JP2019191727A - Study management program and study management device - Google Patents

Abstract

To provide a study management program and a study management device which reduce the burden on a resident and an attending doctor in evaluating the resident with reference to one criterion on the basis of a document which the resident creates as a result of completing a course of study, compared to non-use of this invention.SOLUTION: A study management server 1 includes: evaluation information recording means 103 which records an evaluation in each of items of in-hospital evaluation information 112 which evaluates study contents of a resident 8 taking a course of study and has a first number of items, on the basis of contents of electronic medical chart information 20 written by the resident 8; and evaluation information conversion means 106 which inputs a value to each of items of standard evaluation information 114 having a second number of items, on the basis of values of the respective items of the in-hospital evaluation information 112 to convert the evaluation information.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a learning management program and a learning management apparatus.

  As a conventional technique, a learning management device that estimates an evaluation level for a learning item from a text based on a person's speech has been proposed (see, for example, Patent Document 1).

  The learning management device disclosed in Patent Document 1 registers a plurality of learning words based on a learning item in a learning word registration unit and a plurality of evaluation words that will be remarked on the learning item in the evaluation word registration unit. And the evaluation level associated with each evaluation word are registered, the learning word is detected from the text by the word detection means, and the evaluation word is detected within a predetermined distance between the front and rear of the learning word. Thus, the evaluation level for the learning item is estimated by associating the evaluation level corresponding to the detected evaluation word with the learning item based on the learning word detected by the evaluation level estimation means.

  On the other hand, as an example of the need to evaluate the learning result, there is an evaluation system for a first-stage resident doctor in which a mentor who is an instructor evaluates a resident who is a student according to a standard set by the Ministry of Health, Labor and Welfare. In the evaluation system, it is necessary for the supervising doctor and the resident to check predetermined experience items, and for the supervising doctor to check the medical record description of the resident.

JP-A-2016-85284

  However, since the learning management device of Patent Document 1 described above estimates the evaluation level for the learning item from the text, for example, when applied to the evaluation system of the first term resident, the evaluation for the learning item from the text described in the medical record The level can be estimated, but in the first-stage resident evaluation system, a pre-determined experience item is checked by the instructor and the intern, and the contents of the experience are checked by the instructor by referring to the medical record of the intern Therefore, even if the learning management device of Patent Document 1 is used, the check operation between the instructor and the resident doctor is still necessary, and the burden on the instructor and the resident doctor is not reduced.

  Therefore, the object of the present invention is to reduce the burden on students and instructors when making an evaluation based on one standard based on a document created as a result of the student taking the education process, when the present invention is not used. The object is to provide a learning management program and a learning management device that can be reduced.

  In order to achieve the above object, one aspect of the present invention provides the following learning management program and learning management apparatus.

[1]
The content of the document information entered by the student in each item of the first evaluation information having the first number of items for evaluating the content of the student who takes the education process based on the first standard An evaluation information recording means for recording the evaluation based on;
Based on the value of each item of the first evaluation information, the evaluation information is input by inputting a value to each item of the second evaluation information having a second number of items for evaluation based on the second criterion. A learning management program for functioning as evaluation information conversion means for conversion.
[2] The evaluation information recording means stores the contents of the document information used for inputting a value in each item of the first evaluation information in association with each item of the first evaluation information. [1] The learning management program according to [1].
[3] The evaluation information conversion means inputs a value to each item of the second evaluation information based on a value of each item of the first evaluation information based on a predetermined conversion method. Or the learning management program as described in [2].
[4] Learning the evaluation method of the evaluation information creating means using the correspondence between the contents of each item of the first evaluation information and the contents of the document information associated with the contents of each item as teacher data The learning management program according to any one of [1] to [3], further causing the evaluation method learning means to function.
[5] Further functioning as a conversion method learning unit that learns the conversion method of the evaluation information conversion unit using the correspondence between each item of the first evaluation information and each item of the second evaluation information as teacher data The learning management program according to any one of [1] to [4].
[6] The evaluation information recording unit requests the evaluator of the educational course to input items that cannot be input based on the content of the document information among the items of the first evaluation information. [1] The learning management program according to any one of [5].
[7] Record the evaluation based on the contents of the document information entered by the student in each item of the first evaluation information having the first number of items evaluated by the student who takes the educational process. Evaluation information recording means;
A learning management device comprising: evaluation information conversion means for converting the evaluation information by inputting a value to each item of the second evaluation information having the second number of items based on the value of each item of the first evaluation information .

According to the invention according to claim 1 or 7, the burden of the learner and the instructor when performing the evaluation based on one standard based on the document created as a result of the student taking the education process This can be reduced compared to the case where it is not used.
According to the second aspect of the present invention, the contents of the document information used for inputting a value to each item of the first evaluation information can be stored in association with each item of the first evaluation information.
According to the invention according to claim 3, the value is input to each item of the second evaluation information based on the value of each item of the first evaluation information based on a predetermined conversion method. According to this, it is possible to learn the evaluation method of the evaluation information creating means using the correspondence between the content of the document information and the value of each item of the first evaluation information as teacher data.
According to the fifth aspect of the present invention, the conversion method of the evaluation information conversion means can be learned using the correspondence between the first evaluation information and the second evaluation information as teacher data.
According to the sixth aspect of the present invention, it is possible to request the evaluator of the educational program to input items that cannot be input based on the contents of the document information among the items of the first evaluation information.

