Bjegović-Mikanović Vesna, Lalić Nebojia, Wenzelt Helmut, Nikolid-Mandić Ruzica, Laaser Ulrich
Vojnosanit Pregl. 2015 Feb;72(2):160-8. doi: 10.2298/vsp131026060b.
BACKGROUND/AIM: Continuing Medical Education (CME), conceptualised as lifelong learning (LLL) aims at improving human resources and continuing professional development. Various documents of European institutions underline its key importance. This paper therefore tries to analyse the current status of CME and the main deficits in the delivery of LLL courses at medical faculties in Serbia with special consideration of the Faculty of Medicine in Belgrade with detailed financial data available.
Data of 2,265 medical courses submitted in 2011 and 2012 for accredita- tion were made available, thereof 403 courses submitted by 4 medical faculties in Serbia (Belgrade, Kragujevac, Nil, Novi Sad). A subset of more detailed information on 88 delivered courses with 5,600 participants has been provided by the Faculty of Medicine, Belgrade. All data were transferred into an Excel file and analysed with XLSTAT 2009. To reduce the complexity and possible redundancy we performed a principal component analysis (PCA). Correlated component regression (CCR) models were used to identify determinants of course participation.
During the 2-year period 12.9% of all courses were submitted on pre-clinical and 62.4% on clinical topics, 12.2% on public health, while 61.5% of all took place in Belgrade. The subset of the Faculty of Medicine, Belgrade comprised 3,471 participants registered with 51 courses accredited and delivered in 2011 and 2,129 participants with 37 courses accredited and delivered in 2012. The median number of participants per course for the entire period was 45; the median fee rates for participants were 5,000 dinars in 2011 and 8,000 in 2012, resulting together with donations--in a total income for both years together of 16,126,495.00 dinar or almost 144,000.00 euro. This allowed for a median payment of approximately 90 eur per hour lectured in 2011 and 49 euro in 2012. The 2 factors, D1 (performance) and D2 (attractiveness), identified in the PCA for Medical Faculties in Serbia, explain 71.8% of the variance. Most relevant are the duration of the courses, credit points" and hours per credit point gained by lecturers and participants respectively. In the PCA for Belgrade D1 and D2 explain 40.7% of the total variance. The CCR on the number of participants reveals the highest positive impact from the number of lecturers per course and the expenditure on amenities, the highest negative impact from the total income collected per participant.
The faculties of medicine in Serbia should reconsider the entire structure of their organisation of CME, especially to improve the quantity and quality of registration limit the course fee rates per hour and reduce administrative and other costs request lecturing in CME programmes as obligatory for academic promotion and organise a focused marketing.
背景/目的：继续医学教育（CME）被视为终身学习（LLL），旨在提升人力资源和促进专业持续发展。欧洲机构的各类文件均强调了其至关重要性。因此，本文试图分析塞尔维亚医学院校继续医学教育的现状以及在提供终身学习课程方面的主要不足，特别以拥有详细财务数据的贝尔格莱德医学院为例进行考量。
提供了2011年和2012年提交认证的2265门医学课程的数据，其中塞尔维亚4所医学院（贝尔格莱德、克拉古耶瓦茨、尼什、诺维萨德）提交了403门课程。贝尔格莱德医学院提供了关于88门已开展课程及5600名参与者的更详细信息子集。所有数据被录入Excel文件，并使用XLSTAT 2009进行分析。为降低复杂性和可能的冗余性，我们进行了主成分分析（PCA）。使用相关成分回归（CCR）模型来确定课程参与的决定因素。
在这两年期间，所有课程中12.9%是关于临床前主题，62.4%是临床主题，12.2%是公共卫生主题，而所有课程的61.5%在贝尔格莱德举办。贝尔格莱德医学院的子集包括2011年注册的3471名参与者，有51门课程获得认证并开展；2012年有2129名参与者，37门课程获得认证并开展。整个期间每门课程参与者的中位数为45人；2011年参与者的中位数费用率为5000第纳尔，2012年为8000第纳尔，加上捐赠，两年的总收入为16126495.00第纳尔，约合144000.00欧元。这使得2011年每授课小时的中位数报酬约为90欧元，2012年为49欧元。在塞尔维亚医学院的主成分分析中确定的两个因素，D1（表现）和D2（吸引力），解释了71.8%的方差。最相关的是课程时长、“学分”以及讲师和参与者分别获得的每学分小时数。在贝尔格莱德的主成分分析中，D1和D2解释了总方差的40.7%。关于参与者数量的相关成分回归显示，每门课程的讲师数量和设施支出产生的正面影响最大，每位参与者收取的总收入产生的负面影响最大。
塞尔维亚的医学院应重新审视其继续医学教育的整个组织结构，特别是要提高注册的数量和质量，限制每小时的课程费用率，降低行政和其他成本，要求在继续医学教育项目中授课作为学术晋升的必要条件，并组织有针对性的营销活动。
