Kabra S K, Mukherjee Aparna, Vani S A, Sinha S, Sharma S K, Mitsuyasu R, Fahey J L
Department of Paediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Natl Med J India. 2009 Sep-Oct;22(5):257-60.
Clinicians and associated health professionals charged with prescribing antiretroviral therapy (ART) deal with continuously evolving new drugs and combinations. To meet the needs of clinicians in India for ongoing education in this field, continuing medical education (CME) programmes on ART for HIV/AIDS were developed, conducted, evaluated and revised. Over a 2-year period, 2005-2007, 3 CME programmes for ART were conducted for physicians and a fourth (predominantly) for paediatricians.
Both 1- and 2-day CME programmes on various aspects of ART were held on weekends for professionals treating patients with AIDS in Delhi and adjacent states. Topics included characteristics of ART drugs, their dosages, monitoring and toxicity management, adherence, complications of therapy, dealing with treatment failure and HIV co-infections. These topics were addressed in lectures and group discussions and via case presentations. Programmes were evaluated by anonymous response to questionnaires, by a 1-year follow up of participants and by informal discussions with participants and faculty. Detailed analyses and a recommended format for these programmes are presented.
The CMEs were attended primarily by clinicians (physicians and paediatricians). Nurses, laboratory scientists, and others involved in the treatment of AIDS also attended the programmes. An interactive workshop format was evolved with substantial time devoted to discussions and case analyses. One-day programmes such as the one included here can be comprehensive and effective. The educational needs of healthcare professionals who provide care and support to patients receiving ART were similar to those of the prescribing doctors. Because of new drugs being made available and with continued clinical experience, updated programme content was required each year. Participants preferred case-based interactive discussions rather than didactic lectures. Participants suggested that there should be more time for discussion after each talk.
Annual CME programmes focused on ART are required to meet the professional needs of clinicians in India for providing quality care management to patients with AIDS.
负责开具抗逆转录病毒疗法（ART）处方的临床医生及相关健康专业人员需应对不断更新的新药及联合用药方案。为满足印度临床医生在该领域持续教育的需求，开展、实施、评估并修订了针对艾滋病毒/艾滋病的抗逆转录病毒疗法继续医学教育（CME）项目。在2005年至2007年的两年间，为医生举办了3次抗逆转录病毒疗法CME项目，为儿科医生举办了第4次（主要针对儿科医生）。
在周末为德里及周边邦治疗艾滋病患者的专业人员举办了为期1天和2天的关于抗逆转录病毒疗法各个方面的CME项目。主题包括抗逆转录病毒疗法药物的特性、剂量、监测与毒性管理、依从性、治疗并发症、应对治疗失败及艾滋病毒合并感染。通过讲座、小组讨论及病例展示来探讨这些主题。通过对问卷的匿名回复、对参与者进行为期1年的随访以及与参与者和教员进行非正式讨论来评估项目。本文给出了这些项目的详细分析及推荐形式。
参加CME项目的主要是临床医生（内科医生和儿科医生）。护士、实验室科学家及其他参与艾滋病治疗的人员也参加了这些项目。形成了一种互动式工作坊形式，投入了大量时间进行讨论和病例分析。像此处介绍的为期1天的项目可以是全面且有效的。为接受抗逆转录病毒疗法的患者提供护理和支持的医护专业人员的教育需求与开处方医生的需求相似。由于有新药可供使用且临床经验不断积累，每年都需要更新项目内容。参与者更喜欢基于病例的互动讨论而非说教式讲座。参与者建议每次讲座后应有更多时间进行讨论。
需要开展以抗逆转录病毒疗法为重点的年度CME项目，以满足印度临床医生为艾滋病患者提供优质护理管理的专业需求。