FIG. 1 is a schematic diagram illustrating an example of a configuration of a learning management system according to an embodiment. FIG. 2 is a block diagram illustrating a configuration example of the learning management server according to the embodiment. FIG. 3 is a schematic diagram illustrating an example of the configuration of the resident identification information. FIG. 4 is a schematic diagram illustrating an example of the configuration of the in-hospital evaluation information. 5A and 5B are schematic diagrams illustrating an example of the configuration of general evaluation information. FIG. 6 is a schematic diagram illustrating an example of a screen displayed on the terminal device by the display information generation unit. FIG. 7 is a schematic diagram illustrating another example of a screen displayed on the terminal device by the display information generation unit. FIG. 8 is a schematic diagram illustrating an example of a screen displayed on the terminal device by the display information generation unit. FIG. 9 is a schematic diagram for explaining the evaluation information conversion operation of the evaluation information conversion means.

  In the present embodiment, in the medical field, especially for clinical training of residents, who has a high degree of expertise and who takes the education process in an education process that is conducted across multiple departments (training) This is intended for the case where different specialists (instructors and evaluators) evaluate the status of courses taken by multiple departments for each department (doctors and students). It can also be applied to training for public health nurses, medical staff, and caregivers. It should be noted that a plurality of courses in the education process are practiced and taught in different periods. It can also be applied to various fields such as science, management, language, music, ability development, etc., with the same or similar educational process.

  In the following, details will be described by taking clinical training for doctors as an example.

[Embodiment]
(Configuration of learning management system)
FIG. 1 is a schematic diagram illustrating an example of a configuration of a learning management system according to an embodiment.

  This learning management system 6 is used as an example of a curriculum to support clinical training for first-term trainees. The learning management server 1 manages information used for clinical training, and medical clinical training. Access to the electronic medical record server 2 for managing the electronic medical record information 20 of the subject patient, the authentication server 3 for performing access authentication to the learning management server 1 and the electronic medical record server 2, and the access to the learning management server 1 and the electronic medical record server 2 The terminal devices 4a, 4b, 4c,... And the terminal device 5 for processing information obtained by access, receiving input of operations, displaying information images, etc., and the terminal device 5 are configured to be communicable with each other. . The terminal devices 4a, 4b, 4c... Are operated by the educating physicians 7a, 7b, 7c. The terminal device 5 is operated by a trainee 8 who is a student.

  The learning management server 1 operates in response to requests from the terminal devices 4a, 4b, 4c,... And the terminal device 5, and has a CPU (Central Processing Unit) or HDD having a function for processing information in the main body. (Hard Disk Drive), equipped with electronic components such as flash memory.

  The electronic medical record server 2 operates in response to requests from the terminal devices 4a, 4b, 4c,... And the terminal device 5, and includes a CPU, HDD, flash memory, etc. having a function for processing information in the main body. Equipped with electronic components. The electronic medical record server 2 stores document information such as the electronic medical record information 20 in a storage unit including an HDD and a flash memory. The electronic medical record information 20 is information related to the medical records of a plurality of patients. Note that, when the electronic medical record server 2 is applied to a curriculum in a field other than medical care, the electronic medical record server 2 is replaced with a server that manages necessary information according to the curriculum.

  The authentication server 3 operates in response to requests from the terminal devices 4a, 4b, 4c,... And the terminal device 5, and is an electronic device such as a CPU, HDD, or flash memory having a function for processing information in the main body. Provide parts. The authentication server 3 stores the access authority information 30 in a storage unit composed of an HDD and a flash memory. The access authority information 30 is information used when performing access authentication from the terminal devices 4a, 4b, 4c... And the terminal device 5 to the learning management server 1 and the electronic medical record server 2, and indicates whether or not there is an access authority. It is information to show.

  The terminal devices 4a, 4b, 4c and the terminal device 5 are information processing terminals such as a PC (Personal Computer) and a tablet terminal, and electronic components such as a CPU and a flash memory having a function for processing information in the main body. Is provided.

  The network 9 is a wired or wireless communication network, for example, a communication network such as an intranet or a LAN (Local Area Network).

  The supervising physicians 7a, 7b, and 7c are specialists in charge of different medical departments (internal medicine, surgery, gynecology, etc.), and the trainee 8 is in a predetermined order for a plurality of medical departments in a predetermined period. Conduct clinical training. That is, there is a curriculum (educational course) that is conducted across a plurality of clinical departments, and the resident 8 who is a curriculum learner proceeds with clinical training according to the curriculum, and the instructor 7a who is an evaluator of the graduate. 7b and 7c evaluate and check items that the trainee 8 has taken or experienced in the clinical training. Note that only three instructors 7a, 7b, and 7c are illustrated, but the number is not limited as long as there are a plurality of instructors (hereinafter referred to as “instructors 7a, 7b, 7c...”). The terminal devices 4a, 4b, 4c may also be described as “terminal devices 4a, 4b, 4c. Further, although there are usually a plurality of residents 8, only one person is shown in FIG. 1 for simplicity of explanation. In addition, the supervising doctors 7a, 7b, and 7c may be doctors belonging to the same hospital or doctors belonging to different hospitals.

  In the above configuration, the learning management server 1 is in charge of clinical training in response to requests from the terminal devices 4a, 4b, 4c, etc. operated by the instructors 7a, 7b, 7c,. The patient (enrollment target) to be associated is displayed, and the electronic medical record information 20 of the associated patient is displayed or edited in response to a request from the terminal device 4a, 4b, 4c.

Further, during the clinical training, the learning management server 1 communicates between the trainee 8 and the supervising physicians 7a, 7b, 7c... According to the request of the terminal devices 4a, 4b, 4c. Therefore, communication with the terminal devices 4a, 4b, 4c... And the terminal device 5 is performed.

