Forms Of Continuing Medical Education Research Articles

Investigation on the Needs of Obstetricians & Gynecologists in Different Types of Hospitals for the Content and Forms of Continuing Medical Education and Training

Background: Medicine is to some extent an empirical science that requires repeated clinical practice. To explore the needs of obstetricians & gynecologists (Ob & Gy) in different kinds of hospitals for continuing medical education (CME) training content and forms. Method: From April 2020 to May 2020, an online questionnaire was distributed on the largest academic training platform for Ob & Gy in China, which included doctors’ mastery of diseases, training content and forms of CME. Results: A total of 4458 questionnaires were returned, of which 3954 were included in the study. There is a significant statistical difference between doctors in general hospitals, maternity specialized hospitals, or maternity and child specialized hospitals in the mastery of most common gynecological and obstetric diseases, among which, doctors in general hospitals have a better mastery (p < 0.001). Generally, doctors in different types of hospitals have a lower mastery of gynecological endocrine-related diseases; doctors in general hospitals have a better mastery of abnormal uterine bleeding (Exp 1.25, 95% Confidence Interval (CI) 1.09~1.44, p = 0.00), and doctors in specialized hospitals are better at infertility and precocious puberty/delayed pubertal development (p = 0.00). The preferred professional direction and training for doctors in different types of hospitals were to strengthen the knowledge of gynecological endocrine diseases through online teaching. Conclusions: Doctors in different types of hospitals generally have lower mastery of gynecological endocrine-related diseases, and doctors in general hospitals have a better mastery of common gynecological and obstetric diseases than those in specialized hospitals. The training content with the greatest need focuses on common gynecological endocrine-related diseases. Online teaching is the most popular educational model.

The intraorganizational training in ambulatory polyclinic organizations

The intraorganizational training can be an efficient addition to modern system of continuous medical education. The purpose of study is to theoretically substantiate and to develop an intraorganizational system of continuous professional education of medical personnel, to implement intraorganizational system of continuous professional education of medical personnel into medical organizations providing out-patient medical care and to assess its efficiency. The study was organized at the base of three non-state medical organizations of Moscow providing out-patient medical care. Two out of them had net organizational structure, one was represented by single medical organization. The study implemented such research methods as organizational experiment, expertise, sociological survey, test control, analytical and statistical methods. The system of continuous professional education of medical personnel including "Adaptation", "Correction" and "Development" levels was developed and tested. The system of continuous professional education of medical personnel comprises intraorganizational training center, intraorganizational system of remote training, form of long-term cooperation with educational organization, application of target training programs focused on adjustment of deficiency of knowledge and skills and acquirement of new professional competences by medical personnel. The intraorganizational system of continuous professional education of medical personnel can be used as an addition to modern form of continuous medical education. It can be used in state and non-state medical organizations. The study proved positive effect of intraorganizational training on the level of professional qualification, increase of satisfaction of medical personnel and increase of quality of medical care.

Knowledge of spacer device, peak flow meter and inhaler technique (MDIs) among health care providers: an evaluation of doctors and nurses.

Metered dose inhalers are cornerstone in effective management of bronchial asthma when correctly used. Most studies hitherto have focused on assessing patient's knowledge of inhaler technique. We sought to assess the knowledge of inhaler technique, spacer device and peak flow meter among doctors and nurses in a tertiary healthcare institution in Nigeria. A cross sectional survey of nurses and doctors from emergency department, family and internal medicine; who were attending a continuous professional development lecture, was carried out. From a total of 100 questionnaires administered, we retrieved 87 of which 75 were completed, giving a response rate of 75%. It was a self-administered questionnaire. Data was analysed with SPSS version 21.0. Descriptive statistics were done. Association was examined using chi-square test. Mean age of respondent was 35.8 years ± 8.7, 47(62.7%) were < 40 years, 33(44%) were male, nurses were 30(40.0%). Only 28(37.3%) had ever used a peak flow meter. Only 4(14.3%) used peak flow meter frequently, while 12(26.7%) checked patient's inhaler technique often. Only 9 out of the 75 (12%) participants all of who are doctors knew at least 3 essential steps of the techniques in using the metered dose inhaler correctly. None of the participants got all the steps for the use of pMDI totally correct. Knowledge regarding the use of the metered dose inhaler and spacer device was poor. Health practitioners should have constant reminders in the form of continuous medical education to update their knowledge regarding correct inhaler technique. self-funded.

