Novel Teaching Tools for Tomorrow's Physicians

Mazuva ano vanachiremba vari kuwedzera kudzidziswa munharaunda inotanga kusungira yakapedzisira mune teknolojia yekudzidza. Dzidzo itsva yehutano-yakafuridzirwa mapurogiramu uye matanho ari kuitawo ruzivo rwevadzidzi vezvechiremba ruzivo rwekudzidza zvikuru kupinda. Izvozvi zvinyorwa zvirikubatsirawo kugadzirisa kupatsanurana kuripo pakati pezvidzidzo nekuita muhutano hwehutano.

Zvinotarisirwa kuti kwete chete chizvarwa chinotevera chevashandi vehutano vachabata teknolojia yakawanda kuti vawedzere tsika yavo, asi vachakwanisa kuwedzera kukwanisa kwavo kudzidza uye kuva vashandi vane unyanzvi.

Uyezve, nekubudirira kwemichina yepamusoro, dzidzo shoma inofanira kuitika munzvimbo dzechokwadi-pasi. Izvi zvinobatsira kusika nzvimbo dzekudzivirira dzakachengeteka apo varwere vasina kuiswa pangozi.

Mune zviitiko zvizhinji, dzidzo yezvehutano iri kuitirwa kugadzirisa kutarisira kwehutano-hukuru. Iyi yekushanduka-shanduka yakatsigirwa neAmerican Medical Association uye Institute of Medicine. Dr. Robert M. Wah, mutungamiri wekare weAmerican Medical Association, akasimbisa kuti dzidzo yezvehutano yakadaro inofanira kuva yakashinga uye inoyevedza, uye inofanira kunge iri kuzvipira kugadzira mapurogiramu ekutsvaga, inotungamira teknolojia inowedzera mudzidzi ruzivo.

Teaching Version yeEHRs yeKuvandudza Maitiro Okugadzira Zvisarudzo

Kodhi yehutano yehutano (EHRs) yakange iri dambudziko guru kune hurongwa hwehutano hweUnited States.

Kuti vape vadzidzi vane mavoko akawanda-pane ruzivo rweEHR teknolojia, dzimwe dziyunivhesiti zvino yatanga shanduro yekudzidzisa yeEHRs. Semuenzaniso, paIniversity University School of Medicine, vanodana iyi tEHR, uye kuOregon Health & Science University, vanonzi vakatumidzwa seSim-EHR.

Pfungwa iyi ndeyekuti vadzidzi vanodzidza kushandisa uye kubatana neEHRs pavanenge vachiita unyanzvi hwavo hwekliniki.

Kuti titevedze nyika chaiyo zvakakwana, maitiro eEHR aripo anowanzogadziriswa-nehutano hwehutano hwega wega hunobviswa-saka vadzidzi vanoshanda nemamiriro ezvinhu chaiwo ezvokurapa.

Izvo software yekudzidzisa inogona, somuenzaniso, kupa sarudzo yekuenzanisa zvisarudzo zvevadzidzi ne zvechiremba wehupenyu hwehupenyu chaihwo. Kudzidzisa EHR maitiro anogonawo kupa nyevero kana mudzidzi ari kuda kurongedza kuedza kwakakodzera. Iyi nzira inotarisa mukuchengetedzwa kwemurwere uye kudzidzisa vanachiremba mune ramangwana maererano nemitambo yakanakisisa yezvino. Sezvo teknolojia yakave nenzvimbo yakakurumbira mune mishonga yemanhasi ino, inonyanya kukosha kuti vashandi vehutano vemazuva anouya vanofadzwa nemararamiro evanhu.

Wi-Fi-Inobatsira Mannequins Inogona Kubvumira uye Kupindura Mishonga

Kusiyana kwakasiyana-siyana simulator kunogona kubatsira vadzidzi vezvokurapa kukudziridza unyanzvi uye unyanzvi. Purofesa Roger Kneebone weImperial College London anorondedzera simulators mumapoka matatu. Mutevedzeri-based based simulators ndeyemhando dzakanaka dzinobatsira kudzidzisa unyanzvi hwekliniki hwepamusoro dzakadai sekudzoka, urinary catheterization, kupfigwa kwevanga uye kubviswa kwe-cysts. Computer-based simulators inoita kuti zvipatara zvioneke chaizvoizvo kuburikidza kushandura chokwadi chaiyo teknolojia.

