比较两种培训方式,支持在儿科初级保健中采用安全环境为每一个孩子的方法
Howard Dubowitz1, Rose Belanger1, Laurence Magder2
1Department of Pediatrics (H Dubowitz, R Belanger, H Kim, and V Muralidharan), University of Maryland School of Medicine, Baltimore.
Academic pediatrics
|July 14, 2024
概括
独立的在线培训和维护认证-4活动同样改善了初级保健专业人员对每个孩子安全环境方法的实践. 更简单的在线培训模式因其效率而受到青.
科学领域:
- 实施科学 实施科学
- 继续医学教育 继续医学教育
- 儿科初级护理 儿科初级护理
背景情况:
- 每个孩子的安全环境 (SEEK) 方法是一种基于证据的实践,需要有效的传播和实施策略.
- 持续医学教育 (CME) 对于更新医疗保健专业人员的知识和实践行为至关重要.
研究的目的:
- 为了比较两种CME模式的有效性 - - 独立在线培训 (IND) 和维护认证-4 (MOC) 活动 - - 关于初级保健专业人员 (PCP) 采用SEEK方法.
- 评估这些模式对PCP关于SEEK的思考和实践行为的影响.
主要方法:
- 一个纵向,多站点,混合方法,集群随机对照试验,涉及21个儿科初级保健实践.
- 两百十个PCP在两年内完成了多达四次的调查;一个子集被采访了多达三次.
主要成果:
- 无论是IND还是MOC培训,都显著改善了PCP与SEEK相关的思维和行为,持续影响超过两年.
- 在IND和MOC培训组之间没有观察到显著的结果差异.
- 总体而言,PCP们对培训的看法是积极的,尽管有些人报告了局限性. 培训的有效性并没有受到PCP特征或行为健康专业人员的存在的影响.
结论:
- 更简单的独立在线培训模式在改善SEEK实践方面与MOC活动一样有效,这表明它可能是一个更有效的选择.
- 虽然MOC培训包含了成人学习原则,但缺乏差异凸显了对优化CME和为不同学习者量身定制方法的进一步研究的需要.
- 这些发现支持通过可访问的在线CME模式传播SEEK方法.
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