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Curriculum Innovations: Teaching Residents About Guideline Development and Cost-Conscious Care: A Mixed-Method

Marian Majoie^1,2,3, Anne Visser⁴, Merve Ulubas⁵

¹Academic Center of Epileptology Kempenhaeghe Maastricht UMC+, the Netherlands.

Neurology. Education

|March 5, 2025

Summary

This study shows that the CoCoCare training program effectively prepared neurology residents for clinical practice guideline (CPG) development and application. The program fostered active, collaborative learning, though workload management needs refinement.

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Area of Science:

Medical Education
Health Services Research
Evidence-Based Practice

Background:

Clinical practice guidelines (CPGs) are essential for cost-efficient healthcare.
Training healthcare providers in CPG development is crucial for their effective implementation.
Problem-based learning principles can enhance CPG development training.

Purpose of the Study:

To evaluate the CoCoCare training program for neurology residents in CPG development.
To assess the program's impact on participants' ability to develop and apply CPGs, including cost aspects.
To gather feedback for program improvement.

Main Methods:

Design-based research methodology with a mixed-methods approach.
A blended learning curriculum including e-learning modules, workshops, and practical assignments.
Data collection via questionnaires and interviews from 55 participants and trainers across 21 European countries (2019-2021).

Main Results:

Participants reported increased confidence in CPG development and critical appraisal skills.
Trainers observed an upward trend in participants' knowledge and application of CPGs.
Key strengths included active, authentic, and collaborative learning; a challenge was the workload of assignments.

Conclusions:

The CoCoCare program is a feasible and unique international training for guideline development, emphasizing cost-efficient care.
Recommendations include accreditation, enhanced trainer-participant interaction, workload adjustment, and feedback mechanisms.
Future research should focus on the impact of training on CPG application and development participation.