International Training and Education Center for Health (I-TECH), Department of Global Health, University of Washington, 908 Jefferson Street, Seattle, WA, 98104, USA.
International Training and Education Center for Health (I-TECH) Ukraine, Kyiv, Ukraine.
BMC Med Educ. 2018 Nov 1;18(1):247. doi: 10.1186/s12909-018-1349-1.
Access to continuing education opportunities is limited for Ukrainian healthcare workers, and the need is acute in order to support healthcare reform efforts currently underway in Ukraine. Online learning is a cost-effective mechanism for continuing education since healthcare workers can remain on the job during training. It also provides a means of keeping health professionals up to date on their knowledge and skills in rapidly changing and increasingly complex healthcare environments.
This paper describes the process of adapting an existing e-learning course from a US institution to the Ukrainian setting. Course participants' feedback was used to evaluate the effectiveness of the adapted version that was piloted twice in 2016-2017 with 53 participants in total, 46 of whom completed the course and contributed to the evaluation.
This was the first fully online course on Leadership and Management in Health (LMiH) to be offered in Ukraine. Several lessons were learned during course adaptation when multiple aspects of the Ukrainian environment were taken into account including 1) linguistic accessibility, 2) access to the Internet, 3) computer literacy, and 4) novelty of online learning. Based on these findings, course material was first adapted by translating it from English to Ukrainian with the emphasis on cultural adjustment of idioms and real life examples. Then, using the first pilot results and participants suggestions, videotaped interviews with local healthcare management experts were added in order to further enhance cultural suitability as well as relevance and applicability of the course concepts. The last but not least lesson learned consisted in the fact that enhancing, transitioning, and sustaining online learning to new contexts required engagement of key stakeholders, national level support, and technical assistance through implementation and beyond yet turned out to be both cost-effective and sustainable investment of limited resources. Formative evaluation confirmed that the adaptation efforts resulted in a course relevant and acceptable to healthcare professionals in Ukraine.
Transition of the course to local ownership was accomplished in partnership with the Ukrainian Family Medicine Training Center in the Bogomolets National Medical University in Kyiv: LMiH is now certified for continuing medical education credit and offered twice a year by this institution. Lessons learned from this experience provide a roadmap for rapidly increasing access to new knowledge and skills for healthcare workers by adapting existing online resources to local needs; they are used to facilitate rapid expansion of other continuing education offerings in Ukraine: additional online courses from the University of Washington (UW) are planned for adaptation.
乌克兰医疗工作者获取继续教育机会的途径有限，而目前乌克兰正在进行医疗改革，因此对继续教育的需求非常迫切。在线学习是继续教育的一种具有成本效益的机制，因为医疗工作者可以在培训期间继续工作。它还为卫生专业人员在快速变化和日益复杂的医疗环境中保持知识和技能的更新提供了一种手段。
本文介绍了将美国机构的现有电子学习课程改编为乌克兰环境的过程。课程参与者的反馈用于评估在 2016-2017 年两次试点的改编版本的有效性，共有 53 名参与者参加，其中 46 名完成了课程并为评估做出了贡献。
这是乌克兰首次提供的关于领导和管理的全在线课程（LMiH）。在课程改编过程中，考虑到乌克兰环境的多个方面，例如 1）语言可访问性、2）互联网接入、3）计算机素养和 4）在线学习的新颖性，学到了一些经验。基于这些发现，首先将课程材料从英语翻译成乌克兰语，重点是调整成语和现实生活例子的文化适应性。然后，根据第一次试点结果和参与者的建议，添加了与当地医疗保健管理专家的录像访谈，以进一步提高课程概念的文化适宜性以及相关性和适用性。最后但并非最不重要的一点是，向新环境过渡、转变和维持在线学习需要吸引利益相关者、国家层面的支持以及通过实施和超越实施阶段提供技术援助，尽管这是对有限资源的具有成本效益且可持续的投资。形成性评价证实，改编工作使该课程与乌克兰的医疗保健专业人员相关且可接受。
与基辅的波格莫莱茨国立医科大学的乌克兰家庭医学培训中心合作，完成了课程向当地所有权的过渡：LMiH 现在获得继续医学教育学分认证，并由该机构每年提供两次。从这一经验中吸取的教训为通过改编现有在线资源以满足当地需求，为医疗工作者快速获取新知识和技能提供了一个途径；它们被用于促进乌克兰其他继续教育课程的快速扩展：计划改编来自华盛顿大学（UW）的其他在线课程。
