and B)]. When the emotion value is low, anxiety A or anxiety B response is easily selected, and when the emotion value is high, the favor A or favor B response is easily selected. The audio data corresponding to such a response is included in a part of the program data and is output by the audio output generation means.

  In part of the scenario table, a change value (VII) of the emotional value of the patient is described in response to the question to the patient. The change value (VII) of the patient's emotion value is changed by the inquiry time evaluation unit 22 which is a function of the main control unit 21 depending on the question content of the user to the patient.

  For example, in the case of a question that changes with each question of the interview and makes the patient uneasy in response to a preset emotional value, the emotional value decreases, and conversely, the patient feels at ease For such questions, the emotional value is set to increase.

  In the list of FIG. 5A and FIG. 5B, “multiple use” is a response when the user repeats the same question to the patient a plurality of times. In such a case, the emotion value is set to be negative.

  Using the scenario table as described above, the main control means 21 advances the inquiry scenario (step S2).

  FIG. 6 is an image when the patient enters the examination room in response to the user's call in the inquiry scenario execution (step S2). In FIG. 6A, a patient animation image is displayed on the first display unit 2.

  On the other hand, FIG. 6B displays the surface of the medical chart (patient information and contents of the questionnaire) displayed on the second display unit 3. Note that the medical chart displayed here is in the state before entry.

  When the turning button 30 part on the chart display screen is touched with the touch pen 6, the main control means 21 controls the graphic processor 15 to generate an image of the back side of the chart, and the back side of the chart is displayed on the second display unit 3. indicate.

  FIG. 7 is an example of an animation image at the time of further inquiry. FIG. 7A shows an animation image in a state in which the patient is seated displayed on the first display unit 2. FIG. 7B is an image in which the back side of the chart that is turned over by touching the flip button 30 with the touch pen 6 is displayed on the second display unit 3.

  In FIG. 7A, a support icon 31 is displayed. When the support is turned on in the support mode field 123 in the initial setting screen (see FIG. 4B), the support icon 31 is displayed in a necessary scenario scene predetermined in the scenario table.

  When the support icon 31 is displayed, the support button 32 is displayed on the screen of the second display unit 3 so that the support button 32 can be pressed (the instruction with the touch pen 6 is validated).

  When the support button 32 is touched, a help window is displayed on the first display unit 2 in the corresponding scenario scene, and the corresponding supplementary explanation (V) shown in FIG. 5 is displayed there. As a result, the user can read the supplementary explanation (V) displayed and receive advice (listen to help) on what points to keep in mind.

  That is, FIG. 8 is a diagram showing a part of the help table included in the program data.

  The flag in FIG. 8 stores items (such as entering a room, taking a seat, and being painful) for which an inquiry was made to a patient. The items in FIG. 8 are set in order from the top according to the order of inquiry to the patient. The flag is set to ON when an inquiry corresponding to the item is performed. As an exception, when an explanation of an item corresponding to “set a flag” (“spicy” in FIG. 8) is displayed, the flag is set to be ON even without an inquiry. With this configuration, the help window displays the descriptions of the flag items in the early order in which the flags are set to OFF.

  In addition, “flag NG” in FIG. 8 does not display the description of the item when the flag of another item set in advance is ON (flag is ON). Furthermore, “turn start” indicates the number of turns (number of questions) for starting flag setting and confirmation, and “turn end” indicates the number of turns for which the flag is set to ON regardless of the contents of the inquiry. With this "flag NG", "turn start", and "turn end", for example, after the user asks the patient about the main complaint or in the second half of the interview, whether or not the patient is greeted or painful The explanation prompting to do so is not displayed in the help window, and the explanation appropriate for the corresponding scenario scene is displayed in the help window.

  As described with reference to FIG. 7, when the support icon 31 is displayed on the first display unit 2 and the support button 32 is touched, the description of the corresponding flag position in FIG. The supplementary explanation (V) that assists the interrogation training can be heard.

  Further, in FIG. 7B, when the flip button 30 is touched in the state where the chart back surface is displayed, the chart surface is displayed again.

