基于互联网的CME与现场交互式CME研讨会的教学效果的比较:一个随机对照试验
Michael Fordis1, Jason E King, Christie M Ballantyne
1Center for Collaborative and Interactive Technologies, Department of Pediatrics, Baylor College of Medicine, Houston, Tex 77030, USA. fordis@bcm.tmc.edu
JAMA
|September 8, 2005
概括
基于互联网的持续医学教育 (CME) 与实时的CME相比,显示了可比的知识获益和改善的患者治疗行为. 这支持在线CME作为医生专业发展和改善患者护理结果的有效方法.
科学领域:
- 医学教育研究 医学教育研究
- 数字健康干预措施 数字健康干预措施
- 基于证据的实践.
背景情况:
- 持续医学教育 (CME) 对于医生技能提升至关重要.
- 以前的研究表明,各种CME格式可以影响医生的行为.
- 没有随机试验将基于互联网的CME与有效的实时CME干预进行了性能结果的比较.
研究的目的:
- 为了比较基于互联网的CME与实时CME的有效性.
- 评估医生知识和患者护理行为的变化.
- 评估在线CME是否可以产生与传统现场格式相提并论的结果.
主要方法:
- 这是一项随机对照试验,涉及97名初级保健医生.
- 干预包括基于互联网的CME和现场小型小组研讨会.
- 干预前后评估知识;审计患者护理行为.
主要成果:
- 基于互联网和实时的CME都显著提高了医生知识.
- 没有观察到脂质面板查率的显著变化.
- 基于互联网的CME导致高风险患者遵循指南的药物治疗治疗显著增加.
结论:
- 精心设计,基于证据的在线CME可以有效地提高医生的知识和行为.
- 基于互联网的CME结果与现场CME活动相比,甚至可能更好.
- 在线CME代表了专业发展和加强患者护理的可行和有效模式.
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