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A Culturally-Sensitive Model for CME Distance Learning Demonstratesa Way Forward： Kenya＇s Experience with ACME-IT （Advancing Continuing Medical Education Through Information Technology）

引用

Journal of Health Science 2014年第6期2卷 291-299页

作者： Gregory Alonso Pirio Joseph Sitienei Ronald Ng'iela Jane Onteri Victor Ajuoga crystal watleykigoni President of EC Associates and coordinated the A CME-IT pilot Sterling VA20164 United States Division of Communicable Disease Prevention and Control Ministry of Health At the time of the ACME-1T pilot Division ofLeprosy TB and Lung Disease Nairobi 00202 Kenya TB HIV Integration Technical Advisor PATH Nairobi 00508 Kenya DLTLD Program Officer ACSM Unit Ministry of Health Nairobi 00202 Kenya Post-graduate Degree in Telecommunication Management Chief Technical Officer for the Kenya-based IT firm Ultinet Nairobi00202 Kenya Hospital Administrator of Mwanza Mwanza 1903 Tanzania

A distance learning Continuing Medical Education （CME） project based on live interactive presentations and a group participatory model demonstrated that important strides can be made in the quality of CME available to health care professionals in African rural settings. Implementers choose a communication model consistent with the fundamental orality of Kenyan and other sub-Saharan African countries. The project involved four hospitals and one training institution in rural Kenya. The testing of learners and focus group discussions with learners, facilitators and presenters indicated that the project＇s methodologies, that strove to be culturally and work place friendly, contributed to gains in knowledge, competencies including case management, the continuity of patient care, team work, staff morale and other issues of expressed importance to the hospital healthcare work force and hospital administrators. The learning system, known as Advancing Continuing Medical Education through Information Technology （ACME-IT）, was implemented by the Kenyan Ministry of Medical Services, EC Associates and the US-funded Aphia2 Western initiative implemented by PATH. The findings of this pilot suggests that the ACME-IT methodology that set up learning centers at the participating institutions is a promising viable alternative to the traditional and relatively expensive workshop training that characterizes much of CME in lower and middle income countries.

关键词： Continuing Medical Education Distance Learning Kenya Africa Information Communication Technology telemedicine.

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