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EFPIA Guideline on a Quality Framework of Principles in Lifelong Learning in Healthcare EFPIA关于医疗保健终身学习原则质量框架的指南
Pub Date : 2022-05-02 DOI: 10.1080/21614083.2022.2068216
Eva Hofstädter-Thalmann, D. Largier
To the Editor, Lifelong Learning (LL) is defined by the European Commission as all learning activity undertaken throughout life, with the aim of improving knowledge, skills and competences[1]. For healthcare professionals LL is essential for the provision of an optimal standard of patient care. Lifelong Learning in Healthcare (LLH) in Europe includes a variety of educational forms, Continuing Professional Development (CPD) including Independent Medical Education (IME), with or without formal accreditation, as well as non-accredited medical education activities offered by a variety of education providers and according to different national regulations. Some activities are either lead or funded by the pharmaceutical industry. This involvement of industry in medical education has been described in a detailed analysis[2]. The pharmaceutical industry has a longstanding commitment to engaging and innovating in LLH, partly to provide evidence to ensure its innovations are used safely and in the appropriate patient populations, but also due to its large geographical footprint to support or provide learning opportunities for healthcare professionals (HCPs) in countries with relatively limited access to LLH offerings. In addition, the pharmaceutical industry is frequently at the forefront of clinical research in association with academic investigators and supports the translation of scientific advancements into clinical practice. As the approach to LLH was not fully aligned across the pharmaceutical industry, and to ensure that the quality and conduct of industry funded or led LLH activities are appropriate, Article 16 of the EFPIA Code was published to ensure that LLH activities are distinct from promotional activities [3]. In addition EFPIA created a working group of industry specialists, and representatives from national associations who have produced a guideline for member companies to align on quality criteria[4]. Furthermore, to ensure a broadly-based input into the LLH quality guideline, external stakeholders, representing medical societies, academia, healthcare professionals, and patient organisations were invited to provide feedback on the industry LLH guideline during an Advisory Round Table meeting in 2020. The principles of ethical, transparent and responsible engagement, quality content and robust processes incorporated in the guideline have been well accepted also by other organisations[5] and are regarded as having relevance to all learning activities. By ensuring promotional activities are separate from LLH and introducing the quality guideline for EFPIA member funded or led LLH activities, it is expected that the greater transparency of industry LLH activities will ensure an aligned quality approach. The purpose of this recently published document is to provide further guidance for industry for the implementation of Article 16 of the EFPIA Code. The guideline must be read with the requirements and spirit of the Code in mind and applied in
编者认为,终身学习(LL)由欧盟委员会定义为一生中进行的所有学习活动,目的是提高知识、技能和能力[1]。对于医疗保健专业人员来说,LL对于提供最佳标准的患者护理至关重要。欧洲的医疗保健终身学习(LLH)包括各种教育形式、包括独立医学教育(IME)在内的持续专业发展(CPD),无论是否获得正式认证,以及由各种教育提供者根据不同的国家法规提供的未经认证的医学教育活动。有些活动由制药行业牵头或资助。工业界对医学教育的参与已经在详细的分析中进行了描述[2]。制药行业长期致力于LLH的参与和创新,部分原因是为了提供证据,确保其创新在适当的患者群体中安全使用,但也由于其庞大的地理足迹,可以支持或为获得LLH产品相对有限的国家的医疗专业人员提供学习机会。此外,制药行业经常与学术研究人员一起处于临床研究的前沿,并支持将科学进步转化为临床实践。由于整个制药行业的LLH方法并不完全一致,为了确保行业资助或领导的LLH活动的质量和行为是适当的,发布了《EFPIA准则》第16条,以确保LLH活动与促销活动不同[3]。此外,EFPIA成立了一个由行业专家和国家协会代表组成的工作组,他们为成员公司制定了质量标准一致的指导方针[4]。此外,为了确保LLH质量指南得到广泛的输入,代表医学会、学术界、医疗保健专业人员和患者组织的外部利益相关者被邀请在2020年的咨询圆桌会议上就行业LLH指南提供反馈。准则中包含的道德、透明和负责任的参与、高质量的内容和稳健的流程原则也被其他组织所接受[5],并被视为与所有学习活动相关。通过确保促销活动与LLH分开,并为EFPIA成员资助或领导的LLH活动引入质量指南,预计行业LLH活动的更大透明度将确保一致的质量方法。本最近发布的文件旨在为行业实施《EFPIA准则》第16条提供进一步指导。阅读指南时必须牢记《准则》的要求和精神,并根据适用的国家法律法规进行应用。
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引用次数: 2
Vive la Différence: A Comparison of CPD Quality Assurance Systems in France and The United States 差异万岁:法国和美国CPD质量保证体系的比较
Pub Date : 2022-04-24 DOI: 10.1080/21614083.2022.2068215
A. Depaigne-Loth, Laure Poirat, Jean-Philippe Natali, Michèle Lenoir-Salfati, Kate Regnier, Graham McMahon, Tamar Hosansky
