A natural language intelligent tutoring system for training pathologists: implementation and evaluation.

Introduction: We developed and evaluated a Natural Language Interface (NLI) for an Intelligent Tutoring System (ITS) in Diagnostic Pathology. The system teaches residents to examine pathologic slides and write accurate pathology reports while providing immediate feedback on errors they make in their...

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Publicado en:Advances in Health Sciences Education Vol. 13; no. 5; pp. 709 - 723
Autores principales: El Saadawi GM, Tseytlin E, Legowski E, Jukic D, Castine M, Fine J, Gormley R, Crowley RS, El Saadawi, Gilan M, Tseytlin, Eugene, Legowski, Elizabeth, Jukic, Drazen, Castine, Melissa, Fine, Jeffrey, Gormley, Robert, Crowley, Rebecca S
Formato: Journal Article
Publicado: Springer Nature Dec2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2008
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        atl: A natural language intelligent tutoring system for training pathologists: implementation and evaluation.
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          El Saadawi GM
          Tseytlin E
          Legowski E
          Jukic D
          Castine M
          Fine J
          Gormley R
          Crowley RS
          El Saadawi, Gilan M
          Tseytlin, Eugene
          Legowski, Elizabeth
          Jukic, Drazen
          Castine, Melissa
          Fine, Jeffrey
          Gormley, Robert
          Crowley, Rebecca S
        affil: Department of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, USA
      sug:
        subj:
          Computer-Assisted Instruction
          Natural Language Processing
          Pathology Education
          Adaptation, Psychological
          Computer-Assisted Instruction Standards
          Internship and Residency
          Models, Educational
          Problem-Based Learning Methods
          Program Evaluation
          Self Assessment
          User-Computer Interface
          Writing Standards
      ab: Introduction: We developed and evaluated a Natural Language Interface (NLI) for an Intelligent Tutoring System (ITS) in Diagnostic Pathology. The system teaches residents to examine pathologic slides and write accurate pathology reports while providing immediate feedback on errors they make in their slide review and diagnostic reports. Residents can ask for help at any point in the case, and will receive context-specific feedback.Research Questions: We evaluated (1) the performance of our natural language system, (2) the effect of the system on learning (3) the effect of feedback timing on learning gains and (4) the effect of ReportTutor on performance to self-assessment correlations.Methods: The study uses a crossover 2 x 2 factorial design. We recruited 20 subjects from 4 academic programs. Subjects were randomly assigned to one of the four conditions--two conditions for the immediate interface, and two for the delayed interface. An expert dermatopathologist created a reference standard and 2 board certified AP/CP pathology fellows manually coded the residents' assessment reports. Subjects were given the opportunity to self grade their performance and we used a survey to determine student response to both interfaces.Results: Our results show a highly significant improvement in report writing after one tutoring session with 4-fold increase in the learning gains with both interfaces but no effect of feedback timing on performance gains. Residents who used the immediate feedback interface first experienced a feature learning gain that is correlated with the number of cases they viewed. There was no correlation between performance and self-assessment in either condition.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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