东南亚和东地中海地区继续医学教育的现状：对33个国家的范围界定综述
The Status Quo of Continuing Medical Education in South-East Asia and Eastern Mediterranean Regions: A Scoping Review of 33 Countries.
作者信息
Vakani Farhan Saeed, Uebel Kerry, Balasooriya Chinthaka, Demirkol Apo
机构信息
Dr. Vakani: Associate Professor of Medical Education, Dow Institute of Health Professions Education, Dow University of Health Sciences, Karachi, Pakistan. Dr. Uebel: Senior lecturer, School of Population Health, University of New South Wales, UNSW SYDNEY, New South Wales, Australia. Dr. Balasooriya: Associate Professor of Medical Education, School of Population Health, UNSW Medicine, Scientia Education Fellow, University of New South Wales, UNSW SYDNEY, New South Wales, Australia, and Immediate Past President, Australian & New Zealand Association for Health Professional Educators (ANZAHPE). Dr. Demirkol: Conjoint Associate Professor, School of Public Health and Community Medicine, UNSW, Senior Staff Specialist, The Langton Centre, SESLHD Drug and Alcohol Services, Senior Staff Specialist, Prince of Wales Hospital Pain Management Centre Sydney, New South Wales, Australia.
出版信息
J Contin Educ Health Prof. 2024;44(1):44-52. doi: 10.1097/CEH.0000000000000471. Epub 2022 Dec 21.
INTRODUCTION
Continuing medical education is a process of continuous learning to maintain physicians' competence and professional performance. Efforts to make continuing medical education (CME) programs mandatory in the South-East Asia Region by linking credits to the renewal of registration have met with mixed success. However, there are no recent reviews on the CME status in regions with a large number of developing countries. This review aims to map the practices and regulation of the CME activities in the South-East Asia and Eastern Mediterranean regions.
METHODS
A scoping review was undertaken using a modified Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. A search was conducted within PubMed, Embase, Web of Science, Scopus databases, and national medical and health council websites.
RESULTS
Evidence on the provision of CME is available for all but seven of the 33 countries in both regions. Fourteen countries of varying income levels have implemented mandatory CME linked to the renewal of registration. They have statutory bodies governing CME and allocating credits, with most requiring a large number of hourly based activities for the renewal of registration and evidence of a wide range of local providers.
DISCUSSION
Financial resources, a thorough organizational structure and standards, and a wide range of local CME providers seem to promote the implementation of mandatory CME in most of these countries.
引言
继续医学教育是一个持续学习的过程，以维持医生的能力和专业表现。通过将学分与注册更新挂钩，在东南亚地区强制推行继续医学教育（CME）项目的努力取得了喜忧参半的成果。然而，对于众多发展中国家所在地区的继续医学教育现状，尚无近期的综述。本综述旨在梳理东南亚和东地中海地区继续医学教育活动的实践与监管情况。
方法
采用经修改的《系统评价与Meta分析扩展版的首选报告项目：范围综述清单》进行范围综述。在PubMed、Embase、科学网、Scopus数据库以及各国医疗卫生委员会网站上开展检索。
结果
两个地区33个国家中，除7个国家外，均有关于提供继续医学教育的证据。14个不同收入水平的国家已实施与注册更新挂钩的强制性继续医学教育。它们设有管理继续医学教育和分配学分的法定机构，大多数国家要求开展大量基于小时数的活动以进行注册更新，并有广泛的本地提供者提供证明。
讨论
财政资源、完善的组织结构和标准以及广泛的本地继续医学教育提供者似乎推动了这些国家中大多数国家强制性继续医学教育的实施。
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