ABSTRACT Offering relevant, evidence based continuing professional development (CPD) to ensure the continued competence of health professionals is a universal concern. This concern will become even more crucial in a world facing global health threats and in a context of internationalisation of learning environments. While accrediting systems (i.e. external quality assurance systems for CPD) share a common goal to promote high quality CPD, each system is shaped by national history and contexts. An international movement is working to enhance the convergence of accrediting principles and processes. One of the first steps is to know and understand each other. This article serves this goal by offering a descriptive comparison of two seemingly different CPD quality assurance systems – in France and in the USA of America. The descriptions were developed by members of the accrediting bodies in both countries. The main finding of this descriptive study is that, despite stark differences in historical contexts and governance schemes, both regulators share principles of quality and independence of CPD and have endorsed a leadership role in promoting effective strategies, including interprofessional continuing education and practices. The commonalities of goals and values revealed in the study support the efforts of the International Academy for CPD Accreditation related to the globalisation of both health issues and learning environments.
摘要提供相关的、基于证据的持续专业发展(CPD)以确保卫生专业人员的持续能力是一个普遍关注的问题。在一个面临全球健康威胁的世界里,在学习环境国际化的背景下,这种担忧将变得更加重要。虽然认证体系(即CPD的外部质量保证体系)有一个共同的目标,即促进高质量的CPD,但每个体系都受到国家历史和背景的影响。一个国际运动正在努力加强认证原则和程序的一致性。第一步是相互了解和理解。本文通过对法国和美国两个看似不同的CPD质量保证体系进行描述性比较来实现这一目标。这些描述是由两国认证机构的成员编写的。这项描述性研究的主要发现是,尽管历史背景和治理方案存在明显差异,但两个监管机构都有CPD的质量和独立性原则,并认可在促进有效战略方面发挥领导作用,包括跨专业的继续教育和实践。研究中揭示的目标和价值观的共性支持了国际CPD认证学院在健康问题和学习环境全球化方面的努力。
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引用次数: 1
Meeting the Future: How CME Portfolios Must Change in the Post-COVID Era 迎接未来:CME投资组合在后新冠肺炎时代必须如何改变
Pub Date : 2022-04-07 DOI: 10.1080/21614083.2022.2058452
J. Sibley
ABSTRACT The COVID pandemic hastened the urgency for continuing medical education providers to offer digitised learning options in their portfolios. Although digitisation offers a wealth of potential benefits for delivering CME, including individualised learning paths as well as convenience and ease of access, challenges also remain. The American College of Cardiology (ACC) digitised much of its CME portfolio, including converting several in-person courses to virtual formats, providing self-study programs and products for asynchronous review of focused clinical topics, and delivering its Annual Scientific Session and Expo virtually two consecutive years. The ACC is using data collected from these recent experiences to rebuild its digitally transformed CME portfolio, focusing on unique learning strategies that offer a global healthcare professional community access to high quality digitised continuing education.
摘要新冠肺炎疫情加速了继续医学教育提供者在其投资组合中提供数字化学习选择的紧迫性。尽管数字化为提供CME提供了丰富的潜在好处,包括个性化的学习路径以及方便和易用性,但挑战仍然存在。美国心脏病学院(ACC)将其CME的大部分内容数字化,包括将几门面授课程转换为虚拟形式,提供用于异步审查重点临床主题的自学课程和产品,以及几乎连续两年举办年度科学会议和博览会。ACC正在利用从这些最近的经历中收集的数据来重建其数字化转型的CME投资组合,重点关注独特的学习策略,为全球医疗专业社区提供高质量数字化继续教育的机会。
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引用次数: 9
The European Examination in Core Cardiology in Focus: Evaluation and Recommendations Using Educational Theory 欧洲核心心脏病学考试:教育理论的评价与建议
Pub Date : 2022-03-24 DOI: 10.1080/21614083.2022.2055266
Enhui Yong, K. Manoharan, David G. Gent
ABSTRACT The European Examination in Core Cardiology (EECC) is a knowledge-based postgraduate examination for cardiology specialists in Europe. It is designed to assess if a trainee has gained sufficient knowledge for independent specialist practice in core cardiology. A critical evaluation of the ECCC was undertaken using current educational theory. Miller’s Pyramid was considered, and the Utility Equation was employed in a mixed methods approach. The utility analysis findings were that the EECC measured well on reliability and validity although improvement could be made in educational impact, cost-effectiveness and accessibility. Recommendations for enhancement were then put forward. No assessment instrument is perfect, and it is important to remember that the EECC is one component of assessment strategy for specialist trainees, complementing other evidence of professional competence. After appraisal, while improvement can be made, the EECC fulfils its ambitions of assessment.
