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Current State of Affairs with Regard to continuing medical education for Technicians in Radiology in Francophone West Africa

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Open Journal of Radiology 2021年第3期11卷 91-100页

作者： Abdoulatif Amadou Massaga Dagbe Sonia Bignon Mahussi Gwladys Adjadohoun Pihou Gbande Lantam Sonhaye Lama Kedigoma Agoda-Koussema Komlanvi E. Adjenou Radiology Department of University Hospital Center of Campus Lomé Togo Radiology Department of University Hospital Center of de Kara Kara Togo Radiology Department of University Hospital Center of Cotonou Cotonou Benin Radiology Department of Regional Hospital Center of Sokode Sokode Togo Radiology Department of University Hospital Center of Sylvanus Olympio Lomé Togo

Background: This study aimed to determine the level of continuing medical education (CME) of medical imaging technicians in French-speaking West Africa. Materials and methods: This opinion survey was administered to radiology technicians in French-speaking West Africa from 1st June to 31st October 2020, i.e. over a period of 5 months concerning their level of CME and their need for CME. Results: Out of 100 technicians, 69% were men. The mean age was 40 years, with extremes ranging from age 23 to age 57. The majority of technicians (64%) worked in the public sector and 78% had work experience of less than 11 years. Most technicians were holders of a Bachelor’s degree (73%). The types of CMEs they knew were congresses, seminars, and modular training in 46% of the cases. The most available CMEs were seminars (63%). All technicians agreed on the need for CME and 96% said it had an impact on the delivery of radiology services. Technicians who had received CME at least once represented 61%. For 90% of technicians, the specific CME sought was management in radiology (33.33%) and radiation protection (25.81%). Conclusion: The need for CME is increasingly indisputable to radiology technicians in French-speaking West Africa;however, it remains a luxury for them, due to its scarcity and its high cost.

关键词： continuing medical education Technicians Radiology French-Speaking West Africa

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

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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.

The effectiveness of E-learning in continuing medical education for tuberculosis health workers: a quasi-experiment from China

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Infectious Diseases of Poverty 2021年第3期10卷 102-102页

作者： Zi-Yue Wang Li-Jie Zhang Yu-Hong Liu Wei-Xi Jiang Jing-Yun Jia Sheng-Lan Tang Xiao-Yun Liu China Centre for Health Development Studies Peking UniversityBeijing 100191China 不详

Background:Given the context of rapid technological cha nge and COIVD-19 pan demies,E-lear ning may provide a unique opportunity for addressing the challenges in traditional face-to-face continuing medical education(CME).However,the effectiveness of E-learning in CME interventions remains *** study aims to evaluate whether E-learning training program can improve TB health personnel's knowledge and behaviour in China.

关键词： continuing medical education Training Tuberculosis E-learning Program evaluation

Process evaluation of E-learning in continuing medical education:evidence from the China-Gates Foundation Tuberculosis Control Program

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Infectious Diseases of Poverty 2021年第2期10卷 103-103页

作者： Zi-Yue Wang Li-Jie Zhang Yu-Hong Liu Wei-Xi Jiang Sheng-Lan Tang Xiao-Yun Liu China Centre for Health Development Studies Peking UniversityBeijing 100191China 不详

Background:E-learning is a growing phenomenon which provides a unique opportunity to address the challenges in continuing medical education(CME).The China-Gates Foundation Tuberculosis(TB)Control Program implemented online training forTB health workers in three provinces of *** aim to evaluate the implementation of E-learning CME programs,analyse the barriers and facilitators during the implementation process,and to provide policy recommendations.