  In FIG. 7A, the patient's remarks are displayed in characters in the character display field 33 so as to avoid misperception by the user.

  6B and 7B, the system button 34 is displayed on the screen of the second display unit 3. When the system button 34 is touched, a system related menu is displayed. In the system-related menu, for example, it is possible to input settings such as changing the sound volume and switching the support.

  Here, when the entry completion button 35 is touched, the inquiry is completed, and the flow proceeds to the chart evaluation (step S3).

  FIG. 9 shows screens of the display units 2 and 3 in the chart evaluation (step S3). In FIG. 9A, the animation image of the patient disappears on the first display unit 2 and the background is displayed dark.

  Here, the medical chart will be further described. A template prepared in advance as a base for each disease case is included as part of the program data. As an example, a template of “stomach anisakis” is shown as follows.

    (From time to time) (State of the onset How) (The main complaint).

      Pain (the nature of the chief complaint, what pain) (the course of the chief complaint).

    (The presence or absence of radiation pain, location).

    (Concomitant symptoms cold sweat). (Concomitant symptoms fever). (Concomitant symptoms itching).

    (Concomitant symptoms nausea, vomiting). (Concomitant symptoms loss of appetite). (Concomitant symptoms of bowel movements).

    Before this abdominal pain (meal that causes illness).

    Those who ate the same meal did not complain of abdominal pain.

(Action)
(medical history)
When the above portion () is selected, a few pull-down options are displayed on the chart displayed on the second display unit 3.

    When one of the options is selected, the character string in () becomes the selected option. Select and select () again to select the same option.

  The options displayed in () are described as follows.

(Place that can be selected) A: Option 1 B: Option 2 C: Option 3
(From when) A: From today's dawn B: From a few months ago C: From a few days ago (How it developed) A: Sudden B: Beginning gradually C: Occasional (main complaint) A: Abdominal pain B : Headache C: Diarrhea Above, each option 1 is the correct answer corresponding to the selected part.

  FIG. 9B shows a chart in which the selection item entered in the chart is correct when compared with the selection branch 1 in the template corresponding to a preset disease case, and is scored as an incorrect answer when there is a mismatch. The state of is shown.

  Furthermore, an evaluation button 36 is displayed on the screen of the medical chart evaluation (step S3) of the second display unit 3. If the evaluation button 36 is touched, it will transfer to comprehensive evaluation (step S4).

  FIG. 10 is a display example of the first and second display units 2 and 3 in the comprehensive evaluation (step S4) evaluated by the inquiry content evaluation means 22. The first display unit 2 displays the evaluation of each item and the overall evaluation value according to the number of stars. A disease name map is displayed on the second display unit 3.

  An example of each item evaluated by the inquiry content evaluation means 22 will be described.

[Help usage]
The number of times the help is used in the evaluation shown in FIG. 10A is calculated using the “correct rate of medical record” if even one item is entered in the medical record. If no medical record has been entered, when the support mode 123 described above with reference to FIG. 4 is turned on and a help icon is displayed during the inquiry execution process, the items in the help table shown in FIG. 8 (help The score is calculated based on how much (menu) is open.

  Since there is a case where the interview is ended and the evaluation is started without entering the medical chart at all, when “not enter the medical chart at all”, the evaluation is performed by “how many items of the help table are opened”.

  Since there are many portions of the “help table items” that match the contents of the chart, the evaluation contents are the same as when the chart is properly written.

  The above-mentioned score calculation formula for the “correct rate of medical records” can be expressed as follows.

The number of correct answers in the chart ÷ the number of selection fields × 100 points The score calculation method for “whether the help table is open” is determined by how many flags are written in the evaluation judgment flag list according to the medical condition. .

  That is, the flag that has been heard ÷ the number of flags written in the list × 100 points is displayed in correspondence with the number of stars.

[Patient emotion]
It is preferable to conduct an interview without harming the patient's emotions. Therefore, a change in the patient's emotion value is determined, and it is evaluated whether or not an inquiry has been performed without harming the patient's emotion. The higher the patient's emotional value, the better the evaluation.

  Emotion value ÷ 2 is used as a score, and displayed in correspondence with the number of stars.

