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在线儿科初级保健课程的效果。

Effectiveness of an online pediatric primary care curriculum.

机构信息

Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-0339, USA.

出版信息

Acad Pediatr. 2010 Mar-Apr;10(2):131-7. doi: 10.1016/j.acap.2009.12.004.

Abstract

OBJECTIVE

The aim of this study was to evaluate the effectiveness of a supplementary online pediatric primary care (PPC) curriculum in reaching pediatric residents and increasing knowledge in selected primary care topics.

METHODS

We conducted a nonrandomized, controlled, pre-test/post-test study comparing an online PPC curriculum supplement with the traditional formal, conference-based curriculum alone, both with identical content. We compared 2 groups of first-year categorical pediatric residents from 2 successive years: one group (from 2006-2007) was offered the online curriculum supplement (study group) and one (2005-2006) was not (control group). Comparisons were made using the following: 1) pre-testing and post-testing of knowledge; and 2) monitoring of attendance at the formal conferences and accessing the online curriculum.

RESULTS

The control group of 33 residents and the study group of 34 residents were similar with respect to gender, age, and first-year in-training exam scores. In the first quarter of the year, 93% (mean) of the study group accessed the online curriculum; 43% accessed it in the last quarter of the year. For the same time periods, 33% and 30% of all of the residents (intervention and control groups combined) attended the noon conferences. The pre-test and post-test scores of the study group showed a significant increase (P < .001), and the post-test score comparison of study versus control group was also significant (P = .035). There were no significant differences in the in-training exam scores between the 2 groups for exams given at the beginning of their second year.

CONCLUSION

An online PPC curriculum is an effective supplement to traditional resident education and reaches a significantly larger number of residents compared with the traditional conference-based format.

摘要

目的

本研究旨在评估补充在线儿科初级保健(PPC)课程对儿科住院医师的效果,并提高特定初级保健主题的知识。

方法

我们进行了一项非随机、对照、预测试/后测试研究,比较了在线 PPC 课程补充与传统的基于会议的正式课程,两者内容相同。我们比较了来自连续两年的两组第一年儿科住院医师:一组(2006-2007 年)提供在线课程补充(研究组),一组(2005-2006 年)没有(对照组)。比较使用以下方法:1)知识的预测试和后测试;2)监测正式会议的出勤率和访问在线课程的情况。

结果

对照组的 33 名住院医师和研究组的 34 名住院医师在性别、年龄和第一年培训考试成绩方面相似。在这一年的第一季度,93%(平均)的研究组访问了在线课程;43%在这一年的最后一个季度访问。在同一时间段内,33%和 30%的住院医师(干预和对照组)参加了午餐会议。研究组的预测试和后测试分数显示出显著增加(P <.001),而且研究组与对照组的后测试分数比较也具有显著意义(P =.035)。在第二年开始时进行的考试中,两组住院医师的培训考试成绩之间没有显著差异。

结论

在线 PPC 课程是传统住院医师教育的有效补充,与传统的基于会议的形式相比,它可以覆盖更多的住院医师。

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