Pathologist digital slice actual combat simulation training examination system

Abstract

The invention provides a pathological physician digital slice actual combat simulation training examination system, and belongs to the technical field of examination systems. Comprising a cloud module, an AI algorithm extraction module, an examination question generation module and an examination question adjustment module. The examination subject adjusting module sets examination subjects, and the examination subjects, including metastatic tumors, small blue circular cell malignant tumors, endoscopic biopsy specimens and lung puncture specimens, are set according to a sub-specialized system according to the requirements of training and teaching major stiffness. The cloud module and the AI algorithm extraction module establish a test question bank according to real clinical cases and establish the test question bank according to the assessment subject, and the test question bank comprises clinical pathology information of the cases. According to the invention, the mastery degree of the pathologists on the diseases is assessed in a real pathologist working scene.

Description

Technical Field

[0001] The present invention relates to the technical field of examination systems, and in particular to a digital slice actual combat simulation training examination system for pathologists. Background Art

[0002] Clinical pathology is aimed at diagnosing diseases. It conducts pathological analysis on samples of human cells, tissues, organs, etc. to study the occurrence and development of diseases. Due to the long training period and the large amount of content involved in pathologist training, the training situation is not optimistic. It is crucial to accelerate the training of clinical pathologists, effectively enable them to master the morphology, immunohistochemical staining and molecular genetic characteristics of diseases, establish diagnostic ideas, and develop good learning habits.

[0003] At present, the training and assessment of clinical pathologists are mainly based on the traditional model. The main training method is a combination of students' self-diagnosis and the guidance of teachers. The assessment method is mainly based on the examination paper marking and the morphological assessment of the sections. In particular, when the pathology department conducts the pathology section diagnosis assessment, it is necessary to fill in the answers on paper, and during the examination, candidates will wait to view the sections. This process is very time-consuming and inefficient.

[0004] Although this conventional form of training and assessment will improve the diagnostic level of clinical pathologists, there are some shortcomings in the overall training process, such as: ① Pathologists learn about diseases in a fragmented way and lack a systematic and holistic view of the disease; ② During pre-diagnosis, they only learn about the morphology of the tumor and cannot combine immunohistochemical indicators and molecular pathology detection content to infer diagnosis and differential diagnosis; ③ It is difficult to concentrate on learning the clinical pathological characteristics of a class of diseases. Therefore, we hope to have a digital pathology section diagnostic ability assessment system for the purpose of training that simulates the actual work scenes of the pathology department, which can conduct examinations more efficiently, view results and feedback on results, and facilitate candidates to check for omissions. Candidates can improve their doctors' diagnostic ability by taking one or more exams per month. At the same time, this system is also very important for the professional development of doctors. Summary of the invention

[0005] The technical problem to be solved by the present invention is to provide a digital slice practical simulation training examination system for pathologists to solve the problems that existing pathologists learn diseases in a fragmented way and lack a systematic and holistic view of the disease; during pre-diagnosis, they only learn the morphology of the tumor and cannot combine immunohistochemical indicators and molecular pathology detection content to infer diagnosis and differential diagnosis; and it is difficult to concentrate on learning the clinical pathological characteristics of a class of diseases.

[0006] In order to solve the above technical problems, the present invention provides the following technical solutions:

[0007] A digital slice practical simulation training and examination system for pathologists, the digital slice practical simulation training and examination system for pathologists comprising a cloud module, an AI algorithm extraction module, an examination question generation module, and an examination question adjustment module; the examination question adjustment module sets the examination subject, and the examination subject is set according to the needs of training and teaching and the sub-specialty system, including metastatic tumors, small blue round cell malignant tumors, endoscopic biopsy specimens, and lung puncture specimens;

[0008] The cloud module and AI algorithm extraction module establish a question bank based on real clinical cases and establish a question bank based on the assessment theme. The question bank contains clinical pathological information of the cases, including clinical data, auxiliary examinations, conventional HE digital sections, immunohistochemical digital sections, and molecular pathology examination results;

[0009] The assessment method and scoring rules are set according to the assessment content.

[0010] Preferably, the test system page includes: user login interface, question bank, management, test, statistics and test result feedback;

[0011] The question bank includes functions of adding questions, importing, downloading templates, deleting, viewing details and querying;

[0012] The test questions include multiple rounds of questions, single-choice questions, multiple-choice questions, essay questions, and mixed questions;

[0013] ①You can set the difficulty of the questions, and the default difficulty is 3 stars;

[0014] ②You can set the time limit for answering questions. The time limit for answering questions is empty by default and only positive integers can be entered;

[0015] ③You can select the test question classification. The test question classification is empty by default and the test question classification data is configured through the dictionary;

[0016] ④ You can set the total score of this question. The total score of this question is empty by default and only positive integers can be entered;

[0017] ⑤You can enter the scoring criteria, which is empty by default, to provide a standard for subsequent administrator scoring;

[0018] ⑥Save button: After the question is edited, click [Save] to save the question successfully, close the page, and return to the list page;

[0019] ⑦ Save and add: After the question editing is completed, click [Save and add] to save the question successfully. The page will not be closed and you can continue to add questions.

[0020] ⑧Associated display: The associated display function is only used for mixed questions. The default setting for other question types is no and cannot be modified. If a mixed question is an associated display question, it needs to be displayed in the order in which the questions are asked, and you can only see the question information of the next question after completing one question.

[0021] Optionally, the test questions include:

[0022] (1) Add multiple rounds of questions: On the question bank list page, click the [Add Question] button to enter the Add Question interface;

[0023] ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information;

[0024] ② Select special medical order: Click the [Select special medical order] button to enter the marker interface, select the required marker, click [OK], and the selected marker will be displayed in the list;

[0025] ③Only one type of attachment or result can be uploaded in the special medical examination order;

[0026] ④Upload attachments: support uploading from local files and obtaining from the imaging platform;

[0027] ⑤ Delete: Select the marker to be deleted and click the [Delete] button to delete the selected marker;

[0028] (2) Added multiple-choice questions: For multiple-choice questions, enter the question description, select the attachment to upload, enter the answer, you can also upload an attachment in the answer, and select the answer;

[0029] ① Attachments can be uploaded in the question description and optional answers. Attachments can be uploaded from local files or obtained from the image platform;

[0030] ② Delete option: Click the delete button on the right to delete the optional item;

[0031] ③Add option: Click the Add option button to add options, up to 26 letters A to Z are supported;

[0032] ④Test answer: only single choice is supported;

[0033] (3) Added multiple-choice questions: For multiple-choice questions, enter the question description, select the attachment to upload, enter the answer, you can also upload the attachment in the answer, and select the answer; as shown in the figure;

[0034] ① Attachments can be uploaded in the test description and optional answers, and can be uploaded from local and image platforms;

[0035] ② Delete option: Click the delete button on the right to delete the optional item;

[0036] ③Add option: Click the Add option button to add options, up to 26 letters A to Z are supported;

[0037] ④Test answer: multiple choice is supported;

[0038] (4) Added new quiz questions: The pathology description of the quiz questions can be extracted from the pathology system, select the attachment to upload, and enter the question description;

[0039] ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information;

[0040] ②Case description and attachment upload support from local and imaging platforms;

[0041] (5) New mixed questions: Mixed questions support adding four types of questions as sub-questions: multiple-round questions, single-choice questions, multiple-choice questions, and essay questions;

[0042] ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information;

[0043] ② When adding questions, only the first question can be added as a multiple-round question. Other questions can only be added as single-choice, multiple-choice, and essay questions.

[0044] ③ Delete a question. Click the delete button and the question will be deleted.

