JP2018197908A - Skill evaluation system for morphological inspection - Google Patents

Abstract

To evaluate the skill for morphological inspection of each inspector, in a control survey for morphological inspection.SOLUTION: A skill evaluation system 500 provides a skill evaluation system 500 for morphological inspection, which comprises a presentation device 100 which presents skill evaluation related data 170 including questions 160 for evaluating skill of an inspector in the morphological inspection, and a participant terminal 200 operated by participants. Moreover, the presentation device 100 displays an input screen 130 for making participant information 115 including information relevant to inspection carrier of the participant input from the participant terminal 200 on the participant terminal 200. The presentation device 100 acquires the participant information 115 inputted to the input screen 130.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a skill evaluation system for morphological inspection, a presentation apparatus for presenting skill evaluation related data, a computer program for the presentation apparatus to present skill evaluation related data, and a presentation method for presenting skill evaluation related data. About.

  In the field of clinical tests for examining patient specimens and bodies, it is required for each clinical laboratory to provide accurate test results to doctors as needed in order for doctors to diagnose diseases. In order to satisfy this requirement, external control surveys (accuracy management surveys) have been conducted in each country to objectively evaluate the test accuracy of each clinical laboratory. In Japan, for example, the Japan Medical Association and the Japan Society for Clinical Hygiene Engineers conduct external control surveys.

  External control surveys were initially conducted for tests using measuring devices such as biochemical tests and blood cell count tests. However, in recent years, morphological examinations such as peripheral blood smear examination and Papanicolaou staining specimen examination are also subject to control surveys. As shown in Patent Document 1, recently, a control survey of morphological examinations using the Internet has also been performed.

Grant-in-Aid for Scientific Research, Ministry of Education Fundamental Research (C) Project No. 10672172 Research Project “Study to Conduct a Control Survey of Morphological Examination Using the Internet” May 8, 1999

  The accuracy of each clinical laboratory has been harmonized internationally, and the international standard ISO 15189: 2007 regarding the quality and capability of clinical laboratories has been issued.

  However, the current external control survey is being evaluated by each clinical laboratory. In addition, the current external control survey takes one to several months after answering the survey questions until the evaluation results of each clinical laboratory are notified. For this reason, even if the evaluation result is unfavorable, the cause may not be pursued, and the accuracy may not be improved.

  Particularly, in the field of morphological inspection, the accuracy of inspection depends on the period of each inspector's inspection, the inspection carrier such as the number of samples handled, and the skills of each inspector. For this reason, inspectors who do not have sufficient skills for morphological inspection need education for improving their skills. However, in the external control survey currently being conducted, the evaluation is performed in units of clinical laboratories, and the accuracy of the examination of each examiner is hardly reflected in the evaluation. For this reason, in the current control survey, it is difficult to objectively extract inspectors with insufficient morphological inspection skills.

  It is an object of the present invention to evaluate morphological inspection skills of each inspector in a morphological inspection control survey.

  The first embodiment of the present invention relates to a skill evaluation system for morphological inspection. A skill evaluation system 500 according to the present embodiment includes a presentation device 100 that presents skill evaluation related data 170 including a question 160 for evaluating an inspector's skill in a form inspection, and a participant terminal operated by a participant who participates. 200 is a skill evaluation system 500 for morphological inspection. The presenting device 100 displays on the participant terminal 200 an input screen 130 for allowing the participant terminal 115 to input participant information 115 including information related to the participant's examination carrier, and the presenting device 100 acquires the participant information 115 input on the input screen 130.

  According to this embodiment, it is possible to evaluate morphological inspection skills for each participant in consideration of information related to the inspection carrier of the participant input from the terminal input unit 251 of the participant terminal 200.

  The second embodiment of the present invention relates to a presentation apparatus 100 that presents skill evaluation related data 170 including a question 160 for evaluating an inspector's skill in a form inspection. In addition, the presentation device 100 acquires participant information 115 including information related to the inspection carrier of the participant who participates in the skill evaluation.

  In the third embodiment of the present invention, an examination carrier of a participant who participates in the skill evaluation is presented to the presentation apparatus 100 that presents the skill evaluation related data 170 including the question 160 for evaluating the skill of the examiner in the morphological examination. The step of acquiring the participant information 115 including information related to is executed.

  The fourth embodiment of the present invention is a presentation method for presenting skill evaluation related data 170 including a question 160 for evaluating the skill of an inspector in a form inspection, and a presentation apparatus for presenting the skill evaluation related data 170 100 includes obtaining participant information 115 including information related to a test carrier of a participant participating in the skill evaluation.

  According to the second, third, and fourth embodiments of the present invention, it is possible to evaluate a participant's morphological inspection skill in consideration of information related to the participant's inspection carrier.

  According to the present invention, it is possible to evaluate each participant's morphological inspection skill in consideration of information related to the participant's inspection carrier.

FIG. 1 is a diagram showing a configuration of a skill evaluation system for morphological inspection according to the first embodiment. FIG. 2 is a block diagram illustrating a configuration of the presentation device. FIG. 3 is a diagram illustrating an example of an input screen for inputting participant information. FIG. 4 is a diagram illustrating an example of a question collection. FIG. 5 is a diagram illustrating an example of an image corresponding to each question. FIG. 6 is a block diagram showing the configuration of the participant terminal. FIG. 7 is a diagram illustrating a hardware configuration of the presentation device and the participant terminal. FIG. 8 is a diagram illustrating a flowchart of each step performed by the device control unit of the presentation device and the terminal control unit of the participant terminal according to an example of the first embodiment. FIG. 9 is a diagram illustrating a flowchart of each step performed by the device control unit of the presentation device and the terminal control unit of the participant terminal according to another example of the first embodiment. FIG. 10 is a diagram illustrating a flowchart of steps performed by the device control unit of the presentation device according to another example of the first embodiment. FIG. 11 is a diagram illustrating a flowchart of steps performed by the device control unit of the presentation device according to another example of the first embodiment. FIG. 12 illustrates an example in which answers from the plurality of participants are classified into groups for each participant information according to participant information selected from at least one piece of information related to the participant's examination carrier, and totalized. Show. FIG. 13 is a diagram illustrating an example of displaying different question collections according to participant information.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings. The form evaluation skill evaluation system, the presentation apparatus for presenting skill evaluation related data, the computer program for presenting skill evaluation related data, and the presentation method for presenting skill evaluation related data are as follows: However, the present invention is not limited to the specific embodiments described below. In the following description, the same reference numerals are given to the same components. Therefore, the description about each structure which attached | subjected the same code | symbol may be shared between the same codes | symbols.

  In the present invention, the evaluation of the skill of the inspector in the form inspection is intended to evaluate the inspection quality (also called inspection accuracy) of the inspector in the clinical inspection. The evaluation may also be referred to as a morphological inspection control survey or a photo survey. The evaluation can also be performed as a so-called internal control survey that is performed in the same clinical laboratory. The evaluation can also be performed as a so-called external control survey in which multiple independent clinical laboratories participate. Preferably, the assessment is performed as an external control survey.

