Archibald Douglas, Burns Joseph K, Fitzgerald Michael, Merkley Véronique French
Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Bruyère Research Institute, Ottawa, Ontario, Canada.
J Eur CME. 2020 Apr 23;9(1):1754120. doi: 10.1080/21614083.2020.1754120. eCollection 2020.
For hospital physicians, alignment of Continuing Professional Development (CPD) with quality improvement efforts is often absent or rudimentary. The purpose of this study was to evaluate a CPD development process that created accessible learning opportunities and aligned CPD with practice data. We conducted a chart audit to identify patient safety and quality of care issues within the institution, then established an eLearning approach that supported quick and cost effective development of high-quality interactive CPD opportunities. We tested a pilot module on the management of common infections in sub-acute care settings with fifteen (68%) residents and three staff physicians to evaluate the approach. One resident and three staff agreed to a follow-up interview. The satisfaction survey indicated that participants felt the content was generally appropriate and the module well designed. Significant improvements to knowledge were reported in the multi-drug resistance (Mean Difference = 25%, p = 0.002), infection management (MD = 32%, p < 0.001), and cellulitis risk factor (MD = 22%, p = 0.02) questions, as well as in the overall score (MD = 19%, p < 0.001). In terms of confidence in their answers, the mean rating pre-module was 3.17, rising significantly to 3.92 post-module (p < 0.001). In this way, collaboration between quality management and education committees allowed for the development of relevant CPD for physicians, with eLearning providing a timely and accessible way to deliver training on emerging issues.
对于医院医生而言，继续职业发展（CPD）与质量改进工作之间的协调往往缺失或不够完善。本研究的目的是评估一种CPD发展过程，该过程创造了可获取的学习机会，并使CPD与实践数据保持一致。我们进行了一次图表审核，以确定机构内的患者安全和护理质量问题，然后建立了一种电子学习方法，该方法支持快速且经济高效地开发高质量的交互式CPD机会。我们在亚急性护理环境中对15名（68%）住院医师和3名 staff physicians进行了关于常见感染管理的试点模块测试，以评估该方法。一名住院医师和三名 staff physicians同意接受后续访谈。满意度调查表明，参与者认为内容总体合适，模块设计良好。在多重耐药性（平均差异=25%，p = 0.002）、感染管理（MD = 32%，p < 0.001）和蜂窝织炎危险因素（MD = 22%，p = 0.02）问题以及总分（MD = 19%，p < 0.001）方面，知识有显著提高。在对答案的信心方面，模块前的平均评分是3.17，模块后显著提高到3.92（p < 0.001）。通过这种方式，质量管理和教育委员会之间的合作使得能够为医生开发相关的CPD，电子学习提供了一种及时且可获取的方式来提供关于新出现问题的培训。
原文中“staff physicians”直接保留英文未翻译，推测可能是特定语境下的专业术语或有特定含义，未找到准确中文对应词汇，可根据实际情况进一步确认或补充准确翻译。