  Further, the learning management server 1 creates first evaluation information for evaluating the resident 8 during the clinical training or after the clinical training is completed, and the terminal device 4a, 4b, 4c,. This information is displayed and edited as required. Note that the first evaluation information is, for example, information evaluated based on criteria determined by the hospital to which the supervising physicians 7a, 7b, 7c,... Belong, and has the first number of items.

  Further, the learning management server 1 converts the first evaluation information for evaluating the resident 8 during the clinical training or after the clinical training is completed, and creates second evaluation information. The second evaluation information is information that is evaluated according to a standard determined without depending on the affiliation of the supervising physicians 7a, 7b, 7c, etc., for example, the arrival of the doctor clinical training system determined by the Ministry of Health, Labor and Welfare. It is evaluated according to the standard set as a target. Although the 2nd evaluation information shall have the 2nd number of items larger than the 1st number of items which is the number of items of the 1st evaluation information, it may be the same number or less.

  Note that all or part of the functions of the learning management server 1, the electronic medical record server 2, and the authentication server 3 may be configured integrally, or each function may be configured to operate on another server. Each function may be operated in any one of the terminal devices 4a, 4b, 4c,.

(Learning management server configuration)
FIG. 2 is a block diagram illustrating a configuration example of the learning management server 1 according to the embodiment.

  The learning management server 1 includes a CPU and the like, and controls each unit and executes various programs, a storage unit 11 that includes a storage medium such as an HDD and a flash memory, and stores information, and a network 9 and a communication unit 12 that communicates with the outside via the network 9.

  The control unit 10 executes a learning management program 110, which will be described later, so that a resident / patient correspondence unit 100, a course content extraction unit 101, an electronic medical record information duplication unit 102, an evaluation information recording unit 103, a dialogue unit 104, a display It functions as the information generation unit 105, the evaluation information conversion unit 106, and the like.

  The resident / patient correspondence means 100 associates the patient and the resident who are in charge of the clinical training in accordance with the request of the terminal devices 4a, 4b, 4c, etc. operated by the instructors 7a, 7b, 7c. . The resident / patient correspondence means 100 displays a creation screen on the display unit of the terminal devices 4a, 4b, 4c,... When associating the patient with the resident, and associates the resident with the patient. Assist with work.

  The course content extraction means 101 is based on the contents of the electronic medical record written by the trainee 8 in response to a request from the terminal devices 4a, 4b, 4c,. Extract.

  The electronic medical record information duplicating unit 102 acquires the description content of the electronic medical record corresponding to the course contents extracted by the course content extracting unit 101 from the electronic medical chart server 2 and creates duplicate electronic medical chart information 113.

  Based on the information extracted by the course content extracting unit 101, the evaluation information recording unit 103 evaluates the resident doctor 8 as the first evaluation information according to the criteria determined by the hospital to which the supervising physicians 7a, 7b, 7c,. In addition to recording in the in-hospital evaluation information 112, the electronic medical record information 113 created by the electronic medical record information copying unit 102 is stored in association with each other.

  The dialogue means 104 creates dialogue information composed of mutual messages and the like according to the operation of the supervising physicians 7a, 7b, 7c... It is displayed on the display unit of the terminal device 5.

  The display information generation unit 105 displays information for displaying desired contents on the display unit of the terminal device 4a, 4b, 4c,... Or the terminal device 5 in response to a request from the terminal device 4a, 4b, 4c. Information to be generated is mainly generated by selecting contents to be displayed in accordance with the subject of the request, such as in-hospital evaluation information 112 and duplicate electronic medical record information 113. The display information generation unit 105 receives the login information from the authentication server 3 and determines the subject of the request. The request subject is related to the curriculum of the manager who manages the clinical training in addition to the terminal devices 4a, 4b, 4c... Operated by the instructors 7a, 7b, 7c. It may be a terminal device or the like operated by a person who performs. When the requesting subject is a person related to the educational program, the display information generating unit 105 selects the subject of the display request as the trainee 8 or the instructing physicians 7a, 7b, 7c. The display content may be changed as any of the above, or the display content for a person related to the educational program may be generated.

  The evaluation information conversion means 106 converts the in-hospital evaluation information 112 as the first evaluation information based on a predetermined conversion method, and is based on a standard determined without depending on the affiliation of the supervising physicians 7a, 7b, 7c. The standard evaluation information 114 is the second evaluation information to be evaluated. Note that the standard evaluation information 114 is evaluated based on, for example, a standard set as a goal of the doctor clinical training system set by the Ministry of Health, Labor and Welfare. The predetermined conversion method is, for example, a method using the conversion table 115, and determines the value of each item of the second evaluation information based on the value of each item of the first evaluation information. The standard evaluation information 114 changes according to the educational process if the educational process changes. For example, when the invention of the present application is applied to a specialist medical system, it is determined by an evaluation guideline established by an academic society or the like. Therefore, it is not necessarily limited to the standards set by administrative agencies such as the Ministry of Health, Labor and Welfare, but is a standard set by an evaluation guideline decision-making body having a specific evaluation guideline.

  The storage unit 11 is a learning management program 110 that causes the control unit 10 to operate as each of the above-described means 100-106, resident identification information 111, in-hospital evaluation information 112, duplicate electronic medical record information 113, standard evaluation information 114, conversion table 115, etc. Remember.

  FIG. 3 is a schematic diagram illustrating an example of the configuration of the resident identification information 111.