  Moreover, a participant may participate in the evaluation in the present invention individually from a workplace, home, or the like. As another embodiment, the evaluation may be performed in the form of a so-called group training in which a plurality of participants gather at at least one venue and participate in the evaluation within the venue.

  The “morphological inspection” in the present invention is not limited as long as it is an inspection performed by direct observation with human eyes or indirect observation using a microscope or the like. For example, the morphological examination in the present invention includes a morphological examination performed in at least one field selected from the group consisting of microbial examination, blood examination, cytological examination (cytodiagnosis examination), general examination, physiological examination, and pathological examination.

  As a specific example of the morphological test, a morphological test performed in the field of microbial testing is selected from the group consisting of, for example, smear test, observation of colony morphology formed on the culture medium, microbial metabolic capacity test and drug sensitivity test. At least one of them. Examples of the microorganism include bacteria, fungi, spirochetes, and protozoa. The smear sample includes methylene blue single stain or gram stain sample, mycobacterial stain such as Thiel-Nelsen stain and auramin stain, metachromatic body stain such as Nissel stain, spore stain such as Meller stain, His stain, etc. Samples that have been subjected to spirochete staining such as capsular staining, Indian ink staining, and fontana tan silver staining may also be included. The medium is at least one non-selective medium selected from the group consisting of blood agar medium, chocolate agar medium, BTB agar medium and the like, SS agar medium, TCBS agar medium, Staphylococcus medium No. A selective medium such as 110 tellurite-added medium or NAC agar medium may be included. Further, the microbial test may include a test for identifying a cell antigen or flagellar antigen using an antiserum.

  Examples of morphological tests performed in the field of blood tests include at least one selected from the group consisting of peripheral blood smear test and bone marrow smear test. The smear sample is usually a specimen subjected to Giemsa staining, Wright staining, Light Giemsa staining, or May Giemsa staining for morphological observation of cells, PAS (Periodic acid-Schif) staining, peroxidase staining. One or more specimens subjected to elastase staining, iron staining, or immunostaining may be included. The blood test may include a red blood cell particle size distribution by an electrical resistance method, a cell distribution test by a flow cytometer (including a histogram and a scattergram), a cell surface marker analysis test, or a DNA amount analysis test. Furthermore, the morphological test performed in the field of blood test may include a chromosome test, a FISH (fluorescence in situ hybridization) test, and the like.

  Examples of morphological examinations performed in the field of cell examination include Papanicolaou stained specimen examination. In addition to the Papanicolaou staining specimen examination, the cell examination may include one or more specimen examinations selected from a staining examination using PAS staining, Alcian blue staining, iron staining, or immunostaining.

  Examples of morphological tests performed in the field of general tests include at least one selected from the group consisting of a urine component test, a cerebrospinal fluid component test, and a parasitic test. The urine component test includes a urine sediment test. The urinary sediment is usually composed of cellular components (squamous epithelial cells, transitional epithelial cells, erythrocytes, leukocytes, macrophages, etc.), crystals (calcium phosphate, magnesium ammonium phosphate, calcium oxalate, amino acids, cholesterol, etc.), mucus , Fungi, bacteria, protozoa, parasites and the like. The cerebrospinal fluid component test includes a test of cells appearing in the cerebrospinal fluid. Examination of the cells includes Mei Giemsa staining specimen examination. Parasite tests include stool parasite tests and parasite egg tests. The parasite test can be performed by visual inspection or the parasite egg test can be performed by a direct smearing method, an egg collection method, or a hatching culture method.

Examples of the morphological examination performed in the field of the physiological examination include at least one selected from the group consisting of an electrocardiogram examination, an ultrasonic examination, a neurophysiological examination, and a respiratory function examination. The electrocardiogram includes at least monopolar chest leads (V ₁ -V ₆ ). Further, the electrocardiogram may include standard limb guidance and monopolar limb guidance. The ultrasonic examination includes an ultrasonic examination of the heart and abdomen. Cardiac ultrasonography may include M-mode echo examination and / or color Doppler examination in addition to long-axis and short-axis tomographic echocardiography. The neurophysiological examination includes an electroencephalogram examination, an electromyogram examination and the like. Respiratory function tests include spirometry.

  Examples of the morphological examination performed in the pathological examination include a hematoxylin / eosin stained tissue specimen examination. In addition, the morphological examination performed in the pathological examination may include special staining examinations such as immunostaining and PAS staining.

  In the present invention, the “examiner” may be a person who has a qualification to engage in a clinical examination or a person who does not have a qualification. Preferably, the person is qualified. Qualifications can include doctors, clinical laboratory technicians, hygiene laboratory technicians, cytologists, and the like. The examiner is preferably a person who is engaged in examination work in a clinical laboratory.

  Here, the clinical laboratory includes a clinical examination department and a hygiene examination department provided inside a hospital or a medical center, and an examination department such as an examination company or an examination center that is an out-of-hospital contract organization for clinical examinations. In addition, when a specialized institution is not provided as a clinical laboratory or the like in a hospital or the like, the clinical laboratory may be read as a clinical laboratory person.

[1. Morphological examination skill evaluation system]
(1) Outline of Skill Evaluation System for Form Inspection An outline of the first embodiment of the present invention will be described with reference to FIG. FIG. 1 is a schematic diagram of a skill evaluation system 500 for morphological inspection. Hereinafter, the “skill evaluation system for morphological inspection” may be simply referred to as “skill evaluation system” or “system”. The “morphological inspection skill evaluation” may be simply referred to as “skill evaluation”. The system 500 includes a presentation device 100 and a participant terminal 200. The presentation device 100 and the participant terminal 200 can communicate via a network. The presentation device 100 transmits a URL (Uniform Resource Locator) for accessing the skill evaluation related data 170 to the participant terminal 200 by e-mail, for example, and the participant inputs the URL from the participant terminal 200. Or the link destination linked to the URL is opened, and the presentation apparatus 100 is accessed. The presentation device 100 accepts access from the participant terminal 200 and displays a participant information input screen 130 required for skill evaluation on the terminal display unit 250 of the participant terminal 200. In addition, the presentation device 100 displays the question 160 on the terminal display unit 250 of the participant terminal 200. Furthermore, the presentation apparatus 100 presents skill evaluation related data 170 such as information 120 (hereinafter also referred to as “information related to answer results”) 120 related to the answer results for the questions to the participant terminal 200. The participant inputs participant information from the participant terminal 200 and inputs an answer to the question. Furthermore, from the participant terminal 200, information related to answer results can be viewed or downloaded.
Hereinafter, each component included in the system 500 will be described in detail.

