Bogarin Roberto, Elizondo Luis, Kalaitzoglou Evangelia, Popovic Jadranka, Rogol Alan, Richmond Erick, Chanoine Jean-Pierre, Lopez-Pedrosa Jose M, Ruiz Salazar Francis, Vuguin Patricia
Costa Rica National Children´s Hospital, San Jose, Costa Rica.
Hospital Calderon Guardia, San Jose, Costa Rica.
Interact J Med Res. 2023 May 8;12:e41353. doi: 10.2196/41353.
Pediatric endocrinology is a specialty that is struggling worldwide to maintain adequately trained professionals. Pediatric endocrine care in Central America and Caribbean countries is often performed by pediatricians or adult endocrinologists due to the limited number of pediatric endocrinologists. These health care providers are seldom members of endocrine societies and frequently lack formal training in the field.
In this study, we describe the scope of a virtual conference in pediatric endocrinology and diabetes targeted to low- and middle-income countries to provide equal opportunities for access to medical education for health care professionals.
The virtual conference was sponsored by the Pediatric Endocrine Society (North America), Asociación Costarricense de Endocrinología (previously, Asociación Nacional Pro Estudio de la Diabetes, Endocrinología y Metabolismo), and Asociacion Centroamericana y del Caribe de Endocrinologia Pediátrica. The conference was free to participants and comprised 23 sessions that were either synchronous with ability for real-time interactive sessions or asynchronous sessions, where content was available online to access at their convenience. Topics included idiopathic short stature, polycystic ovarian syndrome, diabetes mellitus, telemedicine, Turner syndrome, congenital adrenal hyperplasia, obesity, central precocious puberty, and subclinical hypothyroidism. The participants were asked to evaluate the conference after its completion with a questionnaire.
A total of 8 speakers from Spain, Canada, Costa Rica, and the United States delivered the virtual event to 668 health care professionals from Guatemala, Venezuela, Dominican Republic, Costa Rica, Ecuador, Peru, Uruguay, Mexico, Honduras, Argentina, the United States, Bolivia, Chile, Panama, El Salvador, Nicaragua, Paraguay, Belize, Spain, and Colombia. Name, profession, and country were fully disclosed by 410 (61.4%) of the 668 health care professionals. The profession or level of training of participants were as follows: pediatric endocrinologists (n=129, 19.3%), pediatricians (n=116, 17.4%), general practitioners (n=77, 11.5%), adult endocrinologists (n=34, 5.1%), medical students (n=23, 3.4%), residents in various specialties (n=14, 2.1%), and others (n=17, 2.6%). A total of 23 sessions were offered, most of which were bilingual (Spanish and English). Feedback from the evaluation questionnaire indicated that the content of the conference was very relevant to the participants' professional practice. Additionally, the participants reported that they were very satisfied with the organization, the web-based platform, and the sessions of the conference.
Lack of accessibility to the latest and cutting-edge medical education in pediatric endocrinology and diabetes for medical professionals from low- and middle-income countries can be overcome with a virtual conference. Online availability, low cost, and easy-to-use technology were well received from the participants, who were overall very satisfied by the quality and the relevance of the sessions to their professional practice.
儿科内分泌学作为一门专业学科,在全球范围内都面临着专业人才储备不足的问题。由于儿科内分泌专家数量有限,中美洲和加勒比地区国家的儿科内分泌护理工作通常由儿科医生或成人内分泌科医生承担。这些医疗服务提供者很少是内分泌学会的成员,并且常常缺乏该领域的正规培训。
在本研究中,我们描述了一场面向低收入和中等收入国家的儿科内分泌学与糖尿病虚拟会议的情况,旨在为医疗专业人员提供平等的医学教育机会。
该虚拟会议由北美儿科内分泌学会、哥斯达黎加内分泌协会(前身为全国糖尿病、内分泌学与代谢研究协会)以及中美洲和加勒比地区儿科内分泌协会联合主办。会议对参与者免费开放,共包含23场会议,其中一些为实时互动的同步会议,另一些为异步会议,参会者可根据自身方便随时在线获取会议内容。主题包括特发性身材矮小、多囊卵巢综合征、糖尿病、远程医疗、特纳综合征、先天性肾上腺皮质增生症、肥胖症、中枢性性早熟以及亚临床甲状腺功能减退症。会议结束后,要求参与者通过问卷对会议进行评估。
来自西班牙、加拿大、哥斯达黎加和美国的8位演讲者为来自危地马拉、委内瑞拉、多米尼加共和国、哥斯达黎加、厄瓜多尔、秘鲁、乌拉圭、墨西哥、洪都拉斯、阿根廷、美国、玻利维亚、智利、巴拿马、萨尔瓦多、尼加拉瓜、巴拉圭、伯利兹、西班牙和哥伦比亚的668名医疗专业人员举办了此次虚拟会议。668名医疗专业人员中的410名(61.4%)完全披露了自己的姓名、职业和国家。参与者的职业或培训水平如下:儿科内分泌专家(n = 129,19.3%)、儿科医生(n = 116,17.4%)、全科医生(n = 77,11.5%)、成人内分泌科医生(n = 34,5.1%)、医学生(n = 23,3.4%)、各专业住院医师(n = 14,2.1%)以及其他人员(n = 17,2.6%)。会议共提供了23场会议,其中大部分为双语(西班牙语和英语)。评估问卷的反馈表明,会议内容与参与者的专业实践高度相关。此外,参与者报告称他们对会议的组织、网络平台以及会议场次非常满意。
通过虚拟会议,可以克服低收入和中等收入国家医疗专业人员难以获取儿科内分泌学与糖尿病领域最新前沿医学教育的问题。在线获取、低成本以及易于使用的技术受到了参与者的广泛好评,他们总体上对会议的质量以及会议内容与专业实践的相关性非常满意。