青年眼科医师在白内障手术规范化培训中存在的问题及策略研究
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摘要
本文介绍了我国白内障手术的现状,总结了青年眼科医师培养中存在的问题,提出依托智能化、信息化体系快速、大量、高标准地开展青年眼科医师培养的策略和利用最新的计算机视觉处理技术进行眼科手术视频数据处理分析的可行性,以期为将来通过眼科手术视频数据设计辅助手术工具和模拟培训体系培训青年眼科医师提供指导。
This paper introduces the current situation of cataract surgery in China, summarizes the problems in the training of young ophthalmologists, and offers the strategy to develop young ophthalmologists by intelligence and information system, to discuss the feasibility of using the latest computer vision processing technology to take video data processing and ophthalmic surgery analysis, in order to design surgical tools and simulation training system for young ophthalmologists training through eye surgery video data in the future.
This paper introduces the current situation of cataract surgery in China, summarizes the problems in the training of young ophthalmologists, and offers the strategy to develop young ophthalmologists by intelligence and information system, to discuss the feasibility of using the latest computer vision processing technology to take video data processing and ophthalmic surgery analysis, in order to design surgical tools and simulation training system for young ophthalmologists training through eye surgery video data in the future.
引文
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[18]吴航,戴惟葭,刘大川,等.利用手术模拟器提高眼科青年医师白内障手术技能在临床教学中的应用[J].国际眼科杂志,2009,9(11):2158-2159.
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[22]朱明善.眼科超声生物显微镜研究进展[J].中国医疗器械杂志,2014,38(2):122-125.
[23]董骋寰,薛奥,黄焱.多媒体案例教学在眼科学教学中的应用[J].基础医学教育,2014,16(6):479-480.
[24]吴航,戴惟葭,董莹,等.手术模拟器培训眼科青年医师显微手术技能的观察研究[J].国际眼科杂志,2015,15(7):1240-1241.
[25]张自峰,胡丹,周健,等.以问题为基础学习教学法在八年制学员眼科临床实习的应用[J].国际眼科杂志,2015,15(9):1625-1628.
[26]胡旭颞,张宗端,郑斌,等.眼科显微手术技能分级培训模式的探索[J].中国高等医学教育,2013(9):63-64.
[27]张媛,欧阳薇薇,胡章雪,等.重庆市住院医师规范化培训现状PDCA分析[J].重庆医学,2015,44(6):851-853.
[28]李培杰,刘晓梅.PDCA循环法在住院医师规范化培训中的应用效果[J].齐鲁医学杂志,2014,29(1):83-84.
[29]Lalys F,Jannin P.Surgical process modelling:a review[J].Int J Comput Assist Radiol Surg,2014,9(3):495-511.
[30]Tao L,Zappella L,Hager GD,et al.Surgical gesture segmentation and recognition.Med Image Comput Comput Assist Interv,2013,16(Pt3):339-346.
[31]Cho K,van Merrienboer B,Gulcehre C,et al.Learning phrase representations using RNN encoder-decoder for statistical machine translation[J].EMNLP,2014,14(6):1078-1093.
[32]杨楠,南琳,张丁一,等.基于深度学习的图像描述研究[J].红外与激光工程,2018,47(2):1-8.
[33]Quellec G,Charriere K,Boudi Y,et al.Deep image mining for diabetic retinopathy screening[J].Med Image Anal,2017,39(2017):178-193.
[34]Zhu W,Hu J,Sun G,et al.A key volume mining deep framework for action recognition[C]//Computer Vision&Pattern Recognition,2016:1991-1999.
[35]Charriere K,Quellec G,Lamard M,et al.Real-time analysis of cataract surgery videos using statistical models[J].Multimed Tools Appl,2016,6(76):1-19.
[36]Henkel LA.Point-and-shoot memories:the influence of taking Photos on memory for a museum tour[J].Psychol Sci,2014,25(2):396-402.
[2]姚克,叶盼盼.我国近五年白内障研究进展和展望[J].中华眼科杂志,2010,46(10):888-892.
[3]侯旭,胡丹,周健.规范眼科住院总医师培训提升眼科专业人才素质[J].西北医学教育,2014,22(1):202-205.
[4]Sofka CM.Developments and innovations in resident and fellowship education:review article[J].HSS J,2014,10(3):225-229.
[5]丁琳,王绍飞,宋艳.眼科住院医师规范化培训模式的探讨[J].继续医学教育,2014,28(1):15-16.
[6]Cedfeldt AS,Bower E,Flores C,et al.Promoting Resident Wellness:Evaluation of a Time-Off Policy to Increase Residents′Utdization of Health Care Services[J].Acad Med,2014,90(5):678-683.
[7]Twinanda AP,Shehata S,Mutter D,et al.Endo Net:A Deep Architecture for Recognition Tasks on Laparoscopic Videos[J].IEEE Trans Med Imaging,2017,36(1):86-97.
