■这项队列研究旨在探讨为期一天的在线继续医学教育(CME)对提高医师对功能性消化不良(FD)的知识和临床实践的影响。
■医生被邀请通过医学教育应用参与本次CME。预先制作的FD培训视频通过网络链接发送给参与者。训练前后,参与者被要求完成FD知识测试并提供FD患者的病例信息.McNemar测试,Wilcoxon秩和检验,弗里德曼测试,卡方检验,分位数回归,采用广义估计方程(GEE)进行统计分析。
■430名医生中有397名(92.33%)完成了这个CME计划。训练后FD知识测验总分明显高于训练前[488.3(468.3-510.0)vs.391.7(341.7-450.0),p<0.001]。特别是,与二级和三级医院的医生相比,基层医院的医生的总分增加更多。根据GEE模型,接受这种在线培训是医生选择FD患者上消化道内镜检查的独立预测因素[OR1.73,95CI(1.09-2.73),p=0.020],尤其是在PDS中。此外,它是FD患者医生选择抑酸药的独立预测因子[OR1.30,95CI(1.03-1.63),p=0.026],特别是在EPS和PDS重叠的EPS中。
■这项为期一天的在线CME计划有效,方便地提高了医师的知识和临床实践,为未来CME提供新思路,促进不同亚型FD患者的精确临床管理,尤其是在基层医院。
UNASSIGNED: This cohort study aimed to explore the effect of a one-day online continuing medical education (CME) on the improvement of physicians\' knowledge and clinical practice on functional dyspepsia (FD).
UNASSIGNED: Physicians were invited to participate in this CME via medical education applications. FD training videos made in advance were sent to participants via a weblink. Before and after training, participants were required to finish the FD knowledge test and provide case information of FD patients. McNemar test, Wilcoxon rank-sum test, Freidman test, Chi-square test, quantile regression, and generalized estimating equations (GEE) were used to perform statistical analysis.
UNASSIGNED: There were 397 of 430 (92.33%) physicians finished this CME program. The total score of the FD knowledge test after training was significantly higher compared with before training [488.3 (468.3-510.0) vs. 391.7 (341.7-450.0), p < 0.001]. Particularly, physicians from primary hospitals show more increase in total scores than physicians from secondary and tertiary hospitals. According to the GEE model, receiving this online training was an independent predictor of physicians\' choice of upper gastrointestinal endoscopy in patients with FD [OR 1.73, 95%CI (1.09-2.73), p = 0.020], especially in PDS. Also, it was an independent predictor of physicians\' choice of acid-suppressive drugs in patients with FD [OR 1.30, 95%CI (1.03-1.63), p = 0.026], especially in EPS and PDS overlapping EPS.
UNASSIGNED: This one-day online CME program effectively and conveniently improved physicians\' knowledge and clinical practice, providing new ideas for future CME and facilitating precise clinical management of FD patients with different subtypes especially in primary hospitals.