关键词: continuing medical education curriculum development general practice primary care training needs

Mesh : Female Humans Male General Practitioners / education Education, Medical, Continuing Cross-Sectional Studies Tibet Curriculum China

来  源:   DOI:10.3389/fpubh.2022.914847   PDF(Pubmed)

Abstract:
Uneven distribution of health resources is higher in Tibet than in other regions. The development of core professional capability for general practitioners (GPs) is the main goal of continuing medical education (CME) training programs.
This study aimed to explore the needs of CME for GPs and provide advice for the development of policy, practice, and CME curriculums.
We conducted a cross-sectional online survey among GPs in Tibet Autonomous Region, China. We designed an online questionnaire including the demographic section, training contents, and training formats about CME.
A total of 108 questionnaires were included in this study. Notably, 79 (73.15%) were women and 56 participants (51.85%) were working in primary care settings. We developed a curriculum priority: first-choice, major alternatives, and secondary considerations. The topics identified as first-choice for CME were related to \"cardiovascular disease\" (85.19%), \"respiratory disease\" (81.48%), and \"digestive disease\" (80.56%). Major alternatives included two essential knowledge and eight clinical skill items. We rated 10 items as secondary considerations. Only 39.81% ranked mental health as an essential priority; bedside teaching (51.85%) was the first choice.
We presented priority areas identified in this study to focus on CME for GPs in Tibet. The 23 topics may reflect the features of general practice, which increasingly require common disease management skills, while a demand-oriented curriculum and staged training plans should be adopted. CME programs should be adapted dynamically to respond to evolving needs.
摘要:
西藏卫生资源分布不均匀性高于其他地区。发展全科医生的核心专业能力是继续医学教育(CME)培训计划的主要目标。
本研究旨在探讨CME对全科医生的需求,并为政策制定提供建议。实践,和CME课程。
我们在西藏自治区全科医生中进行了一项横断面在线调查,中国。我们设计了一个在线问卷,包括人口统计部分,培训内容,以及有关CME的培训格式。
本研究共纳入108份问卷。值得注意的是,79名(73.15%)为女性,56名(51.85%)在初级保健机构工作。我们制定了课程优先级:第一选择,主要的替代品,和次要考虑。被确定为CME首选的主题与“心血管疾病”相关(85.19%),“呼吸系统疾病”(81.48%),和“消化系统疾病”(80.56%)。主要替代方案包括两项基本知识和八项临床技能项目。我们将10个项目列为次要考虑因素。只有39.81%的人将心理健康列为基本优先事项;床边教学(51.85%)是首选。
我们提出了本研究中确定的优先领域,以关注西藏全科医生的CME。23个主题可能反映一般实践的特点,越来越需要常见疾病管理技能,同时应采用以需求为导向的课程和分阶段的培训计划。CME计划应动态调整以响应不断变化的需求。
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