Lalloo C, Mohabir V, Campbell F, Sun N, Klein S, Tyrrell J, Mesaroli G, Stinson J
Child Health Evaluative Sciences, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, ON, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Front Pain Res (Lausanne). 2023 Aug 22;4:1215811. doi: 10.3389/fpain.2023.1215811. eCollection 2023.
Healthcare providers (HCPs) practicing in community settings are critical to improving access to pain care, yet there are significant gaps in training opportunities designed for interprofessional learners. Project Extension for Community Healthcare Outcomes (Project ECHO®) is an established model for delivering online HCP education through virtual clinics and cultivating a community of practice. However, to our knowledge, the integration of pain core competency education into the model has not been previously attempted. This innovation could enhance the model while also addressing the growing calls for more accessible interprofessional pain curricula. This paper describes efforts to implement and evaluate core competency curricula within the context of , one of the first pediatric-pain focused ECHO programs in the world.
Needs assessments informed curricula development. The first delivered core competency model consisted of synchronous webinar-style sessions while the second model included a mixture of asynchronous (eLearning course) and synchronous (virtual clinical debrief) elements. A convenience sample of HCPs was recruited from ECHO program registrants. Participants completed baseline and follow-up surveys to assess core competency acceptability as well as impact on knowledge and self-efficacy related to managing pediatric pain. Usability of the eLearning platform (model 2 only) was also evaluated. Surveys used 5-point Likert scales to capture outcomes. targets included mean scores ≥4/5 for acceptability and ≥80% of learners reporting knowledge and self-efficacy improvements. The study received local research ethics approval.
The core competency was found to be highly acceptable to interprofessional learners ( = 31) across delivery models, surpassing targets. Specifically, it was characterized as a worthwhile and satisfactory experience that was helpful in supporting learning. The core competency was also associated with improvements in knowledge and self-efficacy by 97% and 90% of learners, respectively. The eLearning platform was reported to have high usability with clinically realistic cases (100% of respondents) that were helpful to inform care delivery (94% of respondents).
The integration of core competency learning within the model was a successful approach to deliver pediatric pain education to interprofessional HCPs.
在社区环境中执业的医疗保健提供者对于改善疼痛护理的可及性至关重要，但为跨专业学习者设计的培训机会存在显著差距。社区医疗成果推广项目（Project ECHO®）是一种通过虚拟诊所提供在线医疗保健提供者教育并培养实践社区的既定模式。然而，据我们所知，此前尚未尝试将疼痛核心能力教育融入该模式。这一创新可以改进该模式，同时也回应了对更易获取的跨专业疼痛课程日益增长的需求。本文描述了在世界上首批专注于儿科疼痛的ECHO项目之一的背景下实施和评估核心能力课程的努力。
需求评估为课程开发提供依据。第一个交付的核心能力模式由同步网络研讨会式课程组成，而第二个模式包括异步（电子学习课程）和同步（虚拟临床汇报）元素的混合。从ECHO项目注册者中招募了一个便利样本的医疗保健提供者。参与者完成基线和随访调查，以评估核心能力的可接受性以及对与管理儿科疼痛相关的知识和自我效能的影响。还评估了电子学习平台（仅模式2）的可用性。调查使用5点李克特量表来获取结果。目标包括可接受性的平均得分≥4/5，以及80%以上的学习者报告知识和自我效能有所提高。该研究获得了当地研究伦理批准。
发现核心能力在跨交付模式的跨专业学习者（n = 31）中高度可接受，超过了目标。具体而言，它被描述为一次有价值且令人满意的经历，有助于支持学习。核心能力还分别与97%和90%的学习者的知识和自我效能提高相关。据报告，电子学习平台在具有临床现实案例（100%的受访者）方面具有高可用性，这些案例有助于为护理提供信息（94%的受访者）。
在ECHO模式中整合核心能力学习是向跨专业医疗保健提供者提供儿科疼痛教育的成功方法。
