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Systematic reviews should be at the heart of continuing medical education. 系统评价应成为继续医学教育的核心。
Pub Date : 2021-12-13 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.2014096
Angelika Eisele-Metzger, Claudia Bollig, Joerg J Meerpohl

Today, keeping up with the fast evolving evidence is more challenging than ever for practising physicians. A huge number of studies are published every day, and it is no longer possible to read all the relevant individual studies. Many physicians prefer attending continuing medical education (CME) to reading international scientific publications. Consequently, it is critical that CME is based on the best available evidence and presented in an unbiased manner free of conflicts of interest. Systematic reviews and Cochrane reviews in particular can thus provide a valuable resource of up-to-date and high-quality information on health care questions for CME providers. Of note, systematic reviews might become outdated quickly. Furthermore, some systematic reviews are fraught with limitations such as poor methodology and conduct or incomplete and misleading reporting. This article provides a brief overview of systematic reviews and Cochrane reviews, outlines how systematic reviews can be "kept alive" using today's digital opportunities and points to several common problems of systematic reviews with suggestions for solutions.

今天,对执业医生来说,跟上快速发展的证据比以往任何时候都更具挑战性。每天都有大量的研究发表,阅读所有相关的个别研究已经不可能了。许多医生更喜欢参加继续医学教育(CME)而不是阅读国际科学出版物。因此,CME必须以可获得的最佳证据为基础,并以无偏见、无利益冲突的方式提出,这一点至关重要。因此,系统评价特别是Cochrane评价可以为CME提供者提供关于医疗保健问题的最新和高质量信息的宝贵资源。值得注意的是,系统审查可能很快就会过时。此外,一些系统审查充满了局限性,例如方法和行为不佳或报告不完整和误导性。本文简要概述了系统综述和Cochrane综述,概述了如何利用当今的数字机遇使系统综述“保持活力”,并指出了系统综述的几个常见问题,并提出了解决方案。
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引用次数: 2
Taking the Learner on a Journey - An analysis of an Integrated Virtual CME Program in Epilepsy during the COVID-19 Pandemic. 带学习者踏上旅程——对COVID-19大流行期间癫痫综合虚拟继续教育计划的分析。
Pub Date : 2021-12-10 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.2015190
Ina Weisshardt, Ivo Vlaev, J Helen Cross, Ingmar Blümcke

The COVID-19 pandemic has significantly changed the way we treat patients and educate healthcare professionals (HCPs). In summer 2020, the International League against Epilepsy (ILAE) implemented a virtual CME program with three integrated program elements addressing challenges in patient treatment as well as challenges caused by the forced transition to a virtual environment. Despite the highly competitive environment with exponential increase of webinars offered to HCPs, the program achieved high participation and satisfaction rates. Over 60% of participants indicated a change in their clinical practice after the interventions. With our outcomes evaluation, we aimed to better understand how well such an integrated program resonates with the learner and if it can make a difference in a highly competitive environment by supporting educators to become more adaptive and responsive to learner needs. Our pilot project was shown to be well accepted, achieving high satisfaction and perceived impact by the learner. In the light of an upcoming "digital fatigue" and a wish to return to face-to-face, we reiterate the value of the digital approach and recommend continuing along this successful path as we believe that taking a learner on a digital educational journey has been successful in a highly competitive and challenging environment.

2019冠状病毒病大流行极大地改变了我们治疗患者和教育医疗保健专业人员的方式。2020年夏季,国际抗癫痫联盟(ILAE)实施了一项虚拟CME计划,其中包含三个综合计划要素,以应对患者治疗中的挑战以及被迫过渡到虚拟环境所带来的挑战。尽管竞争激烈,提供给HCPs的网络研讨会呈指数级增长,但该计划取得了很高的参与率和满意度。超过60%的参与者表示干预后他们的临床实践发生了变化。通过我们的结果评估,我们旨在更好地了解这样一个综合项目与学习者的共鸣程度,以及它是否能通过支持教育工作者变得更加适应和响应学习者的需求,在高度竞争的环境中发挥作用。我们的试点项目得到了很好的接受,获得了学习者的高度满意度和感知影响。鉴于即将到来的“数字疲劳”和回归面对面的愿望,我们重申数字方法的价值,并建议继续沿着这条成功的道路走下去,因为我们相信,在竞争激烈、充满挑战的环境中,让学习者走上数字教育之旅是成功的。
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引用次数: 2
Social Media - Key Opinion Leaders of the Future? 社交媒体——未来的关键意见领袖?
Pub Date : 2021-12-10 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.2014094
Kathrin Rothfischer

Physicians and patients are increasingly represented on social media and perform as so-called medical influencers. As key opinion leaders, they can influence and change opinions on health topics and also establish their work within a specialist community.