Pakupedzisira, kubatanidza nzira yekusimudzira simulators inokwanisa kudzokorora nzira dzose. Vanoita mabasa akawanda uye kazhinji vanobatanidza chigadziro nehurongwa hwekombiyuta kugadzira kuve-kutendeka kwekugadzirisa.

Matanho okudzorerazve anoshandiswa kudzidziswa pamashizha asina upenyu. Ikozvino vari kupa nzira itsva yehuwandu hweWin-Fi-enabled mannequin. Izvi zvishandiso zvidzidzo zviri kubatsira vadzidzi vezvokurapa kudzidza kuti vangapindura sei mumamiriro ezvinhu akaoma. Inogona kushandiswa mumakamuri ekushanda uye makamuri ekuchengetedza.

SimMan 3G naLaerdal muenzaniso wehupenyu hwakafanana nehupenyu hunoita sehutano hwakakanganiswa simulator. Inogona kuratidzira zviratidzo zvehutano (semuenzaniso kudengenyeka uye kukanganisa kunogona kugadzirwa) uye ine chiedza chevadzidzi.

Iyo simulator inouya zvakare nekutsvaga zvinongororwa zvinodhaka uye kuratidzira zvakakodzera kugadzikana kwezvemamiriro ekutevera kushandiswa kwemishonga. Mukuwedzera, chigadzirwa chacho chinogona kushamwaridzana nechomukati chega rega rega, izvo zvinoita kuti rive neropa kubva mumagetsi emagetsi nemavheya.

PaCent for Interprofessional Clinical Simulation Kudzidza muBritish Columbia, Canada, vari kuedza imwe imwe mienzaniso ye-Wi-Fi-enabled mannequin. Kutungamirirwa nevashandi vari mune imwe nzvimbo yekuchengetedza, mufananidzo wavo unogona kuratidza zviito zvevanhu - zvinogona kufema, kukwegura, kutaura, kubuda uye kunyange kuchema mukurwadziwa. Vadzidzi vezvokurapa vanorayirwa kutarisira mannequins sokunge kuti vaiva varwere vavo. Izvi zvinopa ruzivo rwekudzidza mumamiriro ezvinhu uye ruchifananidzwa nevatyairi vengorovhedzi vachidzidzira kufambisa pavanomhanya semhepo.

Birthing simulators iri kuwedzerawo. Chikoro Chekuchengetedza paBylor University kuDallas chinoshandisa Victoria, muGeumard mutsva weNoelLE mutsva, uyo unofungidzirwa seumwe wepamusoro zvikuru mumunda. Inogona kukonzera mamiriro ezvinhu akaoma mumakiriniki, akadai sefudzi dystocia (mhaka yebasa rinopfigirwa rinoda kushandiswa kwakanyanya) uye postpartum hemorrhage.

Mannequin anozivawo zvinodhaka uye anobvumira zvirongwa zvepachirwere, pamwe nekuzivikanwa kwekudzivirira. Izvo fetus, iyo inosanganiswa sechikamu chepakoti, inogona kuongororwa uchishandiswa zvinowanzoshandiswa fetal checkers. Semuenzaniso, mwoyo nemapapu zvinonzwika zvinogona kuongororwa uye zvinogona kuitika kurongedza kuongorora kweyanotic. Pane amniotic fluid reservoir uye nguva yakazara yekuendesa inogona kuenzaniswa. Zvinenge zvese zvinokonzerwa nezvikwereti zvinogona kuitika, kubva pakaparadzaniswa kusununguka uye kubatsira kuendesa kune nzira yekuvhiya sekuita C-chikamu.

Kunyange zvazvo mazuva ano simulator inopa zvinoshamisa, zvepanyama, zvepanyama uye zvechokwadi, zvidzidzo zvakawanda zvinotarisirwa kusimbisa kuvimbika kwavo uye kuvimbika. Dhiyabhorosi Ahmed Kamran nevamwe vake paKing's College muLondon vanonyeverawo kuti simulators dzingave dzisingakwanisi kuunza mamiriro ezvinhu akaoma anodiwa kuti adzidze unyanzvi hwekliniki huri mberi.

