澳大利亚首个针对全科医生及时诊断和管理痴呆症的全国继续医学教育项目的开发、实施和评估。
Development, implementation and evaluation of Australia's first national continuing medical education program for the timely diagnosis and management of dementia in general practice.
机构信息
School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia.
Dementia Centre for Research Collaboration, UNSW Australia, Level 3, AGSM Building, Sydney, 2052, Australia.
出版信息
BMC Med Educ. 2018 Aug 10;18(1):194. doi: 10.1186/s12909-018-1295-y.
BACKGROUND
Dementia is the second leading cause of death in Australia. Over half of patients with dementia are undiagnosed in primary care. This paper describes the development, implementation and initial evaluation of the first national continuing medical education program on the timely diagnosis and management of dementia in general practice in Australia.
METHODS
Continuing medical education workshops were developed and run in 16 urban and rural locations across Australia (12 were delivered as small group workshops, four as large groups), and via online modules. Two train-the-trainer workshops were held. The target audience was general practitioners, however, international medical graduates, GP registrars, other doctors, primary care nurses and other health professionals were also welcome. Self-complete questionnaires were used for the evaluation.
RESULTS
Of 1236 people (GPs, other doctors, nurses and other health professionals) who participated in the program, 609 completed the full program (small group workshops (282), large group workshops (75), online modules (252)); and 627 elected to undertake one or more individual submodules (large group workshops (444), online program (183)). Of those who completed the full program as a small group workshop, 14 undertook the additional Train-the-trainer program. 76% of participants felt that their learning needs were entirely met and 78% felt the program was entirely relevant to their practice.
CONCLUSION
Continuing medical education programs are an effective method to deliver education to GPs. A combination of face-to-face and online delivery modes increases reach to primary care providers. Train-the-trainer sessions and online continuing medical education programs promote long-term delivery sustainability. Further research is required to determine the long-term knowledge translation effects of the program.
背景
痴呆症是澳大利亚的第二大死因。超过一半的痴呆症患者在初级保健中未被诊断。本文描述了澳大利亚首个针对一般实践中痴呆症的及时诊断和管理的全国继续医学教育计划的开发、实施和初步评估。
方法
在澳大利亚的 16 个城市和农村地区（12 个为小组研讨会，4 个为大型小组研讨会）以及在线模块中开展和举办继续医学教育研讨会。举办了两个培训师培训研讨会。目标受众是全科医生，但也欢迎国际医学毕业生、全科医生住院医师、其他医生、初级保健护士和其他卫生专业人员参加。使用自我完成的问卷进行评估。
结果
在 1236 名（全科医生、其他医生、护士和其他卫生专业人员）参与该计划的人中，有 609 人完成了整个计划（小组研讨会（282）、大型小组研讨会（75）、在线模块（252））；有 627 人选择参加一个或多个单独的子模块（大型小组研讨会（444）、在线课程（183））。在作为小组研讨会完成整个计划的人中，有 14 人参加了额外的培训师培训计划。76%的参与者认为他们的学习需求得到了充分满足，78%的人认为该计划与他们的实践完全相关。
结论
继续医学教育计划是向全科医生提供教育的有效方法。面对面和在线交付模式的结合增加了对初级保健提供者的覆盖范围。培训师培训课程和在线继续医学教育课程促进了长期的交付可持续性。需要进一步研究以确定该计划的长期知识转化效果。
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