Van Driel Mieke L, McGuire Treasure M, Stark Richard, Lazure Patrice, Garcia Tina, Sullivan Lisa
Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Australia.
School of Pharmacy, University of Queensland, Brisbane, Australia.
J Eur CME. 2017 Nov 12;6(1):1400857. doi: 10.1080/21614083.2017.1400857. eCollection 2017.
The importance of interprofessional education (IPE) in continuing medical education and professional development has long been recognised by health organisations and academic societies, benefiting not only patient outcomes and interprofessional relationships but also overall health systems and workforce shortage. We report on the outcomes of an Australian IPE activity on medication-overuse headache (MOH) with general practitioners (GPs) and community pharmacists as learners. The design of the activity, which followed the predisposing-enabling-reinforcing instructional framework by Green and Kreuter, aimed to: (1) improve knowledge and foster a willingness in GPs and pharmacists to work collaboratively to enhance the prevention, diagnosis and management of MOH; and (2) address their educational gap by demonstrating the utility of a blended learning IPE strategy on MOH. Integrated into the activity was an assessment of its effectiveness and impact to instil change in the participants' knowledge of MOH, attitude and willingness to treat, and clinical practice behaviours of GPs and pharmacists to work together. The learners gained knowledge and confidence in diagnosing and managing MOH and in their ability to educate patients. The IPE approach suited the activity and was valued by the participating GPs and pharmacists, who seldom experience such learning formats. However, for educational providers in Australia, developing and deploying an independent medical education (IME) programme can be challenging. Providers of IMEs need to be aware of the potential pitfalls when competing with pharmaceutical-company-sponsored and delivered programmes.
跨专业教育(IPE)在继续医学教育和专业发展中的重要性早已得到卫生组织和学术团体的认可,它不仅有利于患者治疗效果和跨专业关系,还对整个卫生系统和劳动力短缺问题有益。我们报告了一项澳大利亚IPE活动的成果,该活动以全科医生(GPs)和社区药剂师为学习者,主题是药物过度使用性头痛(MOH)。该活动的设计遵循了格林和克鲁特提出的前置-促成-强化教学框架,旨在:(1)提高知识水平,并培养全科医生和药剂师共同协作以加强MOH预防、诊断和管理的意愿;(2)通过展示混合式学习IPE策略在MOH方面的效用,弥补他们的教育差距。活动中还纳入了对其有效性和影响的评估,以促使参与者在MOH知识、治疗态度和意愿以及全科医生和药剂师共同工作的临床实践行为方面发生改变。学习者在诊断和管理MOH以及教育患者的能力方面获得了知识和信心。IPE方法适合该活动,受到参与的全科医生和药剂师的重视,他们很少体验过这种学习形式。然而,对于澳大利亚的教育提供者来说,开发和部署独立医学教育(IME)项目可能具有挑战性。IME提供者在与制药公司赞助和提供的项目竞争时需要意识到潜在的陷阱。