Barriers and Facilitators in Continuous Medical Education Related to Allogeneic Stem Cell Transplantation: A Qualitative Study of Physicians.

IF 2 4区 医学 Q3 ONCOLOGY Oncology Research and Treatment Pub Date : 2024-01-01 Epub Date: 2024-01-24 DOI:10.1159/000536429
Sascha Eickmann, Daniel Wolff, Guido Kobbe, Peter Dreger, Nicolaus Kröger, Anne Herrmann-Johns
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Abstract

Introduction: This study explored qualitatively, in a sample of German hematologists working in clinical allogeneic hematopoietic stem cell transplantation (alloHSCT), perceptions of barriers and facilitators to participate in continuous medical education (CME), to provide detailed information on how to improve participation in CME activities related to alloHSCT, which may also be applicable to other areas of medicine.

Methods: Based on a recruitment campaign of the German Association for Hematopoietic Stem Cell Transplantation (DAG-HSZT), 21 semi-structured telephone interviews were conducted, transcribed, and analyzed using framework analysis.

Results: Three clusters of barriers were identified that explain why alloHSCT physicians may or may not participate in CME: individual constraints (e.g., better networking, young physicians being overwhelmed by the complexity of alloHSCT), structural constraints (e.g., time and financial issues, tailoring CME courses according to the targeted audience), and content-related constraints (e.g., requirement of CME sessions, provision of an overview of CME courses, more flexible offers). We discuss the ten most frequently raised issues, including the use of incentives and the need for support at the start of residency, staff shortages, and requirements for learning sessions.

Conclusion: There is a need for a paradigm shift in CME related to alloHSCT toward a more individualized and needs-based approach. Close monitoring of residents' needs and learning progress, as well as feedback systems, could help identify appropriate CME courses that should be integrated into a tiered learning system. CME should be more targeted to specific audiences (i.e., residents, fellows, and attendees) to provide training that is tailored to individual CME needs. On-demand courses can help balance work and family obligations. Finally, peer-reviewed, up-to-date information platforms should be expanded.

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与同种异体干细胞移植相关的持续医学教育的障碍和促进因素--对医生的定性研究。
研究背景 本研究以德国从事临床异基因造血干细胞移植(alloHSCT)的血液学专家为样本,定性地探讨了他们对参与继续医学教育(CME)的障碍和促进因素的看法,从而提供了如何提高参与与alloHSCT相关的继续医学教育活动的详细信息,这些信息可能也适用于其他医学领域。方法 根据德国造血干细胞移植协会(DAG-HSZT)的一次招募活动,进行了 21 次半结构式电话访谈,将访谈内容转录并使用框架分析法进行分析。结果 确定了三类障碍,解释了异体造血干细胞移植医师为何可能参加或可能不参加继续医学教育:个人制约因素(如更好的人际关系网络、年轻医师被异体造血干细胞移植的复杂性压垮)、结构性制约因素(如时间和经济问题、根据目标受众量身定制继续医学教育课程)以及与内容相关的制约因素(如对继续医学教育课程的要求、提供继续医学教育课程概览、提供更灵活的课程)。我们讨论了十个最常见的问题,包括使用激励措施和在住院医师培训开始时提供支持的必要性、人员短缺以及对学习课程的要求。结论 与异体母细胞移植相关的继续医学教育需要转变模式,采用更加个性化和以需求为基础的方法。密切关注住院医师的需求和学习进度以及反馈系统有助于确定合适的继续医学教育课程,并将其纳入阶梯式学习系统。继续医学教育应更密切地关注特定的目标人群(即住院医师、研究员和与会者),提供适合个人需要的继续医学教育培训。点播课程可能有助于在工作和家庭义务之间取得平衡。最后,应扩大经同行评审的最新信息平台。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
84
期刊介绍: With the first issue in 2014, the journal ''Onkologie'' has changed its title to ''Oncology Research and Treatment''. By this change, publisher and editor set the scene for the further development of this interdisciplinary journal. The English title makes it clear that the articles are published in English – a logical step for the journal, which is listed in all relevant international databases. For excellent manuscripts, a ''Fast Track'' was introduced: The review is carried out within 2 weeks; after acceptance the papers are published online within 14 days and immediately released as ''Editor’s Choice'' to provide the authors with maximum visibility of their results. Interesting case reports are published in the section ''Novel Insights from Clinical Practice'' which clearly highlights the scientific advances which the report presents.
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