The international league against epilepsy primary healthcare educational curriculum: Assessment of educational needs

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

Epileptic Disorders Pub Date : 2024-06-26 DOI:10.1002/epd2.20256

Gagandeep Singh, Patricia Braga, Jaime Carrizosa, Marielle Prevos-Morgant, Man Mohan Mehndiratta, Priscilla Shisler, Chahnez Triki, Samuel Wiebe, Jo Wilmshurst, Ingmar Blümcke

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Abstract

Objective

To assess the need for an epilepsy educational curriculum for primary healthcare providers formulated by the International League Against Epilepsy (ILAE) and the importance attributed to its competencies by epilepsy specialists and primary care providers and across country-income settings.

Methods

The ILAE primary care epilepsy curriculum was translated to five languages. A structured questionnaire assessing the importance of its 26 curricular competencies was posted online and publicized widely to an international community. Respondents included epilepsy specialists, primary care providers, and others from three World Bank country-income categories. Responses from different groups were compared with univariate and ordinal logistic regression analyses.

Results

Of 785 respondents, 60% noted that a primary care epilepsy curriculum did not exist or they were unaware of one in their country. Median ranks of importance for all competencies were high (very important to extremely important) in the entire sample and across different groups. Fewer primary care providers than specialists rated the following competencies as extremely important: definition of epilepsy (p = .03), recognition of seizure mimics (p = .02), interpretation of test results for epilepsy care (p = .001), identification of drug-resistant epilepsy (0.005) and management of psychiatric comorbidities (0.05). Likewise, fewer respondents from LMICs in comparison to UMICs rated 15 competencies as extremely important.

Significance

The survey underscores the unmet need for an epilepsy curriculum in primary care and the relevance of its competencies across different vocational and socioeconomic settings. Differences across vocational and country income groups indicate that educational packages should be developed and adapted to needs in different settings.

Abstract Image

查看原文本刊更多论文

国际抗癫痫联盟初级医疗保健教育课程：教育需求评估。

目的评估国际抗癫痫联盟（ILAE）为初级医疗保健提供者制定的癫痫教育课程的必要性，以及癫痫专家和初级医疗保健提供者对其能力的重视程度，以及不同国家-收入环境对其能力的重视程度：方法：将 ILAE 初级医疗癫痫课程翻译成五种语言。方法：将 ILAE 初级护理癫痫课程翻译成了五种语言，并在网上发布了一份结构化问卷，评估其 26 项课程能力的重要性，并向国际社会广泛宣传。受访者包括癫痫专家、初级保健提供者以及来自世界银行三个国家收入类别的其他人。通过单变量和序数逻辑回归分析对不同群体的回答进行了比较：结果：在 785 名受访者中，60% 的受访者表示本国没有或不知道有初级保健癫痫课程。在所有样本和不同群体中，所有能力的重要性中位数都很高（非常重要到极其重要）。将以下能力评为极其重要的初级医疗服务提供者少于专科医生：癫痫的定义（p = .03）、癫痫发作模拟物的识别（p = .02）、癫痫护理测试结果的解释（p = .001）、耐药性癫痫的识别（0.005）和精神科合并症的管理（0.05）。同样，来自低收入和中等收入国家的受访者中将 15 项能力评为极其重要的人数少于来自低收入和中等收入国家的受访者：意义：这项调查强调了基层医疗机构对癫痫课程的需求尚未得到满足，以及其能力在不同职业和社会经济环境中的相关性。不同职业和国家收入群体之间的差异表明，应根据不同环境的需求开发和调整教育包。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Epileptic Disorders 医学-临床神经学

CiteScore

4.10

自引率

8.70%

发文量

138

审稿时长

6-12 weeks

期刊介绍： Epileptic Disorders is the leading forum where all experts and medical studentswho wish to improve their understanding of epilepsy and related disorders can share practical experiences surrounding diagnosis and care, natural history, and management of seizures. Epileptic Disorders is the official E-journal of the International League Against Epilepsy for educational communication. As the journal celebrates its 20th anniversary, it will now be available only as an online version. Its mission is to create educational links between epileptologists and other health professionals in clinical practice and scientists or physicians in research-based institutions. This change is accompanied by an increase in the number of issues per year, from 4 to 6, to ensure regular diffusion of recently published material (high quality Review and Seminar in Epileptology papers; Original Research articles or Case reports of educational value; MultiMedia Teaching Material), to serve the global medical community that cares for those affected by epilepsy.