欧洲核心心脏病学考试(EECC)是欧洲心脏病学专家的一项以知识为基础的研究生考试。它的目的是评估受训者是否获得了足够的知识,独立的核心心脏病学专业实践。利用当前的教育理论对ECCC进行了批判性评价。考虑米勒金字塔,并采用混合方法求解效用方程。效用分析结果显示,尽管在教育影响、成本效益和可及性方面还有待改进,但EECC在信度和效度方面的测量结果良好。然后提出了改进的建议。没有任何评估工具是完美的,重要的是要记住,EECC是专业培训生评估策略的一个组成部分,补充了其他专业能力的证据。经评估后,虽然可以有所改善,但环保会达到了评估的目标。
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引用次数: 0
Continuing Professional Development (CPD) within the Workplace in a Digitised Health-Care System: The Perspective from a German Professional Union. 数字化医疗保健系统中工作场所的持续专业发展(CPD):来自德国专业联盟的观点。
Pub Date : 2022-03-15 eCollection Date: 2022-01-01 DOI: 10.1080/21614083.2022.2038478
Reinhard Griebenow, Hans-Albert Gehle, Henrik Herrmann
Marburger Bund (MB), the largest doctors’ union in Germany (and Europe), has for many years claimed that “CME [Continuing Medical Education] is an integral part of physicians’ professional practice. It is an element of quality assurance in medicine. All physicians should have equal access to CME, in particular irrespective of their level of training, function, or professional position. CME should be considered as part of physicians’ work performance. It should primarily take place during working hours. Doctors should have the opportunity to practise CME at the workplace (e.g. via the Internet). Cost of CME should be covered by the employer” [1]. To support this claim, before Covid, MB negotiated within its tariff contracts, paid educational leave of up to 5 days per year. This allows doctors to attend external CPD activities like medical congresses; but no major progress has been made in strengthening workplace education [2]. This might now change. In the past, experts have rated the digital maturity of the German health-care system as “inappropriate” [3,4]. However, it is only since the Covid pandemic stressed the entire system, that politicians have been willing to admit that the system as a whole could have performed better, if greater digitisation had facilitated an improved availability and speed of information across the health-care sector. Federal Government subsequently implemented the “Future of Hospital Care” law (“Krankenhauszukunftsgesetz”, KHZG, 5), which came into effect on 29 October 2020. KHZG allows Federal Government, together with the Federal States (“Bundesländer”), to offer 4.3 billion Euros to hospitals in order to modernise their digital infrastructure. Thus, KHZG has resulted in the greatest public investment in digitisation of the health-care system in Germany.
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引用次数: 0
Evaluation of Blended Online Learning in Three Spinal Surgery Educational Courses. 三门脊柱外科教育课程在线混合学习效果评价。
Pub Date : 2022-02-09 eCollection Date: 2022-01-01 DOI: 10.1080/21614083.2021.2014042
Emre Acaroglu, Muhammed Assous, Richard Bransford, Luiz Gustavo Dal Oglio Da Rocha, Asdrubal Falavigna, John France, Emiliano Viale, Atiq Uz-Zaman, Ginesa Aviles, Brian Amster, Michael Cunningham, Alpaslan Şenköylü

COVID-19 pandemic created a need to improvise and redefine blended learning to be executed fully online. Background information on the effectiveness of fully online blended learning activities, especially for surgical disciplines is limited. This study describes a fully online blended learning course format on spinal surgery and aims to provide data regarding it effectiveness. Fully online blended courses on three topics of spinal surgery designed as six-week asynchronous and followed by 3-day live parts. Learning gaps (LGs) were identified with a survey at the beginning of asynchronous part, at its end, and at the end of the live part. The effectiveness of the asynchronous and live parts was assessed by LGs and a quiz, login statistics of learners and faculty and a post-course survey. Participants' LGs decreased in all courses, statistically significant in two. Faculty and learner login rates significantly correlated with each other. Faculty and learner satisfaction was very high. A fully online blended learning course can be delivered effectively on spine surgery with a high participant and faculty satisfaction rate. The asynchronous part contributes to learning significantly.