Preventing pregnancy among women with chronic illnesses: A study of the roles of non-gynecologists practicing in Zaria, Nigeria

Background: Women all over the world suffer from chronic illnesses such as hypertensive diseases, cardiac diseases, diabetes mellitus, mental illnesses, cancers, and HIV/AIDS. Unprotected sex in the presence of preserved fertility could lead to unplanned pregnancies that could pose additional challenges to the ongoing chronic morbidities especially in low-resource settings. We assess the knowledge of non-gynecologists on contraceptive requirements for women with chronic and debilitating illnesses and how these requirements are met within their practice. Patients and Method: A cross-sectional descriptive study using a structured pretested and self-administered questionnaire, administered to non-gynecologists physicians providing care to chronically ill patients in Zaria, northern Nigeria. Data were collected, cleaned, and analyzed using IBM SPSS v19.0. Results: The response rate was 71% (85). Most respondents (88.2%) practice in the teaching hospital and 77.8% (66) had at most 10 years of medical practice. The majority (92.9%) manage women of the reproductive age group (WRAG) with debilitating illnesses. Up to 95.3% (84) agreed that pregnancy affects the management of chronic or debilitating diseases, and 91.8% agreed that these women can benefit from modern contraceptive methods to delay or prevent pregnancies. 74.1% had diagnosed pregnancy among women they managed for chronic or debilitating diseases. Sixty six (76.6%) referred their patients to a contraceptive provider while 9.4% offered them contraception. Up to 51.8% are willing to be trained as counselors in contraception to improve their practice. Conclusions: Training on counseling, especially in the form of Continuous Medical Education can help improve the capacity of non-gynecologists to offer contraceptive services in the context of chronic disorders among WRAG.

Preference for utilization of drug information sources among postgraduate medical residents

Background: Drug use information is vital for ensuring rationale and safe drug therapy. Physician across the globe use different sources of drug information during their routine practice. Postgraduate residents are in their interim-phase of education, research and clinical exposure. They are exposed to vast array of authentic and non-authentic drug information due to technology advancements and interaction with peers and medical representatives. There exists paucity in literature on their preference and drug information pattern. Therefore, this study was conducted to find out their preference for drug information sources.Methods: The present study was prospective, observational, questionnaire-based survey. The study was conducted between March 2017 and April 2017. The study included postgraduate medical residents pursing speciality courses at a tertiary care teaching hospital in Navi-Mumbai. Data was compiled and analysed in Microsoft excel.Results: Majority postgraduate residents preferred Non-electronics source for drug information. Text books (84%) were commonly preferred followed by medical journals in Non-electronic sources while internet-websites (76%) followed by e-journals and e-books were preferred in electronic sources. Majority preferred non-electronic sources for drug pharmacology and adverse reactions while electronic was preferred for indication, interaction, cost and therapy guidelines. For information on new drugs, majority preferred journals (71%) and websites (64%). Lack of time, source knowledge and high cost were perceived limiting factors for drug information.Conclusions: Postgraduate residents have varied preferences for drug information resources. Internet websites poses a challenge for authentic drug information. Interventions in the form of continuous medical education are required to improve their information-seeking behaviours.

