This study is intended as a follow-up of the "Development of a Computer-Simulation Teaching Material Using Video Images for Endoscopic Education Concerning Gastric Cancer," which was published in Japanese Journal of Applied IT Healthcare in 2009. The purpose of this study is to evaluate simulation type materials for endoscopic education developed in the preceding paper. For this purpose, we conducted education for 82 medical students, and evaluated the learning history data of materials used. As a result, it was found that the eight quizzes in teaching materials are classified into 2 clusters according to the dependence on images. Further, in the evaluation of the extent diagnosis of the lesion with use of the criterion of "detection rate - over-detection rate", it was found that a NBI (dye) image is suitable for diagnosis than a normal image. From the results of this study, in endoscopic education, it is difficult to learn skills obtained by solving the quizzes related to diagnosis of an image, by the conventional learning text. Thus, it is necessary to learn both the quizzes related to medical knowledge and the quizzes related to diagnosis of an image. It is recommended that to enhance the diagnosis ability, images are more used. From the reason for this, we suggest that e-learning using the images such as the video images has advantage, particularly in endoscopic education.
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