(2) Configuration of Presentation Device As shown in FIGS. 1 and 2, the presentation device 100 includes at least a device control unit 111. As shown in FIGS. 1 and 2, the presentation device 100 includes a device communication unit 112 and a device storage unit 113. Furthermore, as shown in FIG. 2, the presentation device 100 may include a device display unit 150 and a device input unit 151, but these configurations are arbitrary. The presentation device 100 may be a personal computer. The presentation device 100 has a role as a so-called server, and the device control unit 111 is a CPU (Central Processing Unit) or an MPU (Micro-processing unit), for example, Linux (registered trademark), UNIX (registered trademark). The presentation apparatus 100 is controlled using a server operating system (OS) such as Microsoft Windows Server (registered trademark).

  The device communication unit 112 can communicate with a terminal communication unit 212 of the participant terminal 200 described later via a network. The device communication unit 112 is a network interface controller (NIC) or the like.

  The device storage unit 113 includes a device main storage unit 140 and a device auxiliary storage unit 141. The apparatus main storage unit 140 is a volatile storage unit, and is specifically a memory serving as a work area for the apparatus control unit 111. For example, the memory is composed of a RAM (Random access memory). The device auxiliary storage unit 141 includes application software used in the presentation device 100, information on the input screen 130 for allowing the participant information 115 including information related to the participant's examination carrier to be input from the participant terminal 200, and a question 160. , Correct answer data group 119 corresponding to each question, participant information 115 including information related to the examination carrier of the participant input from the participant terminal 200 by the participant, participant answer 121 for each question, answer to the question Information 120 related to the grade is stored in a nonvolatile manner. Further, the device auxiliary storage unit 141 functions as a memory as necessary. The device auxiliary storage unit 141 includes a semiconductor memory device such as a hard disk or a flash memory, an optical disk, or the like.

  Information on the input screen 130 for causing the participant terminal 115 to input the participant information 115 including information related to the participant's examination carrier stored in the device storage unit 113 is displayed on the terminal display unit 251 of the participant terminal 200. This is information on the input screen 130 to be displayed. FIG. 3 shows an example of the input screen.

  Participant information 115 includes, for example, educational background, qualifications, duration of examination, number of sample confirmations within a predetermined period, number of examinations conducted within a predetermined period, the number of beds of medical institutions responsible for examination by the clinical laboratory to which the participant belongs, And information related to the test carrier of at least one participant selected from the group consisting of the presence / absence of a department specializing in disease at a medical institution in charge of the test by the clinical laboratory to which the participant belongs. In addition, when the morphological test is a blood test, the number of specimens prepared and / or the number of specimen tests selected from the group consisting of peripheral blood smear test and bone marrow smear test are included in the participant information. May be. The number of specimens prepared and the number of specimen examinations may be expressed as an average value per day, for example.

  The participant information 115 may include information on the name of the participant, the name of the medical institution to which the participant belongs, and a specimen preparation method for morphological examination. For example, when the morphology test is a blood test, the information on the specimen preparation method can include the pH of the staining liquid at the time of preparing the peripheral blood smear and / or bone marrow smear, the type of the staining liquid, and the like. The information on the specimen preparation method can be used as a clue to investigate the cause of an incorrect answer when there is an incorrect answer in skill evaluation, for example.

The educational background is, for example, information indicating whether a course for becoming a doctor, a course for becoming a pharmacist, a course for becoming a clinical laboratory technician, or a course for becoming a hygiene laboratory technician has been completed. The educational background may be information indicating whether the student graduated from a vocational school, a junior college, a bachelor's degree, a master's degree, or a doctoral degree.
The qualification is, for example, information on whether a doctor, a pharmacist, a clinical laboratory technician, or a hygiene laboratory technician.
Information on educational backgrounds and qualifications is useful in understanding the educational content received by participants in skill evaluation.

  The inspection engagement period is a period during which a participant is actually engaged in inspection work, and is preferably a period during which the participant is engaged in a form inspection for skill evaluation.

  The number of specimen confirmations within a predetermined period is, for example, the number of specimens confirmed by a participant per day, per week, or per month. The sample confirmation number may be an average value.

  The number of specimen preparations within a predetermined period is, for example, the number of specimens that a participant prepares per day, per week, or per month. The sample preparation number may be an average value.

For example, if the predetermined period is one month, the number of test engagements within a predetermined period is the number of business days in one month (the number of business days of the medical institution in which the clinical laboratory to which the participant belongs is responsible) It can be expressed as the number of days engaged in the form examination of participating skill evaluations.
The inspection engagement period and the number of inspection engagements within a predetermined period are useful for knowing the skill level of the participant in the form inspection.

  The number of beds in the medical institution that the clinical laboratory to which the participant belongs belongs to is the number of beds in the hospital or medical center when the clinical laboratory is in a medical institution such as a hospital or medical center. Can be a number. When the clinical laboratory is a test contracting organization such as a test center, it may be the total number of beds of medical institutions with which the test center is contracted.

  The presence / absence of a specialized medical department in a medical institution in which a clinical laboratory to which a participant belongs belongs is intended to indicate the presence / absence of a blood internal medicine when the skill survey is a form test of a blood test. For example, if the skill survey is a physiological electrocardiogram and / or a cardiac ultrasonography, it is intended whether or not there is cardiovascular surgery and / or cardiology.

  Information on the number of beds in the medical institution where the clinical laboratory to which the participant belongs and the presence / absence of a specialized medical department in the medical institution is available. It is important to know if there are any learning opportunities for examinations.

  The device storage unit 113 stores participant information 115 input from the terminal input unit 251 of the participant terminal 200.

  The device storage unit 113 also stores skill evaluation related data 170. The skill evaluation related data 170 includes a question 160 for evaluating the skill of the inspector in the form inspection.

  The questions 160 stored in the device storage unit 113 are one or a plurality of questions, preferably a question collection including a plurality of questions. Although one question collection may include questions relating to a plurality of morphological inspection fields, one question collection is preferably created for each morphological inspection field. Each question is a question for obtaining an answer based on an image acquired in the morphological inspection, and is not limited as long as it is a content that can evaluate the skill of the inspector in the morphological inspection to be subjected to skill evaluation. Each question is composed of a question sentence and an image corresponding to the question. The question sentence and the image may be displayed on the terminal display unit 250 at the same time or separately. FIG. 4 shows an example of the question collection. FIG. 5 shows an image corresponding to each question in the question collection. For example, when “P” displayed next to each question option in FIG. 4 is clicked, an image corresponding to the question may be displayed. There may be one or a plurality of images corresponding to one question.