医生和患者越来越多地出现在社交媒体上,成为所谓的医学影响者。作为关键的意见领袖,他们可以影响和改变对健康问题的看法,并在专家社区内建立自己的工作。
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引用次数: 1
Artificial Intelligence: Its future in the health sector and its role for medical education. 人工智能:其在卫生部门的未来及其在医学教育中的作用。
Pub Date : 2021-12-10 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.2014099
Peter A Henning, Jacqueline Henning, Katharina Glück

The - possibly - imminent AI revolution will, to a great extent, affect the education and training for all knowledge-working professions, and therefore must be considered an important aspect also of CME. This paper reviews some of the misconceptions about AI technology, then turns to point out possible applications of AI in the medical domain and then addresses the question what this will mean for (continuing) medical education.

可能即将到来的人工智能革命将在很大程度上影响所有知识工作专业的教育和培训,因此必须将其视为CME的一个重要方面。本文回顾了关于人工智能技术的一些误解,然后指出了人工智能在医学领域的可能应用,然后解决了这对(继续)医学教育意味着什么的问题。
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引用次数: 4
The European Society of Cardiology - A Digital Educator. 欧洲心脏病学会 - 数字化教育者。
Pub Date : 2021-12-09 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.2014039
Kevin Fox, Susanna Price, Stephan Achenbach, Carlos Aguiar, Nico Bruining, Martin Cowie, Chris Plummer, Marco Roffi, Mark Westwood

The mission statement of the European Society of Cardiology (ESC) is "to reduce the burden of cardiovascular disease". The ESC is the leading scientific society for cardiovascular health care professionals across Europe and increasingly the world. Recognising the need for democratisation of education in cardiology, the ESC has for many years embraced the digital world within its education programme. As in all areas of medicine, the COVID-19 pandemic required an agile response to be able to continue to provide not only a digital congress but also education, training and assessment in an almost totally digital world. In this paper we will describe the digital learning activities of the ESC, the successes and the challenges of the transformation that has taken place in the last 18 months as well as an overview of the vision for education, training and assessment in the post-COVID digital era. We understand the need to provide a portfolio of educational styles to suit a diverse range of learners. It is clear that digital CME provides opportunities but it is likely that it will not entirely replace in-person learning. In planning for the future, we regard the provision of digital CME as central to fulfiling our mission.

欧洲心脏病学会(ESC)的使命是 "减轻心血管疾病的负担"。欧洲心脏病学会是欧洲乃至全球心血管保健专业人员的主要科学学会。由于认识到心脏病学教育民主化的必要性,ESC 多年来一直在其教育计划中采用数字世界。与医学的所有领域一样,COVID-19 大流行需要灵活的应对措施,以便不仅能够继续提供数字大会,还能在几乎完全数字化的世界中提供教育、培训和评估。在本文中,我们将介绍 ESC 的数字化学习活动、过去 18 个月中转型所取得的成功和面临的挑战,以及后 COVID 数字化时代的教育、培训和评估愿景。我们知道需要提供多种教育方式,以满足不同学员的需求。显然,数字化继续医学教育提供了机遇,但很可能无法完全取代面对面学习。在规划未来时,我们将提供数字化继续医学教育视为完成我们使命的核心。
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引用次数: 0
Digital Skills for Doctors - Explaining European Doctors' Position. 医生的数字技能——解释欧洲医生的位置。
Pub Date : 2021-12-09 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.2014097
Sara Roda

The digital skills deficit in healthcare is a major topic being addressed at several instances in the EU. The new European Skills Agenda identifies as a core action the so-called "Pact for Skills" with the aim of upskilling (improving existing skills) and reskilling (training in new skills) the workforce in the next five years. The Standing Committee of European Doctors (CPME) suggests framing digital skills into three main areas: general, technical and related to patient-doctor relationship. These new skills should be reflected in the future curricula of medical faculties, in particular during specialist medical education, and integrated into continuous professional development (CPD) to keep doctors up-to-date with digital innovations.

