JP2018136836A - Doctor in charge decision device, doctor in charge decision program, training situation management device, training situation management program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a doctor in charge decision device capable of preventing situations that a doctor aiming to become as a medical specialist is not accredited as a medical specialist because of being not able to achieve prescribed medical care results within a given training period.SOLUTION: A doctor in charge determination device is provided with a storage unit and a doctor in charge decision unit. The storage unit stores training situation information on actual results for which a plurality of medical interns belonging to a hospital are certified as medical specialists. A doctor in charge decision unit preferentially decides the medical intern whose number of remaining items that must be experienced with respect to a predetermined disease is greater with respective to the remaining period of the training as the doctor in charge for a temporarily determined patient who is determined as the determined disease, among the medical intern included in the training situation information.SELECTED DRAWING: Figure 2

Description

  Embodiments described herein relate generally to a doctor determination apparatus, a doctor determination program, a training situation management apparatus, and a training situation management program.

  The “Study Group on Specialist Physicians” was held in October 2011 for the purpose of further improving the quality of doctors. A report on the study meeting was compiled in April 2013. Based on this report, the Japan Specialist Organization was established in May 2014 so that specialists can be certified in a unified manner. The establishment of a new specialist system is underway with the goal of starting in 2017.

  With the establishment of a specialist system, doctors can raise their standard of care with a substantial training program. In addition, doctors can be certified for knowledge, skills, and attitudes that they have acquired and disclosed them to society. As a result, the patient can obtain information on the specialty of the doctor when receiving medical care.

  By the way, in order to be recognized as a specialist, a doctor who aims to be a specialist (hereinafter referred to as a trainee) may give a specified medical treatment record during a training period determined by each specialists committee. is necessary. In a conventional information management system, a trainee can search the number of cases such as a disease that he / she has experienced to check how much medical treatment is currently being performed. However, in the conventional information management system, there is a possibility that a situation in which a predetermined medical treatment record cannot be obtained and a specialist is not certified within a predetermined training period, that is, a certification failure occurs.

JP 2005-018365 A

  Therefore, the purpose is to prevent a situation in which a doctor aiming at a specialist is not certified as a specialist without being able to achieve a predetermined medical treatment record within a predetermined training period.

  According to the embodiment, the attending doctor determining apparatus includes a storage unit and an attending doctor determining unit. A memory | storage part memorize | stores the training status information regarding the performance for the several residents who belong to a hospital to be recognized as a specialist. The physician-in-charge determination unit tentatively designates a resident who has a large number of remaining cases that must be experienced with respect to a predetermined disease among the resident included in the training status information as having the predetermined disease. Priority is given to the determined patient as the attending physician.

FIG. 1 is a block diagram showing a functional configuration of the medical information system according to the first embodiment. FIG. 2 is a block diagram showing a functional configuration of the attending doctor determining apparatus shown in FIG. FIG. 3 is a flowchart showing an operation when the processing circuit shown in FIG. 2 determines a doctor in charge. FIG. 4 is a diagram showing information included in the related information shown in FIG. FIG. 5 is a diagram showing other information included in the related information shown in FIG. FIG. 6 is a diagram showing the training status information shown in FIG. FIG. 7 is a diagram showing information extracted from the training status information shown in FIG. FIG. 8 is a block diagram illustrating a functional configuration of the medical information system according to the second embodiment. FIG. 9 is a block diagram showing a functional configuration of the training status management apparatus shown in FIG. FIG. 10 is a diagram for explaining the operation when the training status management apparatus shown in FIG. 8 manages the training status. FIG. 11 is a diagram showing the training personal information displayed on the output device shown in FIG. 8 and the estimated training completion date. FIG. 12 is a diagram showing training personal information, estimated training completion date, and second estimated training completion date displayed on the output device shown in FIG. FIG. 13 is a diagram for explaining another example of the operation when the training status management apparatus shown in FIG. 8 manages the training status.

  Hereinafter, embodiments will be described with reference to the drawings.

(First embodiment)
FIG. 1 is a block diagram illustrating an example of a functional configuration of the medical information system according to the first embodiment. The medical information system shown in FIG. 1 includes a doctor-in-charge determination device 10, an input device 20, a medical information storage device 30, and an output device 40. In the present embodiment, for example, the doctor in charge determination device 10, the input device 20, the medical information storage device 30, and the output device 40 are connected to a hospital network such as a LAN (Local Area Network) so that they can communicate with each other. Shall.

  The doctor-in-charge determining device 10, the input device 20, the medical information storage device 30, and the output device 40 do not necessarily have to be connected to the hospital network. For example, some or all of the attending doctor determination device 10, the input device 20, the medical information storage device 30, and the output device 40 may be connected to an out-of-hospital network. At this time, a device having a firewall function, such as a proxy server, is provided between the in-hospital network and a device connected to the out-of-hospital network.

  In addition, the doctor-in-charge determining device 10, the input device 20, the medical information storage device 30, and the output device 40 are not necessarily realized by individual hardware. For example, all of the doctor determination apparatus 10, the input apparatus 20, the medical information storage apparatus 30, and the output apparatus 40 may coexist on one hardware, or at least one of them coexists on one hardware. It doesn't matter.

  The doctor-in-charge determination device 10 refers to the progress of training of a doctor who aims to be a specialist (hereinafter referred to as a resident), and is in charge of the patient introduced from the doctor in charge of the first visit patient or from another department in his / her own hospital. A device for determining a physician. The attending doctor determination apparatus 10 is realized by a server, for example. In the present embodiment, a specialist means a doctor who can receive standardized education in each medical area and provide standard medical care trusted by patients.

  FIG. 2 is a block diagram illustrating an example of a functional configuration of the attending doctor determination apparatus 10 illustrated in FIG. The doctor-in-care determining apparatus 10 illustrated in FIG. 2 includes a processing circuit 11, a communication interface 12, and a storage circuit 13. The processing circuit 11, the communication interface 12, and the storage circuit 13 are connected so as to be communicable with each other via a bus, for example.

  The processing circuit 11 is a processor that functions as the center of the attending doctor determination apparatus 10. The processing circuit 11 implements a function corresponding to the program by executing the processing program stored in the storage circuit 13 or the like.

  The communication interface 12 performs data communication with the input device 20, the medical information storage device 30, and the output device 40 connected via a hospital network. The standard of communication with the input device 20, the medical information storage device 30, and the output device 40 may be any standard, for example, HL7 (Hearth Level 7).

