Palmer Brian A, Frye Mark A, Vickers Douglas Kristin S, Staab Jeffrey P, Bright Robert P, Schleck Cathy D, Mandrekar Jayawant N, Mahapatra Saswati, Beckman Thomas J, Wittich Christopher M
Mayo Clinic, Rochester, MN, USA.
Mayo Clinic, Scottsdale, AZ, USA.
Acad Psychiatry. 2018 Aug;42(4):458-463. doi: 10.1007/s40596-017-0763-8. Epub 2017 Jul 6.
Little is known about factors associated with effective continuing medical education (CME) in psychiatry. The authors aimed to validate a method to assess psychiatry CME teaching effectiveness and to determine associations between teaching effectiveness scores and characteristics of presentations, presenters, and participants.
This cross-sectional study was conducted at the Mayo Clinic Psychiatry Clinical Reviews and Psychiatry in Medical Settings. Presentations were evaluated using an eight-item CME teaching effectiveness instrument, its content based on previously published instruments. Factor analysis, internal consistency and interrater reliabilities, and temporal stability reliability were calculated. Associations were determined between teaching effectiveness scores and characteristics of presentations, presenters, and participants.
In total, 364 participants returned 246 completed surveys (response rate, 67.6%). Factor analysis revealed a unidimensional model of psychiatry CME teaching effectiveness. Cronbach α for the instrument was excellent at 0.94. Item mean score (SD) ranged from 4.33 (0.92) to 4.71 (0.59) on a 5-point scale. Overall interrater reliability was 0.84 (95% CI, 0.75-0.91), and temporal stability was 0.89 (95% CI, 0.77-0.97). No associations were found between teaching effectiveness scores and characteristics of presentations, presenters, and participants.
This study provides a new, validated measure of CME teaching effectiveness that could be used to improve psychiatry CME. In contrast to prior research in other medical specialties, CME teaching effectiveness scores were not associated with use of case-based or interactive presentations. This outcome suggests the need for distinctive considerations regarding psychiatry CME; a singular approach to CME teaching may not apply to all medical specialties.
关于精神病学领域有效继续医学教育(CME)的相关因素,人们了解甚少。作者旨在验证一种评估精神病学CME教学效果的方法,并确定教学效果得分与课程内容、授课者及参与者特征之间的关联。
本横断面研究在梅奥诊所精神病学临床综述及医学环境中的精神病学项目中开展。使用一份包含八个条目的CME教学效果评估工具对课程进行评估,其内容基于先前发表的工具。计算了因子分析、内部一致性及评分者间信度,以及时间稳定性信度。确定了教学效果得分与课程内容、授课者及参与者特征之间的关联。
共有364名参与者返回了246份完整的调查问卷(回复率为67.6%)。因子分析揭示了精神病学CME教学效果的单维模型。该工具的Cronbach α系数为0.94,非常出色。在5分制量表上,各条目平均得分(标准差)范围为4.33(0.92)至4.71(0.59)。总体评分者间信度为0.84(95%CI,0.75 - 0.91),时间稳定性为0.89(95%CI,0.77 - 0.97)。未发现教学效果得分与课程内容、授课者及参与者特征之间存在关联。
本研究提供了一种新的、经过验证的CME教学效果测量方法,可用于改进精神病学CME。与其他医学专科的先前研究不同,CME教学效果得分与基于案例或互动式课程的使用无关。这一结果表明,对于精神病学CME需要有独特的考量;单一的CME教学方法可能并不适用于所有医学专科。