JP6007376B2 - Drug therapy judgment ability development method and drug therapy judgment ability development program - Google Patents

Description

  The present specification relates to a pharmacotherapy judgment ability training method and a pharmacotherapy judgment ability training program.

  The treatment or prevention (drug therapy) of diseases by drugs plays a very important role in current medical care. A pharmacist who is a specialist in medicine is responsible for ensuring the effectiveness and safety of drug therapy. Determine whether the doctor's prescription is appropriate for the patient, whether the patient is taking medicine properly, whether it is effective, and whether it is safe, based on the patient's condition, conversation, and results of simple tests It is requested to do. In drugstores, pharmacists provide advice on the selection of products by buyers in the selection of over-the-counter drugs, support self-medication, and play a major role in combating non-diseases such as improving lifestyle habits. It is demanded.

  In the course of pharmacotherapy, it may be necessary to change the type and amount of the drug. The pharmacist makes direct contact with the patient at the time of dispensing and determines the effectiveness and side effects of the drug therapy based on information obtained directly from the patient. Furthermore, it is desirable to propose a doctor to stop the medication and change the type and amount of the drug based on such a determination.

  A program related to capacity building related to drug therapy problem solving is already known (Non-patent Document 1). This program will extract the problems contained in a case of a selected disease and develop the ability to create a plan for optimal drug therapy using group learning (Problem based learning = PBL).

Futako Otsu et al., IT Utilization Education Method Research, Vol. 12, p6-10

  It is effective drug therapy that a pharmacist who is a specialist in medicine uses the face-to-face information obtained from patients to judge the effectiveness of drug therapy and the occurrence of side effects, and proposes improvement of drug therapy to doctors. Therefore, it is extremely useful from the viewpoint of medical safety and medical economy. So far, training has been carried out to incorporate new educational methods such as PBL, extract patient problems, and plan drug therapy. However, training to output the abilities that have been cultivated, that is, the ability to determine the effectiveness of drug therapy and the early detection of side effects from face-to-face information with patients, in other words, to determine drug therapy There are currently no known learning methods or programs aimed at fostering abilities (these are called drug therapy judgment abilities).

  This specification provides a pharmacotherapy judgment ability training method, a pharmacotherapy judgment ability training program, and a pharmacotherapy judgment ability education system.

  The present inventors examined a method and a program for fostering the ability to judge drug therapy. As a result, the face-to-face information with the mock patient during drug therapy is provided to the learner, the process by which the learner obtains information from the situation of the mock patient, the type of the information, the learner's evaluation result for the obtained information, In addition, it has been found that it is effective for the learner and the trainer to develop and learn the ability of judgment to acquire, as learning result information, the judgment result of pharmacotherapy by the learner based on these. Based on these findings, the present specification provides the following means.

(1) A method for developing the ability to judge drug therapy,
At least one computer has the following steps:
A case information providing step for providing learners with case information on pharmacotherapy of a simulated patient;
An inquiry information acquisition step for acquiring inquiry information from the learner regarding an inquiry to the simulated patient;
Other case information providing step for providing the learner with other case information related to pharmacotherapy of the simulated patient including an answer corresponding to the inquiry information;
A comprehensive determination information acquisition step for acquiring comprehensive determination information including determination regarding pharmacotherapy of the simulated patient by the learner from the learner;
The way to perform.
(2) The other case information providing step further includes a sub-step of acquiring reason information about the reason for selecting the inquiry information from the learner, and the other case information is obtained when the reason information is acquired. The method according to (1), which is a step of providing to a learner.
(3) The method according to (1) or (2), further including an evaluation information acquisition step of acquiring the learner's evaluation information about the other case information from the learner.
(4) The method according to any one of (1) to (3), wherein the inquiry information acquisition step and the other case information provision step are repeated two or more times.
(5) Further, an evaluation step for evaluating the achievement level of the learner based on the comprehensive judgment information;
The method in any one of (1)-(4) provided with.
(6) The method according to (5), wherein the evaluation step further evaluates the achievement level of the learner based on the type and / or order of the inquiry information.
(7) The other case information providing step further includes a sub-step of acquiring reason information regarding the reason for selecting the inquiry information from the learner, and the other case information is obtained when the reason information is acquired. Steps to provide to learners,
The method according to (5) or (6), wherein the evaluation step is a step of evaluating the learner's achievement level based on the comprehensive judgment information, the inquiry information, and the reason information.
(8) The method further comprises an evaluation information acquisition step of acquiring evaluation information of the learner about the other case information from the learner.
The method according to (5) or (6), wherein the evaluation step is a step of evaluating the achievement level of the learner based on the comprehensive judgment information, the inquiry information, and the evaluation information.
(9) The other case information providing step further includes a sub-step of acquiring reason information regarding the reason for selecting the inquiry information from the learner, and the other case information is obtained when the reason information is acquired. Steps to provide to learners,
Furthermore, when comprising the evaluation information acquisition step of acquiring the learner's evaluation information about the other case information from the learner,
(5) or (6), wherein the evaluation step is a step of evaluating the learner's achievement based on the comprehensive judgment information, the inquiry information, the reason information, and the evaluation information. Method.
(10) The at least one computer further includes:
The method according to any one of (5) to (9), comprising a step of outputting the achievement level of the learner.
(11) The method according to any one of (1) to (10), wherein the case information or the other case information includes a moving image and a sound that present a symptom of the simulated patient.
(12) The inquiry information includes an inquiry to the simulated patient regarding one or more kinds of the drug therapy selected from the group consisting of efficacy confirmation, safety confirmation and usability confirmation, (1) to (11 ) Any one of the methods.
(13) The inquiry information includes an inquiry about one or more of the simulated patients selected from the group consisting of drug history progress information, clinical examination information, other department consultation information, simple examination information, and prescription information. The method according to any one of (1) to (12).
(14) A drug therapy judgment ability development program in which one or more computers are programmed to execute the steps described in the method according to (1) to (13).
(15) A pharmacotherapy judgment capacity development system,
Comprising at least one server and at least one client;
The system which performs the step of the method in any one of (1)-(13).