[0045] ④Score of single question: total score of this question = sum of scores of single questions.

[0046] Furthermore, the test questions also include:

[0047] View the test questions, select the list data, and click [Details] to enter the test question details interface;

[0048] To edit the test questions, enter the test question details interface and click the [Edit] button at the bottom to edit the test questions;

[0049] Delete test questions, test questions support single / batch deletion;

[0050] Import test questions. Click to download the template, and then import test questions according to the template content. Only single-choice and multiple-choice questions can be imported.

[0051] ① Question description (required), question difficulty (optional, default is level 3), total score of this question (0-9999 positive integer, optional, default is 0), answer (required, AZ, or az), question choice (required, split by ||);

[0052] Query test questions, query conditions (test question type, test question category, test question description, creation time, creator);

[0053] Number of times taken, click on the number of times taken in the list to enter the details of the questions taken, and you can search according to the query conditions such as (plan name, test paper name, test time, and test takers);

[0054] ①The number of times tested is only counted for plans whose status is completed;

[0055] ② Participants in the examination: Only those who have taken the examination in the plan will be counted, and those who missed the examination will not be displayed.

[0056] Optionally, the test paper includes: querying test papers, adding / editing test papers, deleting test papers and the number of times they have been used;

[0057] The test paper query conditions include the test paper name, the number of test questions, the number of times it has been used, the creator and the creation time;

[0058] The test paper administrator who deletes the test paper can delete the test paper according to his / her own needs, and only single deletion is supported;

[0059] The number of times the test paper has been used, click on the number of times the test paper has been used to enter the test paper usage details interface, and you can query based on query conditions such as (plan name, test time, and test takers).

[0060] Optionally, the newly added / edited test paper is added by referencing a test paper, randomly generating questions, and referencing test questions, wherein the test questions introduced into the test paper are not associated with the test questions stored in the question bank, and editing the test questions in the question bank does not affect the associated test questions in the test paper;

[0061] ①New test paper interface: test paper name and total score are required, and the test paper name cannot be repeated;

[0062] ② Average distribution: Enter the total score of the test paper and click Average distribution to automatically distribute scores to the questions according to the number of questions;

[0063] ③ When the total score of the paper is not equal to the total score of the current question, the question will be displayed in the list as unedited, and the paper cannot be selected in the exam plan;

[0064] The newly added / edited examination papers include:

[0065] Reference test paper

[0066] Function description: When adding a new test paper, you can directly quote questions from other test papers;

[0067] ① To reference an exam paper, you can configure whether to reference an exam paper created by others and not taken through parameters. The parameter name is yrsj;

[0068] ② Reference test paper: can support multiple conditions query by (test paper name, last test time, creator, creation time);

[0069] ③ Click the [Reference Test Paper] button, and the details of the imported test paper will be displayed in the details of this test paper. Only one test paper can be imported into one test paper, and multiple test papers cannot be referenced.

[0070] Random questions

[0071] Function description: The test maker can randomly generate a test paper from the question bank according to the test question type and test question star rating;

[0072] ① The questions introduced in this test paper are not within the scope of random questions;

[0073] ② When a certain type of test question of a certain star rating does not exist in the question bank, a prompt will be displayed when randomly generating questions that a certain type of test question of a certain star rating does not meet the requirements;

[0074] Batch setting scores

[0075] Function description: The test setter can directly set the score of each question in batches and set the total score for each question.

[0076] Delete this question

[0077] Function description: The test maker can choose to delete questions according to their needs;

[0078] Reference Questions

[0079] Function description: When adding a new test paper, it can support citing multiple test questions;

[0080] ① To reference test questions, you can configure whether to reference test questions created by others and not taken by others through parameters. The parameter name is yrst;

[0081] ②Introducing test papers: can support multi-condition query by (test question type, test question description, last test time, creation time, creator);

[0082] ③ Click Details to view the question details of the question, click Edit to edit the question, and modify the question information synchronously in the question module;

[0083] ④ Select single / multiple test questions and click OK to add the selected test questions to the test paper;

[0084] Difficulty Statistics

[0085] Function description: Difficulty statistics are used to view the difficulty of the questions introduced in the test paper.

[0086] Optionally, the management includes querying plans and adding new test plans; the query conditions of the query plan include the test plan name, the number of test questions, the test time and the test duration, which are divided into four tabs (not started, started, ended, and cancelled);

[0087] The newly added examination plan has an examination plan administrator, click the new examination plan button to enter the new examination plan interface;

[0088] ①The name of the examination plan is required and cannot be repeated;

[0089] ② Set up anti-cheating functions: support random test question order, random options for multiple-choice questions, and unlocking when the program is abnormally closed;

[0090] ③ If the test plan is not associated with a test paper, the current status of the list will prompt that the test paper is waiting to be associated, and the operation buttons are only Edit and Cancel;

[0091] ④ In the exam plan, when the exam time, exam duration, exam name, exam administrator, and examinees are added, click the Start button and the prompt information will be returned;

[0092] ⑤Click the name of the exam plan to view the details of the plan;

[0093] ⑥ Click on the test paper name to view the details of the associated test paper in the plan;

[0094] ⑦ Click [Edit] and the operator can edit the plan;

[0095] ⑧ Click [Start], the plan status changes from To Be Started to Started, and from the Not Started tab page to the Started tab page;

[0096] ⑨The planned exam time exceeds the current time and the plan cannot be started;

[0097] ⑩Cancel the plan. The plan status changes from To Be Started to Cancelled, and the status changes from Not Started to Cancelled.

[0098] Started tab page

[0099] Function description: When the plan status changes to "in exam" or "not yet exam time", the plan will be displayed on the first tab page; details are as shown in the figure;

[0100] ① Candidates cannot take the exam if the exam time has not arrived;

[0101] ②The scheduled examination time has arrived and candidates can start the examination;

[0102] ③ To add candidates, candidates who did not take the exam can be selected to take the exam;

[0103] ④Extend the examination time: the examination time can be extended for candidates who are taking the examination or have finished the examination;

[0104] ⑤Cancel the plan. Only plans whose current status is that the exam time has not yet arrived can be canceled. Successfully canceled plans will be displayed on the Cancelled Tab page;

[0105] ⑥ Group settings: Click the name of the exam plan, and the test takers can set up the group. The group settings can be set in the (Not Started, Started, Ended, Canceled) tab;

[0106] Ended tab page

[0107] Function description: When the planned exam end time has arrived, the plan becomes ended and the plan is displayed on the ended tab page;

[0108] ① Scoring: The test administrator scores the examinees for subjective questions, while the objective questions are scored directly by the system;

[0109] ② Score release: After all candidates' papers have been graded, the scores can be released. After the scores are released, candidates can review the papers to view the details;

[0110] ③ Check the scores: the test plan administrator can check the test status of all candidates;

[0111] ④ Score Statistics: Click on Score Statistics to jump to the statistics interface and view the ranking of candidates;

[0112] Cancelled tab page

[0113] Function description: When the plan status is canceled, the plan will be displayed on the Cancelled Tab page;

[0114] ① Resume the exam: Select the plan and click [Resume Exam]. The plan status changes from Cancelled to Not Started and the plan is displayed on the Not Started tab page.

[0115] ② Delete: Select a plan and click [Delete] to delete the plan.

