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通过嗜酸性粒细胞性食管炎管理的多学科团队教育来解决教育差距。

Addressing educational gaps through multidisciplinary team education in eosinophilic oesophagitis management.

作者信息

Day Kathy, Bredenoord Albert J, Skypala Isabel, Spergel Jonathan, Bickford Katie, Noble Alex, Nunn Anne M

机构信息

Medical and Editorial, touchIME Ltd, Stockport, UK.

Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, Netherlands.

出版信息

J CME. 2023 Jul 6;12(1):2230033. doi: 10.1080/28338073.2023.2230033. eCollection 2023.

DOI:10.1080/28338073.2023.2230033
PMID:37426427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10327516/
Abstract

Once considered a rare disease, eosinophilic oesophagitis (EoE) is becoming increasingly prevalent, yet many healthcare professionals (HCPs) remain unfamiliar with the underlying pathophysiology and optimal management approaches. For this study, we developed a faculty-led, online, continuing medical education activity on EoE. The effectiveness of this activity was evaluated according to Moore's framework, with changes in knowledge and competence (Moore's Levels 3 and 4) assessed for a cohort of gastroenterologists, dietitians, allergists and immunologists ( = 300), using questionnaires completed before and after participation. Changes in HCP confidence in treating EoE were also reported and remaining educational gaps were identified. The activity was viewed by a global audience of 5,330 participants within 6 months, and significant improvements in knowledge and competence were reported following participation in the activity across all specialities, regions and experience (mean [standard deviation] score pre- versus post-activity: 4.32 [1.38] versus 5.46 [0.82];  < 0.001). Confidence in treating EoE also increased from pre- to post-activity, with the proportion of participants reporting that they felt moderately or extremely confident increasing from 53% to 82%. Several educational unmet needs were identified, which can be used to inform the design of future educational activities in EoE.

摘要

嗜酸性粒细胞性食管炎(EoE)曾被视为罕见疾病,如今其发病率日益攀升,但许多医疗保健专业人员(HCPs)对其潜在病理生理学及最佳管理方法仍不甚了解。在本研究中,我们开展了一项由教员主导的、在线的、关于EoE的继续医学教育活动。根据摩尔框架对该活动的有效性进行评估,通过参与前后填写的问卷,对一组胃肠病学家、营养师、过敏症专科医生和免疫学家(n = 300)的知识和能力变化(摩尔的第3和第4级)进行评估。还报告了HCPs在治疗EoE方面信心的变化,并确定了尚存的教育差距。该活动在6个月内有来自全球的5330名参与者观看,所有专业、地区和经验水平的参与者在参与活动后知识和能力均有显著提高(活动前与活动后平均[标准差]得分:4.32[1.38]对5.46[0.82];P < 0.001)。从活动前到活动后,治疗EoE的信心也有所增强,报告称自己感到中度或极度自信的参与者比例从53%增至82%。确定了几个未满足的教育需求,可用于为未来EoE教育活动的设计提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/578f0b954ee6/ZJEC_A_2230033_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/797b6f8e58ed/ZJEC_A_2230033_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/47d8502e5201/ZJEC_A_2230033_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/b8a770df9128/ZJEC_A_2230033_F0003_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/578f0b954ee6/ZJEC_A_2230033_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/797b6f8e58ed/ZJEC_A_2230033_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/47d8502e5201/ZJEC_A_2230033_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/b8a770df9128/ZJEC_A_2230033_F0003_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60ea/10327516/578f0b954ee6/ZJEC_A_2230033_F0004_B.jpg

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本文引用的文献

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Poor Adherence to Medical and Dietary Treatments in Adult Patients With Eosinophilic Esophagitis.成人嗜酸性粒细胞性食管炎患者对医疗和饮食治疗的依从性差。
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