It is a figure showing an example of the breeding system indicated by this specification. It is a figure which shows an example of the flow in the process part of the breeding apparatus disclosed by this specification. It is a figure which shows an example of the operation screen in a training program. It is a figure which shows another example of the operation screen in a training program. It is a figure which shows another example of the operation screen in a training program. It is a figure which shows another example of the operation screen in a training program.

  The present specification relates to a method for nurturing judgment ability relating to drug therapy, a program and a system for the method, and the like (hereinafter also collectively referred to as a main nurturing method). According to this training method, etc., the ability to detect problems in pharmacotherapy (the ability to judge pharmacotherapy) can be nurtured and evaluated by simulating the face-to-face situation with a simulated patient. .

  In this training method and the like, in addition to the case information provided from the computer, other case information is provided to the learner in response to the learner's inquiry. The learner can configure his / her comprehensive judgment information from the case information acquired by the student and other case information, and the computer acquires the comprehensive judgment information.

  By confirming the comprehensive judgment information, the grower can obtain information on the learner's ability to make judgment regarding drug therapy, and can evaluate the learner's achievement level and the like. In addition, by acquiring inquiry information, reason information, and evaluation information from the learner, it is possible to further examine the learner's judgment ability by each or a combination of these and the comprehensive judgment information, and easily evaluate the learner's achievement level become able to.

  In this training method, etc., it is necessary to acquire reason information from the learner, to provide other case information etc. to the learner on condition that the reason information is acquired, and to make the reason information itself subject to evaluation Thus, this is very different from the conventional simulation in which any reason information is not requested or acquired from the learner when selecting something. By acquiring the reason information, the learner can confirm his / her own understanding level, and the breeder can accurately evaluate the learner's understanding level and achievement level.

  The learner can input inquiry information to the computer based on the provided case information and acquire other case information including an answer to the inquiry. In other words, learners can try various processes for acquiring their own inquiries and the case information provided in response to the inquiries, so they can make their own judgment on the suitability and judgment ability of their individual actions. It becomes possible. For this reason, the learner can obtain various opportunities for improving the case information acquisition ability in drug therapy and improving the judgment ability based on the acquired case information according to the case. Furthermore, by inputting reason information and evaluation information, these capabilities can be further improved.

  This specification provides the program which performs the step in the training method of the judgment ability of such drug therapy. The program only needs to be executed by one or more computers. The storage form of the program is not particularly limited. It may be stored in various external storage devices or storage media, or may be stored in a storage area inside the computer. This program may be stored in a computer-readable storage medium (for example, hard disk, ROM, FD, CD, DVD, etc.) or from a computer via a transmission medium (communication network such as the Internet or LAN). It may be distributed to another computer, or may be exchanged in any other form. If this program is executed by a single computer or if each step is shared and executed by a plurality of computers, each step of the above-described image processing method is executed. Therefore, the same effect as this image processing method can be obtained. can get.

  The present specification also provides a system for executing the steps in the method for developing the judgment ability of such drug therapy. The system comprises at least one server and at least one client to perform these steps.

  Hereinafter, embodiments disclosed in this specification will be described with reference to the drawings as appropriate. FIG. 1 is a configuration diagram showing an outline of a configuration of a pharmacotherapy judgment ability training system (hereinafter simply referred to as a training system). As illustrated in FIG. 1, the training system 10 according to the present embodiment includes a training device (a device viewed from a trainer. A learning device from a learner) 20, one or more user terminals 60, and a network 80. Have. The user terminal 60 corresponds to a client server system client, and is installed in, for example, a university, a hospital, or a company, and is a terminal used as a user by learners such as students, pharmacists, and doctors. The learner uses this user terminal 60 and uses the training apparatus 20 via the network 80.

  Each of the user terminals 60 is a personal computer, for example. It is assumed that an input device and a display device (both not shown) are connected to the user terminal 60 as peripheral devices. Here, examples of the input device include known input devices such as a keyboard and a mouse. The input device may be a voice input device. If the learner uses voice input, more realistic simulation training becomes possible. Examples of the display device include known displays such as a liquid crystal display device.

