文章基本信息

标题：A novel method for identifying continuing medical education among faculty in anesthesia
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作者：Clyde Matava ; Basem Naser ; Mark Crawford 等
期刊名称：MedEdPublish
电子版ISSN：2312-7996
出版年度：2017
卷号：6
期号：2
页码：1-9
DOI：10.15694/mep.2017.000078
出版社：Association for Medical Education in Europe (AMEE)
摘要：IntroductionIdentifying learning needs and gaps among faculty is an important and crucial step in the educational process. A well designed and targeted needs assessment provides information useful to identify and meet learners needs in medical education and professional improvement. In reflecting on one’s practice in general, the ability to identify weaknesses by self-assessment can serve the function of helping the clinician identify learning needs and set appropriate learning goals.In this study, we utilized a competence score based on self-assessment to identify and prioritize the needs in clinical case management and procedural skills among pediatric anesthesiologists ahead of the opening of a new pediatric hospital in the middle-east.MethodsInstitutional approval was obtained. Content areas covering clinical management and procedural skills were developed based on a systematic literature review and a modified Delphi process. Questionnaires listing the content areas were sent to respondents. The respondents indicated on a modified Dreyfus self-rated expertise scale of 1-10, their current level of expertise versus their ideal level of expertise for each content area. A need score for each content area was calculated from the difference between ideal and current level of expertise with a maximum need score of 9. Descriptive statistics were performed.ResultsThe responses rate was 100 % (21/21). Two thirds of respondents were anesthesia specalists (fellows) and the rest staff anesthesiologists. The modified Dreyfus scale was found to be a relevant, internally consistent (Cronbach’s alpha = 0.85) and valid tool for assessing perceived levels competency/expertise of anesthesiologists and anesthesia specialists. Management of malignant hyperthermia, premature infants, difficult airway demonstrated the highest needs with scores; 5.3, 4.4 and 3.8 respectively. Ultrasound use, one lung ventilation and use of difficult airway devices had highest need scores for procedural skill; 5.3, 5.2 and 4.4 respectively. Respondents preferred one to one discussions and workshops as effective methods for improving skills.ConclusionsWe have demonstrated the use of a novel tool, the need score to identify and prioritize needs in a needs assessment for a new program. The information we have gathered is preliminary and further assessments are needed to validate our findings by external reviews and use of focus groups. Our study methodology provides information for immediate in this context but should be translatable for use in other clinical situations in medicine.
关键词：Anesthesia; Continuing Professional Developement