Test and Training
Test and Training is the quality assurance and training support service, owned by Gloucestershire Hospitals NHS Foundation Trust. It is provided by Gloucestershire Research & Education Group, with the web service provided by Netsima Ltd.
Test & Training (TAT) and the international version (iTAT) are the Internet-served monthly quality assurance and training-support system for readers (graders) of diabetic retinopathy who work in systematic Diabetic Eye Screening Programmes. It is equally useful to new or experienced screening staff and to staff wishing to improve their skills in the detection of diabetic retinopathy from ophthalmic images.
What does the system do?
Each set of 20 cases is randomised at the point of delivery, so no two people see cases in exactly the same order. After each month-end, graders compare their responses and feature-list with the system results and the results of their local and national peers.
The guide grades for these are immediately available allowing graders to review and compare their answers straight away, to increase and enhance their grading knowledge and skills.
Who is it for?
Test and Training
(TAT)
English Diabetic Eye Screening Programmes (NHS-DESP)
International Test and Training
(iTAT)
Available to users outside of England
This version is currently supplied to graders in China, the Republic of Ireland, Bangladesh, United Arab Emirates, Jamaica, Iceland, eSwatini plus many others.
The key features of this system include:
- Internet-served secure testing system
- Password protected authorised multi-role access
- Works with multiple web-browsers
- Available 24/7 (no time zone issues)
- 12 monthly test sets of 20 cases / eyes (240 cases per year)
- Cases previously ‘ground-truthed’ by panel
- Feature-based ‘lesion’ recording
- Randomised case presentation orders to users (reduces sharing in Tests)
- Image viewer tools: auto ETDRS grid, red-free, magnification, contrast etc.
Results:
- Secure pseudonymised data
- Scores against panel & peer grades
- Full lesion list per case
- Lesion-annotated results images
- My history monthly historic results
- Manager’s detailed reports
- Can be tailored to different levels / schemes (chargeable)
The advantages of using Test and Training include:
- Standardised test environment
- Available 24/7
- Entirely feature-based lesion recording
- Common diabetic retinopathy lesions with enriched ‘sight-threatening features’ bias
- Identifies high and low performing staff
- Supports sensitivity and specifity calculations
- Test results comparisons against system and peers after each month-end
- Post-test training library supports new staff, MDT meetings and case discussions
- Test and re-test through the training library with immediate results
If you are interested in accessing the International Test & Training system and services, please send us an enquiry for further information regarding registration and set-up fees.
View our gallery of Test and Training samples