  The network 80 may be a transmission medium such as the Internet or a dedicated line. The training apparatus 20 corresponds to a client of the client server system, and is installed in, for example, a university, a hospital, or a company.

  An example of the configuration of the growing device 20 will be described. The training apparatus 20 includes a case database 22, a comprehensive judgment information database 37, an evaluation information database 38, a processing unit 40, and an input / output unit 50. The breeding apparatus 20 includes a storage device or a storage area necessary as a server.

  The case database 22 stores in advance case information for one or more training programs provided to the learner. For example, regarding a specific one upbringing program related to one case of a certain disease (an example in which a side effect due to a drug is manifested), information capable of realizing a simulation of drug therapy with a learner is stored. The case database 22 is provided corresponding to the inquiry information to be acquired from the learner, and includes a case information database 24, a drug history progress information database 26, an interview database 28, a clinical laboratory information database 30, and others. A department consultation information database 32, a simple examination database 34, and a prescription information database 36 are provided. Further, the case database 22 includes a learning target database 23 in which a table that associates individual cases with a predetermined learning target, a predetermined learning level, and the like is stored.

  Each database in the case database 22 stores such information so that it can be associated with an inquiry from a learner. More specifically, the case information database 24 stores simulated patient moving images and sounds (hereinafter referred to as moving images) when visiting a dispensing pharmacy in association with a case. In the interview database 28, dialogues are set for visualizing videos and interview words in relation to the initial (reception) and subsequent inquiry from cases and learners, setting the assumed interview categories. It is set. There are 160 categories in total, including reception, general, disease name confirmation, symptom confirmation, usability confirmation, compliance confirmation, status confirmation, inspection confirmation, life confirmation, and simple inspection, including 6 receptions and 30 general conditions. A video of this situation is recorded. By combining these videos, you can create a scenario for any case. The medication history progress information database 26 stores past medication history information (drug history, symptom history, side effect history, etc.) of the simulated patient in association with cases and learner inquiries. Yes. The clinical test information database 30 stores biochemical tests such as blood tests and urine tests of simulated patients, periodic health checks, and various test detection results in association with inquiries from cases and learners. The medical examination information database 32 stores medical examination information such as the medical history and contents of medical examinations in other departments in association with inquiries from cases and learners. The simple examination information database 34 stores simple examinations (for example, types and methods) that can be applied to simulated patients in association with inquiries from cases and learners. Examples of the simple test include tests that can be performed on the spot such as blood pressure, pulse oximeter, peak flow meter, blood glucose measurement and the like, which can acquire a vital sign of the patient. The prescription information database 36 stores the current prescription prescribed for the simulated patient.

  The comprehensive judgment information database 37 is associated with a case, or associated with an individual training program, or associated with a group of training programs. Information to be presented to the learner when obtaining comprehensive judgment information regarding judgment is stored. This information includes, for example, a plurality of options including a correct option and an inappropriate option regarding a pharmacotherapy policy for allowing a learner to select an individual training program.

  In the evaluation information database 38, correct answer information related to comprehensive judgment information, inquiry information, reason information, evaluation information and the like acquired from the user terminal 60 is stored for each training program. In particular, as correct answer information related to comprehensive judgment information, a moving picture or the like representing emotions and opinions of a simulated patient is associated. Specifically, if the answer is correct, the simulated patient is associated with a video that makes the simulated patient happy or relieved, or waits for instructions. If the answer is incorrect, the simulated patient may be saddened by the degree or content of the video. Videos that are angry or go home are associated.

  In addition, a predetermined point is associated with each piece of information and stored. In particular, the inquiry information is also stored in association with the order so that the order of the inquiry is different.

  In addition, the evaluation information database 38 stores exemplary pharmacotherapy judgment results regarding individual training programs in a SOAP format. The SOAP format is S (Subjective Data), that is, the chief complaint of the simulated patient, O (Objective Data), that is, the objective fact obtained by the learner, and the findings of the simulated patient, A (Assesment), that is, S And the inferences from O and the basis for executing P (Plan), P (Plan), that is, a description including a description of a plan relating to a drug therapy to be executed. In the evaluation information database 38, correct answer keywords can be set from exemplary SOAP. Thereby, pharmacotherapy judgment information such as SOAP created by the learner and acquired from the learner is automatically scored, and points can be given.

  When the learner selects the start of the training program and further selects a specific case, a learning target, a learning level, and the like included in the training program, the processing unit 40 selects each training program according to the case or the like. In response to an inquiry from the learner or independently, necessary information is acquired from the case database 22, the judgment information database 37, and the evaluation information database 38, and the individual program is executed.

  For example, the processing unit 40 executes the following processing. That is, regarding an individual training program to be executed, an initial screen that presents a learning target associated with the individual training program is selected from the learning target database 23, and the user terminal 60 is input from the input / output unit 50 via the network 80. To provide. Furthermore, case information to be provided to the learner for the first time is selected from the case information database 24 and provided to the user terminal 60 in the same manner. In addition, information such as an inquiry from the user terminal 60 is acquired and stored via the network 80 and the input / output unit 50, and various processes are performed on the acquired information. Furthermore, for example, the processing unit 40 requests entry of drug therapy determination information via the user terminal 60 and acquires and stores the drug therapy determination information from the learner. Furthermore, for example, the processing unit 40 requests and acquires comprehensive determination information from the learner via the user terminal 60 and stores it for the learner's effect determination. In addition, for example, the processing unit 40 refers to the evaluation database 38 based on the comprehensive determination information, inquiry information, pharmacotherapy determination information, and the like, and learners learn based on predetermined points given to the information. The degree of attainment is determined, stored, and output to the user terminal 60.