[0116] Furthermore, the examination includes:

[0117] ① Query function: You can query your own examination plan according to the query conditions such as (exam plan name, exam status, score, exam time);

[0118] ②Mock test: The test administrator will add a test paper called mock test, so that candidates can familiarize themselves with the system and understand the test process before the test;

[0119] ③ Start the exam: After the candidate selects the job title and enters the years of service to confirm, he / she can click Start the exam to answer questions; (The job title and years of service will default to the data filled in the last exam)

[0120] ④ Exam time not reached: If the exam schedule does not reach the start time, the current schedule will be regarded as the exam time not reached;

[0121] ⑤ Absence: If a candidate does not take the exam after the scheduled exam time, the candidate will be considered as absent from the exam.

[0122] ⑥ No results released: If the examinee has completed the exam but the administrator has not completed the grading and released the scores, the results of this plan will not be released;

[0123] ⑦ Check the test paper: After the test is finished and the test scores are released by the administrator, the candidates can check the test scores and test paper details;

[0124] ⑧ The test questions are timed questions: candidates cannot answer the questions after the time limit expires;

[0125] The examination also includes:

[0126] For multiple rounds of questions, candidates can answer multiple times. After selecting a marker in each round, enter the diagnosis result. If the diagnosis result is the correct answer, the marker will display a green √. For the selected marker, the marker slice or result details can be viewed. Candidates can enter the diagnosis result based on the slice content;

[0127] ① Click on the digital slice or image uploaded in the pathology description, and the page will jump to the viewing and answering interface;

[0128] ② Click on the selected marker containing slice data, and the page will jump to the interface of answering while watching;

[0129] ③ Select the marker. The marker cannot be added repeatedly and can only be selected once;

[0130] ④ If the question is a timed question, you cannot answer the question after the time has expired;

[0131] Answering time-limited questions: Administrators can set time-limited questions when setting questions. When the time limit for a time-limited question is up, the question cannot be answered. If the question is switched, the time-limited question cannot be answered again.

[0132] ① If the remaining time for this question is greater than or equal to the remaining examination time, the remaining time for this question ends and the question cannot be answered again; if the remaining time for this question is less than the remaining examination time and the remaining examination time has expired, the system will automatically hand in the paper and save the candidate's answers;

[0133] ② If the remaining time for this question has not expired and the candidate switches to another question, the system will automatically save the answer to this question and the candidate cannot continue answering the question if he / she switches to another question. If the candidate exits the test abnormally, he / she cannot continue answering the timed questions when he / she re-enters the test.

[0134] ③ If the administrator increases the test time for the examinee, the time-limited questions cannot be increased, that is, the time-limited questions cannot be answered further;

[0135] When answering mixed questions, if the administrator sets the mixed question as a related question, the question must be answered in the order of the sub-questions. After the sub-question is confirmed, the content of the next sub-question will be displayed, and the previous question cannot be modified;

[0136] ① If the mixed question is a related question, the question will not participate in the random order function, and the order of the question will be consistent with the question bank; if the question is not a related question, the question can be randomized;

[0137] ② Mixed questions are related questions. Candidates must answer the previous question and confirm that they have completed it before the next question will be displayed, and the previous question cannot be modified. If this question is not a related question, all the questions in this question will be displayed, and candidates can choose the questions to answer first according to their own preferences.

[0138] Optionally, the statistics module is mainly used for statistical administrators, who are responsible for the statistics, analysis and publication of test scores and have the authority to view the statistics of all published test score plans;

[0139] ① Query: You can query the examination plan information by (exam plan name, test paper name, current status, number of test questions, exam time, exam duration);

[0140] ② View plan details: Click the exam plan list and the exam plan name to view the exam plan details;

[0141] ③ View test paper details: Click the test plan list and the test paper name to view the test paper details;

[0142] ④ Statistics by plan, select the list plan, click the [Statistics by plan] button to enter the total score ranking statistics interface;

[0143] ⑤ View the test paper details of the candidate: Click the candidate's name to view the test paper details of the candidate;

[0144] ⑥Set up groups: Administrators can group candidates in the plan, and the groups in each plan are independent of each other;

[0145] The assessment result feedback is intended to allow the groups / candidates with excellent test results to share their diagnostic experience of the test, systematically sort out the theme of this assessment, and focus on analyzing the test results of the candidates, and share the deficiencies in the knowledge points of the test theme; finally, through an examination system that simulates real pathology diagnosis work scenarios for the purpose of training, the diagnostic ability of clinical pathology doctors will be improved.

[0146] Optionally, the test simulation includes:

[0147] (1) The assessment method is a practical exercise that simulates the normal diagnostic workflow;

[0148] (2) The assessment is a closed-book examination and the examinee is not allowed to review relevant materials during the assessment;

[0149] (3) The assessment uses a digital slice system to answer questions. The examinee logs in with the username and password assigned in advance. The examinee answers questions based on the digital HE slices. If immunohistochemistry testing is required, the normal working process is simulated. One round of immunohistochemistry represents one working day. If more than four rounds are completed, it will be judged as 0 points. After the examinee finishes writing the first round of immunohistochemistry indicators, click Submit and the system will match the corresponding immunohistochemistry intraoperative slices. If the indicator exists in the system, the system will display the digital slice of the indicator. If the immunohistochemistry indicator is no longer required, please write down the final diagnosis opinion and complete this assessment. If immunohistochemistry is required, please fill in the next round of immunohistochemistry column, and so on. If the immune indicator exceeds the indicator range prescribed in the actual diagnosis, it will be judged as an invalid indicator. Once the immunohistochemistry indicator is submitted, it cannot be modified.

[0150] (4) After the examinee has completed the diagnosis of all the slices, he / she may submit the examination paper;

[0151] The scoring rules include

[0152] (1) Each case has a full score of 100 points (only one correct conclusion), and 5 points will be deducted for each additional part;

[0153] (2) Comprehensive diagnostic skills scoring: No points will be deducted if the immunohistochemical test is within 5 indicators, and 2 points will be deducted for each additional indicator;

[0154] (3) Scoring of diagnostic timeliness: no points will be deducted for the first round of immune indicators, 0 points will be deducted for the first round indicators, 10 points will be deducted for the second round indicators, 10 points will be deducted for the third round indicators, and 20 points will be deducted for the fourth round indicators. If more than four rounds are completed, the score will be 0;

[0155] (4) The minimum score for each question is 0, and there is no negative score;

[0156] (5) The final assessment score will be calculated by the assessment team on a percentage basis.

[0157] Compared with the prior art, the present invention has at least the following beneficial effects:

[0158] In the above scheme, the working scene and working mode of the pathologist are truly simulated, and the pathologist's mastery of the disease is assessed with the real working scene of the pathologist; the digital slices of this system are high in clarity, easy to save and easy to read, and the operation response speed is fast. It can meet the simultaneous assessment of multiple people in multiple locations. This system will electronically record each assessment process and the comments of the judges, and the system will also retain the assessment papers for candidates to study again. Since each assessment has a set theme, candidates will systematically study the content of the theme, which is convenient for a systematic and holistic view of the disease, and can further study the diagnostic criteria and differential diagnosis. BRIEF DESCRIPTION OF THE DRAWINGS

[0159] The accompanying drawings, which are incorporated herein and constitute a part of the specification, illustrate embodiments of the invention and, together with the description, further serve to explain the principles of the invention and to enable those skilled in the relevant art to make and use the invention.

[0160] Figure 1 It is a schematic diagram of the process of the present invention;

[0161] Figure 2 It is a schematic diagram of the process of the present invention;

[0162] Figure 3 It is a flow chart of the assessment method of the present invention;

[0163] Figure 4 It is a flowchart of the scoring rules of the present invention;

[0164] Figure 5 It is a schematic diagram of the system page of the present invention;

[0165] Figure 6 It is a schematic diagram of the process of the question bank of the present invention;

[0166] Figure 7 A schematic diagram of the process of adding new test questions to the present invention;

[0167] Figure 8 It is a schematic flow chart of the assessment steps of the present invention.

