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慢性疲劳综合征继续教育的挑战。

Continuing medical education challenges in chronic fatigue syndrome.

机构信息

Chronic Viral Diseases Branch, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

出版信息

BMC Med Educ. 2009 Dec 2;9:70. doi: 10.1186/1472-6920-9-70.

DOI:10.1186/1472-6920-9-70
PMID:19954535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2795739/
Abstract

BACKGROUND

Chronic fatigue syndrome (CFS) affects at least 4 million people in the United States, yet only 16% of people with CFS have received a diagnosis or medical care for their illness. Educating health care professionals about the diagnosis and management of CFS may help to reduce population morbidity associated with CFS.

METHODS

This report presents findings over a 5-year period from May 2000 to June 2006 during which we developed and implemented a health care professional educational program. The objective of the program was to distribute CFS continuing education materials to providers at professional conferences, offer online continuing education credits in different formats (e.g., print, video, and online), and evaluate the number of accreditation certificates awarded.

RESULTS

We found that smaller conference size (OR = 80.17; 95% CI 8.80, 730.25), CFS illness related target audiences (OR = 36.0; 95% CI 2.94, 436.34), and conferences in which CFS research was highlighted (OR = 4.15; 95% CI 1.16, 14.83) significantly contributed to higher dissemination levels, as measured by visit rates to the education booth. While print and online courses were equally requested for continuing education credit opportunities, the online course resulted in 84% of the overall award certificates, compared to 14% for the print course. This remained consistent across all provider occupations: physicians, nurses, physician assistants, and allied health professionals.

CONCLUSION

These findings suggest that educational programs promoting materials at conferences may increase dissemination efforts by targeting audiences, examining conference characteristics, and promoting online continuing education forums.

摘要

背景

慢性疲劳综合征(CFS)在美国至少影响了 400 万人,但仅有 16%的 CFS 患者获得过诊断或治疗。向医疗保健专业人员普及 CFS 的诊断和管理知识可能有助于降低 CFS 相关人群的发病率。

方法

本报告介绍了 2000 年 5 月至 2006 年 6 月的 5 年期间的研究结果,在此期间我们制定并实施了一项医疗保健专业人员教育计划。该计划的目标是向专业会议上的医疗保健提供者分发 CFS 继续教育材料,以不同格式(如印刷、视频和在线)提供在线继续教育学分,并评估颁发的认证证书数量。

结果

我们发现会议规模较小(OR = 80.17;95%CI 8.80,730.25)、以 CFS 疾病为相关目标受众(OR = 36.0;95%CI 2.94,436.34)、以及突出 CFS 研究的会议(OR = 4.15;95%CI 1.16,14.83)显著提高了教育展台的访问率,从而提高了传播水平。虽然印刷和在线课程在继续教育学分机会方面的需求相当,但在线课程获得了 84%的总证书,而印刷课程仅获得 14%。这在所有医疗保健提供者职业中都是一致的:医生、护士、医师助理和联合健康专业人员。

结论

这些发现表明,在会议上推广教育材料的教育计划可以通过针对受众、检查会议特点和推广在线继续教育论坛来增加传播力度。

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News from the CDC: chronic fatigue syndrome (CFS) and standardized patient videos - a novel approach to educating medical students about CFS.美国疾病控制与预防中心消息:慢性疲劳综合征(CFS)与标准化患者视频——一种向医学生传授慢性疲劳综合征知识的新方法。
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本文引用的文献

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A train-the-trainer education and promotion program: chronic fatigue syndrome--a diagnostic and management challenge.一项培训培训师的教育与推广项目:慢性疲劳综合征——诊断与管理挑战
BMC Med Educ. 2008 Oct 15;8:49. doi: 10.1186/1472-6920-8-49.
2
Prevalence of chronic fatigue syndrome in metropolitan, urban, and rural Georgia.佐治亚州大都市、城市和农村地区慢性疲劳综合征的患病率。
Popul Health Metr. 2007 Jun 8;5:5. doi: 10.1186/1478-7954-5-5.
3
Chronic Fatigue Syndrome: a survey of GPs' attitudes and knowledge.慢性疲劳综合征:全科医生态度与知识的调查
Fam Pract. 2005 Aug;22(4):389-93. doi: 10.1093/fampra/cmi019. Epub 2005 Apr 1.
4
Internet continuing education for health care professionals: an integrative review.医疗保健专业人员的互联网继续教育:一项综合综述。
J Contin Educ Health Prof. 2004 Summer;24(3):171-80. doi: 10.1002/chp.1340240308.
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The economic impact of chronic fatigue syndrome.慢性疲劳综合征的经济影响。
Cost Eff Resour Alloc. 2004 Jun 21;2(1):4. doi: 10.1186/1478-7547-2-4.
6
eLearning: a review of Internet-based continuing medical education.电子学习:基于互联网的继续医学教育综述
J Contin Educ Health Prof. 2004 Winter;24(1):20-30. doi: 10.1002/chp.1340240105.
7
Identification of ambiguities in the 1994 chronic fatigue syndrome research case definition and recommendations for resolution.1994年慢性疲劳综合征研究病例定义中模糊性的识别及解决建议。
BMC Health Serv Res. 2003 Dec 31;3(1):25. doi: 10.1186/1472-6963-3-25.
8
Functional status of persons with chronic fatigue syndrome in the Wichita, Kansas, population.堪萨斯州威奇托市慢性疲劳综合征患者的功能状态
Health Qual Life Outcomes. 2003 Oct 3;1:48. doi: 10.1186/1477-7525-1-48.
9
Prevalence and incidence of chronic fatigue syndrome in Wichita, Kansas.堪萨斯州威奇托市慢性疲劳综合征的患病率和发病率。
Arch Intern Med. 2003 Jul 14;163(13):1530-6. doi: 10.1001/archinte.163.13.1530.
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Continuing medical education and the physician as a learner: guide to the evidence.继续医学教育与作为学习者的医生:证据指南
JAMA. 2002 Sep 4;288(9):1057-60. doi: 10.1001/jama.288.9.1057.