在欧盟,医疗保健领域的数字技能赤字是一个正在处理的主要话题。新的欧洲技能议程将所谓的“技能公约”确定为核心行动,其目标是在未来五年内提高劳动力的技能(改善现有技能)和再技能(培训新技能)。欧洲医生常设委员会(CPME)建议将数字技能分为三个主要领域:一般、技术和与医患关系相关的领域。这些新技能应反映在医学院的未来课程中,特别是在专科医学教育中,并纳入持续专业发展(CPD),以使医生跟上数字创新的步伐。
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引用次数: 3
Use of Routinely Collected Registry Data for Undergraduate and Postgraduate Medical Education in Denmark. 丹麦本科和研究生医学教育常规收集登记数据的使用
Pub Date : 2021-11-22 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.1990661
Kasper Bonnesen, Cecilia Hvitfeldt Fuglsang, Søren Korsgaard, Katrine Hjuler Lund, Natascha Gaster, Vera Ehrenstein, Morten Schmidt
Medical education needs to evolve continuously to meet the new requirements created by the everchanging medical landscape [1]. Changes in patient demographics, comorbidity burden, knowledge, and expectations regarding involvement in treatment decision-making make future patients different from previous ones [1,2]. Also, the development of new technologies, increased specialisation anticipations, and expectations regarding work-life balance demand a new skill set from future physicians [1]. It is thus important to align both the undergraduate and postgraduate medical education with the requirements of the next generation of physicians and patient needs, where research based on big data will be essential [1]. Denmark has a long tradition of epidemiological research [3]. Thanks to the routinely collected administrative and health data in its national registries [4] and the many established clinical quality databases [5], Denmark holds a large potential for population-based research. This review aims to summarise (1) the Danish healthcare system and its types of registry data, (2) the Danish undergraduate and postgraduate medical education including their research training elements, and (3) the advantages and disadvantages of using registry data in medical education.
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引用次数: 0
Perceptions of Medical and Allied Health Students Towards Online Education during the COVID-19 Pandemic Phases and Its Future Impact in India. 印度医学和专职医疗学生对 COVID-19 大流行期间在线教育的看法及其未来影响。
Pub Date : 2021-11-22 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.1993428
Manna Debnath, Santosh Ojha, Anupam Niraula, Dolly Sharma

The outbreak of COVID-19 has caused sensation and fear among the world population. Globally, the teaching and learning process has been greatly impacted by the pandemic. University and teaching institutes adopted the online mode for the continuation of the teaching-learning process. This research aims to evaluate the current online education practice, its effectiveness, and future prospects in various medical and allied health education in India. A standard self-administered questionnaire was prepared and circulated among the medical and allied health care students from different parts of India via the online platform. A total of 1042 participants submitted their responses. About 77% of students stated that they have attended online classes conducted by their respective educational institutes. The majority of the students were enthusiastic about online learning (via Google platform, Zoom, etc.), yet they all agreed that their practical knowledge was insufficient. Online education can be a good approach to learning, but it may not be as effective as traditional education in Medical and Allied Health students. Beyond pandemic lockdown, online learning may be implemented in conjunction with traditional methods.