  The resident identification information 111 is information for identifying the resident, and has a resident ID for identifying the resident and the name of the resident. Further, although not shown, the resident identification information 111 includes information regarding other resident doctors such as a resident doctor number, an extension number, a group ID, the number of training years, a face photograph of the resident doctor, and the like.

  FIG. 4 is a schematic diagram illustrating an example of the configuration of the in-hospital evaluation information 112.

  The in-hospital evaluation information 112 is information for evaluating a resident for evaluation items determined in the hospital, and includes evaluation items indicating the contents of the evaluation items determined in the hospital, techniques and diseases corresponding to the contents of the evaluation items. And the number of implementations indicating the number of times of experience. The number of items in the in-hospital evaluation information 112 is 13, for example.

  5A and 5B are schematic diagrams illustrating an example of the configuration of the standard evaluation information 114. FIG.

  The standard evaluation information 114 is, for example, information for evaluating a resident according to a standard set by the Ministry of Health, Labor and Welfare, and includes standard evaluation information 114a as an action target shown in FIG. And the evaluation item indicating the content of the evaluation item based on the above criteria, and the evaluation indicating the evaluation of the resident corresponding to the content of the evaluation item. The number of items in the standard evaluation information 114 is, for example, 255.

(Operation of learning management system)
Next, on the premise of the configuration described above for the operation of the present embodiment, referring to FIGS. 1 to 9, clinical training (1) preparation operation, (2) resident operation and (3) instruction The explanation will be divided into the medical operation and (4) evaluation information conversion operation.

(1) Preparation operation First, in preparation for clinical training, the supervising physicians 7a, 7b, 7c,... Operate the terminal devices 4a, 4b, 4c,. The terminal devices 4a, 4b, 4c,... Operate in accordance with the accepted operation, access the learning management server 1 through access authentication of the authentication server 3, and request the correspondence between the resident and the patient. Note that any one of the supervising physicians 7a, 7b, 7c,...

  When the trainee / patient correspondence means 100 of the learning management server 1 receives a request from the terminal devices 4a, 4b, 4c... Operated by the supervising physicians 7a, 7b, 7c. Are displayed on the terminal devices 4a, 4b, 4c,...

  The supervising physicians 7a, 7b, 7c,... Confirm the contents of the electronic medical record information 20 while referring to the contents of the patient information display column displayed on the display units of the terminal devices 4a, 4b, 4c,. Considering which resident is assigned, the terminal devices 4a, 4b, 4c,... Are operated to associate the resident with the patient.

  The resident / patient correspondence means 100 of the learning management server 1 associates the resident with the resident who is in charge of the resident in the clinical training in accordance with the operation contents of the above-mentioned mentors 7a, 7b, 7c. Correspondence information is created (not shown).

  Next, the resident 8 operates the terminal device 5, refers to the contents of the resident-patient correspondence information displayed on the display unit of the terminal device 5, and conducts clinical training by examining the patient in charge. . In addition, the resident 8 inputs diagnosis contents such as a patient's symptom and condition into the electronic medical record information 20. Information input to the electronic medical record information 20 may be performed by operating the terminal device 5 or may be performed using a dedicated terminal.

  Further, the supervising physicians 7a, 7b, 7c, and the trainee 8 operate the terminal devices 4a, 4b, 4c, and the terminal device 5 as necessary for the contents of the input electronic medical record information 20 and the contents of the clinical training. And interact with each other.

  The dialogue means 104 creates dialogue information associated with the electronic medical chart ID according to the operation of the resident doctor 8 or the supervising physicians 7a, 7b, 7c..., And the created contents are the terminal devices 4a, 4b, 4c. 5 on the display section.

  The contents of the electronic medical record information 20 input by the trainee 8 are communicated with the supervising doctors 7a, 7b, 7c... In the dialogue and the approval of the supervising doctors 7a, 7b, 7c.

  Next, the course content extraction unit 101 of the learning management server 1 extracts the techniques, diseases, and the like experienced by the trainee 8 as the courses taken from the electronic medical record information 20 to which the trainee 8 has input information. The course content extraction unit 101 may extract a technique, a disease, or the like based on the operation of the trainee 8, or may estimate a technique, a disease, or the like experienced from the text information of the electronic medical record information 20. . For example, the course content extraction unit 101 performs morphological analysis on the text information of the electronic medical record information 20, and if the text information includes the expression “blood transfusion”, extracts the technique “transfusion”, and the electronic medical record information When the age of 20 patients is “3 years old”, the experience of “pediatric examination” is extracted. Further, not only from a word or expression in text information but also from a context, a technique or a disease may be estimated. In addition, the course content extraction unit 101 may extract evaluations that are not extracted from text information such as interpersonal skills or evaluations that cannot be self-evaluated based on the operations of the instructors 7a, 7b, 7c.

  Next, when the course content extracting unit 101 extracts the course contents from the electronic chart information 20, the electronic chart information copying unit 102 acquires the description contents of the electronic chart corresponding to the extracted course contents from the electronic chart server 2, The duplicate electronic medical record information 113 is created. The duplicate electronic medical record information 113 may be a copy of the entire description of the electronic medical record as it is, or may be a copy of only the description range corresponding to the extracted course content.