  The processing unit 40 also receives, from the user terminal 60, inquiry information outside of the pharmacy, medicine, biochemistry, and other training programs, and stores the user terminal in an appropriate external database via the input / output unit 50 and the network 80. 60 is connected. Such an external database is not particularly limited, such as a database published on the Internet, a limited database, such as a pay database, an on-campus database, an in-hospital database, an in-company database, or the like.

  The input / output unit 50 outputs information from the processing unit 40 via the network 80 or inputs information from the user terminal 60 to the processing unit 40.

  Next, operation | movement of the cultivation system 10 of this embodiment comprised in this way is demonstrated. FIG. 2 shows an example of a flow in the processing unit 40 when the system 10 executes the training program, FIG. 3 shows an example of an operation screen in the training program, and FIG. Another example is shown, and FIG. 5 shows another example of the operation screen.

  First, when the learner starts the training program on the user terminal 60, the processing unit 40 refers to the learning target database 23 and displays information for displaying the training program according to the learning target and / or the learning level in a selectable manner. The data is transmitted to the user terminal 60 via the input / output unit 50 and the network 80 (hereinafter, this type of transmission is also simply referred to as transmission). The processing unit 40 receives information on selection of a specific training program or learning target from the user terminal 60 via the input / output unit 50 or the like (hereinafter, this type of reception is also simply referred to as reception). Then, the initial screen for displaying the learning target for the selected training program or the training program associated with the selected learning target or the like is displayed.

  Next, as illustrated in FIG. 2, the processing unit 40 selects case information (such as a moving image displaying case information) about the selected breeding program from the case information database 24 and transmits the case information to the user terminal 60. Then, it is output (displayed) on the display device by the user terminal 60 (step S100). The case information initially transmitted to the user terminal 60 is a moving image or the like indicating the state of the simulated patient when visiting the dispensing pharmacy. The moving image or the like may be automatically played back, or the learner may be able to start and / or stop playback as appropriate. It may be possible to repeat playback.

  The processing unit 40 requests the learner with reference to the case database 22 for an action (inquiry) for the simulated patient to be caused by watching the moving image or the like together with the moving image or the like after the moving image is reproduced (step S110). FIG. 3 shows a screen for requesting an inquiry. As shown in Fig. 3, below the frame showing the video, from multiple inquiries, such as the first visit, medication history, interview (inquiry), clinical examination, other department consultation, simple examination, prescription and others, etc. One can be selected. Even in this state, it may be possible to repeatedly reproduce a moving image or the like for the confirmation of the learner.

  FIG. 4 shows a screen when the learner selects an interview from the user terminal 60 as an inquiry about a simulated patient. According to this selection, the processing unit 40 refers to the inquiry information database 24 and displays a more specific interview content associated with the interview selected at this timing in the training program in a selectable manner. The learner selects an arbitrary interview content from the input device of the user terminal 60 and transmits it to the processing unit 40.

  Although not shown in the figure, for example, even when the learner selects clinical test information as an inquiry about a simulated patient on the user terminal 60, more specific inquiry contents such as a blood test and a urine test are displayed so as to be selectable. The same is true for other inquiries. It is not necessary to selectively display such specific inquiry contents.

  When receiving information related to the inquiry from the user terminal 60, the processing unit 40 stores the inquiry as inquiry information in the storage device together with the acquisition order (step S120).

  Next, the processing unit 40 determines whether or not the acquired inquiry information relates to an interview (step S130). Hereinafter, the case where the inquiry information relates to the interview will be described. When the inquiry information is an interview, an answer corresponding to the interview is selected with reference to the inquiry information database 24, and information such as a simulated patient's video corresponding to the answer of the learner's inquiry is set as “other case information”. Then, the data is transmitted to the user terminal 60 (step S140).

  Subsequently, the processing unit 40 requests an evaluation obtained by the learner acquiring other case information including an answer to the inquiry (step S150). Here, the evaluation requested by the processing unit 40 is not particularly limited, and examples include opinions, recognitions, understandings, and the like regarding the drug therapy held by the learner at this point in the training program.

  When the learner transmits such evaluation from the user terminal 60 to the training device 40, the processing unit 40 stores the acquired evaluation by the learner as evaluation information (step S160). Note that the processing unit 40 continues to request an evaluation until an evaluation is obtained from the user terminal 60.

  Further, the processing unit 40 inquires of the learner with reference to the case database 22 whether there is an additional action (inquiry) for the simulated patient (step S170). In this inquiry screen, one of multiple inquiries, such as the time of the first visit, the history of medication, interview (interview), consultation with other departments, simple examination, prescription, etc. Is displayed to be selectable. In addition, an option for terminating the inquiry process is also displayed on the same screen.