  Further, at least one of the plurality of questions may be a question for obtaining an answer related to a sample preparation condition for acquiring an image corresponding to the question. Furthermore, at least one of the plurality of questions may be a question for estimating a disease based on examination information other than images and image information. Examination information other than image information is not limited as long as it is information necessary for estimating a disease. For example, it is at least one selected from the group consisting of blood tests other than morphological tests, biochemical tests, immunological tests, special staining tests, and immunostaining tests. For blood tests other than morphological tests, for example, red blood cell count, white blood cell count, platelet count, white blood cell 5 or 3 fraction, red blood cell constant (MCV: average red blood cell volume, MCH: average red blood cell hemoglobin content, MCHC: average red blood cell) Hemoglobin concentration), hemoglobin concentration, and at least one item selected from the group consisting of hematocrit values are included. For biochemical tests, for example, total protein, albumin, total bilirubin, AST (aspartate aminotransferase: GOT), ALT (alanine aminotransferase: GPT), LD (lactate dehydrogenase: LDH), ALP (alkaline phosphatase) , Cholinesterase, amylase, CK (creatine phosphokinase: CPK), LAP (leucine aminopeptidase), γ-GT (γ glutamyl transpeptidase: γ-GTP), Na (sodium), K (potassium), Cl (crawl) ), Ca (calcium), inorganic phosphorus, Mg (magnesium), serum iron, transferrin, serum ferritin, urea nitrogen, uric acid, creatinine, total cholesterol, neutral fat, high density lipoprotein (HDL) -cholesterol, low density lipo White (LDL) - including cholesterol, CRP (C reactive protein), at least one item selected from the group consisting of the fasting blood glucose and hemoglobin A1c. Examples of the immunological test include RF (rheumatic factor), antinuclear antibody, thyroid test, microsome test, Coombs test, IgM type hemoglobinin (HA) antibody, hepatitis C (HCV) antibody, human immunodeficiency virus (HIV) antibody. HBs antigen, HBc antibody, HBc antigen, HBs antibody, IgM type HBc antibody, HBe antigen, HBe antibody, DNA polymerase / HBV-DNA, polyalbumin / receptor pre-S antigen, human T cell leukemia virus (HTLV-1), It includes at least one item selected from TPHA (T. pallidum hemagglutination) / RPR (rapid plasma region test), ASO (anti-streptridine O antibody), and ASK (anti-streptokinase antibody) and IgE.

  As an example of a question to estimate the disease, if the disease is iron deficiency anemia, the image corresponding to the question includes the red blood cell image in the peripheral blood smear and the red blood cell size distribution by the electrical resistance method. As test information, red blood cell count, hemoglobin concentration, hematocrit value, red blood cell average constant, reticulocyte count, serum iron concentration, serum ferritin concentration, total iron binding capacity (transfer iron) (TIBC: total iron binding) and (capacity) evaluation value and unsaturated iron binding capacity (UIBC) evaluation value.

  Further, the device storage unit 113 may store a plurality of question collections. In this case, the difficulty levels of the questions may be different among the question collections.

  Furthermore, the question collection includes a plurality of question groups, and each question group may include one or a plurality of questions. For example, as an example of a plurality of question groups, the first question group 161 includes at least one question for obtaining an answer for identifying an object in the image. The second question group 162 is one or more for obtaining an answer related to a sample preparation condition (for example, a peripheral blood smear preparation method and a staining method in FIG. 4) for acquiring an image corresponding to each question. Includes questions. The third question group 163 includes one or more questions for identifying a disease based on examination information other than images and image information.

  Here, in each question collection, the device control unit 111 recognizes which question collection is displayed on the terminal display unit 250, and the answer data 121 and the correct answer data group 119 used to determine whether the answer is correct or not. Is assigned a first ID (for example, a question number). Each question included in each question collection is also given a second ID (for example, a question number). The correct answer data group 119 is also assigned the same first ID as the corresponding question collection, and the correct answer of each question included in the correct answer data group 119 is also given the same second ID as each corresponding question. ing. The answer to each question and each correct answer are collated using the first ID and the second ID as keys.

  Further, the skill evaluation related data 170 includes information 120 related to answer results. The information 120 related to the answer grade stored in the device storage unit 113 includes the grade 122 of the answer 121 for one or a plurality of questions included in the question collection of each participant, the total result of the grade 122, and the like. .

  The grade 122 includes a result of determining whether each answer 121 of each participant in one question collection is correct or incorrect. Moreover, in addition to the determination result, the correct answer rate or the incorrect answer rate of the participant in one question collection may be included.

In addition, when there are a plurality of participants, a result of determining whether each answer 121 of each participant in each question collection is correct or not is included. In addition to the determination result, the correct answer rate or the incorrect answer rate of each participant in one question collection may be included.
Further, when there are a plurality of participants, the results 122 of the plurality of participants may be aggregated, and the aggregation results may be stored in the device storage unit 113.

  The device display unit 150 is an arbitrary configuration used when browsing the input screen 130 stored in the presentation device 100, the participant information 115, and the information 120 related to the answer results. The device display unit 150 is a display, for example, and may be connected from the outside of the presentation device 100 or may be integrated with the presentation device 100.

  The device input unit 151 is an arbitrary configuration used when character input or voice input is necessary for the presentation device 100. The device input unit 151 may be connected from the outside of the presentation device 100 or may be integrated with the device display unit 150. Specific examples of the device input unit 151 include a touch panel, a keyboard, a mouse, a pen tablet, and a microphone.

(3) Configuration of Participant Terminal As shown in FIGS. 1 and 6, the participant terminal 200 includes at least a terminal control unit 211, a terminal display unit 250, and a terminal input unit 251. Moreover, the participant terminal 200 is provided with the terminal communication part 212 and the terminal memory | storage part 213, as shown in FIG. Participant terminal 200 may be a personal computer or a portable information terminal such as a smartphone or a tablet terminal. The terminal control unit 211 is a CPU or MPU, and controls the participant terminal 200 using an operating system (OS) corresponding to each terminal.

  The terminal communication unit 212 can communicate with the device communication unit 212 of the presentation device 100 described above via a network. The terminal communication unit is a network interface controller or the like.

  The terminal storage unit 213 includes a terminal main storage unit 240 and a terminal auxiliary storage unit 241. The terminal main storage unit 240 is a volatile storage unit, and is specifically a memory serving as a work area for the terminal control unit 211. For example, the memory is composed of a RAM. The terminal auxiliary storage unit 241 stores application software and the like used in the participant terminal 200 in a nonvolatile manner. Further, the terminal auxiliary storage unit 241 functions as a memory as necessary. The terminal auxiliary storage unit 241 includes a semiconductor memory device such as a hard disk and a flash memory, an optical disk, and the like.

  The terminal display unit 250 displays an input screen 130, a question 160, and the like displayed by the presentation device 100. The device display unit 250 is, for example, a liquid crystal display, and may be connected from the outside of the participant terminal 200 or may be integrated with the participant terminal 200.

  The terminal input unit 251 performs character input or voice input to the participant terminal 200. The terminal input unit 251 may be connected from the outside of the participant terminal 200 or may be integrated with the participant terminal 200. The terminal input unit 251 may be integrated with the display. Specific examples of the terminal input unit 251 include a touch panel, a keyboard, a mouse, a pen tablet, and a microphone.