  Next, the evaluation information recording means 103 records the evaluation of the resident 8 in the resident evaluation information 116 based on the information extracted by the course content extraction means 101, and the electronic medical record information copying means 102 as necessary. The created duplicate electronic medical chart information 113 is stored in association with each other. For example, when the course content extracted by the course content extraction unit 101 is “blood transfusion” or “children's examination”, the evaluation information recording unit 103 selects the evaluation items “blood transfusion” and “children” of the in-hospital evaluation information 112 shown in FIG. Increase the number of "consultation" by one count. Further, the evaluation information recording unit 103 stores the duplicate electronic medical chart information 113 in association with each other as a basis for increasing the number of enforcement. The duplicate electronic medical record information 113 is also used for reviewing the clinical training of the trainee 8 as described later. Further, the evaluation information recording unit 103 is not limited to storing the duplicate electronic medical record information 113 in association with each other, and may store link information for connecting to the electronic medical record information 20.

  Further, the evaluation information self-evaluated by the trainee 8 is approved by the instructing physicians 7a, 7b, 7c,... In the dialogue using the dialogue means 104 described above.

  As described above, the in-hospital evaluation information 112 and the duplicate electronic medical record information 113 are recorded as the trainee 8 advances clinical training.

  Hereinafter, the specific recording operation and browsing operation of the in-hospital evaluation information 112 and the duplicate electronic medical record information 113 will be described based on the operation of the resident 8 (“(2) Operation on the side of the resident”). An operation based on the operation of the instructors 7a, 7b, 7c,... Will be described later (“(3) Instructor side operation”).

  Hereinafter, a display example specifically displayed on the display unit of the terminal device 5 in “(2) Resident operation” will be described.

(2) Operation on the side of the resident In order for the resident 8 to enter the contents of the diagnosis such as the patient's symptoms and condition into the electronic medical record information 20 and then to interact with each other about the contents of the inputted electronic medical record information 20 and the contents of the clinical training. The terminal device 5 is operated.

  The terminal device 5 operates in accordance with the accepted operation, accesses the learning management server 1 through access authentication of the authentication server 3, and requests a display for interacting with the instructors 7a, 7b, 7c,.

  The display information generation unit 105 of the learning management server 1 displays the content of the dialogue on the display unit in response to a request from the terminal device 5.

  FIG. 6 is a schematic diagram illustrating an example of a screen displayed on the terminal device 5 by the display information generation unit 105.

Screen 105a has a department display column 105a ₁ that indicates the department in clinical training, and training physicians name display column 105a ₂ that shows the name of the residents 8, and function selection tab 105a ₃ for selecting the contents to be displayed The patient chart for selecting the combination of the patient, the corresponding chart and the supervising doctor, and the charge chart chart 105a ₄ for displaying the contents of the electronic chart information 20 corresponding to the patient and the dialog contents corresponding to the electronic chart information 20 having a column 105a _5, and interactive contents display column 105a ₆ to display the interactive content corresponding to the selected patient in patients display field 105a ₅ of interactive information, and an input field 105a ₇ for inputting a new message .

The dialogue content display column 105a ₆ includes dialogue contents 105a _{61 to} 105a ₆₄ , 105a ₆₇ inputted by the trainee 8 and dialogue contents 105a ₆₅ , 105a ₆₆ inputted by the instructing physicians 7a, 7b, 7c. a and an update button 105a ₆₈ for updating the display contents of the check box and interactive content Contract for folding display.

Incidentally, the dialogue content display field 105a ₆ includes a content resident 8 is written to the electronic medical record information 20, and the message of residents 8, guidance physician 7a, 7b, and displays the color-coded each for a 7c ... message. Note that the method is not limited to colors as long as each method can be visually discriminated. For example, the patterns may be different.

Also, input column 105a ₇ includes an input box 105a ₇₁ for inputting a message, and a transmission button 105a ₇₂ for transmitting an interactive content entered in the input boxes 105a _71.

When the trainee 8 inputs information into the electronic medical record information 20, the electronic medical record information duplicating means 102 duplicates the content of the inputted electronic medical chart information 20, and the dialogue means 104 uses the content of the duplicated electronic medical chart information 20 as the dialogue content. The dialogue contents 105a ₆₁ , 105a ₆₄ , and 105a ₆₇ are displayed in the display column 105a ₆ .

In addition, the trainee 8 confirms the content of the image displayed on the display unit of the terminal device 5, and dialogues such as messages related to the dialogue contents 105 a ₆₁ , 105 a ₆₄ , and 105 a ₆₇ that are the contents of the electronic medical record information 20. Contents 105a ₆₂ and 105a ₆₃ are input.

Further, the trainee 8 confirms the dialogue contents 105a ₆₅ and 105a ₆₆ inputted by the supervising physicians 7a, 7b, 7c. The dialog content 105a ₆₅ is a stamp indicating that the content of the dialog content 105a ₆₁ , 105a ₆₂ , 105a ₆₃ , 105a ₆₄ has been approved, and the dialog content 105a ₆₆ is a dialog content 105a ₆₁ , 105a ₆₂ , 105a ₆₃ , 105a _64. Is a comment on the contents of

  Next, the resident 8 confirms the contents of procedures and diseases extracted as contents taken from the electronic medical record information 20 and the evaluation contents of the resident 8 based on the extracted information. To operate.

  The terminal device 5 operates in accordance with the accepted operation, accesses the learning management server 1 through access authentication of the authentication server 3, and requests a display for confirming the extracted content and the content of the evaluation.

  The display information generation means 105 of the learning management server 1 displays the contents of the in-hospital evaluation information 112 on the display unit in response to a request from the terminal device 5.

  FIG. 7 is a schematic diagram illustrating another example of a screen displayed on the terminal device 5 by the display information generation unit 105.