  When the learner selects an additional inquiry, the processing unit 40 that has received this inquiry stores the inquiry as inquiry information in the storage device together with the acquisition order (step S120). Hereinafter, steps S130 to S170 are repeated as long as the learner makes further inquiries.

  On the other hand, if the learner intends to end acquisition of case information regarding the simulated patient in the training program and selects the end of the inquiry process, the user terminal 60 transmits a response end notification to the processing unit 40.

  Here, a case where the inquiry information acquired by the processing unit 40 in step S120 is not interview information will be described. When the inquiry information is not interview information, that is, at the time of the first visit, the medical history, clinical examination, other department visit, simple examination, prescription, and others, the reason for selecting the inquiry is requested (step S180). Unless the answer to this inquiry, that is, the reason is received by the processing unit 40, other case information including the answer to the learner's inquiry is not transmitted to the user terminal 60.

  When the learner inputs the reason and transmits the reason from the user terminal 60 to the processing unit 40, the processing unit 40 stores the received reason as reason information corresponding to the inquiry information (step S190). And the process part 40 transmits the other case information containing the reply with respect to this inquiry information to the user terminal 60 (step S200).

  Subsequently, the processing unit 40 requests an evaluation obtained by the learner acquiring other case information (step S210). When the learner inputs such an evaluation, the user terminal 60 transmits the evaluation to the training device 40. The processing unit 40 stores the acquired evaluation as evaluation information (step S220). Thereafter, step S170 is executed as in the case where the inquiry information is inquiry information. When the learner selects the end of the inquiry process in step S <b> 170, the user terminal 60 transmits a response end notification to the processing unit 40.

  When acquiring the response end notification, the processing unit 40 requests the user terminal 60 for drug therapy determination information for drug therapy by the learner in the SOAP format (step S230). In step S230, drug therapy determination information is acquired from the learner in the SOAP format. Step S230 is one of the effects measurement of the training program. Specifically, when the screen shown in FIG. 5 is displayed on the display device of the user terminal 60, the learner determines the drug therapy, describes all items of SOAP, and selects the registration, the user terminal 60 The pharmacotherapy determination information is transmitted to the processing unit 40 together with the SOAP registration notification. The processing unit 40 that has received the registration notification stores the acquired drug therapy determination information. Step S230 is one of the effects measurement of the training program.

  Furthermore, the process part 40 requests | requires comprehensive judgment information from a learner via the user terminal 60, and acquires this (step S240). Step S240 is one of measurement of the effect of the training program. The processing unit 40 refers to the comprehensive determination information database 37 and transmits to the user terminal 60 and displays the option for effect measurement associated with the training program being executed. Specifically, the screen shown in FIG. 6 is displayed on the display device of the user terminal 60. The user terminal 60 transmits the option selected by the learner to the processing unit 40 as comprehensive determination information. The processing unit 40 that has received the comprehensive determination information stores it.

  The processing unit 40 evaluates and stores the level or attainment level of the learner's ability to determine the drug therapy based on the content and order of the inquiry information, the reason information and the evaluation information in addition to the acquired comprehensive judgment information, and stores the user terminal. 60 to display (step S250). Specifically, when the processing unit 40 refers to the evaluation information database 38 and determines that the acquired comprehensive determination information is correct, the processing unit 40 indicates to the user terminal 60 a state where the simulated patient is gently waiting as a correct answer. Send and display information such as videos. On the other hand, when the acquired determination information is incorrect, the processing unit 40 causes the user terminal 60 to display a moving image including a state in which the simulated patient is angry or disappointed depending on the content and degree of the error. Send and display the information.

  Further, the processing unit 40 refers to the evaluation information database 38, acquires the contents and order of the acquired inquiry information, reason information, and points associated with the evaluation information, totals these points, and if necessary Conversion and the like are performed, and numerical evaluation regarding the learner's response ability (action ability) is transmitted to the user terminal 60 at a ratio (%) where the exemplary action is 100% (step S250).

  Further, the processing unit 40 refers to the evaluation information database 38 with respect to the keyword in the drug therapy determination information by SOAP, and automatically scores the points associated with the keyword in advance, and sets the exemplary SOAP as 100%. (%) Is calculated and transmitted to the user terminal 60 for display (step S250). Note that the processing unit 40 refers to the evaluation information database 38 to the exemplary SOAP information associated with the training program being executed to the user terminal 60 when the numerical evaluation regarding the pharmacotherapy determination information exceeds 60%. Send and display.

  As described above, according to the training method and the training program realized by the present system 10, the trainer can learn the pharmacotherapy of the learner from the case information provided from the training device 20 and the inquiry information of the learner corresponding thereto. The degree of achievement of judgment ability can be evaluated. In addition, learners can repeatedly train to output judgment methods and response methods based on their own knowledge and experience according to case information as inquiry information and judgment information, and improve their own ability to make decisions about drug therapy Can do. Moreover, since the learner can confirm the achievement degree regarding the judgment ability of drug therapy by himself, the judgment ability can be improved more effectively.