[0168] As shown in the figure, in order to clearly implement the structure of the embodiment of the present invention, specific structures and devices are marked in the figure, but this is only for illustrative purposes and is not intended to limit the present invention to the specific structure, device and environment. According to specific needs, ordinary technicians in this field can adjust or modify these devices and environments. DETAILED DESCRIPTION

[0169] The following is a detailed description of a pathologist digital slice practical simulation training examination system provided by the present invention in conjunction with the accompanying drawings and specific embodiments. At the same time, it is explained here that in order to make the embodiments more detailed, the following embodiments are the best and preferred embodiments, and those skilled in the art may also adopt other alternatives to implement some known technologies; and the accompanying drawings are only for a more specific description of the embodiments, and are not intended to specifically limit the present invention.

[0170] It should be noted that the references to "one embodiment", "an embodiment", "an exemplary embodiment", "some embodiments" and the like in the specification indicate that the embodiments described may include specific features, structures or characteristics, but not every embodiment may include the specific features, structures or characteristics. In addition, when a specific feature, structure or characteristic is described in conjunction with an embodiment, it should be within the knowledge of a person skilled in the art to implement such feature, structure or characteristic in conjunction with other embodiments (whether or not explicitly described).

[0171] In general, a term can be understood, at least in part, from its use in context. For example, depending, at least in part, on the context, the term "one or more" as used herein can be used to describe any feature, structure, or characteristic in the singular sense, or can be used to describe a combination of features, structures, or characteristics in the plural sense. Additionally, the term "based on" can be understood as not necessarily intended to convey an exclusive set of factors, but can instead, depending, at least in part, on the context, allow for the presence of other factors that are not necessarily explicitly described.

[0172] It will be understood that the meanings of “on,” “over,” and “above” in the present invention should be interpreted in the broadest manner, so that “on” not only means “directly on” something, but also includes the meaning of being “on” something with intervening features or layers therebetween, and “on” or “over” not only means “on” or “above” something, but also includes the meaning of being “on” or “above” something with no intervening features or layers therebetween.

[0173] Additionally, spatially relative terms such as "under," "beneath," "lower," "above," "upper," and the like may be used herein for descriptive convenience to describe the relationship of one element or feature to another element or features, as shown in the accompanying drawings. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the accompanying drawings. The device may be oriented in other ways, and the spatially relative descriptors used herein may be similarly interpreted accordingly.

[0174] like Figures 1 to 8As shown, an embodiment of the present invention provides a pathologist digital slice practical simulation training examination system, including a cloud module, an AI algorithm extraction module, an examination question generation module, and an examination question adjustment module; the examination question adjustment module sets the examination subject, and the examination subject is set according to the needs of training and teaching and the sub-specialty system, including metastatic tumors, small blue round cell malignant tumors, endoscopic biopsy specimens, and lung puncture specimens;

[0175] The cloud module and AI algorithm extraction module establish a question bank based on real clinical cases and the examination topic. The question bank contains clinical pathology information of the cases, including clinical data, auxiliary examinations, conventional HE digital sections, immunohistochemistry digital sections, and molecular pathology examination results.

[0176] Set the assessment method and scoring rules according to the assessment content.

[0177] The examination system page includes: user login interface, question bank, management, examination, statistics and examination result feedback;

[0178] The question bank includes functions such as adding questions, importing, downloading templates, deleting, viewing details and querying;

[0179] The test questions include multiple rounds of questions, single-choice questions, multiple-choice questions, essay questions, and mixed questions;

[0180] ①You can set the difficulty of the questions, and the default difficulty is 3 stars;

[0181] ②You can set the time limit for answering questions. The time limit for answering questions is empty by default and only positive integers can be entered;

[0182] ③You can select the test question classification. The test question classification is empty by default and the test question classification data is configured through the dictionary;

[0183] ④ You can set the total score of this question. The total score of this question is empty by default and only positive integers can be entered;

[0184] ⑤You can enter the scoring criteria, which is empty by default, to provide a standard for subsequent administrator scoring;

[0185] ⑥Save button: After the question is edited, click [Save] to save the question successfully, close the page, and return to the list page;

[0186] ⑦ Save and add: After the question editing is completed, click [Save and add] to save the question successfully. The page will not be closed and you can continue to add questions.

[0187] ⑧Associated display: The associated display function is only used for mixed questions. The default setting for other question types is no and cannot be modified. If a mixed question is an associated display question, it needs to be displayed in the order in which the questions are asked, and you can only see the question information of the next question after completing one question.

[0188] Questions include:

[0189] (1) Add multiple rounds of questions: On the question bank list page, click the [Add Question] button to enter the Add Question interface;

[0190] Note:

[0191] ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information;

[0192] ② Select special medical order: Click the [Select special medical order] button to enter the marker interface, select the required marker, click [OK], and the selected marker will be displayed in the list;

[0193] ③Only one type of attachment or result can be uploaded in the special medical examination order;

[0194] ④Upload attachments: support uploading from local files and obtaining from the imaging platform;

[0195] ⑤ Delete: Select the marker to be deleted and click the [Delete] button to delete the selected marker;

[0196] (2) Added multiple-choice questions: For multiple-choice questions, enter the question description, select the attachment to upload, enter the answer, you can also upload an attachment in the answer, and select the answer;

[0197] Note:

[0198] ① Attachments can be uploaded in the question description and optional answers. Attachments can be uploaded from local files or obtained from the image platform;

[0199] ② Delete option: Click the delete button on the right to delete the optional item;

[0200] ③Add option: Click the Add option button to add options, up to 26 letters A to Z are supported;

[0201] ④Test answer: only single choice is supported;

[0202] (3) Added multiple-choice questions: For multiple-choice questions, enter the question description, select the attachment to upload, enter the answer, you can also upload the attachment in the answer, and select the answer; as shown in the figure;

[0203] Note:

[0204] ① Attachments can be uploaded in the test description and optional answers, and can be uploaded from local and image platforms;

[0205] ② Delete option: Click the delete button on the right to delete the optional item;

[0206] ③Add option: Click the Add option button to add options, up to 26 letters A to Z are supported;

[0207] ④Test answer: multiple choice is supported;

[0208] (4) Add new quiz questions: The pathology description of the quiz questions can be extracted from the pathology system. Select the attachment to upload and enter the question description; as shown in the figure;

[0209] Note:

[0210] ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information;

[0211] ②Case description and attachment upload support from local and imaging platforms;

[0212] (5) New mixed questions: Mixed questions support adding four types of questions as sub-questions: multiple-round questions, single-choice questions, multiple-choice questions, and essay questions;

[0213] Note:

[0214] ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information;

[0215] ② When adding questions, only the first question can be added as a multiple-round question. Other questions can only be added as single-choice, multiple-choice, and essay questions.

[0216] ③ Delete a question. Click the delete button and the question will be deleted.

[0217] ④Score of single question: total score of this question = sum of scores of single questions.

[0218] The test questions also include:

[0219] View the test questions, select the list data, and click [Details] to enter the test question details interface;

[0220] To edit the test questions, enter the test question details interface and click the [Edit] button at the bottom to edit the test questions;

[0221] Delete test questions, test questions support single / batch deletion;

[0222] Import test questions. Click to download the template, and then import test questions according to the template content. Only single-choice and multiple-choice questions can be imported.

