背景:化脓症是一种罕见的高死亡率疾病,超过94%的病例报告来自泰国和印度。及时诊断和手术可改善患者预后。因此,持续专业发展(CPD)对于早期识别至关重要。然而,尚未进行与化脓性CPD计划相关的需求评估.
目的:我们进行了需求评估,以制定化脓性CPD计划。
方法:我们对267名朱拉隆功国王纪念医院居民(141名内科(IM)居民和126名外科居民)进行了调查研究。一项由知识评估组成的30项调查,人口统计部分,态度部分以电子方式和纸质方式分发。对数据进行描述性和推断性统计分析。
结果:67%完成了调查(110/141IM居民,70/126名手术居民)。在所有目标中,知识评估的平均得分[95%置信区间]为41.67%[39.64%-43.69%]。得分最高的三个领域是化脓症危险因素(67.22%正确),微生物特征(50.83%),和射线照相解释(50.56%)。得分最低的三个领域是实验室调查(15.00%),流行病学(29.17%),和症状学(30.83%)。大多数参与者指出,该程序应在线进行同步和异步会话,优选每次60-90分钟。
结论:化脓病CPD计划应强调有关症状学的教育,实验室调查,和流行病学,所有这些对于早期发现化脓症以降低这种破坏性疾病的死亡率至关重要。大多数受访者认为该计划是必要的,应该以虚拟混合格式实施。
BACKGROUND: Pythiosis is a rare disease with high mortality, with over 94% of cases reported from Thailand and India. Prompt diagnosis and surgery improves patient outcomes. Therefore, continuing professional development (CPD) is essential for early recognition. However, a needs assessment related to a
pythiosis CPD program has not been performed.
OBJECTIVE: We conducted a needs assessment to develop a
pythiosis CPD program.
METHODS: We conducted a survey study with 267 King Chulalongkorn Memorial Hospital residents (141 internal medicine (IM) residents and 126 surgery residents). A 30-item survey consisting of a knowledge assessment, demographic section, and an attitudes portion was distributed both electronically and via paper. The data was analyzed with descriptive and inferential statistics.
RESULTS: Sixty-seven percent completed the survey (110/141 IM residents, 70/126 surgery residents). The mean score [95% confidence interval] on the knowledge assessment was 41.67% [39.64%-43.69%] across all objectives. The three domains with the highest scores were
pythiosis risk factors (67.22% correct), microbiologic characteristics (50.83%), and radiographic interpretation (50.56%). The three domains with the lowest scores were laboratory investigation (15.00%), epidemiology (29.17%), and symptomatology (30.83%). Most participants noted that the program should be online with both synchronous and asynchronous sessions, with a preferred length of 60-90 minutes per session.
CONCLUSIONS: The
pythiosis CPD program should emphasize education regarding symptomatology, laboratory investigation, and epidemiology, all of which are critical for the early detection of pythiosis to decrease mortality from this devastating disease. Most respondents felt this program was necessary and should be implemented in a virtual blended format.