Robert Stempel College of Public Health and Social Work, Miami, FL 33199, USA.
BMC Med Educ. 2011 Aug 15;11:59. doi: 10.1186/1472-6920-11-59.
To develop and evaluate a continuing medical education (CME) course aimed at improving healthcare provider knowledge about breast cancer health disparities and the importance of cross-cultural communication in provider-patient interactions about breast cancer screening.
An interactive web-based CME course was developed and contained information about breast cancer disparities, the role of culture in healthcare decision making, and demonstrated a model of cross-cultural communication. A single group pre-/post-test design was used to assess knowledge changes. Data on user satisfaction was also collected.
In all, 132 participants registered for the CME with 103 completing both assessments. Differences between pre-/post-test show a significant increase in knowledge (70% vs. 94%; p < .001). Ninety-five percent of participants agreed that the web based training was an appropriate tool to train healthcare providers about cultural competency and health disparities.
There was an overall high level of satisfaction among all users. Users felt that learning objectives were met and the web-based format was appropriate and easy to use and suggests that web-based CME formats are an appropriate tool to teach cultural competency skills. However, more information is needed to understand how the CME impacted practice behaviors.
为了开发和评估一项继续医学教育（CME）课程，旨在提高医疗保健提供者对乳腺癌健康差异的认识，以及在医患关于乳腺癌筛查的互动中跨文化交流的重要性。
开发了一个互动式网络 CME 课程，其中包含有关乳腺癌差异、文化在医疗保健决策中的作用以及跨文化交流模式的信息。采用单组前后测试设计来评估知识变化。还收集了用户满意度数据。
共有 132 名参与者注册了 CME，其中 103 名参与者完成了两次评估。前/后测试的差异显示知识显著增加（70%对 94%；p<.001）。95%的参与者认为基于网络的培训是培训医疗保健提供者文化能力和健康差异的适当工具。
所有用户的总体满意度都很高。用户认为学习目标得到了满足，网络格式合适且易于使用，并表明基于网络的 CME 格式是教授文化能力技能的适当工具。但是，需要更多信息来了解 CME 对实践行为的影响。