High-Tech Anatomy Zvidzidzo zvezvikoro zvekurapa

Mazuva apo vadzidzi vezvechiremba vanofanira kupedza usingaperi husiku hunovhiringidzwa pamusoro pezvinyorwa zvemaotomical mabhuku zviri kusvika pakuguma. Iko kune ikozvino maitiro akawanda aripo ari kushandura ruzivo rwekudzidza, zvichiita kuti zvive zvinonakidza uye zvichishandurudza kudzidza mutema. Vakawanda vePadapuraneti vanovhara nyaya dzakasiyana-siyana dzechiremba mu-zvakadzika uye vanogona kupa vadzidzi vane mafirimu 3D pamwe chete nehurukuro dzakabatana.

Iko kune zvakawanda zvezvibvumirano izvi kunze uko, shanduro dzakasununguka uye dzinotengeswa, kuti zvinogona kuva zvakaoma kusarudza kuti ndeipi yakakunakira iwe. Kana uchinge waita kushingaira kwaunoita kuwana chikumbiro chinokodzera zvaunoda, ruzivo rwezvematoriki huripo kusvika muzuva huri muhomwe yako, nguva dzose inowanikwa uye inowanikwa nyore nyore pane imwe nguva uye nguva yekusarudza kwako.

Mumwe muenzaniso werudzi urwu rwemapurogiramu Icho Chizere Anatomy ne 3D4Medical. Iyi purogiramu inounza anatomy kuupenyu. Inoshandisa yakarurama 3D mifananidzo uye inopfuura 6 500 dzakakwirira-resolution zvirongwa zvokurapa. Iwe unogona kutarisa zviitiko zvemazuva chaiwo zvemasimba, kutema kuburikidza nemapfupa nemisungo kuti ugadzire tsika dzemaonero, kuona maumbirwo emuviri mahedheni akasiyana, uye shandisa rekodhi uye zvinyorwa kuti uwedzere ruzivo rwako. Iyo skeleton uye connective tissue system modules yakasununguka kutora, asi kuvandudzwa kunodiwa kuti upinde zvakakwana kwe app.

Hapana maWindows kana Android anowanikwa panguva ino, uye isu tichiri kumiririra mhando yemadzimai yemuviri (ikozvino, chete murume wechimiro inoratidzwa). Iyo kambani yakagadzira Essential Anatomy, iyo inopa mushandisi chete nehuwandu hwehuwandu hwekuongorora.

Kuwedzera Kwechokwadi Chokwadi Anatomy Apps Itai Kubudirira kweScience Fiction

4D maitiro ekudzivirira maitiro akatove akatogadzirwa. DAQRI yakatanga Anatomy 4D, purogiramu yakasununguka iyo inokupa nhaurirano inoverengeka yeruzivo rwemuviri womunhu. Chirongwa chacho chinopa hukama hwepakati pakati pemitemo yakasiyana nemitemo yemuviri uye inopa kutarisa kwakadzika mune dzimwe sangano.

Kuti tiwedzere nzira yatinodzidza yakatomy kunyange kupfuura, 3D4Medical Labs ikozvino inoshanda paProjeksi Esper. Icho chinangwa chiri pamusoro pemvura yekudzidzira immersive kuburikidza nekushandiswa kwechokwadi chaiyo purogiramu. Fungidzira kuva nechifananidzo cheDehenya chiri pamberi pako semufananidzo we holographic uye uchikwanisa kuzvidzora nemaoko ako. Zvivako zvemuviri zvinogona kubviswa, zvakasiyana nemapfupa uye nhengo dzomuviri, pamwe nematsanangudzo avo ekutaura, zvinowanikwa mumvura yakarurama pamberi penyu. Vadzidzi vezvokurapa vanofungidzira zvisikwa zvakasimba sezvavanodzidza kutomy pasina kudiwa kwevaduku. Purogiramu yacho, yakarongerwa kusunungurwa muna 2017, inogona kubatsirawo kuvakadzi nevamwe vadzidzisi vehutano pavanenge vachiedza kutsanangura tsanangudzo yezvechiremba kuvarwere vavo.