  The storage circuit 13 is a storage device such as a hard disk drive (HDD), a solid state drive (SSD), and an integrated circuit storage device that stores various information. The storage circuit 13 may be a drive device that reads / writes various information from / to a portable storage medium such as a CD-ROM drive, a DVD drive, and a flash memory. Note that the storage circuit 13 is not necessarily realized by a single storage device. For example, the storage circuit 13 may be realized by a plurality of storage devices.

  The storage circuit 13 stores a processing program according to the present embodiment. In addition, the storage circuit 13 stores training situation information 131 of the resident doctor.

  The training status information 131 is information related to the results for the resident doctor to be certified as a specialist. The training status information 131 includes, for example, the department to which the trainee belongs, the name of the doctor, the remaining period until certification as a specialist, items that require experience, the number of reference cases to be achieved, and the number of cases actually experienced It is. The medical department may be rephrased as a department in which the resident is trying to be certified as a specialist. Items that require experience include, for example, diagnosis / treatment methods, procedure names, disease names, treatment names, and the like. The reference number of cases means the number of cases that must be experienced during a predetermined training period, which is determined by the Japan Professional Medical Organization or each society such as the Japanese Gastroenterological Association.

  In addition, the storage circuit 13 stores related information 132 including various information associated with the disease. The related information 132 includes, for example, information that can temporarily determine a disease name in the disease temporary determination function 111 described later. Information for which a disease name can be tentatively determined includes, for example, information related to a part, information related to symptoms, information related to a family, medical examination history at other hospitals, past medical history, and the like.

  Further, the related information 132 includes, for example, information on a department that a patient diagnosed with a predetermined disease should receive. Further, the related information 132 includes, for example, information on treatment, examination, diagnosis, test, surgery, and the like that can be performed on a patient diagnosed with a predetermined disease. The related information 132 is stored in the storage circuit 13 in advance.

  The input device 20 is a terminal for an operator such as a patient or a medical staff to input necessary items on the questionnaire. The input device 20 is realized by, for example, a smartphone, a tablet PC, and a PC. The input device 20 includes, for example, a processing circuit, an input interface, a display circuit, and a communication interface.

  The processing circuit of the input device 20 is a processor that functions as the center of the input device 20.

  The input interface of the input device 20 is realized by, for example, a mouse, a keyboard, and a touch panel on which an instruction is input by touching the operation surface. The input interface receives, for example, an input instruction for an inquiry form. The input interface converts an input instruction from the operator into an electric signal and outputs the electric signal to the processing circuit. Note that the input interface is not limited to one provided with physical operation components such as a mouse and a keyboard. For example, a circuit that receives an electrical signal corresponding to an instruction input from an external input device provided separately from the input device 20 and outputs the electrical signal to the processing circuit is also included in the example of the input interface.

  The display circuit of the input device 20 includes, for example, a display interface and a display device. As the display device, for example, a CRT display, a liquid crystal display, an organic EL display, an LED display, a plasma display, and any other display known in the art can be used as appropriate. The display interface converts data representing a display target into a video signal. The display device displays the video signal converted by the display interface.

  The communication interface of the input device 20 performs data communication with the doctor-in-charge determination device 10, the medical information storage device 30, and the output device 40 connected via the hospital network. For example, the communication interface converts input information input by the operator in accordance with a preset method, and transmits the converted data to the doctor-in-charge determination device 10 via the hospital network.

  The medical information storage device 30 is a device for electronically storing medical information. The medical information storage device 30 is realized by a server, for example. The medical information storage device 30 includes, for example, a processing circuit, a communication interface, and a storage circuit.

  The processing circuit of the medical information storage device 30 is a processor that functions as the center of the medical information storage device 30.

  The communication interface of the medical information storage device 30 performs data communication with the doctor-in-charge determination device 10, the input device 20, and the output device 40 connected via the hospital network.

  The storage circuit of the medical information storage device 30 is a storage device such as an HDD, an SSD, or an integrated circuit storage device that stores various information. The storage circuit 13 may be a drive device that reads / writes various information from / to a portable storage medium such as a CD-ROM drive, a DVD drive, and a flash memory.

  The storage circuit stores medical information. The medical information includes, for example, medical records, test results, doctors in charge, and electronic medical records. Note that the storage circuit may store information related to the questionnaire. Information regarding the questionnaire may be stored in the input device 20.

  The output device 40 is a device for medical staff such as doctors and nurses to confirm, create, and update medical information. The output device 40 is realized by, for example, a PC. The output device 40 includes, for example, a processing circuit, an input interface, an output interface, and a communication interface.

  The processing circuit of the output device 40 is a processor that functions as the center of the output device 40.

  The input interface of the output device 40 is realized by, for example, a mouse, a keyboard, and a touch panel on which an instruction is input by touching the operation surface. For example, the input interface receives a display instruction from the operator. The input interface converts a display instruction from the operator into an electric signal and outputs the electric signal to the processing circuit.

  The output interface of the output device 40 includes, for example, a display interface and a display device. As the display device, for example, a CRT display, a liquid crystal display, an organic EL display, an LED display, a plasma display, and any other display known in the art can be used as appropriate. The display interface converts data representing a display target into a video signal. The display device displays the video signal converted by the display interface. The output interface may have a printing device. The printing device is, for example, a printer, and prints image data representing a printing target on a predetermined sheet. Note that the output interface is not limited to a device having physical output components such as a display device and a printing device. For example, a circuit for transmitting image data to an external output device provided separately from the output device 40 is also included in the example of the output interface.

  The communication interface of the output device 40 performs data communication with the doctor-in-charge determining device 10, the input device 20, and the medical information storage device 30 connected via the hospital network. For example, the communication interface decodes the medical information transmitted from the medical information storage device 30 according to a preset method, and outputs the decoded medical information to the processing circuit.

  The processing circuit 11 shown in FIG. 2 implements a function corresponding to the program by executing the processing program stored in the storage circuit 13. For example, the processing circuit 11 includes a temporary disease determination function 111, an information acquisition function 112, a doctor-in-charge determination function 113, and a storage control function 114 by executing a processing program. In the present embodiment, a case where the temporary disease determination function 111, the information acquisition function 112, the doctor-in-charge determination function 113, and the storage control function 114 are realized by a single processor is described, but the present invention is not limited to this. For example, a processing circuit is configured by combining a plurality of independent processors, and each processor executes a processing program, thereby realizing a temporary disease determination function 111, an information acquisition function 112, a doctor-in-charge determination function 113, and a storage control function 114. It doesn't matter.

