Amgalan Nomin, Shin Jwa-Seop, Lee Seung-Hee, Badamdorj Oyungoo, Yoon Hyun-Bae
Department of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
Division of Educational Policy and Management, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Korean J Med Educ. 2019 Sep;31(3):227-237. doi: 10.3946/kjme.2019.133. Epub 2019 Aug 26.
Continuing professional development is essential for improving health care services, especially in developing countries. Most of the training programs in Mongolia were not based on a targeted needs assessment. Therefore, we aimed to apply a mixed methods design to assess the training needs of Mongolian health professions.
We conducted a needs assessment using a convergent parallel mixed methods design in two steps. The survey and interview questions were developed to identify priority areas, targeted trainees, and effective training methods. A survey on 60 respondents, 15 individual interviews, and a focus group interview with 14 participants were conducted in the first step. In the second step, 12 representatives of key stakeholders were invited to a second focus group interview.
Current health policy areas, areas related to future national plans, and areas not currently receiving governmental or international support were suggested as the main priorities. The stakeholder suggested that trainees should be selected based on their professional experience and language level, as well as each hospital's needs. Building teams including various professions, such as nurses, technicians, and biomedical engineers, was recommended as a way to exchange ideas with each other and to build teamwork for future collaboration.
Medical training needs are dynamic and complex; therefore, a deep understanding of the context and setting is necessary. In this study, we assessed the targeted training needs of Mongolian health professions through a mixed methods design, which could be an effective way to conduct needs assessments for training programs.
持续专业发展对于改善医疗服务至关重要，尤其是在发展中国家。蒙古的大多数培训项目并非基于有针对性的需求评估。因此，我们旨在采用混合方法设计来评估蒙古卫生专业人员的培训需求。
我们采用收敛平行混合方法设计分两步进行需求评估。开发了调查问卷和访谈问题，以确定优先领域、目标学员和有效的培训方法。第一步对60名受访者进行了调查，进行了15次个人访谈，并对14名参与者进行了焦点小组访谈。第二步，邀请了12名关键利益相关者代表参加第二次焦点小组访谈。
当前的卫生政策领域、与未来国家计划相关的领域以及目前未获得政府或国际支持的领域被建议作为主要优先事项。利益相关者建议应根据学员的专业经验、语言水平以及各医院的需求来选择学员。建议组建包括护士、技术人员和生物医学工程师等不同专业的团队，作为相互交流想法以及为未来合作建立团队合作的一种方式。
医学培训需求是动态且复杂的；因此，深入了解背景和环境是必要的。在本研究中，我们通过混合方法设计评估了蒙古卫生专业人员的目标培训需求，这可能是对培训项目进行需求评估的一种有效方式。
