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在资源匮乏国家实施和评估虚拟骨科继续医学教育会议的效果。

Implementation and Impact Evaluation of a Virtual Orthopaedic Continuing Medical Education Conference in a Low-Resource Country.

机构信息

Yale School of Medicine, Department of Orthopaedics and Rehabilitation, New Haven, Connecticut; Harvard Global Orthopaedics Collaborative, Boston, Massachusetts.

Warren Alpert Medical School of Brown University, Providence, Rhode Island.

出版信息

J Surg Educ. 2021 Sep-Oct;78(5):1629-1636. doi: 10.1016/j.jsurg.2021.01.002. Epub 2021 Feb 8.

Abstract

OBJECTIVE

The Haitian Annual Assembly of Orthopaedic Trauma (HAAOT) is an annual continuing medical education (CME) conference for Haitian orthopedists and trainees converted to a pilot virtual format in 2020 due to the COVID-19 pandemic. We evaluated this virtual format's effectiveness at teaching, facilitating bilingual discussion, and encouraging cross-cultural exchange of experiences - all aimed at improving orthopedic knowledge in a low-resource country like Haiti.

DESIGN

Planned collaboratively between North American and Haitian colleagues, the conference involved 4 bilingual weekly Zoom meetings comprised of 4 to 6 prerecorded presentations and live-translated discussion. Pre- and postmeeting knowledge assessments in French (Haitian language of medical instruction) were administered weekly with results compared via 2-sample t-tests. An online postconference survey evaluated attendee satisfaction with the virtual format.

SETTING

Virtual.

PARTICIPANTS

Weekly attendance involved approximately 50 Haitian orthopedists and trainees, with 20 to 25 completing pre- and postmeeting assessments.

RESULTS

Statistically significant increases between pre/post scores were seen during 3 of 4 sessions. Session-wide significant score increases occurred for residents and attending surgeons with <10 years of experience. 85.7% of attendees reported the virtual platform exceeded expectations and 100% indicated likely or extremely likely participation in further virtual events.

CONCLUSIONS

The pilot virtual HAAOT was extremely well received with high desire for future sessions. Beyond short-term knowledge retention among attendees, nonmeasurable benefits included collaboration between orthopedists and trainees in the United States, Canada, United Kingdom, Haiti, and Burkina Faso. As COVID-19 spurs online learning in high-income nations, the successful low-resource context adjustments and local partnership underlying this model attest that travel restrictions need not impede delivery of virtual CME conferences in lower-income nations. Attendee learning and the decreased cost and travel requirements allude to this platform's sustainability and reproducibility in facilitating future international education and capacity building. Further studies will assess long-term retention of presented material.

摘要

目的

海地矫形创伤年度大会(HAAOT)是海地矫形外科医生和受训人员的年度继续教育(CME)会议,由于 2020 年 COVID-19 大流行,该会议转换为试点虚拟形式。我们评估了这种虚拟形式在教学、促进双语讨论以及鼓励跨文化交流经验方面的有效性-所有这些都是为了提高海地等资源匮乏国家的矫形知识。

设计

该会议由北美和海地同事共同策划,涉及 4 次双语每周 Zoom 会议,包括 4 至 6 次预先录制的演讲和现场翻译讨论。每周进行会前和会后的法语(医学教学的海地语言)知识评估,并通过 2 样本 t 检验比较结果。在线会后调查评估了与会者对虚拟形式的满意度。

地点

虚拟。

参与者

每周约有 50 名海地矫形外科医生和受训人员参加,其中 20 至 25 人完成了会前和会后的评估。

结果

在 4 次会议中的 3 次中,前后分数之间存在统计学上显著的增加。经验少于 10 年的住院医生和主治外科医生的整体得分显著增加。85.7%的与会者表示虚拟平台超出预期,100%的人表示可能或极有可能参加进一步的虚拟活动。

结论

试点虚拟 HAAOT 非常受欢迎,与会者非常希望未来有更多的会议。除了与会者的短期知识保留之外,无法衡量的好处包括美国、加拿大、英国、海地和布基纳法索的矫形外科医生和受训人员之间的合作。随着 COVID-19 促使高收入国家进行在线学习,该模式背后的成功的资源匮乏国家的调整和本地合作证明,旅行限制不必妨碍低收入国家虚拟 CME 会议的交付。与会者的学习以及降低的成本和旅行要求暗示了该平台在促进未来国际教育和能力建设方面的可持续性和可复制性。进一步的研究将评估所呈现材料的长期保留情况。

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