  The temporary disease determination function 111 is a function for temporarily determining a disease name. Specifically, for example, the processing circuit 11 executes the provisional disease determination function 111 when receiving the inquiry information input for the inquiry form. When the provisional disease determination function 111 is executed, the processing circuit 11 provisionally determines a disease name corresponding to the inquiry information based on the inquiry information and the related information 132 stored in the storage circuit 13.

  For example, the processing circuit 11 executes the provisional disease determination function 111 when a request for changing the medical department of the patient occurs in the hospital. When the provisional disease determination function 111 is executed, the processing circuit 11 provisionally determines a disease name based on the electronic medical record stored in the medical information storage device 30.

  The information acquisition function 112 is a function for acquiring information related to the temporarily determined disease name. Specifically, for example, when the disease name is provisionally determined, the processing circuit 11 executes the information acquisition function 112. When the information acquisition function 112 is executed, the processing circuit 11 acquires, based on the related information 132, a medical department to be consulted by a patient whose disease name has been provisionally determined. Further, the processing circuit 11 acquires treatments, examinations, diagnoses, tests, operations, and the like that can be performed on a patient whose disease name is provisionally determined based on the related information 132.

  The attending doctor determining function 113 is a function for determining the attending doctor. Specifically, for example, when the information acquisition function 112 acquires information related to the disease name, the processing circuit 11 executes the doctor-in-charge determination function 113. When the doctor-in-charge determination function 113 is executed, the processing circuit 11 selects a resident who should preferentially accumulate medical treatment results based on the tentatively determined disease name, information related to the disease name, and training status information 131. Decide as the physician in charge of the temporarily determined patient.

  The storage control function 114 is a function for controlling the medical care information storage device 30. Specifically, for example, when determining the doctor in charge, the processing circuit 11 executes the storage control function 114. When the storage control function 114 is executed, the processing circuit 11 updates the medical information stored in the storage circuit of the medical information storage device 30. That is, the processing circuit 11 controls the medical care information storage device 30 so as to change the medical doctor name included in the medical care information to the determined medical doctor name.

  Next, the doctor-in-charge determination operation by the doctor-in-care determining apparatus 10 configured as described above will be described according to the processing procedure of the processing circuit 11. FIG. 3 is a flowchart showing an example of an operation when the processing circuit 11 shown in FIG. 2 determines a doctor in charge.

  First of all, patients who come to the hospital other than continuing hospital visits or for the first visit will be handed an interview form at the hospital reception. Based on the subjective symptoms, the patient fills in the questionnaire with answers to the questions described in the questionnaire. Specifically, the patient fills in the questionnaire with the unwell part and the symptom of the part. The patient submits the questionnaire with the necessary information to the reception.

  At reception, the medical staff receives an interview form from the patient. The medical staff inputs necessary items to the form displayed on the input device 20 based on the answers entered in the questionnaire. When the input of the answer to the questionnaire is completed, the input device 20 converts the entered inquiry information into, for example, an HL7 file. The input device 20 transmits the HL7 file to the doctor-in-charge determining device 10 via the hospital network.

  In addition, the input device 20 as a terminal on which an inquiry form is displayed may be handed to the patient at the reception of the hospital. At this time, it is preferable that the input device 20 displays answer candidates for the questions in the questionnaire in a selectable format. Specifically, for example, unwell sites are listed and displayed like the head, face, chest, abdomen, back, waist, hips, arms, and feet. In addition, for example, when the head is selected, the symptoms of the selected site are listed and displayed as headache, dizziness, and nausea. Note that the input device 20 may read out information related to the medical questionnaire from the medical information storage device 30 or may store it in advance in its own device.

  The patient inputs an instruction to select an item displayed on the questionnaire based on the subjective symptoms. The patient returns the input device 20 to the reception when the input of necessary items is completed.

  The processing circuit 11 of the attending doctor determining apparatus 10 receives the HL7 file related to the inquiry information (step S31). When the HL7 file is received, the processing circuit 11 executes the temporary disease determination function 111. When the temporary disease determination function 111 is executed, the processing circuit 11 temporarily determines a disease name based on the contents of the HL7 file and the related information 132 stored in the storage circuit 13 (step S32).

  Specifically, when the temporary disease determination function 111 is executed, the processing circuit 11 reads the related information 132 stored in the storage circuit 13. The processing circuit 11 collates the site and symptom described in the HL7 file with “information capable of tentatively determining a disease name” included in the related information 132. If the site and symptom described in the HL7 file match the site and symptom included in the “information that can temporarily determine the disease name”, the processing circuit 11 determines that the site and symptom match. It is temporarily determined that the name of the disease associated with is the name of the disease considered to be affected by the patient who visited the hospital.

  If the disease name is provisionally determined, the processing circuit 11 executes the information acquisition function 112. When the information acquisition function 112 is executed, the processing circuit 11 searches the related information 132 based on the tentatively determined disease name, and determines the clinical department for the patient whose disease name is tentatively determined to receive (step S33).

  Specifically, for example, it is assumed that the relationship shown in FIG. FIG. 4 is a diagram showing an example of information included in the related information 132 shown in FIG. According to FIG. 4, the diseases: “esophagitis”, “GERD (gastroesophageal reflux disease)” and “esophageal ulcer” are associated with the clinical department: “Gastroenterology” and the disease: “acute upper respiratory tract infection” ”,“ Bacterial pneumonia ”, and“ bronchiectasis ”are associated with the clinical department:“ respiratory ”.

  When the information acquisition function 112 is executed, the processing circuit 11 collates the provisionally determined disease name with “disease name” included in the related information 132. When the tentatively determined disease name matches the “disease name”, the processing circuit 11 determines that the clinical department associated with the disease name determined to match is the clinical department that the patient visits. That is, when the temporarily determined disease name is “GERD”, the processing circuit 11 determines that the clinical department associated with the disease: “GERD”: “Gastroenterology” is the clinical department where the patient visits. To do.

  In addition, when the information acquisition function 112 is executed, the processing circuit 11 searches the related information 132 based on the temporarily determined disease name, and the treatment, examination, diagnosis, and test performed on the patient whose disease name is temporarily determined. And surgery are estimated (step S34).

  Specifically, for example, it is assumed that the relationship shown in FIG. FIG. 5 is a diagram illustrating an example of information included in the related information 132 illustrated in FIG. According to FIG. 5, disease: “esophagitis” is associated with diagnosis: “endoscopic stomach”, disease: “GERD” is diagnosed: “endoscopic esophagus”, and / or diagnosis: “endoscopy Associated with “mirror stomach”, the disease: “esophageal ulcer” is associated with examination: “X-ray examination esophagus” and / or examination: “esophageal pressure examination”.

