継続教育形式での在住医のパフォーマンス. 新しく得られた知識は,患者のケアを改善するのでしょうか
JAMA
|November 14, 1980
まとめ
医療従事者は予防歯科に関する知識を得ましたが,全身的なフッ素の処方習慣は変わりませんでした. 医者のパフォーマンスと患者のケアを改善するために,個々のモニタリングと強化が必要でした.
科学分野:
- 歯科 歯科は,歯科を専門とする歯科です.
- 医療教育 医療教育について
背景:
- 予防的歯科教育は,家庭医学のリジデントにとって極めて重要です.
- システミック・フッ素の処方箋は,小児歯科医療の重要な側面です.
研究 の 目的:
- 家族医学専門医における全身性フッ素の処方習慣に対する新たに得られた知識の影響を評価する.
- 医者の行動を変えるための教育的介入の効果を評価する.
主な方法:
- 住民はランダムに2つのグループに分けられ,ビデオテープを通じて歯科教育を受けました.
- 1グループは,予防的歯科技術を実施するための追加の具体的な指示を受けました.
- 知識の記憶と処方習慣は,チャート監査を通じて3ヶ月間モニタリングされました.
主要な成果:
- レジデントは,予防歯科情報の重要な知識獲得と保持を示しました.
- 教育的介入の直後に,両方のグループで正しい全身性フッ化物処方量の実質的な増加は観察されなかった.
- 処方行動の望ましい変化を達成するために,個々のモニタリングと強化が必要でした.
結論:
- 知識の獲得だけでは,入院医の臨床実務への応用を保証するものではありません.
- レジデンスプログラムは,新しい知識に基づいて医師のパフォーマンスを向上させるための介入を実施するのに適した環境を提供します.
- 継続的な医療教育戦略には,医師の行動を効果的に変えるために,継続的な監視と強化を組み込む必要があるかもしれません.
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