Screen 105b is displayed as residents name display column 105b ₁ showing the names of residents 8, the function selection tab 105b ₂ for selecting the contents to be displayed, the contents of the contents and evaluation extracted from the electronic medical record information 20 A medical examination / recording tab 105b ₃ for displaying the information, a hospital evaluation information display field 105b ₄ for displaying the contents of the in-hospital evaluation information 112, and a patient display field 105b ₅ for selecting a combination of the patient and the corresponding chart and the instructor. And an electronic medical record content display column 105b ₆ for displaying the content of the electronic medical record corresponding to the patient selected in the patient display column 105b ₅ .

The patient display column 105b ₅ displays the combination of the patient and the electronic medical record information from which the item selected in the in-hospital evaluation information display column 105b ₄ (“judgement of entrance / exit” in the example of FIG. 7) is extracted. The column 105b ₆ is the item selected in the in-hospital evaluation information display column 105b ₄ among the contents of the electronic medical record information of the item selected in the patient display column 105b ₅ (patient name “Yoshikawa ΔΔΔ” in the example of FIG. 7). The contents of the extracted electronic medical chart information are displayed.

When the course content extracting unit 101 extracts the course content from the electronic medical record information 20, the electronic medical record information duplicating unit 102 duplicates the content of the input electronic medical record information 20, and the display information generating unit 105 displays the electronic medical record content display field 105b _6. The contents are displayed.

Also, residents 8 checks the contents of the display unit to display images of the terminal device 5, the content of the hospital evaluation information 112, i.e., a self-course condition of verify the contents of the hospital evaluation information display column 105b ₄ , or something of the time of course the item was in charge of any of the patient to confirm the contents of the patient display field 105b _5, to see whether a one of the electronic medical record described in the contents of the electronic medical record content display field 105b _6. In addition, the trainee 8 may manually check the items in the in-hospital evaluation information 112, and the description of the patient and the electronic medical record may be manually associated with the checked items.

  Next, a display example specifically displayed on the display unit of the terminal devices 4a, 4b, 4c,..

(3) Instructor side operation The instructors 7a, 7b, 7c,... Enter the contents of the electronic medical record information 20 after the trainee 8 inputs the diagnosis contents of the patient's symptom and condition into the electronic medical record information 20. In order to interact with each other about the contents of clinical training, the terminal devices 4a, 4b, 4c... Are operated.

  The terminal devices 4a, 4b, 4c,... Operate in accordance with the received operation, access the learning management server 1 through access authentication of the authentication server 3, and request a display for interacting with the resident doctor 8.

  The display information generation means 105 of the learning management server 1 displays the content of the dialogue on the display unit in response to the request from the terminal devices 4a, 4b, 4c.

  FIG. 8 is a schematic diagram illustrating an example of a screen displayed on the terminal devices 4a, 4b, 4c,.

Screen 105c has a duration display field 105c ₁ indicating a period of clinical training, the trainee identification information display column 105c ₂ showing the facial photograph and the name of the residents 8, to switch to other residents to provide training to the same period and training physicians list display section 105c ₃ of, and guidance instructor display column 105c ₄ showing affiliation and name of the guidance physician in viewing the screen, and function selection tab 105c ₅ for the transition to the screen other than the screen, the A chart 105c ₆ assigned to display the screen, a list 105c ₇ for selecting a combination of the doctor in charge, a patient to be assigned, and a resident in charge, and the contents of the dialogue between the resident doctor and the instructor has an interactive content display column 105c ₈ to, a comment input field 105c ₉ to enter a new comment, the.

The supervising physicians 7a, 7b, 7c,... Confirm the content of the screen 105c displayed on the display unit of the terminal devices 4a, 4b, 4c,. The content displayed in the dialog content display column 105c ₈ is the same as the content displayed in the dialog content display column 105a ₆ shown in FIG. 6, and the instructing physicians 7a, 7b, 7c,. The dialogue contents 105a _{61 to} 105a ₆₄ and 105a ₆₇ are confirmed, and the dialogue contents 105a ₆₅ which is a stamp indicating that the contents of the dialogue contents 105a ₆₁ , 105a ₆₂ , 105a ₆₃ and 105a ₆₄ are approved are inputted, and the dialogue contents 105a ₆₁ are entered. , 105a ₆₂ , 105a ₆₃ , 105a ₆₄ , the dialogue content 105 a ₆₆ that is a comment is input.

  Next, the supervising physicians 7a, 7b, 7c,... Operate the terminal devices 4a, 4b, 4c,.

  The terminal devices 4 a, 4 b, 4 c... Operate in accordance with the accepted operation, access the learning management server 1 through access authentication of the authentication server 3, and display for confirming the extracted contents and evaluation contents Request.

  The display information generating means 105 of the learning management server 1 displays the contents of the in-hospital evaluation information 112 on the display unit in response to the request from the terminal devices 4a, 4b, 4c... Since it corresponds, it abbreviate | omits illustration.

The supervising physicians 7a, 7b, 7c,... Confirm the contents of the images displayed on the display units of the terminal devices 4a, 4b, 4c,. check the content of the hospital evaluation information display column 105b ₄ shown in, whether take item that something when in charge of all patients to confirm the contents of the patient display field 105b _5, I according to any of the electronic medical record whether to confirm the contents of the electronic medical record content display field 105b ₆ to approve the contents of the hospital evaluation information 112. The approval operation may be performed by further providing an approval button on the screen 105b shown in FIG. 7, or may be performed in the dialog of the screen 105c shown in FIG.

(4) Evaluation Information Conversion Operation Next, the evaluation information conversion means 106 of the learning management server 1 converts the in-hospital evaluation information 112 based on the request of the supervising physicians 7a, 7b, 7c. Conversion is performed based on the table 115 to obtain standard evaluation information 114.