关键词： continuing medical education Training Tuberculosis E-learning Process evaluation

Interpretation of proposed measures for continuing nursing education

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中西医结合护理（中英文） 2016年第3期2卷 1-3页

作者： ZHAO Jinwen QIAN Feng YE Zhenhua PAN Xin Editorial Board of Nursing of Intergrated Traditional Chinese and Western Medicine Yangzhou Jiangsu 225001

1 Introduction With the development of modern medicine,the growth of the social demand for nursing,and the gradual improvement of the concept and connotation of lifelong nursing education,continuing nursing education(CNE),as a key form of lifelong nursing education,has received wide attention and played an important role *** is a kind of lifelong education of nursing science on the basis of continuing

关键词： continuing nursing education continuing medical education credit examination nursing technique

Cross-sectional study of the educational background and trauma knowledge of trainees in the “China trauma care training” program

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Military medical Research 2020年第1期7卷 44-54页

作者： Hao Tang Dong Liu Dong Yang Jia-Xin Tan Xiu-Zhu Zhang Xiang-Jun Bai Mao Zhang Lian-Yang Zhang Trauma Center State Key Laboratory of TraumaBurns and Combined InjuryDaping HospitalArmy Medical UniversityChongqing 400042China Department of Traumatic Surgery Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of Emergency Medicine the Second Affiliated Hospital of Medical CollegeZhejiang UniversityHangzhou 310009China

Background:Since the trauma knowledge of trauma providers correlates with the outcomes of injured patients,this study aims to assess the socio-demographic characteristics and levels of trauma knowledge of trainees in the China trauma care training(CTCT)program in addition to their post-course test results to provide support for the development of trauma care training programs and trauma systems in ***:A cross-sectional study was conducted by collecting demographic information,hospital-related information and trauma knowledge of the trainees from 19 regions in *** participants were assessed by questionnaires collecting the socio-demographic data,the trauma care knowledge levels and the information of the ***:There were 955 males(78.9%)and 256 females(21.1%)*** them,854 were physicians(70.5%),357 were registered nurses(29.5%).In addition,64 of them also played an administrative role in the hospitals(5.3%).The score of the trainees who were members of the emergency department staff(72.59±14.13)was the highest among the scores of all the personnel surveyed,followed by those of the trainees from the intensive care unit(ICU)(71.17±12.72),trauma surgery department(67.26±13.81),orthopedics department(70.36±14.48),general surgery department(69.91±14.79)and other departments(69.93±16.91),P=*** score of the professors(73.09±15.05)was higher than those of the associate professors(72.40±14.71),lecturers(70.07±14.25)and teaching assistants(67.58±15.16),Peducational backgrounds was higher than that before the training,with a statistically significant differ

关键词： Cross-sectional study Trauma care knowledge educational background continuing medical education

Virtual reality simulator for training urologists on transurethral prostatectomy

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Chinese medical Journal 2013年第7期126卷 1220-1223页

作者： ZHU He ZHANG Yi LIU Jin-shun WANG Gang YU Cheng-fan NA Yan-qun Wu Jieping Urology Center Shougang Hospital Peking University Beijing 100144 China

Background A virtual reality simulator provides a novel training model for improving surgical skills in a variety of fields. They can simulate a variety of surgical scenarios to improve the overall skills required for endoscopic operations, and also record the operative process of trainees in real-time and allow for objective evaluation. At present, some simulators for transurethral resection of the prostate （TURP） are available. The utility of virtual reality simulators in training of transurethral prostatectomy was investigated. Methods Thirty-eight urologists were randomly selected to take part in a simulation based training of TURP using the TURPSimTM system. Pre and post-training global rate scale （GRS） scores and objective parameters recorded by the simulator were assessed. Then, questionnaires were filled out. Results Compared with baseline levels, the GRS scores of trainees increased （18.0±4.0 vs. 12.4±4.2, P 〈0.001）, while the rate of capsule resection （26.3%±0.6% vs. 21.2%±0.4%, P 〈0.001）, amount of blood loss （（125.8±86.3） ml vs. （83.7±41.6） ml, P 〈0.001）, external sphincter injury （3.6±2.9 vs. 2.0±2.0, P 〈0.001 ） decreased significantly after training. Most trainees were satisfied with the simulator based training and believed that the simulator accurately mimicked actual surgical procedures and could help improve their surgical skills. Conclusions As a new method of training on transurethral prostatectomy skills, training of TURP using a virtual simulator can help urologists improve their surgical skills and safety. Therefore, the application of the TURPSimTM system in education and training of urologic surgery is warranted.

