Douma Kirsten Freya Lea, Aalfs Cora M, Dekker Evelien, Tanis Pieter J, Smets Ellen M
Department of Medical Psychology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Department of Clinical Genetics, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
JMIR Med Educ. 2017 Dec 18;3(2):e24. doi: 10.2196/mededu.7173.
Nongenetic health providers may lack the relevant knowledge, experience, and communication skills to adequately detect familial colorectal cancer (CRC), despite a positive attitude toward the assessment of history of cancer in a family. Specific training may enable them to more optimally refer patients to genetic counseling.
The aim of this study was to develop an e-learning module for gastroenterologists and surgeons (in training) aimed at improving attitudes, knowledge, and comprehension of communication skills, and to assess the feasibility of the e-learning module for continued medical education of these specialists.
A focus group helped to inform the development of a training framework. The e-learning module was then developed, followed by a feasibility test among a group of surgeons-in-training (3rd- and 4th-year residents) and then among gastroenterologists, using pre- and posttest questionnaires.
A total of 124 surgeons-in-training and 14 gastroenterologists participated. The e-learning was positively received (7.5 on a scale of 1 to 10). Between pre- and posttest, attitude increased significantly on 6 out of the 10 items. Mean test score showed that knowledge and comprehension of communication skills improved significantly from 49% to 72% correct at pretest to 67% to 87% correct at posttest.
This study shows the feasibility of a problem-based e-learning module to help surgeons-in-training and gastroenterologists in recognizing a hereditary predisposition in patients with CRC. The e-learning led to improvements in attitude toward the assessment of cancer family history, knowledge on criteria for referral to genetic counseling for CRC, and comprehension of communication skills.
非遗传学健康服务提供者可能缺乏充分检测家族性结直肠癌（CRC）的相关知识、经验和沟通技巧，尽管他们对评估家族癌症病史持积极态度。特定的培训可能使他们能够更优化地将患者转诊至遗传咨询服务。
本研究的目的是为胃肠病学家和外科医生（培训中）开发一个电子学习模块，旨在改善他们的态度、知识以及对沟通技巧的理解，并评估该电子学习模块用于这些专科医生继续医学教育的可行性。
一个焦点小组为培训框架的制定提供了信息。随后开发了电子学习模块，接着在一组外科住院医师（三年级和四年级住院医师）中进行了可行性测试，然后又在胃肠病学家中进行了测试，使用了测试前和测试后的问卷。
共有124名外科住院医师和14名胃肠病学家参与。电子学习受到了积极评价（在1至10分的量表上得分为7.5分）。在测试前和测试后之间，10项中的6项态度有显著提高。平均测试分数表明，沟通技巧的知识和理解从测试前正确的49%显著提高到测试后正确的67%至87%。
本研究表明基于问题的电子学习模块有助于外科住院医师和胃肠病学家识别CRC患者的遗传易感性的可行性。该电子学习在对癌症家族史评估的态度、CRC转诊至遗传咨询的标准知识以及沟通技巧的理解方面带来了改善。