  When the information acquisition function 112 is executed, the processing circuit 11 collates the provisionally determined disease name with “disease name” included in the related information 132. When the tentatively determined disease name matches the “disease name”, the processing circuit 11 receives the treatment, examination, diagnosis, test, and operation associated with the disease name that is determined to match, and the process and examination that the patient receives Estimate diagnosis, testing, and surgery. That is, when the temporarily determined disease name is “GERD”, the processing circuit 11 performs diagnosis: “endoscopic esophagus” and / or diagnosis: “endoscopic stomach” associated with the disease: “GERD”. Is estimated to be the treatment, examination, diagnosis, testing, and surgery that the patient undergoes.

  When the processing circuit 11 determines a department and estimates processing, examination, diagnosis, test, surgery, and the like, the processing circuit 11 executes a doctor-in-charge determination function 113. When the doctor-in-charge determination function 113 is executed, the processing circuit 11 performs a provisionally determined disease name, a department determined for the disease name, a process estimated for the disease name, a test, a diagnosis, a test, and an operation. Based on the training status information 131, the doctor in charge of the patient is determined as follows.

  First, when the doctor-in-charge determination function 113 is executed, the processing circuit 11 includes a provisionally determined disease name, a medical department determined for the disease name, and processing, examination, diagnosis, Necessary information is extracted from the training status information 131 based on the examination, surgery, and the like (step S35).

  Specifically, for example, it is assumed that the training status information 131 includes the information shown in FIG. FIG. 6 is a diagram showing an example of the training status information 131 shown in FIG. According to FIG. 6, the training status information 131 includes the name of the medical department, the name of the doctor, the remaining period of the training period, the medical treatment experience to be experienced in the training, the number of reference cases to be achieved, and the current experience status.

  According to FIG. 6, “doctor A” belonging to “digestive organ department” has a remaining period of “5 months”. As for the experience situation of “doctor A”, the disease: “esophageal ulcer” and the examination: “X-ray examination esophagus” exceed the reference number of cases. “Doctor B” belonging to “Gastroenterology” has a remaining period of “27 months”. As for the experience situation of “doctor B”, the disease: “esophageal ulcer” and the examination: “X-ray examination esophagus” exceed the reference number of cases. “Doctor C” belonging to “psychiatry” has a remaining period of “10 months”. In addition, as for the experience situation of “doctor C”, the disease: “schizophrenia” exceeds the reference number of cases.

  When the doctor-in-charge determination function 113 is executed, the processing circuit 11 determines, based on the training status information 131, the tentatively determined disease name and the estimated process, examination, diagnosis, test, surgery, etc. for the doctor belonging to the determined medical department. Extract records that contain. For example, if the temporarily determined disease name is “GERD”, the determined clinical department is “Gastroenterology”, and the estimated diagnosis is “endoscopic esophagus” and “endoscopic stomach” The circuit 11 has the remaining period and the disease: “GERD”, diagnosis: “endoscopic esophagus”, and diagnosis: “endoscope” for “doctor A” and “doctor B” belonging to “digestive organs” Extract the number of reference cases and experience for “stomach”. FIG. 7 is a diagram illustrating an example of information extracted at this time.

  When the processing circuit 11 extracts the information from the training status information 131, the processing circuit 11 calculates an urgency level indicating the urgency of accumulating the results based on the extracted information (step S36). The degree of urgency is calculated based on, for example, the remaining number from the current experience situation to the number of reference cases and the remaining period of the training period. Specifically, the urgency is represented by a value obtained by dividing the remaining number by the number of days in the remaining period. The degree of urgency may be weighted for each medical record. For example, the urgency level for a disease may be multiplied by a large weighting factor so as to be higher than the urgency levels for processing, examination, diagnosis, test, surgery, and the like.

  Subsequently, the processing circuit 11 determines the doctor with the highest degree of urgency as the doctor in charge of the patient who visited the hospital based on the calculated parameters (step S37). Specifically, for example, a doctor who has the maximum value obtained by dividing the remaining number by the number of days in the remaining period is determined as a doctor in charge. According to the example of FIG. 7, among doctor A and doctor B, the disease: 2/150 (case / day) for “GERD”, diagnosis: 3/150 (case / day) for “endoscopic esophagus”, And diagnosis: 2/150 (cases / day) of doctor A for “endoscopic stomach” is determined as the attending physician.

  When determining the doctor in charge, the processing circuit 11 executes the storage control function 114. When the storage control function 114 is executed, the processing circuit 11 updates the medical information stored in the medical information storage device 30 (step S38). Specifically, the processing circuit 11 stores the medical name of the patient who has visited the hospital in the medical information.

  The output device 40 displays medical information stored in the medical information storage device 30 in response to display instructions input from medical staff such as doctors and nurses. As a result, the resident doctor who has become the attending physician can confirm that he has been determined as the attending physician.

  When there is a request from another department of the own hospital to change the doctor in charge, the following processing is executed. When there is a request to change the doctor in charge, the request information already includes the disease and the department. The processing circuit 11 performs the processing from step S34 onward based on the disease name and medical department that have already been determined. Then, when the doctor in charge is determined in step S37, the processing circuit 11 changes the doctor name in charge in the electronic medical record of the patient who has requested the change in charge to the determined doctor name in charge.

  As described above, in the first embodiment, the doctor-in-charge determining device 10 includes the medical department to which the resident belongs, the name of the resident, the remaining period until the specialist certification, the items that require training, and the reference cases to be achieved. The training status information 131 including the number and the actual number of cases experienced is stored. When the disease name provisionally determined for the patient is input, the attending doctor determination device 10 extracts a doctor who has a poor medical record for the input disease name with respect to the remaining period based on the training status information 131. Then, the doctor-in-charge determining apparatus 10 sets the extracted doctor as the doctor in charge of the patient whose disease name is input. As a result, the doctor-in-charge determining device 10 can preferentially determine a doctor who is likely to be out of accreditation as a doctor in charge among the doctors who need to gain experience regarding the input disease name. .

  Therefore, according to the attending doctor determining apparatus 10 according to the first embodiment, it is possible to prevent a situation in which a doctor aiming at a specialist is not certified as a specialist without being able to give a predetermined medical treatment result within a predetermined training period. it can.

  In the first embodiment, the attending doctor determining apparatus 10 determines a medical department to be consulted by the patient based on the patient's disease. The doctor-in-charge determining apparatus 10 determines a doctor in charge from doctors belonging to the determined medical department. Thereby, the process at the time of determining a doctor in charge is reduced.