关键词： prostate transurethral prostatectomy computer simulation continuing medical education surgical skill training

Evaluation of 3-day smoking cessation training course for doctors from 38 cities in China

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Chinese medical Journal 2012年第7期125卷 1338-1340页

作者： ZHANG Chun-mei XIAO Dan Robea West Susan Michie Ronald Troughton Peter Hajek WANG Chen Department of Respiratory Medicine Beijing Chao-Yang HospitalCapital Medical UniversityBeijing 100020China Beijing Hospital Ministry of HealthBeijing 100730China

Background The World Health Organization＇s ＂Framework Convention on Tobacco Control＂ came into effect in China in 2006. Since then, a series of tobacco control measures has been undertaken, including the first step to establish a coordinated network of stop-smoking clinics in Chinese hospitals. Training for stop-smoking specialists has been traditionally provided via printed materials. This study evaluated the outcomes of the first two intensive 3-day courses in smoking cessation in China run in collaboration with experts who provide training to UK Specialist Stop Smoking Service. Methods Eighty-four doctors from 38 cities in China responsible for stop-smoking treatment in 20 provinces and four autonomous regions participated in the training courses. Participants＇ knowledge competencies and self-efficacy were assessed before and after the authentication training. Results The training significantly improved participants＇ knowledge, skills and self-efficacy across different domains. Forty-eight participants were finally certified as ＂smoking cessation specialist＂. Conclusions The UK model of face-to-face training was acceptable and effective in China. A relatively brief intensive training program can generate significant improvements in skills, knowledge, and readiness to engage in smoking cessation activities.

关键词： smoking cessation certification continuing medical education self-efficacy

The Impact of a Real-Life Inflammatory Bowel Disease education Course for Brazilian Physicians from the Perspective of Its Participants

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Open Journal of Gastroenterology 2021年第9期11卷 151-160页

作者： Rodrigo Fedatto Beraldo Julio Pinheiro Baima Jaqueline Ribeiro de Barros Fernanda Lofiego Renosto Rogerio Saad-Hossne Ligia Yukie Sassaki Department of Internal Medicine Medical School S&#227o Paulo State University (Unesp) Botucatu Brazil Department of Surgery Medical School S&#227o Paulo State University (Unesp) Botucatu Brazil

Background: Physicians must acquire the necessary skills to provide Inflammatory Bowel Disease (IBD) patients with state-of-the-art clinical care, aiming to improve patient’s quality of life and disease outcomes. Purpose: To describe the queries and experiences of doctors enrolled in an IBD education course and to evaluate the impact of the course. Methods: A retrospective study included 100 physicians, of which 78 attended the course. A questionnaire was applied evaluating how the course had an impact on their IBD-knowledge. The 20-hour-course consisted of practical “real-life” activities and theoretical discussions. Results: The majority of doctors’ expertise was in gastroenterology (53%) and coloproctology (44%). A significant portion had no experience with biological therapy for ulcerative colitis (19.4%) or Crohn’s disease (5.05%). The main topics doctors wanted to discuss were biological therapy (93%), new drugs (74%) and differential diagnosis (64%). A considerable number of physicians did not feel confident at prescribing biological therapy before the course (44.4%), a percentage that decreased to 8.5% after the course (p Discussion: The ideal course should have a practical and theoretical component, as well as the support of an experienced multidisciplinary team. A real-life practical-theoretical IBD course proved a success at increasing IBD knowledge.

关键词： continuing medical education Crohn’s Disease Ulcerative Colitis Inflammatory Bowel Disease