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为期两天的广泛继续医学教育课程对参与者临床及手术泌尿外科知识的影响。

Effect of a two-day extensive continuing medical education course on participants' knowledge of clinical and operative urology.

作者信息

Nazim Syed Muhammad, Riaz Qamar, Ather Muhammad Hammad

机构信息

Section of Urology, Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.

Department for Educational Development, The Aga Khan University, Karachi, Pakistan.

出版信息

Turk J Urol. 2018 Nov;44(6):484-489. doi: 10.5152/tud.2018.02481.

Abstract

OBJECTIVE

Continuing Medical Education (CME) is an established method for facilitating the lifelong learning and developing knowledge, skills and attitudes to ensure delivery of a medical care which is up-to-date, evidence based, safe and patient-centered. An extensive 2 day urology course was conducted to meet the needs of learners. The purpose of the current study was to measure the effect of this CME activity on the knowledge of the participants.

MATERIAL AND METHODS

This quasi-experimental, single group pre-, and post-test study measured the gain in learning as a result of the two-day extensive CME course conducted by the section of Urology at Department of Surgery, the Aga Khan University, Karachi-Pakistan. Gain in knowledge, defined as the difference between the pre-test and the post-test scores, was taken as a measure of course effectiveness. The test comprised of 40 one-best type carefully constructed multiple choice questions (MCQs). Item analyses were also performed.

RESULTS

Forty-five out of a total of 70 participants from within and outside the city completed both pre and post-tests and were included in the study. The mean age of the subjects was 33.3+6.7 years. Of these 45 participants, 68.9% (n=31) of them were trainees at different levels. Mean gain in knowledge was 12.7±6.8% (p<0.01; 95% CI: 4.17-5.79). Mean test scores improved significantly from 37.8±11.3% to 50.3±10.8%. Difference in pre and post scores due to age, gender, practice type or years since start of training was not significant. The reliability of the test using Cronbach's α was 0.634.

CONCLUSION

CME sessions when designed and delivered carefully are effective means of increasing the knowledge significantly. Pre- and post-test is a reliable and valid strategy to measure gain in participants' knowledge.

摘要

目的

继续医学教育(CME)是一种既定的方法,用于促进终身学习并培养知识、技能和态度,以确保提供最新的、基于证据的、安全且以患者为中心的医疗服务。为满足学习者的需求,举办了为期两天的广泛泌尿外科课程。本研究的目的是衡量该继续医学教育活动对参与者知识的影响。

材料与方法

这项准实验性单组前后测研究,测量了由巴基斯坦卡拉奇阿迦汗大学外科系泌尿外科举办的为期两天的广泛继续医学教育课程所带来的学习收获。知识收获定义为前测和后测分数之差,作为课程效果的衡量指标。测试由40道精心构建的单项选择题(MCQ)组成。还进行了项目分析。

结果

来自市内和市外的70名参与者中,有45人完成了前测和后测并被纳入研究。受试者的平均年龄为33.3±6.7岁。在这45名参与者中,68.9%(n = 31)为不同级别的受训人员。知识的平均收获为12.7±6.8%(p < 0.01;95%置信区间:4.17 - 5.79)。平均测试分数从37.8±11.3%显著提高到50.3±10.8%。年龄、性别、执业类型或培训开始后的年限在前测和后测分数上的差异不显著。使用Cronbach's α计算的测试信度为0.634。

结论

精心设计和实施的继续医学教育课程是显著增加知识的有效手段。前后测是衡量参与者知识收获的可靠且有效的策略。

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