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How do physicians and trainers experience outcome-based education in "Rational prescribing"?
Hamideh M Esmaily1, Rezagoli Vahidi, Niaz Mousavian Fathi
1Medical Management Centre (MMC), Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Stockholm, Sweden. Hamideh.M.Esmaily@ki.se.
BMC Research Notes
|December 24, 2014
Summary
Outcome-based continuing medical education (CME) improved general physicians' knowledge and skills in Iran. Participants found the approach effective, though adapting learning to practice presented challenges.
Area of Science:
- Medical Education
- Primary Care Physician Training
- Health Professions Education
Background:
- Continuing medical education (CME) in Iran faces limitations in educational style and format.
- Outcome-based education (OBE) offers a potential solution by linking learning to physician practice.
- An OBE intervention was developed for general physicians (GPs) focusing on rational prescribing.
Purpose of the Study:
- To explore the perceptions of GPs and trainers involved in an OBE program on rational prescribing.
- To understand the experiences and challenges faced by participants in applying OBE principles.
Main Methods:
- Individual semi-structured interviews were conducted with 9 trainers and 12 GPs.
- Interviews occurred four months post-participation in the CME program.
- Qualitative content analysis was employed to interpret participant experiences.
Main Results:
- Participants widely agreed OBE enhanced knowledge and skills more than previous programs.
- Trainers noted OBE's impact on educational planning, teaching, and assessment.
- GPs identified challenges in applying learning due to social and economic barriers, yet reported improved prescribing attitudes and practices.
Conclusions:
- Outcome-based CME is perceived as valuable and effective for Iranian GPs.
- OBE can be a successful strategy for improving GP performance through CME.
- This approach holds potential for wider application in regional and global medical education contexts.
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