  In the first embodiment, the processing circuit 11 uses a provisionally determined disease name, and estimates a treatment, examination, diagnosis, test, surgery, and the like that can be performed on a patient for which the disease name is provisionally determined. The case has been described as an example. However, it is not limited to this. The processing circuit 11 may not estimate treatments, examinations, diagnoses, tests, operations, and the like that can be performed on a patient whose disease name is provisionally determined. That is, after determining the clinical department in step S33, the processing circuit 11 extracts the necessary information from the training status information 131 based on the disease name and the clinical department in step S35 without passing through step S34. May be. This makes it possible to determine the attending doctor based on the experience of only the disease, and thus simplifies the process for determining the attending doctor.

(Second Embodiment)
In the first embodiment, the processing for preventing omission of specialist certification is described by the attending doctor determination device 10 determining the attending doctor based on the training status information 131 in one hospital network. In the second embodiment, a process for preventing omission of a specialist's authorization by reflecting information related to a disease or the like shared between a plurality of hospital networks in the training status information 131 will be described.

  FIG. 8 is a block diagram illustrating an example of a functional configuration of the medical information system according to the second embodiment. The medical information system shown in FIG. 8 is a medical information system for a first hospital (hereinafter referred to as a first medical information system) and a hospital network for a second hospital (hereinafter referred to as a second medical information system). .). The first medical information system and the second medical information system are connected via a communication network in which security is ensured. The communication network in which security is ensured includes, for example, an inter-hospital network constructed by a dedicated line, a VPN (Virtual Private Network), or the like.

  Although FIG. 8 shows an example in which two hospitals are connected by a communication network, the present invention is not limited to this. There may be three or more hospitals connected to the communication network.

  The first medical information system shown in FIG. 8 includes an input device 20-1, a medical information storage device 30-1, an output device 40-1, and a training status management device 50-1. In the second embodiment, the input device 20-1, the medical information storage device 30-1, the output device 40-1, and the training status management device 50-1 can be connected to each other via a hospital network such as a LAN, for example. It is assumed that it is connected to

  Note that the input device 20-1, the medical information storage device 30-1, the output device 40-1, and the training status management device 50-1 are not necessarily connected to the hospital network. For example, some of the input device 20-1, the medical information storage device 30-1, the output device 40-1, and the training status management device 50-1 may be connected to an out-of-hospital network. At this time, a device having a firewall function, such as a proxy server, is provided between the in-hospital network and a device connected to the out-of-hospital network.

  Further, the input device 20-1, the medical information storage device 30-1, the output device 40-1, and the training status management device 50-1 are not necessarily realized by individual hardware. For example, all of the input device 20-1, the medical information storage device 30-1, the output device 40-1, and the training status management device 50-1 may coexist on one piece of hardware, or at least one of them. May coexist on one piece of hardware.

  The second medical information system shown in FIG. 8 includes an input device 20-2, a medical information storage device 30-2, an output device 40-2, and a training status management device 50-2. In the second embodiment, the input device 20-2, the medical information storage device 30-2, the output device 40-2, and the training status management device 50-2 are communicably connected to a hospital network such as a LAN, for example. It is assumed that it is connected to The configuration of the first medical information system is the same as the configuration of the second medical information system. Therefore, in the following, the input devices 20-1 and 20-2, the medical information storage devices 30-1 and 30-2, the output devices 40-1 and 40-2, and the training status management devices 50-1 and 50-2 will be described. These will be described as an input device 20, a medical information storage device 30, an output device 40, and a training status management device 50, respectively.

  The training status management device 50 is a device for managing the progress status of the training by the resident. The training status management device 50 is realized by a server, for example. In this embodiment, the case where the training status management apparatus 50 is connected to a communication network is described as an example. At this time, the training status management apparatus 50 has a function of protecting the hospital network from an external communication network, for example, a firewall function. Note that an external network connection device having a firewall function may be connected to the hospital network, and the external network connection device may be connected to an external communication network.

  FIG. 9 is a block diagram illustrating an example of a functional configuration of the training status management apparatus 50 illustrated in FIG. The training status management apparatus 50 shown in FIG. 9 includes a processing circuit 51, a communication interface 52, and a storage circuit 53. The processing circuit 51, the communication interface 52, and the storage circuit 53 are connected to be communicable with each other via, for example, a bus.

  The processing circuit 51 is a processor that functions as the center of the training status management device 50. The processing circuit 51 implements a function corresponding to the program by executing the processing program stored in the storage circuit 53 or the like.

  The communication interface 52 performs data communication with the input device 20, the medical information storage device 30, and the output device 40 connected via a hospital network. The standard of communication with the input device 20, the medical information storage device 30, and the output device 40 may be any standard, for example, HL7.

  The storage circuit 53 is a storage device such as an HDD, an SSD, or an integrated circuit storage device that stores various types of information. In addition, the storage circuit 53 may be a drive device that reads and writes various kinds of information with a portable storage medium such as a CD-ROM drive, a DVD drive, and a flash memory. The storage circuit 53 stores a processing program according to the present embodiment.

  In addition, the storage circuit 53 stores training status information 131 of residents who are enrolled in the hospital.

  In addition, the storage circuit 53 stores history information 531 in which a disease that occurred in the own hospital and a date on which each disease occurred are stored. The history information 531 also stores treatments, examinations, diagnoses, tests, operations, and the like performed at the hospital, and the dates when these were performed. A record is added to the history information 531 along with the date every time a disease occurs in the own hospital and every time treatment, examination, diagnosis, test, surgery, and the like are performed in the own hospital.

  In addition, the storage circuit 53 stores other hospital information 532 in which a disease that has occurred in another hospital and a date on which the disease has occurred are stored. In addition, the other hospital information 532 also stores the treatments, examinations, diagnoses, tests, and operations performed at other hospitals, and the dates when these were performed. Information included in the other hospital information 532 is managed for each hospital. The other hospital information 532 is updated based on information transmitted from another hospital. The other hospital information 532 may store information related to the hospital, such as an address, the name of the director, and the hospital scale.

  The processing circuit 51 shown in FIG. 9 implements a function corresponding to the program by executing the processing program stored in the storage circuit 53. For example, the processing circuit 51 includes another hospital information acquisition function 511, a training status acquisition function 512, and an output control function 513 by executing a processing program. In addition, although this embodiment demonstrates the case where the other hospital information acquisition function 511, the training condition acquisition function 512, and the output control function 513 are implement | achieved by a single processor, it is not limited to this. For example, a processing circuit may be configured by combining a plurality of independent processors, and the other hospital information acquisition function 511, the training status acquisition function 512, and the output control function 513 may be realized by each processor executing a processing program. Absent.