(4) Hardware Configuration The presentation device 100 and the participant terminal 200 are realized by a hardware configuration as illustrated in FIG. FIG. 7 is an example of a hardware configuration. The hardware can be a personal computer or a tablet terminal. The presentation device 100 and the participant terminal 200 include: CPUs 111 and 112; main storage units 140 and 240; ROM (read only memory) 301; auxiliary storage units 141 and 142; communication I / F (interface) 303; input I / F 304; Output I / F 304; media I / F 306;

  The CPUs 111 and 112 control each unit based on programs stored in the ROM 301 and the auxiliary storage units 141 and 142. The CPUs 111 and 112 may be the MPUs 111 and 112.

  The ROM 301 stores a boot program executed by the CPUs 111 and 112 and programs and settings related to hardware operations of the presentation device 100 and the participant terminal 200 when the presentation device 100 and the participant terminal 200 are activated.

  The main storage units 140 and 240 are composed of a RAM, and store information received from the input units 151 and 251 in a volatile manner. The auxiliary storage units 141 and 142 store application software and information input or generated during operation of the presentation device 100 and the participant terminal 200 in a nonvolatile manner (nonvolatile storage is also referred to as “recording”).

  A communication I / F 303 corresponds to the device communication unit 112 and the terminal communication unit 212. The communication I / F 303 receives information from an external device, and transmits or displays information stored or generated by the presentation device 100 and the participant terminal 200 to the outside.

  The input I / F 304 receives character input, click, voice input, and the like from the device input unit 151 and the terminal input unit 251. The received input content is stored in the main storage units 140 and 240 or the auxiliary storage units 141 and 142.

  The output I / F 304 outputs information generated by the CPUs 111 and 112 to the display units 150 and 250. The output I / F 304 is output by the CPUs 111 and 112 and the information stored in the auxiliary storage units 141 and 142 to the display units 150 and 250. Here, the display units 150 and 250 may be displays or projectors, but may be printers.

The media I / F 306 reads, for example, application software stored in the storage medium 307. The read application software and the like are stored in the main storage units 140 and 240 or the auxiliary storage units 141 and 142. Further, the media I / F 306 writes information generated by the CPUs 111 and 112 into the storage medium 307. The media I / F 306 is written in the storage medium 307 by the information generated by the CPUs 111 and 112 and stored in the auxiliary storage units 141 and 142.
Control of each hardware configuration by the CPUs 111 and 112 is transmitted to each hardware configuration via the bus 302.

(5) Operation of Skill Evaluation System Next, an example of the operation of the skill evaluation system for morphological inspection in the first embodiment will be described with reference to FIG.
First of all, those who wish to participate in skill evaluation apply to participate in morphological inspection skill evaluation at an organization that conducts morphological inspection skill evaluation (hereinafter referred to as “skill evaluation implementing organization”). I do. The application can be made by communication means such as electronic mail, the Internet, home delivery, or mail. For example, at the time of application, the applicant who wishes to participate informs the skill evaluation execution organization of his / her own work address as a contact address for the applicant who wishes to participate as a mail address for skill evaluation. In addition, when skill evaluation is performed for a plurality of morphological inspection fields, the applicants can select a morphological inspection field to apply for. In the present invention, a person who actually applied for participation in skill evaluation is referred to as a participant.

  The skill evaluation implementing organization inputs a communication mail address from the device input unit 151, and the device control unit 111 stores the participant's mail address input from the device input unit 151 in the device storage unit 113. Alternatively, if the applicant wishes to participate in the skill evaluation application via e-mail or the Internet, the device control unit 111 may send the communication e-mail address of the participant included in the input information from the e-mail or the Internet. May be detected by the device control unit 111 and stored in the device storage unit 113.

  Next, the device control unit 111 transmits a URL for accessing the input screen 130 for inputting the participant information 115 to one or a plurality of participants via the device communication unit 112 to the participant terminal 200 by e-mail. (Step S11).

  The terminal control unit 211 displays the electronic mail screen received via the terminal communication unit 212 of the participant terminal 200 on the terminal display unit 250 and accepts access to the URL described on the electronic mail screen from the terminal input unit 251. . The URL is accessed by operating the terminal input unit so that the participant displays the input screen 130 stored in the link destination for the link associated with the URL (step S12).

  In the case of group training, instead of the steps S11 and S12, the URL is presented to the participant using a projector or a paper medium at the group training venue. The URL may be accessed from the terminal input unit 251.

  The terminal control unit 211 controls browser software, viewer software, and the like stored in the terminal storage unit 213, and displays the input screen 130 displayed by the device control unit 111 on the terminal display unit 250 (step S13).

  The terminal control unit 211 stores the participant information 115 input from the terminal input unit 251 by the participant on the input screen 130 displayed on the terminal display unit 250 in the terminal storage unit 213. Then, the terminal control unit 211 transmits the participant information to the device communication unit 112 in accordance with a transmission instruction input from the terminal input unit 251 by the participant (for example, in FIG. 3, clicking the “Next” button). (Step S14).

  The device control unit 111 acquires the participant information 115 received by the device communication unit 112 and stores it in the device storage unit 113 (step S15).

  Subsequently, the device control unit 111 displays the question 160 stored in the device storage unit 113 on the terminal display unit 250. The terminal control unit 211 displays the question 160 on the terminal display unit 250 using browser software or viewer software (step S16).

  Next, the terminal control unit 211 receives input of answers to each question by the participant from the terminal input unit 251, and stores the answer to each question input from the terminal input unit 251 by the participant in the terminal storage unit 213. Then, in accordance with a transmission instruction input from the terminal input unit 251 by the participant (for example, in FIG. 4, clicking the “complete” button), the terminal control unit 211 transmits an answer to each question to the device communication unit 112. (Step S17).

  The device control unit 111 acquires the answer to each question received by the device communication unit 112 and stores it in the device storage unit 113 (step S18).

  The device control unit 111 reads the correct answer data group 119 stored in the device storage unit 113 and corresponding to the question 160 displayed on the terminal display unit 250 using the first ID as a key. Subsequently, the answer to each question is collated with each correct answer using the second ID as a key. For example, the question collection shown in FIG. 4 has five answer options. In such a case, the correct answer data group 119 stores the line number of the correct answer for each question. The device control unit 111 selects the line number selected by the participant as an answer (specifically, clicks a predetermined location and marks the selected line number using the terminal input unit 251) as the first ID. When the correct ID data is collated with the second ID as a key and the line numbers of both match, the apparatus control unit 111 can determine that the answer of the participant is the correct answer (step S19). .

  The device control unit 111 stores the correctness / incorrectness determination result performed on the answer to each question in step S19 (step S20).

  The device control unit 111 calculates a participant's score 121 in the question collection based on the determination result stored in step S20. The grade 121 is, for example, a correct answer rate or an incorrect answer rate in one question collection. The calculation result is stored in the device storage unit 113. The score 121 can be calculated immediately after the device control unit 111 stores the answer in the device storage unit 113 (step S21). For this reason, the participant can know the participant's own results immediately after completing the answer to the question collection. In the case of group training, participants can receive explanations on questions and correct answers from the training instructor on the spot.