Tekyanzvi yeTechnology semubatsiri wekudzidzira maitiro ekudzivirira

Nyanzvi dzakawanda dzinonyevera pamusoro pekuparadzana kwemazuva ano ezvehutano-maitiro uye chimiro chekugadzirisa zvishoma. Vadzidzi vanobatsirwa nekudzidza kuti vashande sei pamwe nevadzidzisi vakasiyana uye kurongedza kutarisirwa kwevarwere pamwechete. Nechinangwa ichi mupfungwa, dzimwe dziyunivhesiti yakaisa mapurogiramu anobatana nevadzidzi vezvokurapa nevadzidzi vanoyamwisa nevamwe vadzidzisi vehutano, uye ngavaite kuti vatarisire pamwe chete nevarwere vese. Vadzidzi vanodzidza kushanda pamwechete kuburikidza nehutano hwakarongeka. Iyi nzira itsva yekudzidza inotarisirwa kuunza nzira yakawanda yekutarisana neboka uye inogona kubatsira kuti zvive nehuwandu hwehutano hwakanaka mune ramangwana.

Zvisinei, pane ushayi hwehumwe uchapupu hunoratidza kuti ruzivo rwakadzidziswa mumamiriro ezvinhu akafananidzwa rinogona kutamirwa kumamiriro ehupenyu chaihwo. Uyewo, zvimwe zviitiko zvichiri kusara shure sezvo zvirongwa zvinogona kutsigira maitiro avo hazvina kusimbiswa zvakadaro. Chimwe chimiro chakadai chirwere.

Dzimwe Mayunivhesiti Akazara NeZvirevo zveNyasi Teaching Tools

The Division of Informatics Educational at New York University School of Medicine inotarisira ruzivo rwezvidzidzo zvekudzidzira. Izvi zvinosanganisira microscope yakajeka iyo inotungamirirwa neGoogle uye inotsiva mamwe mashandisirwo emakirasikopu epakati.

Imwe yedzidzo yepamusoro yekombiki yavanoshandisa nevadzidzi vavo vezvehutano iThe BioDigital Human. Iyi iyi mapikicha evhangeri yemuviri wemunhu. Vadzidzi vanoshandisa magirazi e 3D kuti vaone mifananidzo yakaenzana yehupenyu inoratidzwa purojekiti yeprojekti. Kusarudzwa kwemaatoriki emitambo kunosanganisira zvinopfuura 5 000 mifananidzo yevanhu uye mamiriro ezvinhu. Ichi chiitiko chekudzidza chidijita chinosimbisa nzira inobatanidza uye inoshandisa nzira dzekugadzira kuti dzikurudzire kudzidza zvakadzama.

IUnU School of Medicine yakagadzirawo chikumbiro chevadzidzi vavo vezvechiremba wezvechiremba vachiparidzi. Inonzi WISE-MD kana yeWeb Initiative yekuvhiya Kudzidzisa Modules, inopa nhoroondo yekombiyuta uye inoudza nhau nezvekurwara kweurwere uye kushamwaridzana kwake nachiremba. Murwere anoteverwa kubva pakutanga kwake kushanyira kusvika pakuvhiya uye kushandiswa kwemashure, izvo zvinowedzera ruzivo rwehutano hwose.

Rimwe rematambudziko akawanda ehutano hwehutano huri kutarisana nhanho inowanikwa zviwanikwa zvitsva. Nenguva iyo ruzivo rwechiremba runoita kuti zvive zvinyorwa zvinyorwa, ruzivo rungave rwakatove rusati rapera. Ichokwadi, humwe ruzivo runogona kunge rwakapera nenguva apo vadzidzi vanopedzisa kugara kwavo. Ndicho chikonzero chidzidzo chinotarisana nedambudziko chinoshandiswa kuburikidza nekombiyuta inokosha zvikuru.

Imwe, nzira iyi inobatsira vadzidzi kunzwisisa zvavasingazivi uye kuti vanogona sei kudzidza. Zvimwe, zviri nyore kuwedzera pamwe nekuvandudza. Teknolojia icharamba ichiita basa rinokosha mukurapa kwekurapa. Zvinotarisirwa kuti mune ramangwana, kunyanya kushandiswa kwemichina inoshandiswa mune zvedzidzo yezvehutano kuti ienderere mberi nekufambira mberi mumunda.

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> Mate K, Compton-Phillips A. Mushonga Wezvokurapa. Harvard Business Review Digital Articles . 2014; 2-7.

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> Milano CE, Hardman JA, Plesiu A, Rdesinski RE, Biagioli FE. Yakagadzirwa Electronic Health Record (Sim-EHR) Chikoro: Kudzidzisa EHR Unyanzvi nekushandiswa kweEHR nokuda kwehutano hwekuchengetedza nekudzivirira. Mishonga yekudzidza: Journal of the Association of American Medical Colleges . 2014; 89 (3): 399-403.

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