[8]Al Hajj H,Lamard M,Charriere K,et al.Surgical tool detection in cataract surgery videos through multi-image fusion inside a convolutional neural network[J].Conf Proc IEEE Eng Med Biol Soc,2017,2017:2002-2005.
[9]侯旭,胡丹,周健.眼科进修医师培训的问题与思考[J].国际眼科杂志,2015,15(3):517-519.
[10]赵家良.提高白内障手术率是我国防盲治盲的当务之急[J].中华医学杂志,2013,93(47):3729-3730.
[11]黄家林,刘斌,朱增钦,等.发展中国家白内障手术的现状[J].国际眼科杂志,2013,13(6):1142-1146.
[12]曾光,于萌,李洁,等.眼科学专业学位研究生参加住院医师规范化培训中的实践初探[J].医学美学美容:中旬刊,2015,2015(3):487.
[13]中华医学会眼科学分会白内障及人工晶状体学组.我国白内障及人工晶状体近五年十大研究进展[J].中华眼科杂志,2015,51(4):301-304.
[14]Ye H,Wu Z,Zhao RW,et al.Evaluating two-stream CNN for video classification[C]//ACM on International Conference on Multimedia Retrieval,2015:435-442.
[15]Donahue J,Hendricks LA,Rohrbach M,et al.Long-Term Recurrent Convolutional Networks for Visual Recognition and Description[J].IEEE Trans Pattern Anal Mach Intell,2017,39(4):677-691.
[16]李燕,林铎儒,梁苑眼科住院医师委托培养效果的评估研究[J].眼科学报,2016,31(4):251-258.
[17]范文欢,熊林平,陶磊,等.我国住院医师规范化培训考核评估研究及对策[J].现代医院,2016,16(4):592-594.
[18]吴航,戴惟葭,刘大川,等.利用手术模拟器提高眼科青年医师白内障手术技能在临床教学中的应用[J].国际眼科杂志,2009,9(11):2158-2159.
[19]中华医学会眼科学分会白内障及人工晶状体学组.第30届亚太白内障及屈光手术医师学会年会暨第18届全国白内障及人工晶状体学术年会会议总结[J].中华眼科杂志,2017,53(11):878-880.
[20]崔洪雨,刘丹,曲巍,等.PBL教学模式在眼科学教学中的实践[J].国际眼科杂志,2014,14(7):1303-1306.
[21]《黑龙江档案》编辑部.首次写入政府工作报告的人工智能解读[J].黑龙江档案,2017,2017(4):112.
[22]朱明善.眼科超声生物显微镜研究进展[J].中国医疗器械杂志,2014,38(2):122-125.
[23]董骋寰,薛奥,黄焱.多媒体案例教学在眼科学教学中的应用[J].基础医学教育,2014,16(6):479-480.
[24]吴航,戴惟葭,董莹,等.手术模拟器培训眼科青年医师显微手术技能的观察研究[J].国际眼科杂志,2015,15(7):1240-1241.
[25]张自峰,胡丹,周健,等.以问题为基础学习教学法在八年制学员眼科临床实习的应用[J].国际眼科杂志,2015,15(9):1625-1628.
[26]胡旭颞,张宗端,郑斌,等.眼科显微手术技能分级培训模式的探索[J].中国高等医学教育,2013(9):63-64.
[27]张媛,欧阳薇薇,胡章雪,等.重庆市住院医师规范化培训现状PDCA分析[J].重庆医学,2015,44(6):851-853.
[28]李培杰,刘晓梅.PDCA循环法在住院医师规范化培训中的应用效果[J].齐鲁医学杂志,2014,29(1):83-84.
[29]Lalys F,Jannin P.Surgical process modelling:a review[J].Int J Comput Assist Radiol Surg,2014,9(3):495-511.
[30]Tao L,Zappella L,Hager GD,et al.Surgical gesture segmentation and recognition.Med Image Comput Comput Assist Interv,2013,16(Pt3):339-346.
[31]Cho K,van Merrienboer B,Gulcehre C,et al.Learning phrase representations using RNN encoder-decoder for statistical machine translation[J].EMNLP,2014,14(6):1078-1093.
[32]杨楠,南琳,张丁一,等.基于深度学习的图像描述研究[J].红外与激光工程,2018,47(2):1-8.
[33]Quellec G,Charriere K,Boudi Y,et al.Deep image mining for diabetic retinopathy screening[J].Med Image Anal,2017,39(2017):178-193.
[34]Zhu W,Hu J,Sun G,et al.A key volume mining deep framework for action recognition[C]//Computer Vision&Pattern Recognition,2016:1991-1999.
[35]Charriere K,Quellec G,Lamard M,et al.Real-time analysis of cataract surgery videos using statistical models[J].Multimed Tools Appl,2016,6(76):1-19.
[36]Henkel LA.Point-and-shoot memories:the influence of taking Photos on memory for a museum tour[J].Psychol Sci,2014,25(2):396-402.