Iancu Igal, Zehavi Liron, Draznin Boris
Edocate Ltd, Tel-Aviv, Israel.
Division of Endocrinology, Diabetes and Metabolism, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA.
J CME. 2023 Jan 11;12(1):2166717. doi: 10.1080/28338073.2023.2166717. eCollection 2023.
The main goal of continuing medical education (CME) is to help healthcare providers (HCP) improve their knowledge and levels of competency with an ultimate enhancement of their performance in practice. Despite the long and well-intentional history of CME, the proof of success (based on improved clinical outcomes) is difficult to obtain objectively. In the past several years, the traditional CME world has been disrupted by replacing multiple-choice questions with virtual simulation. We utilised an innovative, next-generation virtual patient simulation (VPS) platform to develop objective measures to assess the success of educational activities that can be applied to the CME. This VPS platform was used at five distinct educational events designed to assess learners' knowledge and competency in the guideline-driven management of Type 2 diabetes, hyperlipidaemia, and hypertension. A total of 432 learners (medical doctors, nurse practitioners, and clinical pharmacists) participated in these educational events of whom 149 went through two consecutive cases with a similar clinical picture and educational goals. Their ability to achieve glycaemic, lipid, and blood pressure control improved significantly as they moved from the first to the second case. The participants improved their test performance in all categories - between 5 and 38%, achieving statistically significant increases in the many goals examined. In conclusion, this study employed the pioneering application of technology to produce, collect and analyse the VPS data to evaluate objectively educational activities. This VPS platform allows not only an objective assessment of the effectiveness of the CME activity but also provides timely and helpful feedback to both learners and providers of a given educational event.
继续医学教育(CME)的主要目标是帮助医疗保健提供者(HCP)提高其知识水平和能力,最终提升他们在实际工作中的表现。尽管继续医学教育有着悠久且善意的历史,但(基于改善临床结果的)成功证据很难客观地获得。在过去几年中,传统的继续医学教育领域因用虚拟模拟取代多项选择题而受到冲击。我们利用一个创新的下一代虚拟患者模拟(VPS)平台来制定客观的评估方法,以评估可应用于继续医学教育的教育活动的成效。这个VPS平台在五个不同的教育活动中使用,这些活动旨在评估学习者在2型糖尿病、高脂血症和高血压的指南驱动管理方面的知识和能力。共有432名学习者(医生、执业护士和临床药剂师)参加了这些教育活动,其中149人连续经历了两个具有相似临床表现和教育目标的病例。从第一个病例到第二个病例,他们实现血糖、血脂和血压控制的能力有了显著提高。参与者在所有类别中的测试成绩都有所提高——提高了5%至38%,在所考察的许多目标上实现了统计学上的显著增长。总之,本研究开创性地应用技术来生成、收集和分析VPS数据,以客观地评估教育活动。这个VPS平台不仅能客观评估继续医学教育活动的有效性,还能为特定教育活动的学习者和提供者提供及时且有用的反馈。