  The emotional value changes with each question in the interview. Naturally, the emotional value is subtracted when a question is set that is difficult for the patient to answer or when the same question is asked a plurality of times, and the emotional value is added when the question is set that the patient feels relieved.

[Interview time]
Next, it evaluates by the time (number of turns) required for the interview. The number of turns refers to the number of sets when the set of the user's question and the response (answer) of the patient to this is one turn. This number of turns is not preferable even if it is short or too long considering the patient's symptom to be heard well or the patient waiting for the next. Therefore, as an embodiment, the range of the number of turns is set as the following point distribution, and displayed in correspondence with the number of stars.

  It is also possible to set different correspondences between normal pathological conditions and serious pathological conditions. For serious patients, it is better to reduce the interview time because symptoms can be determined by the action of the patient character displayed on the screen.

For normal pathology:
0 points Number of turns 1-5 (if too few), 35-99 (if too many)
20 points Number of turns 6-8, 28-34
40 points Number of turns 9 ~ 11, 23 ~ 27
60 points 12-13, 20-22
80 points Number of turns 14-15, 17-19
100 points, 16-17 turns
For severe illness:
0 points Number of turns 1-2 (if too little), 21-99 (if too many)
20 points Number of turns 3-4, 19-20
40 points Number of turns 5-6, 17-18
60 points Number of turns 7-8, 15-16
80 points Number of turns 9-10, 13-14
100 points 11 to 12 turns
[communication]
It is preferable to establish a relationship of trust with the patient through an interview. Therefore, the communication with the patient is determined, and it is evaluated whether or not the trust from the patient has been obtained.

  Based on the number of times of recognizing speech, empathy, and open / close, each is scored, and the value obtained by adding the three scores is evaluated and corresponded to the number of stars.

  These interrogation indexes of Aizuchi, empathy, and open / close are counted and held by the inquiry content evaluation means 22 in the course of the inquiry step S2.

  Based on the presence or absence of empathy or empathy by the user, it can be determined whether the user is listening to the patient's story firmly or is in the patient's body. If the frequency of empathy is small, it is determined that the patient's story is not understood, and if it is too large, it is determined that the patient is being treated moderately. Therefore, an appropriate number of times of sympathy and empathy is good.

  Open / close is an “open question” that asks for a free speech answer, or a “closed question” that asks a “yes” or “no” answer, with a high percentage of “open questions” Use a good score. This is in order to evaluate whether or not it was possible to ask the patient about his / her thoughts and hopes for treatment by asking the patient for his / her remarks.

  As an example, the score of “Aizuchi” is calculated as follows.

  For the total number of turns-(number of matches × 3), the following points are allocated.

± 2 points 25
± 4 points 20
± 6 points 15
± 8 points 10
± 10 points 5
± 11 or more Score 0
Similarly, the “sympathy” score is calculated as follows.

  For the total number of turns-(sympathy number x 4), the following points are allocated.

± 2 points 35
± 4 points 30
± 6 points 20
± 10 points 10
± 15 points 5
± 20 or more Score 0
Furthermore, the open / close score is calculated as follows.

The number of open questions divided by the total number of questions is as follows.・
100-30% 40 points
29-25% 35 points
24-20% 30 points
19-15% 20 points
14 to 10% score 10
9 ~ 0% Score 0
[Comprehensive evaluation]
An evaluation score obtained by adding the scores of all the above evaluation items and dividing by 4 is obtained and displayed in correspondence with the number of stars.

  For example, one star is displayed as 20 points and half of the stars are displayed as 10 points.

  Returning to FIG. 10, when the advice button 37 displayed on the second display unit 3 is touched, advice text that is preliminarily tabulated in accordance with the evaluation value by the advice determination means and read as program data is read. And displayed.

  When the end button 38 is touched, the process proceeds to the end menu (step S5), and the end menu shown in FIG. 11 is displayed.

  With the selection button of the second display unit 3 in FIG. 11B, “start from the beginning”, “start a new inquiry”, or “end the inquiry” can be selected.

