Creating and validating e-cases as educational tools in general practitioners’ continuing medical education context

• Autorzy: Hadadgar A. , Changiz T. , Kononowicz A. A. , Safaeian L. , Mirshahzadeh N. , Najimi A. , Ahmadi F. , Mostafavizadeh K. , Zary N. , Masiello I.

Identyfikatory

DOI

10.1515/bams-2017-0027

• Języki publikacji: EN

Abstrakty

EN

Objective: This study aimed at creating electronic cases (e-cases) and analyzing their validity as a diagnostic assessment tool within the context of continuing medical education (CME) to measure general practitioners’ (GPs) knowledge of common infectious disease. Methods: We designed assessment e-cases in an electronic CME platform. The e-cases were designed to measure GPs’ knowledge about diagnosis and treatment of common infectious disease in outpatient settings. The data collected were analyzed for five forms of evidence: content, response process, internal structure, relations with other variables and consequences. Results: A total of 46 GPs participated in the study. Among them, 87% perceived the e-cases as resembling the patients whom they visit in their everyday practice. Although attendance in this activity made 85% of the participants more cautious about prescription of antibiotics, we could not detect any statistically significant association between the assessment scores and the physicians’ previous antibiotic prescription. The diagnostic assessment with e-cases was supported by most of the elements of validity evidence, including content, response process, internal structure and consequences. Conclusions: Overall, evidence suggests that using e-cases might be a valid diagnostic assessment CME activity to measure GPs’ knowledge of common infectious disease, but more research is necessary.

Słowa kluczowe

EN

assessment; continuing medical education; electronic case; general practitioner; validity

• Wydawca: Uniwersytet Jagielloński - Collegium Medicum ; Index Copernicus Sp. z o.o.
• Czasopismo: Bio-Algorithms and Med-Systems
• Rocznik: 2018
• Tom: Vol. 14, no. 1
• Strony: art. no. 20170027
• Opis fizyczny: Bibliogr. 23 poz., rys., tab.

Twórcy

autor

Hadadgar A.

• Isfahan University of Medical Sciences, Department of Medical Education, Hezar Jerib Av Isfahan 8174673461
• Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Stockholm, Sweden

autor

Changiz T.

• Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

autor

Kononowicz A. A.

• Department of Bioinformatics and Telemedicine, Faculty of Medicine, Jagiellonian University, Krakow, Poland

autor

Safaeian L.

• Department of Pharmacology and Toxicology, Isfahan Pharmaceutical Sciences Research Center, School of Pharmacy and Pharmaceutical Sciences, Food and Drug Deputy, Isfahan University of Medical Sciences, Isfahan, Iran

autor

Mirshahzadeh N.

• Continuing Medical Education Office, Isfahan University of Medical Sciences, Isfahan, Iran

autor

Najimi A.

• Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

autor

Ahmadi F.

• Infectious Disease Ward, Razi Hospital, School of Medicine, Joundishapour University of Medical Sciences, Ahwaz, Iran

autor

Mostafavizadeh K.

• Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

autor

Zary N.

• Department of Learning, Informatics, Management and Ethics, Karolinska Institute, Stockholm, Sweden

autor

Masiello I.

• Department of Clinical Science and Education, Karolinska Institute, Södersjukhuset, Stockholm, Sweden

Bibliografia

• [1] Cook DA, Blachman MJ, Price DW, West CP, Baasch Thomas BL, Berger RA. Educational technologies for physician continuous professional development: a national survey. Acad Med 2018; 93(1):104-112.
• [2] Hadadgar A, Changiz T, Dehghani Z, Backheden M, Mirshahzadeh N, Zary N, et al. A theory-based study of factors explaining general practitioners intention to use and participation in electronic continuing medical education. J Contin Educ Health Prof 2016; 36:290-4.
• [3] Cook DA, Blachman MJ, Price DW, West CP, Berger RA, Wittich CM. Professional development perceptions and practices among US physicians: a cross-specialty national survey. Acad Med 2017; 92(9):1335-1345.
• [4] Thistlethwaite JE, Davies D, Ekeocha S, Kidd JM, MacDougall C, Matthews P, et al. The effectiveness of case-based learning in health professional education. A BEME systematic review: BEME guide No. 23. Med Teach 2012;34:e421-44.
• [5] Posel N, Fleiszer D, Shore BM. 12 Tips: guidelines for authoring virtual patient cases. Med Teach 2009; 31:701-8.
• [6] Cook DA, Triola MM. Virtual patients: a critical literature review and proposed next steps. Med Educ 2009; 43:303-11.
• [7] Cantillon P, Irish B, Sales D. Using computers for assessment in medicine. Br Med J 2004; 329:606-9.
• [8] Kane MT. Current concerns in validity theory. J Educ Meas 2001; 38:319-42.
• [9] Mucklow J, Bollington L, Maxwell S. Assessing prescribing competence. Br J Clin Pharmacol 2012; 74:632-9.
• [10] Farmer EA, Page G. A practical guide to assessing clinical decision-making skills using the key features approach. Med Educ 2005; 39:1188-94.
• [11] Downing SM. Validity: on the meaningful interpretation of assessment data. Med Educ 2003; 37:830-7.
• [12] Cook DA, Zendejas B, Hamstra SJ, Hatala R, Brydges R. What counts as validity evidence? Examples and prevalence in a systematic review of simulation-based assessment. Adv Health Sci Educ 2014; 19:233-50.
• [13] McKenzie H, Laing R, Mackenzie A, Molyneaux P, Bal A. Infectious disease: clinical cases uncovered. West Sussex: John Wiley & Sons; 2010.
• [14] Huwendiek S, De Leng B, Kononowicz A, Kunzmann R, Muijtjens A, Van Der Vleuten C, et al. Exploring the validity and reliability of a questionnaire for evaluating virtual patient design with a special emphasis on fostering clinical reasoning. Med Teach 2015; 37:775-82.
• [15] Assessment systems. CITAS. Minnesota; 2016.
• [16] Teixeira Rodrigues A, Roque F, Falcão A, Figueiras A, Herdeiro MT. Understanding physician antibiotic prescribing behaviour: a systematic review of qualitative studies. Int J Antimicrob Agents 2013; 41:203-12.
• [17] Safaeian L, Mahdanian AR, Hashemi-Fesharaki M, Salami S, Kebriaee-Zadeh J, Sadeghian GH. General physicians and prescribing pattern in Isfahan, Iran. Oman Med J. 2011; 26:205-6.
• [18] Oermann MH, Gaberson KB. Evaluation and testing in nursing education. 4th edn. New York, NY: Springer; 2013.
• [19] Gikandi JW, Morrow D, Davis NE. Online formative assessment in higher education: a review of the literature. Comput Educ 2011; 57:2333-51.
• [20] Downing SM, Haladyna TM. Validity threats: overcoming interference with proposed interpretations of assessment data. Med Educ 2004; 327-33.
• [21] Stålsby Lundborg C, Tamhankar AJ. Understanding and changing human behaviour antibiotic mainstreaming as an approach to facilitate modification of provider and consumer behaviour. Ups J Med Sci 2014;119(January):125-33.
• [22] Kononowicz AA, Zary N, Edelbring S, Corral J, Hege I. Virtual patients - what are we talking about? A framework to classify the meanings of the term in healthcare education. BMC Med Educ 2015; 15:11.
• [23] Cox M, Irby DM, Epstein RM. Assessment in medical education. N Engl J Med 2007; 356:387-96.

Uwagi

Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2019).