Grad Roland, Pluye Pierre, Repchinsky Carol, Jovaisas Barbara, Marlow Bernard, Marques Ricarte Ivan L, Galvão Maria Cristiane Barbosa, Shulha Michael, de Gaspé Bonar James, Moscovici Jonathan L
Associate professor in the Department of Family Medicine at McGill University in Montreal, Que
Associate professors in the Department of Family Medicine at McGill University in Montreal, Que.
Can Fam Physician. 2014 May;60(5):e258-62.
Although e-learning programs are popular and access to electronic knowledge resources has improved, raising awareness about updated therapeutic recommendations in practice continues to be a challenge.
To raise awareness about and document the use of therapeutic recommendations.
In 2010, family physicians evaluated e-Therapeutics (e-T) Highlights with a Web-based tool called the Information Assessment Method (IAM). The e-T Highlights consisted of information found in the primary care reference e-Therapeutics+. Each week, family physicians received an e-mail containing a link to 1 Highlight from a different chapter of e-Therapeutics+. Family physicians received continuing medical education credits for each Highlight they rated with the IAM. Of the 5346 participants, 85% of them were full-time or part-time practitioners. A total of 31 429 Highlights ratings were received in 2010 (median of 2 ratings per participant, range 1 to 49). Among participants who rated more than 2 Highlights, the median number of ratings was 7 (mean 11.9). The relevance of the information from individual Highlights varied widely; however, for 90% of the rated Highlights participants indicated total or partial relevance of the information for at least 1 patient. For 41% of rated Highlights, participants expected patient health benefits to result from implementing the recommendation, such as avoiding an unnecessary or inappropriate treatment, or a preventive intervention.
This continuing medical education program stimulated family physicians to rate therapeutic recommendations that were delivered weekly via e-mail. The process of rating e-T Highlights with the IAM raised awareness about treatment recommendations and documented self-reported use of this information in practice.
尽管电子学习项目很受欢迎,获取电子知识资源的渠道也有所改善,但在实践中提高对最新治疗建议的认识仍然是一项挑战。
提高对治疗建议的认识并记录其使用情况。
2010年,家庭医生使用一种名为信息评估方法(IAM)的基于网络的工具对电子治疗(e-T)要点进行了评估。e-T要点包含在初级保健参考资料《电子治疗学+》中找到的信息。每周,家庭医生都会收到一封电子邮件,其中包含指向《电子治疗学+》不同章节中1个要点的链接。家庭医生对每个通过IAM评估的要点可获得继续医学教育学分。在5346名参与者中,85%为全职或兼职从业者。2010年共收到31429个要点评估(每位参与者的评估中位数为2次,范围为1至49次)。在评估超过2个要点的参与者中,评估次数的中位数为7次(平均为11.9次)。各个要点信息的相关性差异很大;然而,对于90%被评估的要点,参与者表示该信息对至少1名患者完全或部分相关。对于41%被评估的要点,参与者预计实施该建议会给患者健康带来益处,例如避免不必要或不适当的治疗,或进行预防性干预。
这个继续医学教育项目促使家庭医生对每周通过电子邮件发送的治疗建议进行评估。使用IAM对e-T要点进行评估的过程提高了对治疗建议的认识,并记录了在实践中自我报告的该信息使用情况。