1 is an overview perspective view of a medical inquiry training system to which the present invention is applied. 1 is a block diagram illustrating a configuration example of a computer device that is accommodated in a device main body 1 and implements the present embodiment. It is a general | schematic flow of a process of the medical inquiry training system of an Example structure. It is an example of a display of the 1st, 2nd display parts 2 and 3 in an interview menu (step S1). It is a figure which shows a part of scenario table of the scene (introduction part) which urges the patient in 20's to enter the examination room. It is a figure which shows a part of interview scenario table about the case where the patient in 20s has the symptom of irritable large intestine. It is a figure which shows the image when a patient enters a medical examination room in response to a user's call in inquiry scenario execution (step S2). It is a figure which shows the example of the animation image at the time of an inquiry. It is a figure which shows a part of help table contained in program data. It is a figure which shows the screen of the display part in medical chart evaluation (step S3). It is a figure which shows the example of a display of the 1st, 2nd display parts 2 and 3 in the comprehensive evaluation (step S4) evaluated by the inquiry content evaluation means 22. FIG. It is a figure which shows the screen on which an end menu is displayed.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Apparatus main body 2 1st (main) display part 3 2nd (sub) display part 4, 13B Microphone 5, 14B Speaker 10 Common bus 11 ROM
12 RAM
13A input amplifier 14A output amplifier 15 graphic processor 16 texture memory 17 video memory 18 CPU
20 voice recognition processing means 21 main control means 22 inquiry content evaluation means

Claims (9)

Display means for displaying an image of a patient character in which symptom data based on a disease name is predetermined;
Voice input means for inputting a user's interview voice for the patient character;
Voice recognition means for converting voice input by the voice input means into data and recognizing a keyword from the voice data;
Question specifying means for specifying the question content of the inquiry from the recognized keyword;
Voice output generating means for generating voice based on answer data corresponding to the identified question for the patient character;
A chart input means for inputting symptoms to the patient character;
Interrogation content evaluation means for evaluating the user's interview by comparing the symptoms input by the medical chart input means with symptom data based on a predetermined disease name of the patient character,
A medical interview training system characterized by comprising: In claim 1,
The inquiry content evaluation means stores a set of one inquiry for the patient character and the answer of the patient character for the inquiry as one unit time, and an inquiry time for evaluating the number of unit hours required for the inquiry. Evaluation means
A medical interview training system characterized by comprising: In claim 2,
The inquiry content evaluation means further changes patient emotion evaluation means for evaluating patient emotions by changing the emotion value of the patient character corresponding to the question content of the inquiry to the patient character.
A medical interview training system characterized by comprising: In claim 3,
The inquiry content evaluation means further includes a communication evaluation means for obtaining a communication evaluation value with the patient character based on the question content of the inquiry for the patient character.
A medical interview training system characterized by comprising: In claim 4,
Comprehensive evaluation for comprehensively determining the contents of the inquiry for the patient character based on the inquiry time evaluation by the inquiry time evaluation means, the emotion value by the patient emotion evaluation means, and the communication evaluation value by the communication evaluation means in the inquiry content evaluation means Output means
A medical interview training system characterized by comprising: In claim 1,
Corresponding to the predetermined disease name, means for setting the items to be asked by an interview and the order of the items,
Means for storing items questioned by the user and items not questioned;
Means for outputting information on the items in the earlier order among the unquestioned items according to the user's selection;
A medical interview training system characterized by comprising: In claim 4,
The question specifying means stores whether it is a question that can be answered with only affirmation or negative expression, and the communication evaluation means changes the communication evaluation value according to the number of the distinguished questions.
Medical interview training system characterized by that. The question specifying means determines whether or not the content of the inquiry for the patient character is a feeling or sympathy for the utterance of the patient character, and the communication evaluation means is the number of times of the determined feeling or sympathy And changing the communication evaluation value according to
Medical interview training system characterized by that. In claim 2,
The patient character is classified into a serious patient and a normal patient according to a predetermined disease name,
The interview time evaluation means changes the interview time evaluation according to whether the patient character is a serious patient or a normal patient when evaluating the number of unit times required for the interview.
Medical interview training system characterized by that.

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