[0223] Note:

[0224] ① Question description (required), question difficulty (optional, default is level 3), total score of this question (0-9999 positive integer, optional, default is 0), answer (required, AZ, or az), question choice (required, split by ||);

[0225] Query test questions, query conditions (test question type, test question category, test question description, creation time, creator);

[0226] Number of times taken, click on the number of times taken in the list to enter the details of the questions taken, and you can search according to the query conditions such as (plan name, test paper name, test time, and test takers);

[0227] Note:

[0228] ①The number of times tested is only counted for plans whose status is completed;

[0229] ② Participants in the examination: Only those who have taken the examination in the plan will be counted, and those who missed the examination will not be displayed.

[0230] Furthermore, the test paper includes: querying the test paper, adding / editing the test paper, deleting the test paper and the number of times it has been used;

[0231] Test paper query conditions include test paper name, number of test questions, number of times used, creator and creation time;

[0232] The test paper administrator who deletes the test paper can delete the test paper according to his / her own needs. Only single deletion is supported.

[0233] Number of times used, click on the number of times the list has been used to enter the test paper usage details interface, where you can search based on search conditions such as (plan name, test time, and test takers).

[0234] Adding / editing test papers can be done by referencing test papers, randomly generating questions, and referencing test questions. The test questions introduced into the test paper are not associated with the test questions saved in the question bank, and editing test questions in the question bank does not affect the associated test questions in the test paper.

[0235] Note:

[0236] ①New test paper interface: test paper name and total score are required, and the test paper name cannot be repeated;

[0237] ② Average distribution: Enter the total score of the test paper and click Average distribution to automatically distribute scores to the questions according to the number of questions;

[0238] ③ When the total score of the paper is not equal to the total score of the current question, the question will be displayed in the list as unedited, and the paper cannot be selected in the exam plan;

[0239] Add / Edit exam papers include:

[0240] Reference test paper

[0241] Function description: When adding a new test paper, you can directly quote questions from other test papers;

[0242] Note:

[0243] ① To reference an exam paper, you can configure whether to reference an exam paper created by others and not taken through parameters. The parameter name is yrsj;

[0244] ② Reference test paper: can support multiple conditions query by (test paper name, last test time, creator, creation time);

[0245] ③ Click the [Reference Test Paper] button, and the details of the imported test paper will be displayed in the details of this test paper. Only one test paper can be imported into one test paper, and multiple test papers cannot be referenced.

[0246] Random questions

[0247] Function description: The test maker can randomly generate a test paper from the question bank according to the test question type and test question star rating;

[0248] Note:

[0249] ① The questions introduced in this test paper are not within the scope of random questions;

[0250] ② When a certain type of test question of a certain star rating does not exist in the question bank, a prompt will be displayed when randomly generating questions that a certain type of test question of a certain star rating does not meet the requirements;

[0251] Batch setting scores

[0252] Function description: The test setter can directly set the score of each question in batches and set the total score for each question.

[0253] Delete this question

[0254] Function description: The test maker can choose to delete questions according to their needs;

[0255] Reference Questions

[0256] Function description: When adding a new test paper, it can support citing multiple test questions;

[0257] Note:

[0258] ① To reference test questions, you can configure whether to reference test questions created by others and not taken by others through parameters. The parameter name is yrst;

[0259] ②Introducing test papers: can support multi-condition query by (test question type, test question description, last test time, creation time, creator);

[0260] ③ Click Details to view the question details of the question, click Edit to edit the question, and modify the question information synchronously in the question module;

[0261] ④ Select single / multiple test questions and click OK to add the selected test questions to the test paper;

[0262] Difficulty Statistics

[0263] Function description: Difficulty statistics are used to view the difficulty of the questions introduced in the test paper.

[0264] Management includes querying plans and adding new exam plans; the query conditions for querying plans include the exam plan name, number of test questions, exam time and exam duration, which are divided into four tabs (not started, started, ended, and canceled);

[0265] There is an exam plan administrator for adding an exam plan. Click the Add Exam Plan button to enter the Add Exam Plan interface.

[0266] Note:

[0267] ①The name of the examination plan is required and cannot be repeated;

[0268] ② Set up anti-cheating functions: support random test question order, random options for multiple-choice questions, and unlocking when the program is abnormally closed;

[0269] ③ If the test plan is not associated with a test paper, the current status of the list will prompt that the test paper is waiting to be associated, and the operation buttons are only Edit and Cancel;

[0270] ④ In the exam plan, when the exam time, exam duration, exam name, exam administrator, and examinees are added, click the Start button and the prompt information will be returned;

[0271] ⑤Click the name of the exam plan to view the details of the plan;

[0272] ⑥ Click on the test paper name to view the details of the associated test paper in the plan;

[0273] ⑦ Click [Edit] and the operator can edit the plan;

[0274] ⑧ Click [Start], the plan status changes from To Be Started to Started, and from the Not Started tab page to the Started tab page;

[0275] ⑨The planned exam time exceeds the current time and the plan cannot be started;

[0276] ⑩Cancel the plan. The plan status changes from To Be Started to Cancelled, and the status changes from Not Started to Cancelled.

[0277] Started tab page

[0278] Function description: When the plan status changes to "in exam" or "not yet exam time", the plan will be displayed on the first tab page; details are as shown in the figure;

[0279] Note:

[0280] ① Candidates cannot take the exam if the exam time has not arrived;

[0281] ②The scheduled examination time has arrived and candidates can start the examination;

[0282] ③ To add candidates, candidates who did not take the exam can be selected to take the exam;

[0283] ④Extend the examination time: the examination time can be extended for candidates who are taking the examination or have finished the examination;

[0284] ⑤Cancel the plan. Only plans whose current status is that the exam time has not yet arrived can be canceled. Successfully canceled plans will be displayed on the Cancelled Tab page;

[0285] ⑥ Group settings: Click the name of the exam plan, and the test takers can set up the group. The group settings can be set in the (Not Started, Started, Ended, Canceled) tab;

[0286] Ended tab page

[0287] Function description: When the planned exam end time has arrived, the plan becomes ended and the plan is displayed on the ended tab page;

[0288] Note:

[0289] ① Scoring: The test administrator scores the examinees for subjective questions, while the objective questions are scored directly by the system;

[0290] ② Score release: After all candidates' papers have been graded, the scores can be released. After the scores are released, candidates can review the papers to view the details;

[0291] ③ Check the scores: the test plan administrator can check the test status of all candidates;

[0292] ④ Score Statistics: Click on Score Statistics to jump to the statistics interface and view the ranking of candidates;

[0293] Cancelled tab page

[0294] Function description: When the plan status is canceled, the plan will be displayed on the Cancelled Tab page;

[0295] Note:

[0296] ① Resume the exam: Select the plan and click [Resume Exam]. The plan status changes from Cancelled to Not Started and the plan is displayed on the Not Started tab page.

[0297] ② Delete: Select a plan and click [Delete] to delete the plan.

[0298] The exam includes:

[0299] ① Query function: You can query your own examination plan according to the query conditions such as (exam plan name, exam status, score, exam time);

[0300] ②Mock test: The test administrator will add a test paper called mock test, so that candidates can familiarize themselves with the system and understand the test process before the test;

[0301] ③ Start the exam: After the candidate selects the job title and enters the years of service to confirm, he / she can click Start the exam to answer questions; (The job title and years of service will default to the data filled in the last exam)

[0302] ④ Exam time not reached: If the exam schedule does not reach the start time, the current schedule will be regarded as the exam time not reached;

[0303] ⑤ Absence: If a candidate does not take the exam after the scheduled exam time, the candidate will be considered as absent from the exam.