COVID-19 的爆发在世界范围内引起了轰动和恐慌。在全球范围内,教学和学习过程受到了这一流行病的极大影响。大学和教学机构采用在线模式继续教学过程。本研究旨在评估目前印度各种医学和联合健康教育中的在线教育实践、其有效性和未来前景。我们编制了一份标准的自填式问卷,并通过在线平台分发给来自印度不同地区的医学和专职医疗学生。共有 1042 名参与者提交了答复。约 77% 的学生表示,他们参加过各自教育机构开设的在线课程。大多数学生都热衷于在线学习(通过谷歌平台、Zoom 等),但他们都认为自己的实践知识不足。在线教育可以是一种很好的学习方法,但对于医学和专职医疗学生来说,它可能不如传统教育有效。在大流行封锁之外,在线学习可与传统方法结合实施。
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引用次数: 0
Virtual patient simulation platforms challenging traditional CME: Identification of gaps in knowledge in the management of Type 2 diabetes and Hyperlipidaemia. 虚拟患者模拟平台挑战传统CME: 2型糖尿病和高脂血症管理知识缺口的识别。
Pub Date : 2021-11-22 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.1993430
Igal Iancu, Eugene Pozniak, Boris Draznin
ABSTRACT As any other aspect of contemporary life, an old and established field of CME undergoes a transformation into a “digital age.” Virtual patient simulation (VPS) has shown to be an interactive and efficient way of engaging healthcare professionals (HCP) in continuing medical education. VPS can identify gaps in knowledge and improve competence, using engaging, online tools. The Edocate VPS Platform has been developed by a group of physicians, education experts, and computer specialists. In this communication, we report the experience of several hundreds of HCP using the Edocate VPS application in the fields of type 2 diabetes (T2DM) and hyperlipidemia. The Edocate VPS application, displaying both simple and complex clinical situations, was presented to an international group of HCPs who had the task to perform physical exams, order lab and imaging tests, update the medical record with the right diagnoses, prescribe medications, and perform long-term follow-up through multiple visits. The HCPs received personalized, guideline-based, feedback on their actions. The analytical capabilities of the Edocate VPS platform run very deep and allow in-depth analysis of learners’ competence in achieving the best outcomes, while teaching to apply a personalized approach, avoiding side effects of medications, and providing instantaneous access to the most current references in the field. The data collected from the program has shown significant gaps in knowledge and adherence to guidelines in the areas of management of T2DM and hyperlipidemia. Only about 50% of all participants achieved guideline-compatible glycemic control – namely HbA1c below 7%. Furthermore, only 41% of practicing physicians and 23% of family medicine residents achieved levels of LDL below 70 mg/dl in their virtual patients. In conclusion, the data presented in this communication strongly suggests that this novel simulation platform can enable medical organizations to create immersive VPS cases for their primary educational and CME efforts.
与当代生活的其他方面一样,CME这个古老而成熟的领域正在经历向“数字时代”的转变。虚拟患者模拟(VPS)已被证明是一种互动和有效的方式,使医疗保健专业人员(HCP)参与继续医学教育。VPS可以利用吸引人的在线工具识别知识差距并提高能力。Edocate VPS平台是由一群医生、教育专家和计算机专家开发的。在本文中,我们报告了数百名HCP在2型糖尿病(T2DM)和高脂血症领域使用educate VPS应用程序的经验。Edocate VPS应用程序显示了简单和复杂的临床情况,向一组国际HCPs展示,这些HCPs的任务是进行体检、安排实验室和影像学检查、用正确的诊断更新医疗记录、开处方,并通过多次就诊进行长期随访。HCPs收到了个性化的、基于指南的反馈。Edocate VPS平台的分析能力非常深入,可以深入分析学习者在实现最佳结果方面的能力,同时教学采用个性化方法,避免药物副作用,并提供即时访问该领域最新的参考资料。从该项目收集的数据显示,在T2DM和高脂血症管理领域的知识和对指南的遵守方面存在显著差距。只有大约50%的参与者达到了与指南相符的血糖控制,即HbA1c低于7%。此外,只有41%的执业医生和23%的家庭医学住院医生在他们的虚拟患者中达到了低于70 mg/dl的LDL水平。总之,本报告中提供的数据强烈表明,这种新颖的模拟平台可以使医疗组织为其初级教育和CME工作创建沉浸式VPS案例。
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引用次数: 2
What are Learner and Instructor Preferences for Group Size and Composition for a Series of Synchronous Online Case Discussions for Upper Extremity Trauma Surgeons? 上肢创伤外科医生同步在线病例讨论的学习者和教师对小组规模和组成的偏好是什么?
Pub Date : 2021-11-22 eCollection Date: 2021-01-01 DOI: 10.1080/21614083.2021.1993429
Nele Roels, Monica Ghidinelli, Michael Cunningham, Murat Bilici

Small group discussion (SGD) is a well-known educational method to promote active learning. Best practices for running SGDs in face-to-face events are described in the literature; however, little has been reported regarding synchronous online delivery. The aim of this study was to determine learner and instructor preferences for online SGDs in terms of group size and composition and to formulate best practices based on participant and faculty feedback. We designed an 8-module online course for surgeons managing upper extremity trauma. Participants were pre-assigned into 2 types of group: 1 faculty with 5 participants or 2 faculty with 8 participants. We collected feedback from 91 participants and 34 faculty over the 8 weeks in multiple ways. Participants preferred way to run an online SGD is to have 2 faculty with 4-5 participants (80%), rotating to different faculty every week (67%), and interacting with peers from different countries (95%). Pre-course assessment questions and pre-recorded presentations enhanced the online discussions for 82%. From open text comments, we identified that cases/content, faculty, participant engagement, and technical support worked well. The course could be improved by adding more extensive technical and connectivity checks, having a different time scheduling, and integrating more supporting materials.

小组讨论(SGD)是一种众所周知的促进主动学习的教育方法。文献中描述了在面对面活动中运行SGDs的最佳实践;然而,关于同步在线交付的报道很少。本研究的目的是确定学习者和教师在小组规模和组成方面对在线SGDs的偏好,并根据参与者和教师的反馈制定最佳实践。我们为外科医生处理上肢创伤设计了一个8单元的在线课程。参与者被预先分配到两种类型的组:1个学院有5名参与者或2个学院有8名参与者。在8周的时间里,我们通过多种方式收集了91名参与者和34名教师的反馈。参与者更喜欢的在线SGD运营方式是有2个教师,4-5名参与者(80%),每周轮换到不同的教师(67%),并与来自不同国家的同龄人互动(95%)。课前评估问题和预先录制的演示文稿使在线讨论提高了82%。从公开的文本评论中,我们发现案例/内容、教师、参与者参与和技术支持工作良好。课程可以通过增加更广泛的技术和连接检查,不同的时间安排,以及整合更多的辅助材料来改进。
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引用次数: 2
期刊
Journal of European CME
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