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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.
EN
Continuing medical education is considered as a very important aspect in the development of skills of practicing physicians and the introduction of new concepts and developments in health care provision. Studies have shown that conventional CME techniques including self-studying and lecture attending have limited impact on clinical practices. The world wide web provides a very efficient and cost-effective delivery system for conveying anywhere and anytime multimedia information to large user groups. Although there are a number of CME web sites available today, the majority of them are static and text-based thus not offering interactive functionality and multiple content. To exploit modern telematics technologies and within the framework of the Leonardo da Vinci programme, the REMEDIES project developed an interactive web-based distance-training infrastructure. The REMEDIES system incorporates two training modules - a web-based training platform and a teleconference training platform. The system has been validated in terms of technical performance and user functionality in a controlled target group comprising of young medical doctors and medical students in the specific areas of radiology and laparoscopic surgery. The results of the trial have demonstrated the compliance of the system to the defined functional requirements and the potential usefulness to the defined training goals. Trial results have also demonstrated the need of extension of the educational material within the platform especially for the purposes of continuous education.
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