  FIG. 9 is a schematic diagram for explaining the evaluation information conversion operation of the evaluation information conversion means 106.

  The evaluation information conversion means 106 determines the value of each item of the standard evaluation information 114 a and 114 b from the value of each item of the in-hospital evaluation information 112 based on the conversion table 115. In the conversion method, when the value of the single item of the standard evaluation information 114a and 114b is determined from the value of the plurality of items of the in-hospital evaluation information 112, the plurality of items of the standard evaluation information 114a and 114b are determined from the value of the single item of the in-hospital evaluation information 112. When determining the value of the in-hospital evaluation information 112, the values of the items in the in-hospital evaluation information 112 may correspond one-to-one with the values of the items in the standard evaluation information 114a and 114b. The contents of each item of information 114a and 114b are determined.

  The evaluation information conversion means 106 processes the value of the item of the in-hospital evaluation information 112 using a predetermined calculation method, and when the obtained value exceeds a certain threshold, the value of the item of the standard evaluation information 114a and 114b is processed. It may be inputted, or the value of the item in the in-hospital evaluation information 112 is weighted and subjected to calculation processing, and the value of the item of the standard evaluation information 114a and 114b may be calculated from the calculation processing. Further, the evaluation information conversion means 106 may convert the in-hospital evaluation information 112 from the in-hospital evaluation information 112a and the standard evaluation information 114a and 114b based on a predetermined rule, that is, the conversion table 115, or the in-hospital evaluation by a separately prepared learning means. The conversion method may be learned based on the correspondence between the items of the information 112 and the standard evaluation information 114a and 114b, and converted from the in-hospital evaluation information 112 to the standard evaluation information 114a and 114b based on the learned model. Further, these may be combined and converted. The correspondence relationship between the items in the in-hospital evaluation information 112 indicated by the arrows in FIG. 9 and the items in the standard evaluation information 114a and 114b does not necessarily indicate a strict correspondence relationship, but is an example.

  The evaluation information conversion means 106 may output the standard evaluation information 114 as it is to the resident doctor 8 or the instructors 7a, 7b, 7c, etc., or an EPOC (Evaluation system of POSTgraduate Clinical training) that handles evaluation data of clinical training. May be output.

(Effect of embodiment)
According to the embodiment described above, the in-hospital evaluation information 112 is recorded automatically based on the contents of the electronic medical record information 20 described by the trainee 8 or by the trainee 8 or the supervising physicians 7a, 7b, 7c. In addition, since the in-hospital evaluation information 112 is converted into the standard evaluation information 114 having a larger number of items than the in-hospital evaluation information 112 by the evaluation information conversion means 106, the instructor 8 is based on the electronic medical record information 20 created as a result of clinical training. Thus, the burden on the resident doctor 8 and the instructors 7a, 7b, 7c... When performing the evaluation based on the one standard can be reduced.

  On the other hand, in the conventional medical clinical training that does not use the learning management system 6 of the present embodiment, the guidance doctors 7a, 7b, and 7c check the description contents of the medical record of the resident 8 and train the items experienced by the resident 8 The doctor 8 and the supervising doctors 7a, 7b, and 7c need to double check, but the learning management system 6 of the present embodiment stores the duplicate electronic medical record information 113 in association with the in-hospital evaluation information 112. This eliminates the need to search the electronic medical record information 20 that is the basis of the evaluation items of the in-hospital evaluation information 112, and reduces the number of processes required for the approval of the supervising physicians 7a, 7b, 7c. . Further, since the duplicate electronic medical record information 113 is stored in association with the in-hospital evaluation information 112, the clinical training of the resident 8 can be recorded on the basis of the electronic medical record information 20, and the training content can be evaluated. On the other hand, in the conventional evaluation system such as EPOC, although the evaluation data was handled, the basis for the evaluation was not shown.

  In addition, the electronic medical record information 20 is information managed on a patient basis, but a plurality of duplicate electronic medical record information 113 (a plurality of patient information) is stored in association with the in-hospital evaluation information 112 of the resident 8. Information can be managed by 8 residents.

  Further, since the electronic medical record information 20 is approved during the dialogue between the resident doctor 8 and the supervising physicians 7a, 7b, 7c... Managed by the dialogue means 104, the frequency of omission of approval of the supervising physicians 7a, 7b, 7c. Can be reduced. In addition, it is possible to receive feedback such as whether or not the instructor 8 is in the middle of the dialogue and approval of the instructors 7a, 7b, 7c.

  In addition, items in the in-hospital evaluation information 112 can be added with items that cannot be expressed by the standard evaluation information 114, for example, elements such as the number of experiences. The degree of proficiency can be measured by the number of experiences as well as the presence or absence of the experience of the resident 8.

  In addition, since the patient and the electronic medical record information 20 associated with the in-hospital evaluation information 112 can be found, it is possible to review the training contents of the resident doctor 8. Further, when a plurality of evaluation items are associated with one duplicate electronic medical chart information 113, the resident 8 confirms the plurality of evaluation items so that the resident 8 can determine the degree of association between the plurality of evaluation items. Can contribute to understanding.

  In-hospital evaluation information 112 is updated due to review and improvement of evaluation items in hospitals, addition or closure of clinical departments, review of guidance content at evaluation guide decision organizations such as the Ministry of Health, Labor and Welfare, etc. Thus, even if the standard evaluation information 114 is updated, the learning management system 6 as a whole can be handled by updating the conversion table 115.