  In this embodiment, since the other case information cannot be acquired unless the computer acquires the reason information regarding the reason for selecting the inquiry information, the learner confirms the basis for his / her judgment ability for each inquiry. Such a configuration is effective in developing accurate judgment ability.

  Further, in the present embodiment, the next inquiry cannot be made unless the computer acquires evaluation information related to the learner's evaluation of other case information. For this reason, the learner confirms the value of the information acquired by his / her own judgment ability for each inquiry. Such a configuration is effective in developing accurate judgment ability.

  In the present embodiment, the degree of achievement of the learner's ability to judge drug therapy is evaluated based on the comprehensive judgment information by the learner. Therefore, the grower can objectively and quickly grasp the reach of a large number of individual learners comprehensively from the evaluation result. The learner can objectively and quickly confirm his / her achievement level. Such a configuration allows the trainer to perform better and more efficient training, and enables the learner to improve the judgment ability more efficiently and deepens the understanding of the judgment ability.

  Furthermore, in this embodiment, evaluation is performed based on the kind (contents) and order of inquiry information. By evaluating based on the type of inquiry information, the learner's more realistic judgment ability can be evaluated. It is also possible to evaluate keywords automatically extracted from the description of the learner's SOAP based on the pharmacotherapy determination information. As a result, the grower and the learner can also confirm realistic judgment ability. Further, by performing the evaluation based on the order of the inquiry information, the grower and the learner can confirm more realistic judgment ability. Moreover, the breeder and the learner can make the judgment ability with respect to the drug therapy faster or more efficient.

  Furthermore, in this embodiment, evaluation is performed based also on reason information. By doing so, the grower and the learner can perform the judgment with higher accuracy than the confirmation and evaluation of the judgment ability.

  Furthermore, in this embodiment, evaluation is performed based also on the evaluation information by a learner. By doing so, the grower and the learner can perform the judgment with higher accuracy than the confirmation and evaluation of the judgment ability.

  In this embodiment, because the learner's judgment ability is based on judgment information, inquiry information, reason information, and evaluation information, the grower is better, more efficient, and more quickly, judgment ability Can be cultivated efficiently, and learners themselves can improve such judgment ability efficiently.

  In this embodiment, since the numerical evaluation is performed on the achievement level of the judgment ability, the achievement level can be easily evaluated. Further, in the present embodiment, when the self-determination ability achieves a certain degree of achievement, the exemplary SOAP can be compared with the self-created SOAP, so that the learner can check the self-determination ability more efficiently.

  In the present embodiment, the contents of the moving image of the simulated patient are different depending on whether the judgment information of the learner is appropriate. For this reason, the learner can have fun and work on the training program while having fun, and it is easy to repeat.

  In the present embodiment, the case information and other case information (other case information as a response to the interview, simple examination information, and the like) are not particularly limited as long as the moving image by the simulated patient is suitable. ) Is provided. For this reason, the ability to observe and judge a patient's vital sign with the naked eye is also trained.

  In this embodiment, the learner creates drug therapy determination information based on SOAP. For this reason, the learner can confirm his judgment ability more clearly. It is further clarified by comparison with model SOAP. The trainer can also clearly check the achievement level of the learner.

  In this embodiment, acquisition of inquiry information and acquisition of other case information can be repeated. Thereby, the learner can train his judgment ability in various ways. Moreover, the result can be confirmed. As a result, efficient learning is possible.

  In the present embodiment, as described above, the training system disclosed in this specification is constructed, and the training method is executed by executing the training program. However, the training method, program, and system disclosed in this specification are described. Is not limited to this.

  In the present embodiment, the growing device 20 and the user terminal 60 have the above-described configuration and are illustrated in FIG. 1, but are not limited thereto. The database structure and the like in the training apparatus 20 can be set as appropriate. Also, the flow in the processing unit 40 shown in FIG. 2 is merely an example, and the present invention is not limited to this.

  In this embodiment, the case information is a moving image or the like by a simulated patient, but is not limited to this, and various expression forms can be mentioned. For example, a known expression form on a display or the like via a computer can be used. Specifically, an animation may be used, or text or a still image may be used.

  In the present embodiment, for the inquiry information other than the interview, the case information is not provided unless the reason information is acquired by the computer as the processing unit. However, the present invention is not limited to this. For example, even if it is inquiry information regarding an interview, the computer may acquire reason information. Further, even in case of inquiry information other than the interview, other case information may be provided even if the computer does not acquire the reason information for some or all of the inquiry information.

  In the present embodiment, for all the inquiry information, the other case information is not provided unless the computer that is the processing unit obtains the evaluation information. However, the present invention is not limited to this. For example, you may make it acquire evaluation information only about some inquiry information. Moreover, you may make it acquire evaluation information about all the inquiry information.

  In the present embodiment, the reason information and the evaluation information are requested, and other case information and the next inquiry cannot be made unless there is an input from the learner. However, the present invention is not limited to this. About reason information and evaluation information, it is good also as arbitrary inputs. That is, the learner may be allowed to skip this type of information input step. In this case, if there is an input, it can be reflected in the numerical evaluation, and if there is no input, such a reflection can be avoided.

