CME Small Group Tutor Network, Irish College of General Practitioners, Dublin 2, Ireland.
UCD School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Med Educ Online. 2024 Dec 31;29(1):2396163. doi: 10.1080/10872981.2024.2396163. Epub 2024 Sep 8.
In Ireland and internationally, small-group learning (SGL) has been shown to be an effective way of delivering continuing medical education (CME) and changing clinical practice.
This study sought to determine the benefits and limitations, as reported by Irish GPs, of the change of CME-SGL from face-to-face to online learning during COVID.
GPs were invited to participate via email through their respective CME tutors. The first of three rounds of a survey using the Delphi method gathered demographic information and asked GPs about the benefits and/or limitations of learning online in their established small groups. Subsequent rounds obtained a consensus opinion.
Eighty-eight GPs across Ireland agreed to participate. Response rates varied from 62.5% to 72% in different rounds. These GPs reported that attending their established CME-SGL groups allowed them to discuss the practical implications of applying guidelines in COVID care into practice (92.7% consensus), reviewing new local services and comparing their practice with others (94% consensus); helping them feel less isolated (98% consensus). They reported that online meetings were less social (60% consensus), and informal learning that occurs before and after meetings did not take place (70% consensus). GPs would not like online learning to replace face-to face-CME-SGL after COVID (89% consensus).
GPs in established CME-SGL groups benefited from online learning as they could discuss how to adapt to rapidly changing guidelines while feeling supported and less isolated. They report that face-to-face meetings offer more opportunities for informal learning.
在爱尔兰和国际上,小组学习(SGL)已被证明是提供继续医学教育(CME)和改变临床实践的有效方法。
本研究旨在确定在 COVID 期间,CME-SGL 从面对面学习转变为在线学习,爱尔兰全科医生报告的益处和局限性。
通过电子邮件向各自的 CME 导师邀请全科医生参与。使用德尔菲法进行的三轮调查中的第一轮收集了人口统计学信息,并询问全科医生在他们已建立的小组中在线学习的益处和/或局限性。随后的几轮调查获得了共识意见。
爱尔兰各地的 88 名全科医生同意参与。不同轮次的回复率从 62.5%到 72%不等。这些全科医生报告说,参加他们已建立的 CME-SGL 小组使他们能够讨论在 COVID 护理中应用指南的实际影响,从而将其应用于实践(92.7%的共识),审查新的本地服务并将其与他人的实践进行比较(94%的共识);帮助他们感到不那么孤立(98%的共识)。他们报告说,在线会议的社交性较差(60%的共识),并且在会议前后不会发生非正式学习(70%的共识)。全科医生不希望在 COVID 之后将在线学习取代面对面的 CME-SGL(89%的共识)。
在已建立的 CME-SGL 小组中,全科医生从在线学习中受益,因为他们可以讨论如何适应快速变化的指南,同时感到支持和不那么孤立。他们报告说,面对面会议提供了更多的非正式学习机会。