  Further, even when there are a plurality of types of in-hospital evaluation information 112, it is possible to cope with this by preparing a conversion table 115 for each type of in-hospital evaluation information 112. That is, it is possible to deal with a case where the resident doctor 8 receives training at a different hospital for each department. The fact that there are a plurality of types of in-hospital evaluation information 112 may mean that the number of evaluation items in in-hospital evaluation information 112 may be different, the contents of evaluation items may be different, or they may be different from each other.

  Further, even when there are a plurality of types of standard evaluation information 114, it is possible to cope with them by preparing a conversion table 115 for each type of standard evaluation information 114. In other words, it is possible to cope with a case where a single training is performed and a plurality of training systems are simultaneously taken.

[Other embodiments]
The present invention is not limited to the above embodiment, and various modifications can be made without departing from the spirit of the present invention.

  For example, the learning management server 1 may further function as a conversion method learning unit that learns the conversion method of the evaluation information conversion unit 106 using the correspondence between the in-hospital evaluation information 112 and the standard evaluation information 114 as teacher data. . Thereby, the conversion table 115 is automatically generated.

  In addition, when the conversion table 115 is automatically generated, the generated conversion table 115 can be used for optimization of items in the in-hospital evaluation information 112 by analyzing the generated conversion table 115.

  In addition, the learning management server 1 uses the content of each item of the in-hospital evaluation information 112 and the contents of the electronic medical record information 20 associated with each item of the in-hospital evaluation information 112 as teacher data to extract the content of the course It may be made to further function as an evaluation method learning unit that learns the method 101 for extracting content for learning 101 and the evaluation method for the evaluation information recording unit 103. Thus, the operation of the course content extracting unit 101 and the evaluation information recording unit 103 can be automatically set as long as teacher data is provided. Note that the evaluation method learning means, for example, performs morphological analysis on the text information of the electronic medical record information 20, extracts words, idioms, and contexts in the text information, and indicates correspondence between the extracted words, idioms, and contexts as teacher data. To do. More specifically, in the evaluation method learning means, the expression “transfused” among words, idioms, and contexts included in a plurality of text information of the electronic medical record information 20 corresponds to the technique “transfusion”. Learning based on scores such as probability and feature amount. In addition, the score such as probability and feature amount indicates that “3 years old” among words, idioms, and contexts included in the plurality of text information of the electronic medical record information 20 corresponds to the experience of “pediatric examination”. Learning based on. Further, when the technique or experience corresponding to the extracted word, idiom, or context is corrected by the administrator or the like, the evaluation method learning means learns again from the corrected correspondence.

  In the embodiment described above, clinical training for residents is given as an example, but it may be applied to training for doctor specialists, nurses, public health nurses, medical staff, etc. It may be applied to educational curriculum in other fields.

  In the above embodiment, the functions of the units 100 to 106 of the control unit 10 are realized by a program. However, all or part of the units may be realized by hardware such as an ASIC. Further, the program used in the above embodiment may be provided by being stored in a recording medium such as a CD-ROM, or may be provided by being distributed via the Internet. In addition, replacement, deletion, addition, and the like of the order of the operations described in the above embodiments are possible within a range that does not change the gist of the present invention.

1: Learning management server 2: Electronic medical record server 3: Authentication servers 4a, 4b, 4c: Terminal device 5: Terminal device 6: Learning management systems 7a, 7b, 7c: Teaching physician 8: Resident physician 9: Network 10: Control unit 11: Storage unit 12: Communication unit 20: Electronic medical record information 30: Access authority information 100: Patient correspondence means 101: Course content extracting means 102: Electronic medical record information duplicating means 103: Evaluation information recording means 104: Dialog means 105: Display Information generating means 106: evaluation information converting means 110: learning management program 111: resident identification information 112: in-hospital evaluation information 113: duplicate electronic medical record information 114: general evaluation information 115: conversion table 116: resident evaluation information

Claims (7)

Computer
The content of the document information entered by the student in each item of the first evaluation information having the first number of items for evaluating the content of the student who takes the education process based on the first standard An evaluation information recording means for recording the evaluation based on;
Based on the value of each item of the first evaluation information, the evaluation information is input by inputting a value to each item of the second evaluation information having a second number of items for evaluation based on the second criterion. A learning management program for functioning as evaluation information conversion means for conversion.   2. The evaluation information recording unit stores the contents of the document information used for inputting a value in each item of the first evaluation information in association with each item of the first evaluation information. Learning management program.   The said evaluation information conversion means inputs a value into each item of said 2nd evaluation information based on the value of each item of said 1st evaluation information based on the predetermined conversion method. Learning management program.   Evaluation method learning for learning the evaluation method of the evaluation information creating means by using the correspondence between the contents of each item of the first evaluation information and the contents of the document information associated with the contents of the respective items as teacher data The learning management program according to any one of claims 1 to 3, further functioning as means.   2. The information processing apparatus according to claim 1, further comprising a conversion method learning unit that learns a conversion method of the evaluation information conversion unit by using a correspondence relationship between each item of the first evaluation information and each item of the second evaluation information as teacher data. The learning management program according to any one of -4.   The evaluation information recording means requests the evaluator of the educational course to input items that cannot be input based on the content of the document information among the items of the first evaluation information. The learning management program according to any one of the above. An evaluation information record that records the evaluation based on the contents of the document information entered by the student in each item of the first evaluation information having the first number of items evaluated by the student who takes the course of education. Means,
A learning management device comprising: evaluation information conversion means for converting the evaluation information by inputting a value to each item of the second evaluation information having the second number of items based on the value of each item of the first evaluation information .

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