Scientific events of the Turner Scientific And Research Institute for children’s orthopedics as a form of continuous medical education for pediatric traumatologists

The experience of the Turner Scientific and Research Institute for Children's Orthopedics in educational activities for improvement of the professional knowledge of pediatric physicians was represented. The target audience of the continuous medical education include traumatologists, pediatric surgeons, and doctors of related specialties of Russia that are involved in diagnosis, treatment, and rehabilitation of children with injuries, congenital and acquired diseases of the musculoskeletal system. Since 1986, the Institute has organized 28 all-Russian scientific and practical conferences on topical issues of traumatology and orthopedics of pediatric age in 22 different cities across the country. In the interest of the institute, the school of pediatric orthopedists is constantly working for district orthopedists of children's polyclinics of St. Petersburg, and regular monothematic seminars are performed with the participation of leading Russian experts and visiting lecturers from abroad. These scientific and practical activities improve the professional skills of doctors and help them improve the provision of specialized care to children.

Discrepancies between primary physician practice and treatment guidelines forHelicobacter pyloriinfection in Korea

To evaluate the attitude of primary care physicians in the diagnosis and treatment of Helicobacter pylori (H. pylori) infection. Primary care physicians in the Seoul metropolitan area answered self-administered questionnaire from January to March 2003. One hundred and eight doctors responded to the questionnaire. The most frequent reasons for testing H. pylori infection were gastric and duodenal ulcers (93.5% and 88.9%, respectively). For patients with H. pylori positive dyspepsia, 28.7% of doctors always tried to eradicate the worm and 34.4% treated selectively. A large proportion (28.7%) of primary care physicians treated H. pylori on a patient's request basis. Only 9.3% of primary care physicians always conducted follow-up testing after treating H. pylori infection. When H. pylori was not cleared by the first treatment, 40.7% of doctors reused the same regimen, 16.7% changed to another triple regimen and 25% to a quadruple regimen. It has been well documented that the issuance of guidelines alone has little impact on practice. Communication between primary care physicians and gastroenterologists in the form of continuous medical education is required.

The continued evolution of the credit system

In its ongoing support of continuous physician professional development, the American Medical Association (AMA) for use in the AMA Physician's Recognition Award has adopted 2 new learning platforms: Performance Improvement (PI) and Internet Point of Care (PoC). This article highlights the process that led to their adoption and places these new forms of continuing and physician professional development in the framework of existing continuing medical education (CME). The article calls for new research that revisits existing data on physician learning and prepares to incorporate provider experience with "practice situated" forms of CME. The Conjoint Committee on CME may serve as an important contributor to this process by enabling valuable dialogue among stakeholder organizations.

Continuing medical education in Irish general practice

Continuing Medical Education (CME) for Irish general practitioners (GPs) has become synonymous with peer review small group activities. The network of CME small groups has grown steadily over the past 20 years and is available throughout the country. These CME groups are run under the auspices of the Irish College of General Practitioners. Ninety percent of all Irish GPs are members of this organisation and 60% participate in CME small group activities on a regular basis. This article deals with the aims, working methods and evaluation procedures of these small groups. In addition, new forms of CME that are becoming of increasing importance to Irish GPs are also mentioned.

Learning and the adoption of innovations among Canadian radiologists

Although learning and change have been connected in theoretical models of innovation diffusion and change theory, evidence has been limited to qualitative data. Moreover, guidance to practitioners as to how these concepts relate to practice has been limited. In order to evaluate its applications to understanding how learning is related to innovations in radiological practices, a survey based on theories of learning and change was distributed to Canadian radiologists. The study evaluated the relationships described in models presented as explanations of how and why changes are made in medical practices. It focused on the nature of the relationship among types of innovations, images of change as described by learners, and use of learning resources in self-directed curricula. Of the 1005 members of the Canadian Association of Radiology who received the survey, 352 responses were described. Responses indicated that a variety of resources for learning were used in order to learn about innovations into practice. Type of change was significantly associated with specific types of resources for learning and attributes of the image of change. Continuing education for health professionals should be based on a variety of strategies to facilitate learning rather than a single approach. Continuing medical education (CME) providers should support the self-directed learning needs of physicians as well as provide courses, workshops, and other traditional forms of CME.