  The other hospital information acquisition function 511 is a function for acquiring necessary information from another hospital. Specifically, for example, when the processing circuit 51 is requested to acquire information stored in another hospital, the processing circuit 51 executes the other hospital information acquisition function 511. When the other hospital information acquisition function 511 is executed, the processing circuit 51 requests necessary information from the other hospital via the communication interface 52.

  The training status acquisition function 512 is a function for acquiring a training status for a designated doctor. Specifically, for example, when the processing circuit 51 receives a request to display the training status for the designated doctor, the processing circuit 51 executes the training status acquisition function 512. When the training status acquisition function 512 is executed, the processing circuit 51 acquires training personal information representing the training status of the designated doctor from the training status information 131. When the training status acquisition function 512 is executed, the processing circuit 51 calculates an estimated training completion date, which is the date when the medical treatment result reaches the reference number of cases for the designated doctor. The estimated training completion date may be rephrased as the estimated acceptance completion month.

  The output control function 513 is a function for controlling the output device 40 to output predetermined information. Specifically, for example, when the processing circuit 51 acquires the training personal information, the processing circuit 51 executes the output control function 513. When the output control function 513 is executed, the processing circuit 51 causes the output device 40 to display and / or print the acquired training personal information. Further, when the estimated training completion date is calculated, the processing circuit 51 executes the output control function 513. When the output control function 513 is executed, the processing circuit 51 causes the output device 40 to display and / or print the estimated estimated training completion date.

  Next, the operation of the training status management apparatus 50 configured as described above will be described according to the processing procedure of the processing circuit 51. FIG. 10 is a diagram for explaining an example of the operation when the training status management devices 50-1 and 50-2 shown in FIG. 8 manage the training status.

  First, a trainee enrolled in the first hospital inputs his / her name and input a display instruction for requesting display of the training status from the input interface of the output device 40-1.

  The training status management apparatus 50-1 of the first medical information system receives the input display instruction via the hospital network (step S101). When the display instruction is received, the processing circuit 51 of the training status management apparatus 50-1 executes the training status acquisition function 512. When the training status acquisition function 512 is executed, the processing circuit 51 acquires information associated with the doctor name that matches the input name as training personal information from the training status information 131 (step S102).

  When acquiring the training personal information, the processing circuit 51 calculates the estimated training completion date with reference to the occurrence tendency of the disease in the own hospital (step S103). Specifically, when acquiring the training personal information, the processing circuit 51 reads the history information 531 from the storage circuit 53 of the training status management device 50-1. The processing circuit 51 is based on the read history information 531, the total number of predetermined diseases occurring in its own hospital, the total number of predetermined treatments performed in its own hospital, the total number of predetermined tests performed in its own hospital, The total number of predetermined diagnoses, the total number of predetermined tests performed in the own hospital, the total number of predetermined operations performed in the own hospital, and the respective periods required to count these totals are acquired. The processing circuit 51 treats the acquired information as an occurrence tendency of a disease and calculates an estimated training completion date. For example, the processing circuit 51 calculates “estimated training completion date” by calculating “current date + remaining number of current experience situation to reference number of cases / total number of occurrences / period of counting occurrences”. For example, when calculating the estimated training completion date of the disease: “GERD” for the doctor A shown in FIG. 7, the processing circuit 51 determines that “current date“ September 2016 ”+ remaining number“ 2 ”÷ GERD occurs. The total number of occurrences divided by the total number of occurrences of GERD is calculated as November 2017.

  When the processing circuit 51 acquires the training personal information and calculates the estimated training completion date, the processing circuit 51 executes the output control function 513. When the output control function 513 is executed, the processing circuit 51 displays the training personal information and the estimated training completion date on the output device 40-1 (step S104). At this time, if there is an estimated training completion date that exceeds the training period, the processing circuit 51 displays the estimated training completion date that has passed so as to be distinguishable from the estimated training completion date that has not passed. To do. For example, the processing circuit 51 displays the estimated training completion date that has passed the training period in red letters, and displays the estimated training completion date that has not passed the training period in black letters.

  FIG. 11 is a diagram illustrating an example of training personal information displayed on the output device 40-1 illustrated in FIG. 8 and an estimated training completion date. In FIG. 11, the training personal information about the doctor A shown in FIG. 7 and the estimated training completion date are shown. According to FIG. 7, the remaining period of the doctor A is 5 months. If the current date is September 2016, the training period for Doctor A is until February 2017. Therefore, the estimated training completion date that passes February 2017 is displayed in red.

  In step S103, the case where the estimated training completion date for all the diseases included in the training personal information is calculated has been described. However, it is not limited to this. For example, the processing circuit 51 may proceed as follows. That is, when the processing circuit 51 acquires training personal information in step S102, the processing circuit 51 displays the acquired training personal information on the output device 40-1. The processing circuit 51 receives a selection about a disease or the like to be displayed as training personal information. When there is a selection, the processing circuit 51 calculates an estimated training completion date for the selected disease or the like. The processing circuit 51 causes the output device 40-1 to display the calculated estimated training completion date in addition to the training personal information.

  The processing circuit 51 receives an input as to whether or not information on another hospital is required for an item displayed on the output device 40-1 that has passed the training period. For example, the processing circuit 51 causes the output device 40-1 to display an icon indicating that other hospital information is required. When the doctor needs information on another hospital, the doctor selects an icon displayed on the output device 40-1. When information indicating that other hospital information is required is input (step S105), the processing circuit 51 requests the other hospital system to transmit information (step S106).

  At this time, the processing circuit 51 transmits a request signal to the second medical information system so as to transmit necessary information. Specifically, the processing circuit 51 sends a request signal to the second medical information system so as to transmit at least a part of the history information 531 stored in the training status management device 50-2 of the second medical information system. Send. For example, the processing circuit 51 transmits a request signal to the second medical information system so as to transmit information related to a disease or the like designated by the doctor among information included in the history information 531.

  The training status management device 50-2 of the second medical information system receives a request signal from the training status management device 50-1 of the first medical information system. When receiving the request signal, the processing circuit 51 of the training status management apparatus 50-2 reads the history information 531 from the storage circuit 53 (step S107). The processing circuit 51 transmits the read information to the first medical information system via the communication network (step S108).

  The training status management device 50-1 of the first medical information system receives information transmitted from the second medical information system. When the information is received, the processing circuit 51 of the training status management apparatus 50-1 stores the received information about the other hospital in the other hospital information 532 of the storage circuit 53 (step S109).

