Uptake and effectiveness of online diabetes continuing education: The perspectives of Thai general practitioner trainees.
Continuing medical education
General practitioners
Medical education
Online education
Type 2 diabetes mellitus
Journal
Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
28
06
2021
revised:
23
01
2023
accepted:
26
01
2023
entrez:
9
2
2023
pubmed:
10
2
2023
medline:
10
2
2023
Statut:
epublish
Résumé
Despite continuing medical education (CME) programmes on evidence-based diabetes care, evidence-based best practice and actual GP practice remain scant. Online CME offers numerous benefits to general practitioners (GPs), particularly during the coronavirus disease 2019 (COVID-19) pandemic. In Thailand, CME is a voluntary process and is yet to be established as a mandatory requirement. This study examined GP uptake of online diabetes CME and the changes in GPs' attitudes to and knowledge of Type 2 diabetes management. A cross-sectional study and a before-and-after study were employed with 279 GP trainees who voluntarily undertook a newly-developed online diabetes programme. A follow-up survey was conducted six months after the GP trainees completed their training. One hundred and twelve out of 279 GP trainees (40.1%) participated in the study, of whom 37 (13.3%) enrolled in the online diabetes programme, and 20 (7.2%) completed the programme. Before enrolling in the programme, the participants' mean diabetes knowledge score was 61.5%. The participants' confidence in effective insulin treatment increased significantly after the programme (95% Confidence interval [CI], -0.51-0.00; P = 0.05), but their knowledge scores before and after the programme were not statistically different (95% CI, -3.93-0.59; P = 0.14). Uptake of the online diabetes CME was poor, although appropriate recruitment strategies were employed, and the online educational option was attractive and accessible during the COVID-19 pandemic. This study emphasises the gap between evidence-based practice and actual GP practice and the need for mandatory CME.
Sections du résumé
Background
UNASSIGNED
Despite continuing medical education (CME) programmes on evidence-based diabetes care, evidence-based best practice and actual GP practice remain scant. Online CME offers numerous benefits to general practitioners (GPs), particularly during the coronavirus disease 2019 (COVID-19) pandemic. In Thailand, CME is a voluntary process and is yet to be established as a mandatory requirement. This study examined GP uptake of online diabetes CME and the changes in GPs' attitudes to and knowledge of Type 2 diabetes management.
Methods
UNASSIGNED
A cross-sectional study and a before-and-after study were employed with 279 GP trainees who voluntarily undertook a newly-developed online diabetes programme. A follow-up survey was conducted six months after the GP trainees completed their training.
Results
UNASSIGNED
One hundred and twelve out of 279 GP trainees (40.1%) participated in the study, of whom 37 (13.3%) enrolled in the online diabetes programme, and 20 (7.2%) completed the programme. Before enrolling in the programme, the participants' mean diabetes knowledge score was 61.5%. The participants' confidence in effective insulin treatment increased significantly after the programme (95% Confidence interval [CI], -0.51-0.00; P = 0.05), but their knowledge scores before and after the programme were not statistically different (95% CI, -3.93-0.59; P = 0.14).
Conclusion
UNASSIGNED
Uptake of the online diabetes CME was poor, although appropriate recruitment strategies were employed, and the online educational option was attractive and accessible during the COVID-19 pandemic. This study emphasises the gap between evidence-based practice and actual GP practice and the need for mandatory CME.
Identifiants
pubmed: 36755621
doi: 10.1016/j.heliyon.2023.e13355
pii: S2405-8440(23)00562-5
pmc: PMC9900372
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e13355Informations de copyright
© 2023 The Authors.
Références
Front Med (Lausanne). 2021 Nov 15;8:773806
pubmed: 34869493
Gac Sanit. 2021;35 Suppl 2:S120-S122
pubmed: 34929792
J Contin Educ Health Prof. 2004 Fall;24(4):227-36
pubmed: 15709562
Global Health. 2013 Mar 14;9:11
pubmed: 23497447
CMAJ. 1995 Nov 15;153(10):1423-31
pubmed: 7585368
Med Educ. 2005 Jun;39(6):561-7
pubmed: 15910431
J Contin Educ Health Prof. 2004 Winter;24(1):20-30
pubmed: 15069909
Cureus. 2021 Feb 6;13(2):e13166
pubmed: 33575156
MD Comput. 1999 May-Jun;16(3):54-8
pubmed: 10439603
Int J Technol Assess Health Care. 2005 Summer;21(3):380-5
pubmed: 16110718
Can Fam Physician. 2018 Nov;64(11):832-840
pubmed: 30429181
Aust Health Rev. 2002;25(6):131-5
pubmed: 12536872
J Contin Educ Health Prof. 2010 Winter;30(1):3-10
pubmed: 20222035
Cochrane Database Syst Rev. 2009 Jul 08;(3):MR000008
pubmed: 19588449
BMC Med Educ. 2010 Feb 02;10:12
pubmed: 20122253
Heliyon. 2021 Oct 15;7(10):e08182
pubmed: 34746465
World J Urol. 2021 Jun;39(6):1997-2003
pubmed: 32860535
Prim Care Diabetes. 2021 Jun;15(3):495-501
pubmed: 33349599
Diabetes Res Clin Pract. 2012 Mar;95(3):326-32
pubmed: 22153417
J Clin Pharm Ther. 2011 Dec;36(6):664-72
pubmed: 21355875
JAMA. 1999 Sep 1;282(9):867-74
pubmed: 10478694
Aust J Rural Health. 2011 Jun;19(3):111-7
pubmed: 21605223
Inform Prim Care. 2007;15(2):83-91
pubmed: 17877870
J Gen Intern Med. 2004 Jun;19(6):698-707
pubmed: 15209610
Acad Med. 2010 May;85(5):909-22
pubmed: 20520049
JAMA. 2008 Sep 10;300(10):1181-96
pubmed: 18780847
Med Teach. 2010;32(11):e501-8
pubmed: 21039092
Aust Fam Physician. 2014 Oct;43(10):717-21
pubmed: 25286431
Front Public Health. 2019 Jun 27;7:176
pubmed: 31316961
Fam Pract. 2009 Dec;26(6):466-71
pubmed: 19858123
Trials. 2017 Mar 23;18(1):137
pubmed: 28335809
J Public Health Dent. 2004 Summer;64(3):164-72
pubmed: 15341140
Cochrane Database Syst Rev. 2001;(1):CD001481
pubmed: 11279717
J Contin Educ Health Prof. 2009 Winter;29(1):44-51
pubmed: 19288566
BMJ. 1999 May 8;318(7193):1267-9
pubmed: 10231262
BMC Res Notes. 2016 Jul 19;9:350
pubmed: 27435412
Ann Acad Med Singap. 2005 Dec;34(11):714-6
pubmed: 16453045
Acad Med. 2021 Jun 1;96(6):913-923
pubmed: 33332905
Evid Rep Technol Assess (Full Rep). 2007 Jan;(149):1-69
pubmed: 17764217
Diabet Med. 2014 Dec;31(12):1488-97
pubmed: 25047877
Educ Prim Care. 2018 May;29(3):151-165
pubmed: 29623773
J Contin Educ Health Prof. 2004 Summer;24(3):171-80
pubmed: 15490549
Educ Health (Abingdon). 2003 Nov;16(3):328-38
pubmed: 14741881
Aust Fam Physician. 2014 Jun;43(6):399-402
pubmed: 24897992
J Contin Educ Health Prof. 2003 Winter;23(1):38-47
pubmed: 12739258
JAMA. 1995 Sep 6;274(9):700-5
pubmed: 7650822
Rural Remote Health. 2014;14:2499
pubmed: 24611454