数字时代体验式性传播疾病临床培训的价值

The Value of Experiential Sexually Transmitted Disease Clinical Training in the Digital Age.

作者信息

Wangu Zoon, Gray Barbara, Dyer Janine, Chow Wendy, Calise Tamara, Hsu Katherine K

机构信息

From the *Ratelle STD/HIV Prevention Training Center, Massachusetts Department of Public Health, Jamaica Plain, MA; †Division of Pediatric Infectious Diseases & Immunology, UMass Memorial Children's Medical Center, Worcester, MA; ‡JSI Research and Training Institute, Inc, Boston, MA; and §Section of Pediatric Infectious Diseases, Boston University Medical Center, Boston, MA.

出版信息

Sex Transm Dis. 2016 Feb;43(2):134-6. doi: 10.1097/OLQ.0000000000000398.

DOI:10.1097/OLQ.0000000000000398

PMID:26766529

Abstract

BACKGROUND

The translation of evidence-based guidelines for sexually transmitted disease (STD) care into clinical practice is crucial for the prevention and control of STDs.

METHODS

Participants in a hands-on, multifaceted, small-group STD Clinical Intensive Course from 2006 to 2013 were asked to complete a survey regarding course content and value compared with other continuing education courses. Survey respondents with demographic and professional information were compared with all other course participants. χ Statistics were used to test for differences in proportions; the Cochran-Armitage trend test was used to evaluate for trends in response rate by year of training.

RESULTS

Of 113 respondents (35.9% response rate), 92.9% felt that clinical knowledge stayed longer, 84.1% changed clinical practice more, and 90.3% recommended the course more, compared with other continuing education programs in which they had participated previously. Respondents' average suggested registration fee should the course no longer be free was $188.90. Physician assistants and advanced practice nurses were overrepresented among respondents (69.4% vs. 58.1%, P = 0.04); more recent course participants were more likely to respond (P < 0.01).

CONCLUSIONS

These findings suggest that this STD experiential clinical training program is still relevant to participants in the digital age and is valued more highly than other continuing education experiences. A significant disconnect was identified between what participants are willing/able to pay versus actual course costs, indicating that cost is likely to become a barrier to participation should the course no longer be free.

摘要

背景

将基于证据的性传播疾病（STD）护理指南转化为临床实践对于性传播疾病的预防和控制至关重要。

方法

要求2006年至2013年参加实践操作、多方面、小组形式的STD临床强化课程的参与者完成一项关于课程内容和与其他继续教育课程相比的价值的调查。将提供人口统计学和专业信息的调查受访者与所有其他课程参与者进行比较。使用χ统计量检验比例差异；使用 Cochr an - Armitage趋势检验评估按培训年份划分的回应率趋势。

结果

在113名受访者中（回应率为35.9%），与他们之前参加的其他继续教育项目相比，92.9%的人认为临床知识留存时间更长，84.1%的人更多地改变了临床实践，90.3%的人更推荐该课程。受访者建议如果该课程不再免费，平均注册费应为188.90美元。受访者中医师助理和高级执业护士的比例过高（69.4%对58.1%，P = 0.04）；较近期的课程参与者更有可能回应（P < 0.01）。