Neurology Department, Sydney Children's Hospital, Sydney, New South Wales, Australia.
Discipline of Paediatrics, Faculty of Medicine and Health, UNSW, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2023 Jan;59(1):134-143. doi: 10.1111/jpc.16261. Epub 2022 Nov 10.
The purpose of this study was to evaluate whether a neurology outreach teaching programme delivered via video-teleconferencing (6 × 60 min live sessions every 6-8 weeks) is acceptable, contributes to understanding and meets the neurology learning needs of Australian paediatricians from metropolitan, rural and remote areas.
A sample of six NSW sites that joined the neurology outreach programme between 2017 and 2019 (Arm 1) and six interstate sites from QLD, WA and TAS who commenced the programme in 2020 (Arm 2) participated. A mixed-methods survey explored participants' learning needs and value of the programme.
Forty-six participants submitted programme evaluation surveys (26 arm 1, 20 arm 2); 9 were removed due to insufficient data (n = 37). Quantitative and qualitative data showed the programme was acceptable in format, relevant to practice, appropriate for clinician learning needs, and engaging. Clinicians reported improvement in understanding and confidence. Participants felt more connected/less isolated and up-to-date. Participants reported a positive impact from the programme on approach to neurological problems and ensuing consults, and more differentiated and appropriate paediatric neurology referrals.
This study validates the live video-teleconference outreach model as an acceptable, effective and important means of providing continuing neurology education for Australian paediatricians.
本研究旨在评估通过视频会议(每 6-8 周进行 6 次 60 分钟的实时课程)提供的神经科外展教学计划是否可行、有助于理解并满足澳大利亚大都市、农村和偏远地区儿科医生的神经科学习需求。
参与本研究的有 2017 年至 2019 年间加入神经科外展计划的 6 个新南威尔士州站点(第 1 组)和 2020 年开始该计划的来自昆士兰州、西澳大利亚州和塔斯马尼亚州的 6 个州际站点(第 2 组)。采用混合方法调查探索参与者的学习需求和对该计划的价值。
46 名参与者提交了计划评估调查(第 1 组 26 名,第 2 组 20 名);由于数据不足(n=37),有 9 名被剔除。定量和定性数据表明,该计划在格式上是可以接受的,与实践相关,适合临床医生的学习需求,并且引人入胜。临床医生报告称在理解和信心方面有所提高。参与者表示感觉更有联系/更不孤立和更了解最新情况。参与者报告称该计划对神经科问题的处理和随后的咨询产生了积极影响,并对儿科神经科转诊进行了更具区分性和更适当的处理。
本研究验证了现场视频会议外展模式作为为澳大利亚儿科医生提供持续神经科教育的一种可行、有效且重要的手段。