Macfarlane J R, Heilbrun M P, Brown B, Apfelbaum R I
Division of Neurological Surgery, University of Utah School of Medicine, Salt Lake City.
Neurosurgery. 1991 Aug;29(2):309-14. doi: 10.1097/00006123-199108000-00028.
Computer technology has become standard in many areas of medical practice, but computer-assisted instruction has not replaced standard textbooks and didactic lectures. This paper describes the development of a computer image-based educational system designed for neurosurgical instruction. The advantages and applications of this system for both clinical and academic use and the required software and hardware requirements are delineated. This computerized tutorial can organize and manipulate large amounts of data. The Neurosurgery Image Manager system contains an introductory help section, a self-assessment test in neurosurgery, and a data base of images from the video disc "The Slice of Life," produced at the University of Utah. Questions are taken from the Self-Assessment in Neurological Surgery series. Additionally, the system contains a reference index for all material in the tutorial, a scored clinical problems section, and a several hundred word glossary. The system is programmed using the Macintosh Hypercard authoring system. Large data bases can be manipulated and linked with graphics, text, and peripherals. Images are stored using the MacVision II digitizing system. The hardware necessary to operate the system and the method of implementation of Neurosurgery Image Manager are described. The prototype Neurosurgery Image Manager has been accepted by the Joint Committee on Education of the American Association of Neurological Surgeons and Congress of Neurological Surgeons as one of the computer formats for the next self-assessment tests.
计算机技术已在许多医学实践领域成为标准配置，但计算机辅助教学尚未取代标准教科书和传统的讲授式课程。本文描述了一个为神经外科教学设计的基于计算机图像的教育系统的开发情况。阐述了该系统在临床和学术应用方面的优势及应用，以及所需的软件和硬件要求。这个计算机化教程能够组织和处理大量数据。神经外科图像管理器系统包含一个入门帮助部分、一个神经外科自我评估测试，以及来自犹他大学制作的视频光盘《生活切片》的图像数据库。问题取自《神经外科自我评估》系列。此外，该系统还包含教程中所有材料的参考索引、一个计分临床问题部分，以及一个几百字的术语表。该系统使用麦金塔Hypercard创作系统进行编程。大型数据库可以进行操作，并与图形、文本和外围设备相链接。图像使用MacVision II数字化系统进行存储。描述了运行该系统所需的硬件以及神经外科图像管理器的实施方法。神经外科图像管理器原型已被美国神经外科医师协会教育联合委员会和神经外科医师大会接受，作为下一次自我评估测试的计算机格式之一。
