Weaver Marcia R, Nakitto Cecilia, Schneider Gisela, Kamya Moses R, Kambugu Andrew, Lukwago Robinah, Ronald Allan, McAdam Keith, Sande Merle A
Department of Health Services and International Training and Education Center on HIV, I-TECH, University of Washington, Seattle, 98104, USA.
J Acquir Immune Defic Syndr. 2006 Nov 1;43(3):293-303. doi: 10.1097/01.qai.0000243047.42827.97.
To evaluate the effects of the Infectious Diseases Institute's 4-week course for African doctors on comprehensive management of HIV including antiretroviral therapy on four outcomes: (1) clinical skills, (2) clinical activities, (3) monitoring of HIV patients, and (4) training activities
Clinical exam at beginning and end of course and at follow-up 3 to 4 months later, and a cross-section telephone survey.
Forty-seven doctors attending the course (October 2004, November 2004, March 2005, and April 2005) agreed to participate. A 17-item Clinical Exam Checklist was used to assess clinical skills. A telephone survey was conducted 1 month after the course to collect data in four areas: clinical activities, monitoring of HIV patients, case studies on initiation of ART, and training activities.
The course improved the clinical skills of doctors. Between the beginning and end of the course, their clinical skills improved significantly in 11 of 17 areas (n = 34). Between the end of the course and follow-up, their skills improved significantly in three areas (n = 14). The trainees were practicing HIV care and training. The telephone survey (n = 46) showed that 93% of trainees treated HIV patients, 35% provided training on HIV, and 47% monitored the weight of the last HIV patient treated (patient's weight was a clinical end point to measure health status). At follow-up, everyone provided training and trained an average of 20 people per month.
评估传染病研究所为非洲医生开设的为期四周的课程对包括抗逆转录病毒疗法在内的艾滋病毒综合管理在四个方面的效果：（1）临床技能，（2）临床活动，（3）艾滋病毒患者监测，以及（4）培训活动
在课程开始和结束时以及三到四个月后的随访时进行临床检查，并进行横断面电话调查。
47名参加该课程的医生（2004年10月、2004年11月、2005年3月和2005年4月）同意参与。使用一份包含17项内容的临床检查清单来评估临床技能。在课程结束1个月后进行电话调查，以收集四个方面的数据：临床活动、艾滋病毒患者监测、抗逆转录病毒治疗启动的案例研究以及培训活动。
该课程提高了医生的临床技能。在课程开始和结束之间，他们在17个领域中的11个领域临床技能有显著提高（n = 34）。在课程结束和随访之间，他们在三个领域技能有显著提高（n = 14）。学员们在从事艾滋病毒护理和培训工作。电话调查（n = 46）显示，93%的学员治疗艾滋病毒患者，35%提供艾滋病毒相关培训，47%监测最后一位接受治疗的艾滋病毒患者的体重（患者体重是衡量健康状况的临床终点）。在随访时，每个人都提供培训，平均每月培训20人。