  When the received information is stored in the other hospital information 532, the processing circuit 51 executes the training status acquisition function 512. When the training status acquisition function 512 is executed, the processing circuit 51 calculates the second estimated training completion date with reference to the occurrence tendency of diseases and the like in other hospitals (step S110). Specifically, the processing circuit 51 reads training personal information and other hospital information 532 from the storage circuit 53 of the training status management device 50-1. Based on the read other hospital information 532, the processing circuit 51 acquires the total number of predetermined diseases and the like that have occurred in the other hospital and the period required to count this total number. The processing circuit 51 treats the acquired information as an occurrence tendency of a disease and calculates the second estimated training completion date. For example, the processing circuit 51 calculates “current date + remaining number from the current experience situation to the number of reference cases ÷ total number of occurrences at the second hospital ÷ period of counting occurrences at the second hospital”. Calculate the second estimated training completion date. For example, when calculating the second estimated training completion date of the disease: “GERD” for the doctor A shown in FIG. 7, the processing circuit 51 calculates “current date“ September 2016 ”+ remaining number“ 2 ”÷ number. It is calculated as January 2017 from "the total number of occurrences of GERD at two hospitals divided by the period of counting the total number of occurrences of GERD at the second hospital".

  After calculating the second estimated training completion date, the processing circuit 51 executes the output control function 513. When the output control function 513 is executed, the processing circuit 51 causes the output device 40-1 to display the second estimated training completion date in addition to the training personal information and the estimated training completion date (step S111). At this time, in addition to the calculated second estimated training completion date, the processing circuit 51 may cause the output device 40-1 to display information about the hospital on which the second estimated training completion date is expected, for example, the hospital name.

  FIG. 12 is a diagram illustrating an example of the training personal information, the estimated training completion date, and the second estimated training completion date displayed on the output device 40-1 illustrated in FIG. FIG. 12 is a diagram showing the display shown in FIG. 11 with the second estimated training completion date added. FIG. 12 shows that if sent to the second hospital, the experience status of the disease: “GERD” reaches the reference number of cases in January 2017, which is within the training period.

  When information about a plurality of hospitals is stored in the other hospital information 532, the second estimated training completion date for each hospital is calculated in step S110. The processing circuit 51 displays the calculated plurality of second estimated training completion dates based on a predetermined rule. For example, the processing circuit 51 displays the calculated plurality of second estimated training completion dates on the output device 40-1. Further, the processing circuit 51 may cause the output device 40-1 to display a second estimated training completion date that does not pass the training period among the calculated second estimated training completion dates. In addition, the processing circuit 51 selects a second estimated training completion date that is most preferable for a doctor enrolled in the first hospital among the calculated second estimated training completion dates, and outputs the selected second estimated training completion date. You may make it display on the apparatus 40-1. The most preferable second estimated training completion date is, for example, the earliest completion date among the second estimated training completion dates that do not pass the training period, and the second estimated training completion date expected at the nearest hospital from the first hospital , And the second estimated training completion date expected in the hospital with the highest priority for the first hospital.

  Further, in steps S105 to S111, the case where the second estimated training completion date for the disease designated by the doctor is calculated has been described. However, it is not limited to this. For example, the processing circuit 51 may proceed as shown in FIG.

  That is, the processing circuit 51 acquires training personal information (step S132) using an input from a trainee enrolled in the first hospital as a trigger (step S131). When obtaining the training personal information, the processing circuit 51 calculates the estimated training completion date with reference to the occurrence tendency of the disease in the own hospital (step S133). After calculating the estimated training completion date, the processing circuit 51 requests the other hospital system to transmit information (step S134). The processing circuit 51 calculates the second estimated training completion date with reference to the occurrence tendency of a disease or the like in another hospital (step S135). Then, when calculating the second estimated training completion date, the processing circuit 51 displays the training personal information, the first estimated training completion date, and the second estimated training completion date on the output device 40-1 (step S136).

  In the above description, the case where the second estimated training completion date is calculated for each hospital has been described as an example. However, the present invention is not limited to this. The processing circuit 51 may calculate the second estimated training completion date when a plurality of hospitals are held. For example, the processing circuit 51 determines that “current date + remaining number from current experience situation to reference number of cases / (total number of occurrences at first hospital / period of counting occurrences at first hospital + second hospital” The total number of occurrences divided by the period during which the number of occurrences was counted at the second hospital). When there is a third hospital, the second estimated training completion date when the second hospital and the third hospital are held may be calculated.

  As described above, in the second embodiment, the training status management apparatus 50 predicts the time when the number of experiences reaches the reference number of cases based on history information such as diseases in the own hospital. Moreover, the training status management apparatus 50 predicts the time when the number of experiences reaches the reference number of cases in other hospitals based on history information such as diseases in other hospitals. As a result, the training status management device 50 can manage whether or not the trainee can accumulate the necessary medical treatment results within the training period, in addition to his / her own hospital, including seconding to other hospitals.

  Therefore, according to the training status management apparatus 50 according to the second embodiment, it is possible to prevent a situation in which a doctor aiming at a specialist is not certified as a specialist without being able to obtain a predetermined medical treatment result within a predetermined training period. it can.

  In the second embodiment, the case where the processing circuit 51 calculates the estimated training completion date and the second estimated training completion date for treatment, examination, diagnosis, test, surgery, and the like has been described as an example. However, it is not limited to this. The processing circuit 51 may calculate the estimated training completion date and the second estimated training completion date for only the disease. This simplifies the visualization of the training situation.

  The term “processor” used in the above description is, for example, a central processing unit (CPU), a graphics processing unit (GPU), or an application specific integrated circuit (ASIC)), a programmable logic device (for example, It means a circuit such as a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), and a field programmable gate array (FPGA). The processor implements a function by reading and executing a program stored in the storage circuit. Each processor in the first and second embodiments is not limited to being configured as a single circuit for each processor, but is configured as a single processor by combining a plurality of independent circuits, and the functions thereof are It may be realized.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

  DESCRIPTION OF SYMBOLS 10 ... Physician determination apparatus, 11 ... Processing circuit, 111 ... Temporary disease determination function, 112 ... Information acquisition function, 113 ... Physician determination function, 114 ... Memory control function, 12 ... Communication interface, 13 ... Memory circuit, 131 ... Training status information, 132 ... related information, 20, 20-1, 20-2 ... input device, 30, 30-1, 30-2 ... medical information storage device, 40, 40-1, 40-2 ... output device, 50, 50-1, 50-2 ... Training status management device, 51 ... Processing circuit, 511 ... Other hospital information acquisition function, 512 ... Training status acquisition function, 513 ... Output control function, 52 ... Communication interface, 53 ... Memory circuit 531 ... History information, 532 ... Other hospital information.