COVID-19大流行需要即兴创作和重新定义混合学习,以便完全在线执行。关于完全在线混合学习活动,特别是外科学科的有效性的背景信息是有限的。本研究描述了一种完全在线的脊柱外科混合学习课程格式,旨在提供有关其有效性的数据。脊柱外科三个主题的完全在线混合课程设计为六周异步,随后是3天的现场部分。通过在异步部分的开始、结束和活动部分的结束进行调查来确定学习差距(LGs)。通过LGs和测验、学习者和教师的登录统计以及课后调查来评估异步和实时部分的有效性。参与者的LGs在所有课程中都有所下降,其中有两个课程具有统计学意义。教师和学习者的登录率彼此显著相关。教师和学生的满意度非常高。一个完全在线的混合学习课程可以有效地提供脊柱外科,具有很高的参与者和教师满意度。异步部分对学习有很大的帮助。
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引用次数: 8
The Changing Face of Medical Education in the aftermath of COVID-19: The True Digital Era Begins. 2019冠状病毒病后医学教育面貌的变化:真正的数字时代开始了。
Pub Date : 2022-02-06 eCollection Date: 2022-01-01 DOI: 10.1080/21614083.2022.2035949
Shouvik K Haldar, Guy Lloyd, G Andre Ng, Simon G Ray, Rebecca Dobson, Claire Cartwright, Carolyn Hargreaves, Rachael O'Flynn, John P Greenwood
Royal Brompton & Harefield Hospitals, Imperial College London, Guys & St Thomas’ NHS Foundation Trust, London, UK; William Harvey Institute, Queen Mary's University of London, London, UK; Institute of Cardiovascular Health, University College London, London, UK; Barts Health NHS Trust, UK; Department of Cardiovascular Sciences, University of Leicester, Clinical Sciences Wing, Glenfield Hospital, Leicester, UK; Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK; Liverpool Heart and Chest Hospital, Liverpool, UK; British Cardiovascular Society, London, UK; Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM), University of Leeds & Leeds Teaching Hospitals NHS Trust, Leeds, UK
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引用次数: 5
Continuing Medical Education (CME) in time of crisis: How medical societies face challenges and adapt to provide unbiased CME. 危机时期的继续医学教育:医学协会如何面对挑战并适应提供公正的继续医学教育。
Pub Date : 2022-02-03 eCollection Date: 2022-01-01 DOI: 10.1080/21614083.2022.2035950
Loredana Simulescu, Marieke Meijer, David B Vodušek

Healthcare professionals need to maintain their knowledge and skills to deliver the best possible care to patients. Medical societies play an important role as providers of continuing medical education (CME) and have actively continued this role during the COVID-19 pandemic adapting the delivery of education to virtual meetings and courses. The Biomedical Alliance in Europe CME Experts Committee conducted two surveys to collect information on the delivery of CME, generally, and during the COVID-19 pandemic from the member medical societies. In this article, we will present the most relevant data collected and share some reflections based on this analysis.

医疗保健专业人员需要保持他们的知识和技能,以便为患者提供最好的护理。医学会作为继续医学教育(CME)的提供者发挥着重要作用,并在2019冠状病毒病大流行期间积极发挥这一作用,使教育的提供适应虚拟会议和课程。欧洲生物医学联盟CME专家委员会进行了两次调查,以收集成员医学会在2019冠状病毒病大流行期间和一般情况下提供CME的信息。在本文中,我们将展示收集到的最相关的数据,并分享基于此分析的一些思考。
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引用次数: 4
Effectiveness of an Online Course on Fracture-Related Infections. 骨折相关感染在线课程的有效性。
Pub Date : 2022-01-10 eCollection Date: 2022-01-01 DOI: 10.1080/21614083.2021.2024682
Matheus Lemos Azi, Kodi Edson Kojima, Rodrigo Pesántez, Guido Carabelli, Olivier Borens, Iain McFadyen, Carlos Oliver Valderrama-Molina

This study aims to evaluate the effectiveness of an online course to enable orthopaedic surgeons to acquire the core competencies necessary to prevent and treat fracture-related infections (FRI). This study included orthopaedic surgeons and residents from Latin American countries who attended an online course focused on FRI. The online course included: didactic lectures, small-group clinical case discussions, and panel case discussions. The course was delivered using Zoom® platform and designed to address four core competencies: prevention, definition and diagnosis, antimicrobial therapy, and surgical treatment. An online questionnaire was created distributing 16 questions through six clinical scenarios. Participants were invited to answer the questionnaire before and after the course. Sixty of the 78 course participants answered the pre-course, and 42 the post-course assessment. Relative to before the course, the mean post-course assessment score rose significantly for prevention of FRI (4.1 before and 4.5 after; p = 0.014), definition and diagnosis (2.4 before and 3.4 after; p = 0.001), and surgical treatment (2.2 before and 2.8 after; p = 0.011). The final score encompassing all four core competencies also rose significantly (2.7 before and 3.3 after; p = 0.001). The online course on FRI was feasible and effective, significantly increasing course users' knowledge of overall competency in managing FRI.

