Department of Emergency Medicine, Stanford University, Palo Alto, CA, United States.
Stanford Center for Health Education, Stanford University, Stanford, CA, United States.
Front Public Health. 2024 Oct 1;12:1395931. doi: 10.3389/fpubh.2024.1395931. eCollection 2024.
COVID-19 created a global need for healthcare worker (HCW) training. Initially, mass trainings focused on public health workers and physicians working in intensive care units. However, in resource-constrained settings, nurses and general practitioners provide most patient care, typically lacking the training and equipment to manage critically ill patients. We developed a massive open online course (MOOC) for HCWs in resource-constrained settings aimed at training bedside providers caring for COVID-19 patients. We describe the development, implementation and analysis of this MOOC.
From May through June 2020, the course was developed by a multi-disciplinary team and launched on two online platforms in July. The 4-hour course comprises 6 video-based modules. Student knowledge was assessed using pre- and post-module quizzes and final exam, while demographics and user experience were evaluated by pre- and post-course surveys and learning platform data.
From July 17th to September 24th, 30,859 students enrolled, 18,818 started, and 7,101 completed the course. Most participants worked in healthcare (78%) and resided in lower middle- (38%) or upper middle- (20%) income countries. Learners from upper middle-income and lower middle-income countries had higher completion rates. Knowledge gains were observed from pre-module to post-module quizzes and a final exam. Afterward, participants reported increased self-efficacy regarding course objectives, a 0.63 mean increase on a 4-point scale (95% CI [0.60,0.66]). Most participants (93%) would recommend the course to others.
This article demonstrates the potential of MOOCs to rapidly provide access to emerging medical knowledge during a public health crisis, particularly for HCWs in high- and middle-income countries.
COVID-19 全球范围内对医护人员（HCW）培训产生了需求。最初，大规模培训主要集中在公共卫生工作者和重症监护病房工作的医生身上。然而，在资源有限的环境中，护士和全科医生提供了大部分的患者护理，他们通常缺乏管理重症患者的培训和设备。我们为资源有限的环境中的 HCW 开发了一门大规模在线开放课程（MOOC），旨在培训照顾 COVID-19 患者的床边医护人员。我们描述了这门 MOOC 的开发、实施和分析。
2020 年 5 月至 6 月，课程由一个多学科团队开发，并于 7 月在两个在线平台上推出。该 4 小时课程包括 6 个基于视频的模块。通过课前和课后模块测验以及期末考试来评估学生的知识，通过课前和课后调查以及学习平台数据来评估人口统计学和用户体验。
2020 年 7 月 17 日至 9 月 24 日，共有 30859 名学生注册，18818 人开始学习，7101 人完成了课程。大多数参与者从事医疗保健工作（78%），居住在中下收入（38%）或中上收入（20%）国家。来自中上收入和中下收入国家的学习者完成率更高。从课前测验到课后测验和期末考试都观察到了知识的增长。之后，参与者报告称，他们对课程目标的自我效能感有所提高，在 4 分制上平均提高了 0.63 分（95%置信区间[0.60,0.66]）。大多数参与者（93%）会向他人推荐这门课程。
本文展示了 MOOC 在公共卫生危机期间快速提供新兴医学知识的潜力，特别是对高收入和中等收入国家的 HCW 而言。