[0304] ⑥ No results released: If the examinee has completed the exam but the administrator has not completed the grading and released the scores, the results of this plan will not be released;

[0305] ⑦ Check the test paper: After the test is finished and the test scores are released by the administrator, the candidates can check the test scores and test paper details;

[0306] ⑧ The test questions are timed questions: candidates cannot answer the questions after the time limit expires;

[0307] The exam also includes: multiple rounds of questions. Candidates can answer multiple rounds of questions. After selecting a marker in each round, enter the diagnosis result. If the diagnosis result is the correct answer, the marker will display a green √. For the selected marker, the marker slice or result details can be viewed. Candidates can enter the diagnosis result based on the slice content;

[0308] Note:

[0309] ① Click on the digital slice or image uploaded in the pathology description, and the page will jump to the viewing and answering interface;

[0310] ② Click on the selected marker containing slice data, and the page will jump to the interface of answering while watching;

[0311] ③ Select the marker. The marker cannot be added repeatedly and can only be selected once;

[0312] ④ If the question is a timed question, you cannot answer the question after the time has expired;

[0313] Answering time-limited questions: Administrators can set time-limited questions when setting questions. When the time limit for a time-limited question is up, the question cannot be answered. If the question is switched, the time-limited question cannot be answered again.

[0314] Note:

[0315] ① If the remaining time for this question is greater than or equal to the remaining examination time, the remaining time for this question ends and the question cannot be answered again; if the remaining time for this question is less than the remaining examination time and the remaining examination time has expired, the system will automatically hand in the paper and save the candidate's answers;

[0316] ② If the remaining time for this question has not expired and the candidate switches to another question, the system will automatically save the answer to this question and the candidate cannot continue answering the question if he / she switches to another question. If the candidate exits the test abnormally, he / she cannot continue answering the timed questions when he / she re-enters the test.

[0317] ③ If the administrator increases the test time for the examinee, the time-limited questions cannot be increased, that is, the time-limited questions cannot be answered further;

[0318] When answering mixed questions, if the administrator sets the mixed question as a related question, the question must be answered in the order of the sub-questions. After the sub-question is confirmed, the content of the next sub-question will be displayed, and the previous question cannot be modified;

[0319] Note:

[0320] ① If the mixed question is a related question, the question will not participate in the random order function, and the order of the question will be consistent with the question bank; if the question is not a related question, the question can be randomized;

[0321] ② Mixed questions are related questions. Candidates must answer the previous question and confirm that they have completed it before the next question will be displayed, and the previous question cannot be modified. If this question is not a related question, all the questions in this question will be displayed, and candidates can choose the questions to answer first according to their own preferences.

[0322] The statistics module is mainly used by statistics administrators, who are responsible for the statistics, analysis, and publication of test scores and have the authority to view the statistics of all published score plans;

[0323] Note:

[0324] ① Query: You can query the examination plan information by (exam plan name, test paper name, current status, number of test questions, exam time, exam duration);

[0325] ② View plan details: Click the exam plan list and the exam plan name to view the exam plan details;

[0326] ③ View test paper details: Click the test plan list and the test paper name to view the test paper details;

[0327] ④ Statistics by plan, select the list plan, click the [Statistics by plan] button to enter the total score ranking statistics interface;

[0328] ⑤ View the test paper details of the candidate: Click the candidate's name to view the test paper details of the candidate;

[0329] ⑥Set up groups: Administrators can group candidates in the plan, and the groups in each plan are independent of each other;

[0330] The assessment result feedback is planned to allow the groups / candidates with excellent test results to share their diagnostic experience of this exam, systematically sort out the theme of this assessment, and focus on analyzing the test results of this candidate, and share the deficiencies in the knowledge points of the exam theme; finally, through an examination system that simulates real pathology diagnosis work scenarios for the purpose of training, the diagnostic ability of clinical pathology doctors will be improved.

[0331] The exam simulation includes:

[0332] (1) The assessment method is a practical exercise that simulates the normal diagnostic workflow;

[0333] (2) The assessment is a closed-book examination and the examinee is not allowed to review relevant materials during the assessment;

[0334] (3) The assessment uses a digital slice system to answer questions. The examinee logs in with the username and password assigned in advance. The examinee answers questions based on the digital HE slices. If immunohistochemistry testing is required, the normal working process is simulated. One round of immunohistochemistry represents one working day. If more than four rounds are completed, it will be judged as 0 points. After the examinee finishes writing the first round of immunohistochemistry indicators, click Submit and the system will match the corresponding immunohistochemistry intraoperative slices. If the indicator exists in the system, the system will display the digital slice of the indicator. If the immunohistochemistry indicator is no longer required, please write down the final diagnosis opinion and complete this assessment. If immunohistochemistry is required, please fill in the next round of immunohistochemistry column, and so on. If the immune indicator exceeds the indicator range prescribed in the actual diagnosis, it will be judged as an invalid indicator. Once the immunohistochemistry indicator is submitted, it cannot be modified.

[0335] (4) After the examinee has completed the diagnosis of all the slices, he / she may submit the examination paper;

[0336] Scoring rules include

[0337] (1) Each case has a full score of 100 points (only one correct conclusion), and 5 points will be deducted for each additional part;

[0338] (2) Comprehensive diagnostic skills scoring: No points will be deducted if the immunohistochemical test is within 5 indicators, and 2 points will be deducted for each additional indicator;

[0339] (3) Scoring of diagnostic timeliness: no points will be deducted for the first round of immune indicators, 0 points will be deducted for the first round indicators, 10 points will be deducted for the second round indicators, 10 points will be deducted for the third round indicators, and 20 points will be deducted for the fourth round indicators. If more than four rounds are completed, the score will be 0;

[0340] (4) The minimum score for each question is 0, and there is no negative score;

[0341] (5) The final assessment score will be calculated by the assessment team on a percentage basis.

[0342] The present invention covers any substitution, modification, equivalent method and scheme made on the essence and scope of the present invention. In order to make the public have a thorough understanding of the present invention, specific details are described in detail in the following preferred embodiments of the present invention, but those skilled in the art can fully understand the present invention without the description of these details. In addition, in order to avoid unnecessary confusion about the essence of the present invention, well-known methods, processes, procedures, components and circuits are not described in detail.

[0343] The above is only a preferred embodiment of the present invention. It should be pointed out that for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principle of the present invention. These improvements and modifications should also be regarded as the scope of protection of the present invention.

Claims

1. A digital slice practical simulation training and examination system for pathologists, characterized in that: The pathologist digital slice practical simulation training examination system includes a cloud module, an AI algorithm extraction module, an examination question generation module, and an examination question adjustment module; the examination question adjustment module sets the examination topics, and the examination topics are set according to the needs of training and teaching and the sub-specialty system, including metastatic tumors, small blue round cell malignant tumors, endoscopic biopsy specimens, and lung puncture specimens; The cloud module and AI algorithm extraction module establish a question bank based on real clinical cases and establish a question bank based on the assessment theme. The question bank contains clinical pathological information of the cases, including clinical data, auxiliary examinations, conventional HE digital sections, immunohistochemical digital sections, and molecular pathology examination results; The assessment method and scoring rules are set according to the assessment content.