本研究旨在评估在线课程的有效性,使骨科医生获得预防和治疗骨折相关感染(FRI)所需的核心能力。本研究纳入了来自拉丁美洲国家的骨科医生和住院医师,他们参加了一个以FRI为重点的在线课程,在线课程包括:教学讲座、小组临床病例讨论和小组病例讨论。该课程使用Zoom®平台交付,旨在解决四个核心能力:预防,定义和诊断,抗菌治疗和手术治疗。我们制作了一份在线问卷,通过六个临床场景分发了16个问题。参与者被邀请在课程前后分别回答问卷。78名课程参与者中有60人回答了课程前的评估,42人回答了课程后的评估。与课程前相比,预防FRI的课程后评估平均得分显著上升(课程前4.1分,课程后4.5分;P = 0.014),定义和诊断(前2.4,后3.4;P = 0.001),手术治疗前后分别为2.2和2.8;P = 0.011)。包括所有四项核心竞争力的最终得分也显著上升(之前为2.7,之后为3.3;P = 0.001)。FRI在线课程具有可行性和有效性,显著提高了课程使用者对FRI管理综合能力的认识。
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引用次数: 4
Effective Learning in Virtual Conferences: The Application of Five Principles of Learning. 虚拟会议中的有效学习:五项学习原则的应用。
Pub Date : 2022-01-10 eCollection Date: 2022-01-01 DOI: 10.1080/21614083.2021.2019435
Eva Hofstädter-Thalmann, Jerome I Rotgans, Noelia Aybar Perez, Jonas Nordquist

In this article, we examine the adaptation of learning among scientists and healthcare professionals in conferences and symposia from face-to-face to fully virtual meetings accelerated in the last years. Advantages and limitations for both settings have been described in different research studies but the effectiveness of learning can be reflected similarly by applying five fundamental principles of learning, which are based on empirical research in cognitive psychology. From a practical context, we compared the individual learning outcomes from two satellite symposia conducted face-to-face in 2019 and virtually in 2021 at the European Congress of Urology, EAU. Although both conference formats were almost identical, the five principles of learning were applied in both symposia. There were also some differences due to adaptation to online conferences, and our findings suggest that the virtual conference was perceived as significantly more effective than the face-to-face conference on all five criteria, and digital learning is a valid alternative to face-to-face conferences. What still needs to be better understood and analysed is the informal learning that is taking place during conferences, but suggesting an active design of any digital event by combining "technical literacy· with "learning literacy" will enable us to better analyse and study the impact of learning using the five learning principles in the design of other events in the future.

在这篇文章中,我们研究了科学家和医疗保健专业人员在会议和研讨会中的学习适应情况,从面对面会议到过去几年加速的完全虚拟会议。不同的研究已经描述了这两种环境的优点和局限性,但通过应用基于认知心理学实证研究的五项基本学习原则,可以类似地反映学习的有效性。从实际情况来看,我们比较了2019年和2021年在欧洲泌尿外科大会上面对面举行的两次卫星研讨会的个人学习结果。尽管两种会议形式几乎相同,但这五项学习原则在两次研讨会上都得到了应用。由于对在线会议的适应,也存在一些差异,我们的研究结果表明,在所有五个标准上,虚拟会议被认为比面对面会议更有效,数字学习是面对面会议的有效替代方案。仍然需要更好地理解和分析的是会议期间进行的非正式学习,但建议通过将“技术素养”与“学习素养”相结合来积极设计任何数字活动,将使我们能够更好地分析和研究在未来设计其他活动时使用五项学习原则的学习影响。
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引用次数: 10
期刊
Journal of European CME
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