Claims (16)

A storage unit that stores training status information related to results for a plurality of residents belonging to a hospital to be certified as specialists;
Among the residents included in the training status information, a patient who is tentatively determined to have the predetermined disease is a patient whose number of remaining cases that must be experienced for the predetermined disease is larger than the remaining period of the training. A doctor-in-charge determining apparatus including a doctor-in-charge determining unit that preferentially determines a doctor. Further comprising a disease provisional decision unit that provisionally decides a patient's disease based on the patient inquiry information;
The doctor-in-charge determination unit determines, as a doctor in charge of a patient for whom the disease is provisionally determined, a resident who has a large number of remaining cases that must be experienced for the provisionally determined disease for a remaining period of training. 1. The doctor-in-charge determining apparatus according to 1. The storage unit further stores related information in which a disease and a medical department are associated with each other,
Based on the related information, further comprising an information acquisition unit for acquiring a medical department associated with the provisionally determined disease,
The doctor-in-charge determination apparatus according to claim 2, wherein the doctor-in-charge determination unit determines the doctor in charge from a resident in the clinical department included in the training status information.   The doctor-in-charge determination apparatus according to claim 1, wherein the doctor-in-charge determination unit determines the doctor in charge from a trainee included in the training status information for a patient whose disease has been determined in another clinical department. The storage unit further stores related information in which a disease and at least one of treatment, examination, diagnosis, test, and surgery that can be performed in the disease are associated with each other,
Further comprising an information acquisition unit that acquires at least one of the treatment, examination, diagnosis, test, and surgery associated with the predetermined disease based on the related information;
The attending doctor determination unit determines that the number of remaining cases that must be experienced in at least one of the treatment, examination, diagnosis, examination, and surgery among the residents included in the training status information is equal to the remaining period of the training. The attending doctor determining apparatus according to claim 1, wherein the attending doctor is determined in consideration of a large resident. The storage unit further stores related information in which a disease and at least one of treatment, examination, diagnosis, test, and surgery that can be performed in the disease are associated with each other,
Further comprising an information acquisition unit for acquiring at least one of the treatment, examination, diagnosis, test, and surgery associated with the provisionally determined disease based on the related information;
The attending doctor determination unit determines that the number of remaining cases that must be experienced in at least one of the treatment, examination, diagnosis, examination, and surgery among the residents included in the training status information is equal to the remaining period of the training. The attending doctor determination apparatus according to claim 2, wherein the attending doctor is determined in consideration of a large resident. In the related information, a disease and a medical department are further associated with each other,
The information acquisition unit further acquires a medical department associated with the temporarily determined disease based on the related information,
The doctor-in-charge determining apparatus according to claim 6, wherein the doctor-in-charge determining unit determines the doctor in charge from a resident in the clinical department included in the training status information. The storage unit further stores related information in which a disease and at least one of treatment, examination, diagnosis, test, and surgery that can be performed in the disease are associated with each other,
Based on the related information, further comprising an information acquisition unit that acquires at least one of the treatment, examination, diagnosis, test, and surgery associated with a disease determined in the other medical department,
The doctor-in-charge determination unit has experience with at least one of the treatment, examination, diagnosis, examination, and surgery among the residents included in the training status information for a patient whose disease has been determined in another medical department. The attending doctor determining apparatus according to claim 1, wherein the attending doctor is determined in consideration of a resident who has a large number of remaining cases with respect to the remaining period of the training. Processing to obtain training status information on the results for multiple resident doctors belonging to the hospital to be certified as specialists;
Among the residents included in the training status information, a patient who is tentatively determined to have the predetermined disease is a patient whose number of remaining cases that must be experienced for the predetermined disease is larger than the remaining period of the training. A doctor-in-charge determination program that causes a processor to perform processing that is preferentially determined as a doctor. A storage unit that stores training status information related to the results of a plurality of residents belonging to the hospital being certified as specialists, and first history information related to a disease that has occurred in the hospital;
Other hospital information acquisition part which acquires the 2nd history information about the disease which occurred in other hospitals from the other hospital,
Based on the training status information and the first history information, the estimated time when the number of experiences that must be experienced for a given disease reaches the reference number of cases necessary for the certification is defined as the first estimated training completion date. A training status acquisition unit that calculates and calculates, as a second estimated training completion date, a time when the number of experiences is estimated to reach the reference number of cases based on the training status information and the second history information Training status management device The first history information includes information on at least one of treatment, examination, diagnosis, test, and surgery performed in the hospital,
The second history information includes information related to at least one of treatment, examination, diagnosis, test, and surgery performed in another hospital,
The training status acquisition unit is certified based on the training status information and the first history information, and the number of experiences that must be experienced with respect to at least one of predetermined treatment, examination, diagnosis, test, and surgery. The time to reach the number of reference cases necessary for the above is calculated as the first estimated training completion date,
The training status acquisition unit, based on the training status information and the second history information, the number of experiences that must be experienced for at least one of predetermined treatment, examination, diagnosis, test, and surgery, The training status management device according to claim 10, wherein the time when the number of reference cases is reached is calculated as the second estimated training completion date. The other hospital information acquisition unit acquires second history information from a plurality of other hospitals,
The training status management apparatus according to claim 10, wherein the training status acquisition unit calculates the second estimated training completion date for each of the plurality of other hospitals. The other hospital information acquisition unit acquires second history information from a plurality of other hospitals,
The training status acquisition unit combines the second estimated training completion date with at least two of the first history information about the own hospital and the second history information acquired from the plurality of other hospitals. The training situation management device according to claim 10 or claim 11, which is calculated as follows.   The training status management device according to any one of claims 10 to 13, further comprising an output control unit that causes the external device to output the first and second estimated training completion dates.   13. An output control unit that causes an external device to output the first estimated training completion date and a second estimated training completion date that satisfies a predetermined requirement among the calculated second estimated training completion dates. The training status management device according to claim 13. Processing to obtain training status information on the results for multiple resident doctors belonging to the hospital to be certified as specialists;
A process of acquiring first history information relating to a disease occurring in the own hospital;
A process of acquiring second history information relating to a disease occurring in another hospital from the other hospital;
Based on the training status information and the first history information, the estimated time when the number of experiences that must be experienced for a given disease reaches the reference number of cases necessary for the certification is defined as the first estimated training completion date. Processing to calculate,
Based on the training status information and the second history information, a training status that causes the processor to perform processing for calculating the estimated time when the number of experiences reaches the reference number of cases as the second estimated training completion date. Management program.