乌干达与美国之间通过互联网视频会议进行同步远程麻醉学教育。

Synchronous distance anesthesia education by Internet videoconference between Uganda and the United States.

作者信息

Kiwanuka J K, Ttendo S S, Eromo E, Joseph S E, Duan M E, Haastrup A A, Baker K, Firth P G

机构信息

Department of Anaesthesia and Critical Care, Mbarara Regional Referral Hospital, Mbarara University of Science and Technology, Plot 8-18 Kabale Road, Mbarara, Uganda.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.

出版信息

J Clin Anesth. 2015 Sep;27(6):499-503. doi: 10.1016/j.jclinane.2015.04.004. Epub 2015 May 20.

DOI:10.1016/j.jclinane.2015.04.004

PMID:26001319

Abstract

STUDY OBJECTIVE

We evaluated the effectiveness of anesthesia education delivered via Internet videoconferencing between the Massachusetts General Hospital, Boston, MA, and Mbarara Regional Referral Hospital, Uganda.

DESIGN

This is a prospective educational study.

SETTING

The setting is the education in 2 hospitals in Uganda and the United States.

SUBJECTS

The subjects are anesthesia residents.

INTERVENTIONS

The interventions are anesthesia education lectures delivered in person and via Internet videoconferencing.

MEASUREMENTS

The average pre-lecture and post-lecture scores of the local, remote, and combined audiences were compared.

MAIN RESULTS

Post-lecture test scores improved over pre-lecture scores: local audience, 59% ± 22% to 81% ± 16%, P = .0002, g = 1.144; remote audience, 51% ± 19% to 81% ± 8%, P < .0001, g = 2.058; and combined scores, 56% ± 14% to 82% ± 8%, P < .0001, g = 2.069).

CONCLUSIONS

Transfer of anesthetic knowledge occurs via small group lectures delivered both in person and remotely via synchronous Internet videoconferencing. This technique may be useful to expand educational capacity and international cooperation between academic institutions, a particular priority in the growing field of global health.

摘要

研究目的

我们评估了通过互联网视频会议在马萨诸塞州波士顿市的麻省总医院与乌干达的姆巴拉拉地区转诊医院之间开展麻醉学教育的效果。

设计

这是一项前瞻性教育研究。

背景

研究背景为在乌干达和美国的两家医院开展的教育活动。

研究对象

研究对象为麻醉科住院医师。

干预措施

干预措施为现场授课以及通过互联网视频会议进行麻醉学教育讲座。

测量指标

比较了本地、远程及混合听众在讲座前和讲座后的平均得分。

主要结果

讲座后的测试成绩较讲座前有所提高：本地听众，从59%±22%提高到81%±16%，P = 0.0002，g = 1.144；远程听众，从51%±19%提高到81%±8%，P < 0.0001，g = 2.058；混合得分，从56%±14%提高到82%±8%，P < 0.0001，g = 2.069）。