基于证据的医学临床综合电子学习课程对生殖健康培训的有效性:一项随机试验
Regina Kulier1, Ahmet Metin Gülmezoglu, Javier Zamora
1Department of Research Policy and Cooperation, World Health Organization (WHO), Geneva, Switzerland.
JAMA
|December 6, 2012
概括
一个临床综合的电子学习课程改善了低中等收入国家的医疗保健专业人员的基于证据的医学 (EBM) 知识和技能. 该研究表明,与传统的EBM教学方法相比,增强学习.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 基于证据的医学基于证据的医学.
背景情况:
- 基于证据的实践需要临床整合基于证据的医学 (EBM) 教学.
- 低收入中等收入国家 (LMICs) 在EBM培训方面面临挑战,包括教师短缺和对资源的限制.
- 在文化上嵌入EBM对于在不同环境中有效提供医疗保健至关重要.
研究的目的:
- 利用世卫组织生殖健康图书馆 (RHL) 评估一门临床综合电子学习EBM课程.
- 将电子学习课程对知识,技能和教育环境的影响与传统的EBM教学进行比较.
- 评估创新的EBM教育策略在资源有限的环境中的影响.
主要方法:
- 一个国际集群随机试验,涉及7个LMIC的研究生妇产科实习生.
- 实验组 (临床综合电子学习EBM课程) 与对照组 (自主导导EBM课程) 的比较.
- 在基线和干预后 (8周) 进行的EBM知识和技能评估.
主要成果:
- 与对照组相比,实验组在EBM知识 (调整差异,4.9) 和技能 (调整差异,0.7) 中的平均得分明显高.
- 整体教育环境得分没有显著差异,但在一般关系,支持和EBM应用机会方面有所改善.
- 临床综合电子学习方法对关键学习成果产生了积极影响.
结论:
- 一个临床集成的电子学习EBM课程有效地提高了LMICs生殖健康学员的知识和技能.
- 电子学习方法在提高EBM能力方面被证明优于自主学习.
- 调查结果支持采用综合电子学习策略,以加强在资源有限的环境中EBM教育.
相关概念视频
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