  The grade 121 can be downloaded to the participant terminal 200 and / or displayed on the terminal display unit 250 in response to a request from the participant. Specifically, the device storage unit 111 receives a request for the terminal control unit 211 to download and / or display the grade 121 from the terminal input unit 251. The terminal control unit 211 transmits a request from the terminal communication unit 212 to the device communication unit 112 (step S22).

  The device control unit 111 acquires the request received by the device communication unit 112 and prepares to transmit or display the grade 121. Specifically, the device control unit 111 converts the grade 121 stored in the device storage unit 113 into, for example, a CSV file or the like, and creates downloadable data. Or the apparatus control part 111 converts the grade 121 memorize | stored in the apparatus memory | storage part 113 into html format, mht format, a PDF file etc., for example, and produces the data which can be displayed on the terminal display part 250 (step S23). .

  The terminal control unit 211 downloads the results or displays the results on the terminal display unit 250 in accordance with the request input by the participant from the terminal input unit 251 (step S24).

Next, another embodiment of the first embodiment will be described with reference to FIGS. 9 and 10.
In this embodiment, an answer to a question collection is obtained from a plurality of participants, and the results are calculated. Steps S11 to S17 are the same as in FIG.

  In this embodiment, after step S17 in FIG. 8, the device control unit 111 acquires, for each participant, an answer to each question regarding the same question collection from a plurality of participants received by the device communication unit 112. It memorize | stores in the memory | storage part 113 (step S111).

  The device control unit 111 reads out the correct answer data group 119 stored in the device storage unit 113 and corresponding to the question collection displayed on the terminal display unit 250 using the first ID as a key. Subsequently, the answer of each question and each correct answer are collated for each participant using the second ID as a key. The method for determining whether the answer is correct or not follows step S19 (step S112).

  The device control unit 111 stores the correctness / incorrectness determination result performed on the answer to each question in step S112 (step S113).

  The apparatus control unit 111 adds up the determination results of a plurality of participants for each question in the question collection with respect to the determination result stored in step S113 (step S114). Aggregation is, for example, calculation of an average value of the correct answer rate in one question, a standard deviation (including SD: standard deviation; 1SD, 2SD, and 3SD), and a coefficient of variation (CV: coefficient of variation). These tabulations can be performed using a known program.

  The aggregation results are stored in the device storage unit 113. The calculation of the tabulation can be performed in real time immediately after the device control unit 111 stores the answer from each participant in the device storage unit 113. For this reason, especially in the case of group training, the training instructor can give priority explanations on the questions for which the correct answer rate was low.

  The counting results can be downloaded to a plurality of participant terminals 200 and / or displayed on the terminal display unit 250 according to requests from each participant. Specifically, the device storage unit 111 receives a request for the terminal control unit 211 to download and / or display the total result from the terminal input unit 251. The terminal control unit 211 transmits a request from the terminal communication unit 212 to the device communication unit 112 (step S115).

  The device control unit 111 acquires the request received by the device communication unit 112 and prepares to transmit or display the grade 121. Specifically, the device control unit 111 converts the grade 121 stored in the device storage unit 113 into, for example, a CSV file or the like, and creates downloadable data. Alternatively, the recording device control unit 111 converts the aggregation results stored in the device storage unit 113 into, for example, an html format, an mht format, a PDF file, etc., and creates data that can be displayed on the terminal display unit 250 (step S116). ).

  The terminal control unit 211 downloads the total or displays the result on the terminal display unit 250 according to the request input by the participant from the terminal input unit 251 (step S117).

  Further, in another form of the first embodiment, step S211 and step S212 shown in FIG. 10 are performed instead of step S114 of FIG. 9 described above.

  Specifically, the device control unit 111 classifies the determination result of each question into a group according to the participant's carrier according to at least one participant information of information related to the inspection carrier input by each participant. (Step S211).

  Next, for each group classified according to the carrier, the apparatus control unit 111 aggregates the determination results of a plurality of participants in the question unit in the question collection or in the question collection unit for the determination result stored in step S113. (Step S212). Aggregation is, for example, calculation of an average value of the correct answer rate in one question, a standard deviation (including SD: standard deviation; 1SD, 2SD, and 3SD), and a coefficient of variation (CV: coefficient of variation). These tabulations can be performed using a known program. The aggregation results are stored in the device storage unit 113. Step S212 follows step S115.

  FIG. 12 shows an example in which information (participant information) related to an inspection carrier is divided into groups 1 and 2 based on an engagement period of 5 years as an inspection engagement period and is totaled.

  The calculation of the tabulation can be performed in real time immediately after the device control unit 111 stores the answer from each participant in the device storage unit 113. For this reason, especially in the case of group training, the training instructor can give priority explanations on the questions for which the correct answer rate was low. Moreover, it classify | categorizes into the group according to a participant's career, and totals the determination result, and can perform education according to the skill of each participant.

  Furthermore, in another form of the first embodiment, steps S311 to S313 shown in FIG. 11 are performed instead of step S16 in FIG. 8 described above. In this embodiment, in step S15 of FIG. 8, the apparatus control unit 111 is selected from at least one selected from information related to the participant's examination carrier included in the participant information acquired from the apparatus communication unit 112. It is determined whether or not the carrier is equal to or higher than a predetermined level (step S311).

  When the carrier of the participant is equal to or higher than the predetermined level (when step S311 is “YES”), the device control unit 111 stores the first question group and the third question group stored in the device storage unit 113. Is displayed on the terminal display unit 250. The terminal control unit 211 displays the question collection on the terminal display unit 250 using, for example, browser software or viewer software (step S312).

  If the carrier of the participant has not reached the predetermined level (when step S311 is “NO”), the device control unit 111 includes a question collection including the first question group 161 stored in the device storage unit 113. Is displayed on the terminal display unit 250. The terminal control unit 211 displays the question collection on the terminal display unit 250 using, for example, browser software or viewer software (step S313).

  For example, the device control unit 111 can select a participant's carrier and a question collection corresponding to the carrier as follows. As shown in FIG. 13, when at least one type selected from information related to a participant's examination career is an educational background, the career of a participant is the level of a career for a participant who has a bachelor's degree or a professional school graduate. 1. For the participant whose final educational background is a master's degree or doctoral degree, a rule that the career is determined to be level 2 is stored in the device storage unit 113. In addition, when at least one type selected from the information related to the participant's inspection carrier is the inspection engagement period, for example, for a participant whose inspection engagement period is less than 5 years, the career is level 1, and the inspection engagement period is 5 years or more For the participant, the rule that the carrier is determined to be level 2 is stored in the device storage unit 113. Furthermore, when at least one type selected from the information related to the test carrier of the participant is the number of sample confirmations within a predetermined period, for example, for a participant whose number of sample confirmations is 10 or less per day, the carrier is set to level 1, A rule that the carrier is determined to be level 2 for the participants whose sample confirmation number is 11 or more per day is stored in the device storage unit 113. On the other hand, a level 1 key is attached to the question collection including the first question group 161, and a level 2 key is attached to the question collection including the first question group 161 and the third question group 163. The device control unit 111 collates the participant's carrier with the question collection using the level number as a key, and displays a question collection corresponding to the participant's level, that is, the carrier, on the terminal display unit 250.

