Eavey R D, Santos J I, Arriaga M A, Gliklich R, Odio C, Desmond M S, Villasenor A, Beltran S, Orloff L, Stool S E
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston 02114.
Otolaryngol Head Neck Surg. 1993 Nov;109(5):895-8. doi: 10.1177/019459989310900519.
The World Health Organization has designated the teaching of otitis media management skills a "priority" status. Effective treatment of ear disease requires that the physician be both informationally educated as well as physically trained to use otoscopy. Little is known about how well this education can be provided in a short time and in a foreign country. To more objectively assess teaching effect, results of an education session for rural Mexican pediatric primary-care providers who were given an intensive otitis media lecture and otoscopy skills workshop in 1990 were evaluated. To test immediate cognitive impact, an anonymous written examination was given both before and after the teaching session. Average test scores after the educational sessions improved 24% (p < 0.001) over baseline scores before the sessions. To evaluate long-term impact on clinical practice, a follow-up telephone survey 2 years later was conducted. The use of an otoscope to diagnose otitis media had increased from 40% to 93% of respondents. We conclude that pediatric primary-care providers in rural Mexico possess a baseline level of knowledge about otitis media that can be significantly enhanced with one educational session. Further, this teaching effort produces an impact on practice pattern that lasts at least 2 years.
世界卫生组织已将中耳炎管理技能的教学指定为“优先”事项。有效治疗耳部疾病要求医生既要接受信息教育，也要接受使用耳镜的实际培训。对于如何在短时间内在国外提供这种教育，人们了解甚少。为了更客观地评估教学效果，对1990年参加了中耳炎强化讲座和耳镜检查技能研讨会的墨西哥农村儿科初级保健提供者的教育课程结果进行了评估。为了测试即时认知影响，在教学课程前后分别进行了一次匿名笔试。教育课程后的平均测试成绩比课程前的基线成绩提高了24%（p<0.001）。为了评估对临床实践的长期影响，两年后进行了一次随访电话调查。使用耳镜诊断中耳炎的受访者比例从40%增加到了93%。我们得出结论，墨西哥农村的儿科初级保健提供者对中耳炎拥有一定的基线知识水平，通过一次教育课程可以显著提高。此外，这种教学努力对实践模式产生的影响至少持续两年。