2. The pathologist digital slice actual combat simulation training examination system according to claim 1 is characterized in that: The test system page includes: user login interface, question bank, management, test, statistics and test result feedback; The question bank includes functions of adding questions, importing, downloading templates, deleting, viewing details and querying; The test questions include multiple rounds of questions, single-choice questions, multiple-choice questions, essay questions, and mixed questions; ①You can set the difficulty of the questions, and the default difficulty is 3 stars; ②You can set the time limit for answering questions. The time limit for answering questions is empty by default and only positive integers can be entered; ③You can select the test question classification. The test question classification is empty by default and the test question classification data is configured through the dictionary; ④ You can set the total score of this question. The total score of this question is empty by default and only positive integers can be entered; ⑤You can enter the scoring criteria, which is empty by default, to provide a standard for subsequent administrator scoring; ⑥Save button: After the question is edited, click [Save] to save the question successfully, close the page, and return to the list page; ⑦ Save and add: After the question editing is completed, click [Save and add] to save the question successfully. The page will not be closed and you can continue to add questions. ⑧Associated display: The associated display function is only used for mixed questions. The default setting for other question types is no and cannot be modified. If a mixed question is an associated display question, it needs to be displayed in the order in which the questions are asked, and you can only see the question information of the next question after completing one question.

3. The pathologist digital slice actual combat simulation training examination system according to claim 2 is characterized in that: The test questions include: (1) Add multiple rounds of questions: On the question bank list page, click the [Add Question] button to enter the Add Question interface; ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information; ② Select special medical order: Click the [Select special medical order] button to enter the marker interface, select the required marker, click [OK], and the selected marker will be displayed in the list; ③Only one type of attachment or result can be uploaded in the special medical examination order; ④Upload attachments: support uploading from local files and obtaining from the imaging platform; ⑤ Delete: Select the marker to be deleted and click the [Delete] button to delete the selected marker; (2) Added multiple-choice questions: For multiple-choice questions, enter the question description, select the attachment to upload, enter the answer, you can also upload an attachment in the answer, and select the answer; ① Attachments can be uploaded in the question description and optional answers. Attachments can be uploaded from local files or obtained from the image platform; ② Delete option: Click the delete button on the right to delete the optional item; ③Add option: Click the Add option button to add options, up to 26 letters A to Z are supported; ④Test answer: only single choice is supported; (3) Added multiple-choice questions: For multiple-choice questions, enter the question description, select the attachment to upload, enter the answer, you can also upload the attachment in the answer, and select the answer; as shown in the figure; ① Attachments can be uploaded in the test description and optional answers, and can be uploaded from local and image platforms; ② Delete option: Click the delete button on the right to delete the optional item; ③Add option: Click the Add option button to add options, up to 26 letters A to Z are supported; ④Test answer: multiple choice is supported; (4) Add new quiz questions: The pathology description of the quiz questions can be extracted from the pathology system. Select the attachment to upload and enter the question description; as shown in the figure; ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information; ②Case description and attachment upload support from local and imaging platforms; (5) New mixed questions: Mixed questions support adding four types of questions as sub-questions: multiple-round questions, single-choice questions, multiple-choice questions, and essay questions; ① Extract information from the pathology system: Click [Extract information from the pathology system], enter the pathology number, select the extraction content, and then extract the patient information; ② When adding questions, only the first question can be added as a multiple-round question. Other questions can only be added as single-choice, multiple-choice, and essay questions. ③ Delete a question. Click the delete button and the question will be deleted. ④Score of single question: total score of this question = sum of scores of single questions.

4. The pathologist digital slice actual combat simulation training examination system according to claim 3 is characterized in that: The test questions also include: View the test questions, select the list data, and click [Details] to enter the test question details interface; To edit the test questions, enter the test question details interface and click the [Edit] button at the bottom to edit the test questions; Delete test questions, test questions support single / batch deletion; Import test questions. Click to download the template, and then import test questions according to the template content. Only single-choice and multiple-choice questions can be imported. Number of times taken the test, click on the number of times taken the test in the list to enter the test question details, and you can query based on query conditions such as (plan name, test paper name, test time, and test takers).

5. The pathologist digital slice actual combat simulation training examination system according to claim 2 is characterized in that: The test paper includes: query test paper, add / edit test paper, delete test paper and the number of times used; The test paper query conditions include the test paper name, the number of test questions, the number of times it has been used, the creator and the creation time; The test paper administrator who deletes the test paper can delete the test paper according to his / her own needs, and only single deletion is supported; The number of times the test paper has been used, click on the number of times the test paper has been used to enter the test paper usage details interface, and you can query based on query conditions such as (plan name, test time, and test takers).

6. The pathologist digital slice actual combat simulation training examination system according to claim 5 is characterized in that: The newly added / edited test paper is added by referencing the test paper, randomly generating questions, and referencing test questions. The test questions introduced into the test paper are not associated with the test questions stored in the question bank, and editing the test questions in the question bank does not affect the associated test questions in the test paper; ①New test paper interface: test paper name and total score are required, and the test paper name cannot be repeated; ② Average distribution: Enter the total score of the test paper and click Average distribution to automatically distribute scores to the questions according to the number of questions; ③ When the total score of the paper is not equal to the total score of the current question, the question will be displayed in the list as unedited, and the paper cannot be selected in the exam plan; The newly added / edited examination papers include: Reference test paper Function description: When adding a new test paper, you can directly quote questions from other test papers; ① To reference an exam paper, you can configure whether to reference an exam paper created by others and not taken through parameters. The parameter name is yrsj; ② Reference test paper: can support multiple conditions query by (test paper name, last test time, creator, creation time); ③ Click the [Reference Test Paper] button, and the details of the imported test paper will be displayed in the details of this test paper. Only one test paper can be imported into one test paper, and multiple test papers cannot be referenced. Random questions Function description: The test maker can randomly generate a test paper from the question bank according to the test question type and test question star rating; ① The questions introduced in this test paper are not within the scope of random questions; ② When a certain type of test question of a certain star rating does not exist in the question bank, a prompt will be displayed when randomly generating questions that a certain type of test question of a certain star rating does not meet the requirements; Batch setting scores Function description: The test setter can directly set the score of each question in batches and set the total score for each question. Delete this question Function description: The test maker can choose to delete questions according to their needs; Reference Questions Function description: When adding a new test paper, it can support citing multiple test questions; ① Reference questions: You can use the parameter to configure whether to reference questions created by others and not taken. The parameter name is yrst; ②Introducing test papers: Supports multiple conditional queries by (test question type, test question description, last test time, creation time, creator); ③ Click Details to view the question details of the question, click Edit to edit the question, and modify the question information in the question module synchronously; ④ Select single / multiple test questions and click OK to add the selected test questions to the test paper; Difficulty Statistics Function description: Difficulty statistics are used to view the difficulty of the questions introduced in the test paper.