  In this embodiment, step S312 and step S313 are followed by step S17 in FIG. 8, and step S17 is followed by step S18 or step S111 in FIG. When the process further proceeds to step S111, step S211 and step S212 in FIG. 10 may be performed instead of step S114.

(6) Modified Example of Operation of Skill Evaluation System The skill evaluation executing organization obtains participant information 115 including a communication mail address in a paper medium, and the device control unit 111 inputs the content from the device input unit 251. And may be stored in the device storage unit 113.

  The answer input method in the participant terminal 200 in step S17 is not limited as long as the apparatus control unit 111 can obtain the answer corresponding to each question. For example, as shown in FIG. 4, a check column may be provided next to the option, or an option number may be input. The terminal control unit 211 receives an answer from the terminal input unit 251 by clicking (or tapping) the check field and entering text in the answer field. The answer may be received by voice input.

  Moreover, the content of the question may be content related to the endemic disease of the country where the skill survey is performed, or the content of the question may be different for each country. In addition, depending on the skill of the inspector in the country where the skill survey is conducted, whether to present a question collection consisting only of the first question group or to present a question collection including the first question group and the third question group You may choose.

  The question collection consisting only of the first question group can be replaced with a question collection with a low (easy) difficulty level of the questions. The question collection including the first question group and the third question group can be replaced with a question collection having a high (difficult) question difficulty.

  Judgment criteria for determining the level according to information related to the participant's inspection carrier, and determination criteria for classifying the determination results of each question into groups according to the participant's carrier may be arbitrarily determined. it can. In addition, the determination criterion may be different in each country. For example, if the information related to the test carrier of the participant is the number of specimens confirmed within a predetermined period, the standard for the number of confirmations per day can be 30 in Japan and 10 in other countries. . If the information related to the participant's examination carrier is the number of specimens to be confirmed within a given period, the standard for the number of peripheral blood smears prepared per day is 50 in Japan and in other countries 30 sheets.

  In addition, the skill evaluation execution organization may display the skill evaluation results and / or the determination results of each participant on the device display unit 150 as necessary, and further, the skill evaluation results and / or determinations. The result summation result may be output to the printer or projector via the output I / F 305 (step S25 in FIG. 8 and step S118 in FIG. 9). In addition, the skill evaluation execution organization may store the results of skill evaluation and / or the result of determination in a storage medium such as a hard disk, a semiconductor memory element such as a flash memory, or an optical disk via the media I / F 306. Good. In addition, the skill evaluation execution organization may download the skill evaluation results and / or the determination result totals of each participant in the same manner as the participants.

  Furthermore, when calculating the total of the determination results in step S114 or step S212, the device control unit 111 performs statistical analysis such as student t-test, one-way coordination analysis, Tukey's honestly significant reference test, principal component analysis, and the like. May be added. These statistical analyzes can be analyzed using a known program.

  In the present invention, when the skill evaluation is performed a plurality of times, the past results of the same participant may be downloaded or displayed together with the results of the skill evaluation currently attended. In the present invention, a training curriculum or a learning task may be presented according to the results of the participants.

  Furthermore, in the present invention, the determination results may be totaled for each clinical laboratory. In addition, each clinical laboratory or a medical institution to which the clinical laboratory belongs may download or view the skill evaluation results and / or the determination results of each participant in the same manner as the participants. By assessing the total results for each clinical laboratory and the total results according to the skills of participants in each clinical laboratory, it is possible to know the level of education for inspectors with shallow careers in each clinical laboratory. .

[2. Skill evaluation related data presentation device]
The second embodiment of the present invention relates to a presentation device that presents skill evaluation-related data for morphological inspection.
Specifically, it is a presentation device 100 that presents skill evaluation related data 170 including a question 160 for evaluating the skill of an inspector in morphological inspection, and the presentation device 100 includes at least a device control unit 111, The control unit 111 is a presentation device 100 that acquires participant information 115 including information related to an inspection carrier of a participant who participates in skill evaluation.

The presentation device 100 is preferably communicable with the participant terminal 200 operated by the participant via the network, and the device control unit 111 acquires the participant information 115 from the terminal display unit 250 of the participant terminal 200. This is performed by displaying the input screen 130 for inputting participant information and acquiring the participant information input from the terminal input unit 251 of the participant terminal 200.
The specific configuration and operation of the presentation device in the second embodiment are described in 1. above. The explanation of can be used.

[3. Skill evaluation related data presentation program]
The third embodiment of the present invention relates to a computer program that presents skill evaluation-related data for morphological inspection.
Specifically, the device control unit 111 of the presentation device 100 that presents the skill evaluation related data 170 including the question 160 for evaluating the skill of the inspector in the morphological inspection is assigned to the inspection carrier of the participant participating in the skill evaluation. A computer program for executing the step of obtaining participant information 115 including related information.

  In the step of acquiring the participant information 115, the program causes the device control unit 111 to input the participant information 115 to the participant terminal 200 operated by the participant that can communicate with the presentation device 100 via the network. The apparatus control unit is controlled to display the input screen 130 and acquire the participant information input from the terminal input unit 251 of the participant terminal 200.

The description of each step executed by the program is given in 1. above. The explanation of can be used. In this case, preferably, the above 1. The description of each step related to the operation of the providing apparatus 100 described in the operation of the system is incorporated herein.
Furthermore, the program according to the third embodiment may be stored in a storage medium such as a hard disk, a semiconductor memory element such as a flash memory, or an optical disk. The storage format of the program in the storage medium is not limited as long as the presentation device can read the program. The storage in the storage medium is preferably non-volatile.

[4. Skill evaluation related data presentation method]
The fourth embodiment of the present invention relates to a presentation method for presenting skill evaluation-related data for morphological inspection.
Specifically, a method for presenting skill evaluation related data including information related to results of answers to a plurality of questions, wherein a device control unit of a presentation device that presents skill evaluation related data is used for skill evaluation. Obtaining participant information including information related to a participating participant's test carrier.

  Preferably, in the obtaining step, the apparatus control unit displays an input screen for inputting participant information to a participant terminal operated by a participant who can communicate with the presentation device via the network, and the terminal of the participant terminal Participant information input from the input unit is acquired.

  The description of each step in the method is as described in 1. above. The description of each step about the operation of the system can be cited. In this case, preferably, the above 1. The description of each step related to the operation of the providing apparatus 100 described in the operation of the system is incorporated herein.

