Videoconferencing for practice-based small-group continuing medical education: feasibility, acceptability,...

Area of Science:

• Medical Education
• Continuing Medical Education (CME)
• Distance Learning Technologies

Background:

• Small-group, practice-based learning is a recognized effective method for continuing medical education (CME).
• Physicians in remote or small communities often face limitations in forming effective learning groups.
• Videoconferencing presents a potential solution to overcome geographical barriers in CME.

Purpose of the Study:

• To assess the feasibility of conducting practice-based, small-group CME via videoconference.
• To evaluate the acceptability and effectiveness of this remote learning format.
• To determine the associated costs of implementing videoconferenced CME.

Main Methods:

• Four practice-based learning modules were delivered via videoconference to 31 learners across multiple sites.
• Data collection involved evaluation questionnaires, direct observation, pre- and post-knowledge tests, a focus group, and interviews.
• A trained facilitator guided the sessions from a separate location.

Main Results:

• Videoconferencing was generally well-accepted by learners, with a 20% increase in post-test knowledge scores (p = .006).
• Technical issues like audio lag and video quality slightly hindered discussions but did not prevent knowledge gain.
• Learners reported nine practice changes, and the facilitator found moderating only slightly more difficult than in-person sessions.
• Telecommunication costs were approximately CAN$1,200 per module.

Conclusions:

• Videoconferencing is a viable method for delivering small-group, practice-based CME, extending its benefits to physicians in diverse locations.
• Successful implementation requires careful attention to videoconferencing techniques and managing associated costs.
• This technology can help overcome limitations of traditional CME delivery in underserved areas.