Kilian Barbara J, Binder Louis S, Marsden Julian
Department of Emergency Medicine, St. Luke's Roosevelt Hospital Center, New York, NY, UAS.
Acad Emerg Med. 2007 Nov;14(11):1003-7. doi: 10.1197/j.aem.2007.07.008.
A workshop session from the 2007 Academic Emergency Medicine Consensus Conference, Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake, focused on developing a research agenda for continuing medical education (CME) in knowledge transfer. Based on quasi-Delphi methodology at the conference session, and subsequent electronic discussion and refinement, the following recommendations are made: 1) Adaptable tools should be developed, validated, and psychometrically tested for needs assessment. 2) "Point of care" learning within a clinical context should be evaluated as a tool for practice changes and improved knowledge transfer. 3) The addition of a CME component to technological platforms, such as search engines and databases, simulation technology, and clinical decision-support systems, may help knowledge transfer for clinicians or increase utilization of these tools and should, therefore, be evaluated. 4) Further research should focus on identifying the appropriate outcomes for physician CME. Emergency medicine researchers should transition from previous media-comparison research agendas to a more rigorous qualitative focus that takes into account needs assessment, instructional design, implementation, provider change, and care change. 5) In the setting of continued physician learning, barriers to the subsequent implementation of knowledge transfer and behavioral changes of physicians should be elicited through research.
2007年学术急诊医学共识会议的一场研讨会,主题为“急诊医学中的知识转化:确立证据应用的研究议程与指南地图”,聚焦于制定知识转移方面继续医学教育(CME)的研究议程。基于会议期间的准德尔菲方法,以及随后的电子讨论与完善,提出以下建议:1)应开发、验证并进行心理测量测试适用于需求评估的工具。2)应将临床背景下的“即时护理”学习评估为实践变革及改善知识转移的一种工具。3)在技术平台(如搜索引擎和数据库、模拟技术及临床决策支持系统)中增加CME组件,可能有助于临床医生的知识转移或提高这些工具的利用率,因此应予以评估。4)进一步的研究应侧重于确定医师CME的适当结果。急诊医学研究人员应从以往的媒体比较研究议程转向更严谨的定性研究重点,要考虑需求评估、教学设计、实施、提供者变化及护理变化。5)在医师持续学习的背景下,应通过研究找出知识转移后续实施及医师行为改变的障碍。