Bonevski B, Magin P, Horton G, Bryant J, Randell M, Kimlin M G
School of Medicine & Public Health, Faculty of Health & Medicine, University of Newcastle, Newcastle, NSW, Australia.
Discipline of General Practice, Faculty of Health & Medicine, University of Newcastle, Newcastle, NSW, Australia.
Int J Med Inform. 2015 Jun;84(6):413-22. doi: 10.1016/j.ijmedinf.2015.01.006. Epub 2015 Jan 17.
Online continuing medical education (CME) offers a number of advantages for physicians including flexibility with regards to location and timing of use. In order to effect physician practices and improve patient outcomes, it is important that the development of online CME is theory and evidence-based.
This paper aims to describe the development of an online CME program for practising general practitioners (GPs) on vitamin D and sun health called "The ABC's of Vitamin D for GPs" using elements of design principles for physician-education web sites as a framework. The paper will also report the program's usability and acceptability pilot test results.
The ABC's of Vitamin D program was developed following nine principles: needs assessment; evidence-based content development; multimodal program and modularisation; clinical cases; tailoring and interactivity; audit and feedback; credibility of the web site host; patient education materials; ease of use and navigation. Among the 20 GPs invited, acceptability and useability was tested with 12 GPs (60%) who agreed to participate and were interviewed following use of the program. The study was conducted between 2011 and 2013.
An online CME program consisting of eight modules was constructed. Of the 12 participating GPs, most (n=11) reported that the program was clear and easy to understand, logical, easy to navigate, and took a reasonable amount of time (estimated between 1 and 3h) to complete. Eleven of 12 participants said they would use the program as an accredited CME activity and all participants indicated that the program was 'very or somewhat' likely to lead to changes in the advice patients are given.
This study found that a theory and evidence based approach for the development of an online CME program for GPs was acceptable to users. Further research is needed to examine whether the online CME program is effective at changing GP practices and improving patient outcomes.
在线继续医学教育（CME）为医生提供了诸多优势，包括使用地点和时间的灵活性。为了影响医生的医疗行为并改善患者治疗效果，在线继续医学教育的开发应以理论和证据为基础。
本文旨在描述一个针对执业全科医生（GP）的关于维生素D与阳光健康的在线继续医学教育项目——“全科医生维生素D基础指南”的开发过程，该项目以医生教育网站设计原则要素为框架。本文还将报告该项目的可用性和可接受性试点测试结果。
“维生素D基础指南”项目依据九条原则开发：需求评估；基于证据的内容开发；多模式项目与模块化；临床病例；针对性与互动性；审核与反馈；网站主办者的可信度；患者教育材料；易用性与导航便利性。在邀请的20名全科医生中，12名全科医生（60%）同意参与并在使用该项目后接受了访谈，对其可接受性和可用性进行了测试。该研究于2011年至2013年进行。
构建了一个由八个模块组成的在线继续医学教育项目。在12名参与的全科医生中，大多数（n = 11）报告称该项目清晰易懂、逻辑清晰、易于导航，完成该项目所需时间合理（估计在1至3小时之间）。12名参与者中有11人表示他们会将该项目用作经认可的继续医学教育活动，所有参与者均表示该项目“非常或有点”可能会导致所给患者建议的改变。
本研究发现，基于理论和证据的方法开发的全科医生在线继续医学教育项目为用户所接受。需要进一步研究以检验该在线继续医学教育项目是否能有效改变全科医生的医疗行为并改善患者治疗效果。
