Del Mundo Ma Paulina Francesca A, Dela Luna Nicole Ysabel O, Amoranto Abegail Jayne, Gaspar Manuel John Paul O, Sumalo Jae-Ann O, Angeles Kristelle Anne T, Brual Ma Ysabel Leanne P, Sunga Monica B, Abrera Juvar F, Baldoza Rickly Kamille R, Fernandez-Marcelo Portia Grace
Medical Certification of Cause of Death (MCCOD) Advocacy and Education Project Team, College of Medicine, University of the Philippines Manila.
Department of Family and Community Medicine, College of Medicine, University of the Philippines Manila.
Acta Med Philipp. 2023 Aug 29;57(8):25-37. doi: 10.47895/amp.vi0.4639. eCollection 2023.
Mortality data is a critical input to public health decision-making and planning. Yet, about 36% of underlying causes of death reported by physicians in 2018 are considered garbage codes, not useful in analyzing public health and mortality (PSA, 2018). We used the PRECEDE-PROCEED approach to develop, implement, and report an advocacy and education Project to improve training on medical certification of cause of death (MCCOD) among senior medical students and interns.
An MCCOD Instructional Design and eLearning course was introduced and validated in 33 medical education institutions. Lessons enhanced these education materials and are proposed for nationwide adoption. In the middle of the COVID-19 pandemic, the Project fast-tracked the training of physician-learners on the correct cause of death reporting and certification.
Awareness of correct MCCOD and its personal and public health value reached at least 4000 learners, over a hundred medical faculty, and all deans of medical colleges in the Philippines.
The PRECEDE-PROCEED Model provided a clear and practicable framework for the advocacy and education efforts to train senior medical students and interns on MCCOD. It can similarly guide other medical education innovations by defining predisposing, enabling, and reinforcing factors then considering these factors for intervention strategies, implementation, process evaluation, outcome evaluations, and impact evaluations.
死亡率数据是公共卫生决策和规划的关键输入信息。然而，2018年医生报告的约36%的根本死因被视为垃圾编码，对分析公共卫生和死亡率并无用处（菲律宾统计局，2018年）。我们采用“教育诊断与评价模型”（PRECEDE-PROCEED方法）来开发、实施并报告一个宣传与教育项目，以改善高年级医学生和实习生在死亡原因医学认证（MCCOD）方面的培训。
在33所医学教育机构引入并验证了一个MCCOD教学设计和电子学习课程。课程完善了这些教育材料，并提议在全国范围内采用。在新冠疫情期间，该项目快速推进了对医生学员进行正确死亡原因报告和认证的培训。
菲律宾至少4000名学员、一百多名医学教员以及所有医学院院长都了解了正确的MCCOD及其对个人和公共卫生的价值。
“教育诊断与评价模型”为培训高年级医学生和实习生掌握MCCOD的宣传和教育工作提供了一个清晰且可行的框架。通过定义诱发因素、促成因素和强化因素，然后在干预策略、实施、过程评估、结果评估和影响评估中考虑这些因素，它同样可以指导其他医学教育创新。
