一项慢性阻塞性肺疾病继续医学教育项目：设计与成果

A continuing medical education program in chronic obstructive pulmonary diseases: design and outcome.

作者信息

Terry P B, Wang V L, Flynn B S, Cuthie J, Salim J H, Windsor R A, Smith P L, Williamson J

出版信息

Am Rev Respir Dis. 1981 Jan;123(1):42-6. doi: 10.1164/arrd.1981.123.1.42.

DOI:10.1164/arrd.1981.123.1.42

Abstract

A continuing medical education course was developed to improve the care of patients with chronic bronchitis and emphysema (COPD); 44 primary care physicians completed the course. The physicians were randomly assigned to experimental and control groups, with 3 of the 4 experimental groups assisting in the selection of topics for the programs and/or receiving feedback on tests given during the course. The course's impact was assessed using written tests to measure knowledge and simulated patient visits to observe physician performance. Experimental groups retained significantly greater amounts of information 9 months after completing the program and used more program material during patient visits than did the control group (p < 0.05). The test scores and patient visits of the 3 experimental groups involved in determining the audiovisual topics and/or receiving feedback were not significantly different from one another nor from the fourth experimental group.

摘要

开发了一门继续医学教育课程，以改善慢性支气管炎和肺气肿（慢性阻塞性肺疾病）患者的护理；44名初级保健医生完成了该课程。这些医生被随机分配到实验组和对照组，4个实验组中有3个协助选择课程主题和/或在课程期间接受关于测试的反馈。使用书面测试来衡量知识，并通过模拟患者就诊来观察医生表现，以此评估该课程的影响。与对照组相比，实验组在完成课程9个月后保留了显著更多的信息，并且在患者就诊期间使用了更多的课程材料（p < 0.05）。参与确定视听主题和/或接受反馈的3个实验组的测试成绩和患者就诊情况与第四个实验组以及彼此之间均无显著差异。