  In this embodiment, when an interview is selected as an inquiry, the interview content prepared in advance is displayed as an option. However, the present invention is not limited to this. The learner may input the interview content from the input device.

  In the present embodiment, a step of searching or investigating by connecting to an external database is not particularly included, but the use of such an external database may be configured even in the training program. By doing so, it is possible to confirm or learn own knowledge when necessary, so that the ability to judge drug therapy can be improved more effectively.

  In this embodiment, in order to improve the understanding of the learner or to prepare the evaluation, the learner is input by the SOAP as the pharmacotherapy determination information. However, the present invention is not limited to this. The input of SOAP can be arbitrary or such a step does not need to be provided. In this embodiment, the SOAP input step is performed during a series of processes (for example, step S110 to step S220) for acquiring case information and the like. However, the present invention is not limited to this. Acquisition of pharmacotherapy judgment information such as SOAP from the learner may be the final stage of the training program. Furthermore, in this embodiment, the content of the drug therapy determination information is input in the SOAP format, but the present invention is not limited to this. Any other input format can be adopted.

  In the present embodiment, the learner selects comprehensive judgment information from options prepared in advance. However, the present invention is not limited to this. The learner may input information related to comprehensive judgment from the input device.

  In this embodiment, the time limit is not particularly set, but in order to develop more realistic judgment ability, a time limit from the program start to the program end is set for each individual training program or group of training programs. Or, an evaluation based on the time required until the end of the training program may be incorporated. For example, in step S100 of the training program shown in FIG. 2, a timer is set for measuring the time after the simulated patient's moving image is reproduced and ending the program within the time limit. If the training program cannot be completed within the time limit, the training program is terminated.

  In this case, for example, in the breeding system 10 of FIG. 1, the processing unit 40 may display the remaining time of the time limit on the user terminal 60, or an alarm with the remaining time remaining at an appropriate timing to the user terminal 60. It may be displayed. Further, when the predetermined time limit becomes equal to or shorter than the predetermined time, the processing unit 40 may prevent the learner from selecting further inquiries and execute step S240.

  As described above, the disclosure of the present specification has been described as the training method, the training program, and the training system (or the training device) from the viewpoint of the grower, but the above disclosure is based on the learning method, the learning program, and the training system from the viewpoint of the learner. It can also be implemented as a learning system (or learning device).

  Although embodiments of the disclosure herein have been described in detail, these are merely examples and do not limit the scope of the claims. The technology described in the claims includes various modifications and changes of the specific examples illustrated above.

  The technical elements described in this specification or the drawings exhibit technical usefulness alone or in various combinations, and are not limited to the combinations described in the claims at the time of filing. In addition, the technology exemplified in this specification or the drawings can achieve a plurality of objects at the same time, and has technical usefulness by achieving one of the objects.

Claims (9)