7. The pathologist digital slice actual combat simulation training examination system according to claim 2 is characterized in that: The management includes querying plans and adding new test plans; the query conditions of the query plan include the test plan name, number of test questions, test time and test duration, which are divided into four tabs (not started, started, ended, cancelled); The newly added examination plan has an examination plan administrator, click the new examination plan button to enter the new examination plan interface; ①The name of the examination plan is required and cannot be repeated; ② Set up anti-cheating functions: support random test question order, random options for multiple-choice questions, and unlocking when the program is abnormally closed; ③ If the test plan is not associated with a test paper, the current status of the list will prompt that the test paper is waiting to be associated, and the operation buttons are only Edit and Cancel; ④ In the exam plan, when the exam time, exam duration, exam name, exam administrator, and examinees are added, click the Start button and the prompt information will be returned; ⑤Click the name of the exam plan to view the details of the plan; ⑥ Click on the test paper name to view the details of the associated test paper in the plan; ⑦ Click [Edit] and the operator can edit the plan; ⑧ Click [Start], the plan status changes from To Be Started to Started, and from the Not Started tab page to the Started tab page; ⑨The planned exam time exceeds the current time and the plan cannot be started; ⑩Cancel the plan. The plan status changes from To Be Started to Cancelled, and the status changes from Not Started to Cancelled. Started tab page Function description: When the plan status changes to "in exam" or "not yet exam time", the plan will be displayed on the first tab page; Details are shown in the picture; Note: ① Candidates cannot take the exam if the exam time has not arrived; ②The scheduled examination time has arrived and candidates can start the examination; ③ To add candidates, candidates who did not take the exam can be selected to take the exam; ④Extend the examination time: the examination time can be extended for candidates who are taking the examination or have finished the examination; ⑤Cancel the plan. Only plans whose current status is that the exam time has not yet arrived can be canceled. Successfully canceled plans will be displayed on the Cancelled Tab page; ⑥ Group settings: Click the name of the exam plan, and the test takers can set up the group. The group settings can be set in the (Not Started, Started, Ended, Canceled) tab; Ended tab page Function description: When the planned exam end time has arrived, the plan becomes ended and the plan is displayed on the ended tab page; ① Scoring: The test administrator scores the examinees for subjective questions, while the objective questions are scored directly by the system; ② Score release: After all candidates' papers have been graded, the scores can be released. After the scores are released, candidates can review the papers to view the details; ③ Check the scores: the test plan administrator can check the test status of all candidates; ④ Score Statistics: Click on Score Statistics to jump to the statistics interface and view the ranking of candidates; Cancelled tab page Function description: When the plan status is canceled, the plan will be displayed on the Cancelled Tab page; ① Resume the exam: Select the plan and click [Resume Exam]. The plan status changes from Cancelled to Not Started and the plan is displayed on the Not Started tab page. ② Delete: Select a plan and click [Delete] to delete the plan.

8. The pathologist digital slice actual combat simulation training examination system according to claim 2 is characterized in that: The examination includes: ① Query function: You can query your own examination plan according to the query conditions such as (exam plan name, exam status, score, exam time); ②Mock test: The test administrator will add a test paper called mock test, so that candidates can familiarize themselves with the system and understand the test process before the test; ③ Start the exam: After the candidate selects the job title and enters the years of service to confirm, he / she can click Start the exam to answer questions; (The job title and years of service will default to the data filled in the last exam) ④ Exam time not reached: If the exam schedule does not reach the start time, the current schedule will be regarded as the exam time not reached; ⑤ Absence: If a candidate does not take the exam after the scheduled exam time, the candidate will be considered as absent from the exam. ⑥ No results released: If the examinee has completed the exam but the administrator has not completed the grading and released the scores, the results of this plan will not be released; ⑦ Check the test paper: After the test is finished and the test scores are released by the administrator, the candidates can check the test scores and test paper details; ⑧ The test questions are timed questions: candidates cannot answer the questions after the time limit expires; The examination also includes: For multiple rounds of questions, candidates can answer multiple times. After selecting a marker in each round, enter the diagnosis result. If the diagnosis result is the correct answer, the marker will display a green √. For the selected marker, the marker slice or result details can be viewed. Candidates can enter the diagnosis result based on the slice content; ① Click on the digital slice or image uploaded in the pathology description, and the page will jump to the viewing and answering interface; ② Click on the selected marker containing slice data, and the page will jump to the interface of answering while watching; ③ Select the marker. The marker cannot be added repeatedly and can only be selected once; ④ If the question is a timed question, you cannot answer the question after the time has expired; Answering time-limited questions: Administrators can set time-limited questions when setting questions. When the time limit for a time-limited question is up, the question cannot be answered. If the question is switched, the time-limited question cannot be answered again. ① If the remaining time for this question is greater than or equal to the remaining examination time, the remaining time for this question ends and the question cannot be answered again; if the remaining time for this question is less than the remaining examination time and the remaining examination time has expired, the system will automatically hand in the paper and save the candidate's answers; ② If the remaining time for this question has not expired and the candidate switches to another question, the system will automatically save the answer to this question and the candidate cannot continue answering the question if he / she switches to another question. If the candidate exits the test abnormally, he / she cannot continue answering the timed questions when he / she re-enters the test. ③ If the administrator increases the test time for the examinee, the time-limited questions cannot be increased, that is, the time-limited questions cannot be answered further; When answering mixed questions, if the administrator sets the mixed question as a related question, the question must be answered in the order of the sub-questions. After the sub-question is confirmed, the content of the next sub-question will be displayed, and the previous question cannot be modified; ① If the mixed question is a related question, the question will not participate in the random order function, and the order of the question will be consistent with the question bank; if the question is not a related question, the question can be randomized; ② Mixed questions are related questions. Candidates must answer the previous question and confirm that they have completed it before the next question will be displayed, and the previous question cannot be modified. If this question is not a related question, all the questions in this question will be displayed, and candidates can choose the questions to answer first according to their own preferences.

9. The pathologist digital slice actual combat simulation training examination system according to claim 2 is characterized in that: The statistics module is mainly used by statistics administrators, who are responsible for the statistics, analysis and publication of test scores and have the authority to view the statistics of all published test score plans; ① Query: You can query the examination plan information by (exam plan name, test paper name, current status, number of test questions, exam time, exam duration); ② View plan details: Click the exam plan list and the exam plan name to view the exam plan details; ③ View test paper details: Click the test plan list and the test paper name to view the test paper details; ④ Statistics by plan, select the list plan, click the [Statistics by plan] button to enter the total score ranking statistics interface; ⑤ View the test paper details of the candidate: Click the candidate's name to view the test paper details of the candidate; ⑥Set up groups: Administrators can group candidates in the plan, and the groups in each plan are independent of each other; The assessment result feedback is intended to allow the groups / candidates with excellent test results to share their diagnostic experience of the test, systematically sort out the theme of this assessment, and focus on analyzing the test results of the candidates, and share the deficiencies in the knowledge points of the test theme; finally, through an examination system that simulates real pathology diagnosis work scenarios for the purpose of training, the diagnostic ability of clinical pathology doctors will be improved.

10. The pathologist digital slice actual combat simulation training examination system according to claim 1 is characterized in that: The exam simulation includes: (1) The assessment method is a practical exercise that simulates the normal diagnostic workflow; (2) The assessment is a closed-book examination and the examinee is not allowed to review relevant materials during the assessment; (3) The assessment uses a digital slide system to answer questions. The examinee logs in with the username and password assigned in advance, and the examinee answers questions based on the digital HE slides. If immunohistochemistry testing is required, the normal working process is simulated. One round of immunohistochemistry represents one working day. If more than four rounds are completed, 0 points will be given. After the examinee completes the first round of immunohistochemistry indicators, click Submit and the system will match the corresponding immunohistochemistry intraoperative slides. (4) After the examinee has completed the diagnosis of all the slices, he / she may submit the examination paper; The scoring rules include (1) Each case has a full score of 100 points (only one correct conclusion), and 5 points will be deducted for each additional part; (2) Comprehensive diagnostic skills scoring: No points will be deducted if the immunohistochemical test is within 5 indicators, and 2 points will be deducted for each additional indicator; (3) Scoring of diagnostic timeliness: no points will be deducted for the first round of immune indicators, 0 points will be deducted for the first round indicators, 10 points will be deducted for the second round indicators, 10 points will be deducted for the third round indicators, 20 points will be deducted for the fourth round indicators, and 0 points will be deducted for more than four rounds; (4) The minimum score for each question is 0, and there is no negative score; (5) The final assessment score will be calculated by the assessment team on a percentage basis.

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