DESCRIPTION OF SYMBOLS 100 Presentation apparatus 111 Apparatus control part 115 Participant information 120 Information 121 related to the answer result for the question 121 Answer 121 Result 130 Input screen 160 Question 161 First question group 162 Second question group 163 Third question group 170 Skill Evaluation related data 200 Participant terminal 211 Terminal control unit 250 Terminal display unit 251 Terminal input unit 130 Input screen 500 Skill evaluation system

Claims (31)

A presentation device for presenting skill evaluation-related data including questions for evaluating the skill of the inspector in the form inspection;
A participant terminal operated by a participant participating in the skill evaluation;
The presentation device displays on the participant terminal an input screen for causing the participant information to be input from the participant terminal including information related to the participant's examination carrier,
The presenting device is a skill evaluation system for morphological inspection that acquires the participant information input to the input screen from the participant terminal.   Information related to the participant's examination carrier includes educational background, qualifications, examination engagement period, number of specimen confirmations within a predetermined period, number of specimen preparations within a predetermined period, number of examination engagements within a predetermined period, and participants belong to The request includes at least one information selected from the group consisting of the number of beds of a medical institution in which the clinical laboratory is in charge, and the presence / absence of a specialized medical department in the medical institution in which the clinical laboratory to which the participant belongs is in charge Item 4. The system according to Item 1.   The system according to claim 1, wherein the presentation device displays the question on the terminal display unit so as to correspond to the input participant information.   The system according to claim 3, wherein the presenting device totals the results of determining correctness / incorrectness in question units, or totals the results of determining correctness / incorrectness in question units classified according to the participant carrier.   The morphological test includes a morphological test performed in at least one field selected from the group consisting of a microbiological test, a blood test, a cell test, a general test, a physiological test, and a pathological test, and the questions correspond to each field. The system according to any one of claims 1 to 4, comprising a plurality of questions. The morphological examination performed in the field of the microbial examination includes at least one selected from the group consisting of smear specimen examination, observation of colony morphology formed on the culture medium, metabolic ability examination of microorganisms and drug sensitivity examination,
Morphological tests performed in the field of blood tests include peripheral blood smear tests and / or bone marrow smear tests,
Morphological examination performed in the field of cytology includes Papanicolaou staining specimen examination,
The morphological test performed in the field of the general test includes at least one selected from the group consisting of a urine component test, a cerebrospinal fluid component test, and a parasitic test,
The morphological examination performed in the field of the physiological examination includes at least one selected from the group consisting of an electrocardiogram examination, an ultrasonic examination, a neurophysiological examination, and a respiratory function examination,
The system according to claim 5, wherein the morphological examination performed in the field of pathological specimen examination includes examination of a tissue specimen with hematoxylin and eosin staining.   When the morphological test is a morphological test performed in the field of blood tests, the information related to the participant's test carrier is further selected from at least a group consisting of a peripheral blood smear test and a bone marrow smear test 3. A system according to claim 2, comprising the number of specimens produced and / or the number of examinations of the specimen.   The system according to any one of claims 1 to 7, wherein the question includes an image acquired by the form inspection corresponding to each question for each of a plurality of questions.   The system according to any one of claims 1 to 8, wherein the presentation device acquires an answer of each question input from the terminal input unit by the participant.   The system according to claim 9, wherein the presentation device collates a correct answer data group corresponding to each question with the answer of each question to determine whether the answer is correct.   The system according to claim 9, wherein the presentation device calculates the performance of the participant in the question collection.   The said presentation apparatus is a system as described in any one of Claim 1 to 9 which acquires the answer of each question input from the said terminal input part by the some participant.   The system according to claim 12, wherein the presentation device collates a correct answer data group corresponding to each question with an answer of each question to determine whether the answer is correct.   The system according to claim 13, wherein the presentation device totals the results of determining correctness / incorrectness in consideration of answers of the plurality of participants for each question.   The presentation device classifies answers from the plurality of participants into groups according to the participant carriers according to participant information selected from at least one of the information related to the participant's examination carrier. Item 15. The system according to Item 14.   The system according to claim 15, wherein the presenting device counts up the results of determining correctness in question units or question collection units in each group classified according to a participant carrier.   The system according to any one of claims 1 to 16, wherein a difficulty level of the question is changed according to participant information selected from at least one of information related to the participant's inspection carrier.   18. The question according to claim 1, wherein the question includes a plurality of question groups, and the plurality of question groups includes at least a first question group including questions for finding an answer for identifying an object in the image. The system described in the section.   The plurality of question groups includes, in addition to the first question group, a second question group including questions for obtaining an answer related to a sample preparation condition for acquiring an image corresponding to each question. The described system.   The system according to claim 18, wherein the plurality of question groups include a third question group including a question for estimating a disease based on examination information other than an image and image information in addition to the first question group.   21. The system according to claim 20, wherein the examination information other than the image is at least one selected from the group consisting of blood tests other than morphological tests, biochemical tests, immunological tests, special staining tests, and immunostaining tests.   When the participant's inspection carrier is equal to or higher than a predetermined level, the apparatus control unit includes a first group of questions including an answer for identifying an object in the image, and inspection information other than the image and image information. The system of Claim 18 which displays the question collection containing the 3rd question group which consists of the question which identifies a disease based on this on the said terminal display part. The system according to any one of claims 1 to 22, wherein the participant information further includes information related to a specimen preparation method for morphological examination. The participant terminal includes a terminal display unit and a terminal input unit,
The presentation device displays the input screen on the terminal display unit via a network,
The participant terminal transmits the participant information input to the input screen from the terminal input unit to the presentation device.
24. A system according to any one of claims 1 to 23. Skill evaluation related data includes information related to answer results for a plurality of questions included in the question collection,
25. The system according to claim 1-24. A presentation device for presenting skill evaluation related data including questions for evaluating the skill of an inspector in a form inspection,
The presentation device acquires participant information including information related to a test carrier of a participant who participates in the skill evaluation.
Presentation device. The presentation device can communicate with a participant terminal operated by the participant via a network,
Acquisition of the participant information
The presentation device displays an input screen for inputting the participant information on a terminal display unit of the participant terminal, and acquires the participant information input from the terminal input unit of the participant terminal. Done by,
27. Apparatus according to claim 26. In the presentation device that presents skill evaluation related data including questions for evaluating the skill of the inspector in the form inspection,
Obtaining participant information including information related to the inspection carrier of the participant participating in the skill evaluation;
A computer program that executes   In the step of acquiring the participant information, the presentation device displays an input screen for inputting the participant information to a participant terminal operated by the participant who can communicate with the presentation device via a network. The computer program according to claim 28, wherein the participant information input from a terminal input unit of the participant terminal is acquired. A presentation method for presenting skill evaluation related data including questions for evaluating the skill of an inspector in a form inspection,
A presentation device for presenting the skill evaluation related data, acquiring participant information including information related to a test carrier of a participant participating in the skill evaluation;
Including a method.   In the acquisition step, the device control unit displays an input screen for inputting the participant information on a participant terminal operated by the participant who can communicate with the presentation device via a network, and the participant The method according to claim 30, wherein the participant information input from a terminal input unit of a terminal is acquired.