A pharmacotherapy decision-making system,
Server,
With the client,
With
The server
A processing unit;
A case information database in which videos and sounds of simulated patients are stored in association with pharmacotherapy cases;
An interview database that stores inquiries at the time of a student's inquiry related to a case and the correspondence of a simulated patient to the inquiry,
A comprehensive information database for storing information to be presented to the learner for measuring the effect of learning related to drug therapy associated with the case;
An evaluation information database for storing correct answer information necessary for evaluating drug therapy judgment ability;
With at least
Drug history progress information database that stores drug history progress information related to cases, clinical test database that stores clinical test information associated with cases, and other departments that store other department visit information associated with cases At least one database related to other inquiry information selected from the group consisting of a consultation database, a prescription database that stores prescription information associated with a case, and a simple examination database that stores simple examination information associated with a case;
With
The processor is
(A) Providing learners with case information on pharmacotherapy for simulated patients,
(B) requesting a learner's inquiry to the simulated patient based on the provided simulated patient's case information, obtaining inquiry information about the inquiry from the learner,
(C) When the inquiry is related to an interview,
Referring to the interview database, providing the learner with other case information regarding the pharmacotherapy of the simulated patient including an answer corresponding to the inquiry, and responding to the pharmacotherapy from the learner based on the other case information Obtain evaluation information on evaluation of opinions, recognition, understanding, etc.
When the inquiry is related to something other than the interview,
When the reason information regarding the reason for selecting the inquiry is obtained, other case information including an answer to the inquiry is provided with reference to at least one database regarding the other inquiry information, and based on the other case information Obtaining evaluation information on evaluation of opinions, recognition, understanding, etc. on drug therapy from the learner,
(D) obtaining comprehensive judgment information including judgment regarding pharmacotherapy of the simulated patient by the learner and / or pharmacotherapy judgment information by the learner in the SOAP format;
(E) based on the type and / or order of the inquiry information obtained from the learner, the evaluation information and / or the reason information, the comprehensive judgment information and / or the pharmacotherapy judgment information in the SOAP format A system that evaluates learners' ability to make decisions about drug therapy.   Further, the processing unit refers to the evaluation information database based on the comprehensive determination information acquired from the learner, and transmits a moving image of the simulated patient attitude corresponding to the appropriateness of the comprehensive determination information to the client. The system of claim 1, wherein the system displays.   (E) determines the achievement level of the learner's ability to determine drug therapy based on the type and / or order of the inquiry information obtained from the learner and the evaluation information and / or the reason information. The system according to claim 1, wherein the system is evaluated and output to the client. Wherein (e) is based on said acquired the SOAP format medication determination information by from the learner to evaluate the achievement of determining the ability of the drug therapy of the learner, and outputs to the client, according to claim 1 to 3 A system according to any of the above .   When the processing unit acquires the evaluation information, the learner requests the learner to make an additional inquiry to the simulated patient, acquires additional inquiry information, and implements (c) to (e). The system according to claim 1.   The system according to claim 1, wherein the inquiry information related to the interview is one type or two or more types selected from the group consisting of reception, validity check, safety check, and usability check.   The inquiry information other than the interview is one type or two or more types selected from the group consisting of medication history progress information, clinical test information, other department consultation information, simple test information, and prescription information. A system according to any of the above. A device for developing the ability to judge drug therapy,
At least one computer with a processing unit,
A case information database in which videos and sounds of simulated patients are stored in association with pharmacotherapy cases;
An interview database that stores inquiries at the time of a student's inquiry related to a case and the correspondence of a simulated patient to the inquiry,
A comprehensive information database for storing information to be presented to the learner for measuring the effect of learning related to drug therapy associated with the case;
An evaluation information database for storing correct answer information necessary for evaluating drug therapy judgment ability;
With at least
Drug history progress information database that stores drug history progress information related to cases, clinical test database that stores clinical test information associated with cases, and other departments that store other department visit information associated with cases At least one database related to other inquiry information selected from the group consisting of a consultation database, a prescription database that stores prescription information associated with a case, and a simple examination database that stores simple examination information associated with a case;
With
The processor is
(A) Providing learners with case information on pharmacotherapy for simulated patients,
(B) requesting a learner's inquiry to the simulated patient based on the provided simulated patient's case information, obtaining inquiry information about the inquiry from the learner,
(C) When the inquiry is related to an interview,
Referring to the interview database, providing the learner with other case information regarding the pharmacotherapy of the simulated patient including an answer corresponding to the inquiry, and responding to the pharmacotherapy from the learner based on the other case information Obtain evaluation information on evaluation of opinions, recognition, understanding, etc.
When the inquiry is related to something other than the interview,
When the reason information regarding the reason for selecting the inquiry is obtained, other case information including an answer to the inquiry is provided with reference to at least one database regarding the other inquiry information, and based on the other case information Obtaining evaluation information on evaluation of opinions, recognition, understanding, etc. on drug therapy from the learner,
(D) obtaining comprehensive judgment information including judgment regarding pharmacotherapy of the simulated patient by the learner and / or pharmacotherapy judgment information by the learner in the SOAP format;
(E) based on the type and / or order of the inquiry information obtained from the learner, the evaluation information and / or the reason information, the comprehensive judgment information and / or the pharmacotherapy judgment information in the SOAP format A device that evaluates a learner's ability to make medication decisions. A processing unit;
A case information database in which videos and sounds of simulated patients are stored in association with pharmacotherapy cases;
An interview database that stores inquiries at the time of a student's inquiry related to a case and the correspondence of a simulated patient to the inquiry,
A comprehensive information database for storing information to be presented to the learner for measuring the effect of learning related to drug therapy associated with the case;
An evaluation information database for storing correct answer information necessary for evaluating drug therapy judgment ability;
With at least
Drug history progress information database that stores drug history progress information related to cases, clinical test database that stores clinical test information associated with cases, and other departments that store other department visit information associated with cases At least one database related to other inquiry information selected from the group consisting of a consultation database, a prescription database that stores prescription information associated with a case, and a simple examination database that stores simple examination information associated with a case;
On a computer with
(A) providing the learner with case information regarding pharmacotherapy of the simulated patient;
(B) requesting a learner's inquiry to the simulated patient based on the provided simulated patient's case information, and obtaining inquiry information about the inquiry from the learner;
(C) When the inquiry is related to an interview,
Referring to the interview database, providing the learner with other case information regarding the pharmacotherapy of the simulated patient including an answer corresponding to the inquiry, and responding to the pharmacotherapy from the learner based on the other case information Obtain evaluation information on evaluation of opinions, recognition, understanding, etc.
When the inquiry is related to something other than the interview,
When the reason information regarding the reason for selecting the inquiry is obtained, other case information including an answer to the inquiry is provided with reference to at least one database regarding the other inquiry information, and based on the other case information Obtaining evaluation information related to evaluation of opinion, recognition, understanding, etc. on drug therapy from the learner;
(D) obtaining comprehensive judgment information including judgment regarding pharmacotherapy of the simulated patient by the learner and / or pharmacotherapy judgment information by the learner in the SOAP format;
(E) based on the type and / or order of the inquiry information obtained from the learner, the evaluation information and / or the reason information, the comprehensive judgment information and / or the pharmacotherapy judgment information in the SOAP format Assessing the learner's ability to make medication decisions;
A program for running

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