东非虚拟风湿病学培训项目的实施与评价。

Carol A Hitchon,Rosie Scuccimarri,Ines Colmegna,Florence Masaisa,Girish M Mody,Michele Meltzer,
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引用次数: 0

摘要

在许多非洲国家,风湿病教育和护理的可及性有限,导致患者的临床护理不理想,结果不佳。虚拟教育是远程授课的一种可行手段。为撒哈拉以南非洲的住院医生开发了一门虚拟风湿病课程。我们描述了这门课程及其评价。方法在2021年至2024年期间,向卢旺达的内科居民提供为期16周的年度虚拟风湿病学计划。一个国际教员与非洲代表一起用英语提供了关于风湿病学核心主题的讲座,以确保内容与区域相关。2023年,虚拟课程辅以为期一周的亲自访问。参与者完成了问卷调查,以评估他们在疗程中的经历、评估风湿病状况的信心以及对疗程改善的任何建议。教师们评价了他们在这门课上的经验。提供了简要统计数据和代表性报价。结果55名住院医师和7名指导员进行了课程后评价。所有完成问卷的住院医师都认为讲座很有用。许多[32/54(59%)]要求额外的时间进行案例讨论和面对面教学。课程结束后,住院医师对风湿病病例评估和管理的信心评分为良好[中位数7/10(范围4-10)]。相互冲突的临床职责使大多数住院医生[42/55(76%)]无法参加所有讲座。教师们报告了一些挑战,尤其是在虚拟课堂上互动不足。结论风湿病学虚拟课程是对医学实习生进行风湿病学教育的一种可行手段,但不能取代面对面教育的需要。该方案适用于风湿病资源有限的其他地区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation and evaluation of a virtual rheumatology training program in East Africa.
OBJECTIVE Access to rheumatology education and care is limited in many African countries, leading to suboptimal clinical care and poor outcomes for patients. Virtual education is a feasible means to deliver curricula remotely. A virtual rheumatology course for medical residents in sub-Saharan Africa was developed. We describe the course and its evaluation. METHODS An annual 16-week virtual rheumatology program was delivered to internal medicine residents in Rwanda between 2021 and 2024. Lectures on core rheumatology topics were provided, in English, by an international faculty with representatives from Africa to ensure regionally relevant content. In 2023, the virtual course was supplemented by a weeklong in-person visit. Participants completed questionnaires to evaluate their experiences with the course, their confidence in evaluating rheumatologic conditions, and any recommendations for course improvement. Instructors evaluated their experiences with the course. Summary statistics and representative quotations are provided. RESULTS Post-course evaluations were available from 55 residents and seven instructors. All residents who completed the questionnaires reported the lectures were useful. Many [32/54 (59%)] requested additional time for case discussions and in-person teaching. Post-course, residents rated their confidence in assessing and managing rheumatologic cases as good [median 7/10 (range 4-10)]. Conflicting clinical duties prevented most residents [42/55 (76%)] from attending all lectures. Instructors reported some challenges, especially insufficient interaction during virtual lectures. CONCLUSION A virtual rheumatology course is a feasible means to deliver rheumatology education to medical trainees but does not replace the need for in-person education. The program is adaptable to other regions with limited rheumatology resources.
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