scholarly journals Barriers and Facilitators to Implement E-learning in Continuing Medical Education: Evidence From the China-gates Foundation Tuberculosis (TB) Control Program

2020 ◽  
Author(s):  
Ziyue Wang ◽  
Lijie Zhang ◽  
Yuhong Liu ◽  
Weixi Jiang ◽  
Shenglan Tang ◽  
...  
Keyword(s):  
Medical Education ◽  
Continuing Medical Education ◽  
Control Program ◽  
Barriers And Facilitators ◽  
Internet Technology ◽  
Tb Control ◽  
Learning Platform ◽  
E Learning ◽  
Gates Foundation ◽  
Tb Control Program

Abstract [Objective] To evaluate the implementation of E-learning continuing medical education (CME) programs, analyse the barriers and facilitators during the implementation process, and provide policy recommendations based on the evidence from the China-Gates Foundation TB Control Program. [Methods] Routine monitoring data were collected through the project office. In-depth interviews, focus group discussion with project management personnel, teachers, and trainees (N=78), and staff survey (baseline N=555, final N=757) were conducted in selected pilot areas at the provincial, municipal, and county/district levels in the three project provinces (Zhejiang, Jilin, and Ningxia). [Results] By the end of June 2019, the national and provincial remote training platforms had organized 98 synchronous learning activities, with an average of 173.2 people (standard deviation, SD=49.8) per online training session, 163.3 people (SD=41.2) per online case discussion. In the pilot area, 64.5% of TB health workforce registered the asynchronous learning platform, and 50.1% obtained their professional certifications. Participants agreed that E-learning CME was more economical, has better content as well as more flexible work schedules. However, the project still faced challenges in terms of unmet learning needs, disorganized governance, insufficient hardware and software, unsupported environment, and lack of incentive mechanisms. [Conclusions] Our results suggested that it’s feasible to conduct large scale E-learning continuing medical education activities in the three project provinces of China. Training content and format are key facilitators of the program implementation, while the matching the supply/demand of training, organizational coordination, internet technology, motivations, and sustainability are key barriers.

scholarly journals Process evaluation of E-learning in continuing medical education: evidence from the China-Gates Foundation Tuberculosis Control Program

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Zi-Yue Wang ◽  
Li-Jie Zhang ◽  
Yu-Hong Liu ◽  
Wei-Xi Jiang ◽  
Sheng-Lan Tang ◽  
...  
Keyword(s):  
Medical Education ◽  
Continuing Medical Education ◽  
Health Workers ◽  
Training Session ◽  
Control Program ◽  
Online Training ◽  
Internet Technology ◽  
Learning Platform ◽  
E Learning ◽  
Gates Foundation

Abstract Background E-learning is a growing phenomenon which provides a unique opportunity to address the challenges in continuing medical education (CME). The China-Gates Foundation Tuberculosis (TB) Control Program implemented online training for TB health workers in three provinces of China. We aim to evaluate the implementation of E-learning CME programs, analyse the barriers and facilitators during the implementation process, and to provide policy recommendations. Methods Routine monitoring data were collected through the project office from December 2017 to June 2019. In-depth interviews, focus group discussion with project management personnel, teachers, and trainees (n = 78), and staff survey (baseline n = 555, final n = 757) were conducted in selected pilot areas at the provincial, municipal, and county/district levels in the three project provinces (Zhejiang, Jilin, and Ningxia). Descriptive analysis of quantitative data summarized the participation, registration, and certification rates for training activities. Thematic approach was used for qualitative data analysis. Results By the end of June 2019, the national and provincial remote training platforms had organized 98 synchronous learning activities, with an average of 173.2 people [standard deviation (SD) = 49.8] per online training session, 163.3 people (SD = 41.2) per online case discussion. In the pilot area, 64.5% of TB health workforce registered the asynchronous learning platform, and 50.1% obtained their professional certifications. Participants agreed that E-learning CME was more economical, has better content as well as more flexible work schedules. However, the project still faced challenges in terms of unmet learning needs, disorganized governance, insufficient hardware and software, unsupported environment, and lack of incentive mechanisms. Conclusions Our results suggested that it’s feasible to conduct large scale E-learning CME activities in the three project provinces of China. Training content and format are key facilitators of the program implementation, while the matching of training supply and demand, organizational coordination, internet technology, motivations, and sustainability are key barriers.

scholarly journals A study on the incidence of tuberculosis in Narail district of Bangladesh

Mediscope ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. 12-15
Author(s):  
MS Mallick
Keyword(s):  
Control Program ◽  
Situational Analysis ◽  
Pulmonary Tb ◽  
Tb Control ◽  
Related Data ◽  
Number Of Patients ◽  
Case Rate ◽  
Extra Pulmonary ◽  
The Government ◽  
Tb Control Program

The aim of this descriptive type of study on diagnosed tuberculosis (TB) cases was to evaluate the incidence of TB in Narail district to have a situational analysis with the achievement of National TB Control Program. Related data were collected from the Civil Surgeon Office, Narail district. The data of 3 upazilas- Narail Sadar, Kalia, and Lohagora were used. The study period was from January 1, 2016 to December 31, 2016. The overall TB case rate was 156.6 per 100000 population and separately 170.9 per 100000 population in Narail Sadar, 142.2 per 100000 population in Kalia and 156.6 per 100000 population in Lohagora. Of the cases, 56.4% were male and 43.6% female. Overall, 89.7% of the TB cases had pulmonary TB and 10.3% had extra-pulmonary TB. The population with higher age had higher proportion having TB. The highest number of patients were referred for diagnosis by sastha sebika (nurse) and non-government field staff. The TB incidence in Narail district was considered to be lower than the National situation. However, it seems that TB will remain as a continuous concern for many years in future for the country as well as Narail district. The activities of National TB Control Program of the Government of Bangladesh needs to be strengthened further to combat TB in BangladeshMediscope Vol. 5, No. 2: Jul 2018, Page 12-15

scholarly journals The continuing medical education activities and attitudes of Australian doctors working in different clinical specialties and practice locations

2009 ◽  
Vol 33 (1) ◽  
pp. 47 ◽  
Author(s):  
Grant D Stewart ◽  
Mohamed H Khadra
Keyword(s):  
Medical Education ◽  
Continuing Medical Education ◽  
Positive Attitude ◽  
Hospital Practice ◽  
Face To Face ◽  
Practice Location ◽  
E Learning

Background: Currently, it is not clear which continuing medical education (CME) methods are being used by senior doctors and what their attitudes towards them are. The aims of this study were to investigate which modes of CME delivery senior Australian doctors utilise, to assess doctors? attitudes towards CME and to determine any differences in modes used and attitudes between clinical specialties and practice locations. Methods: A 52-statement questionnaire enquiring about doctors? current CME activities and their attitudes towards CME was distributed to 1336 senior Australian doctors. Results: 494 doctors responded to the questionnaire. Traditional forms of CME (eg, meetings, conferences, journals and lectures) were most commonly used. Doctors thought CME involving face-to-face interaction was superior to electronic forms of CME. All doctors, especially those in hospital practice, had a positive attitude towards CME but found lack of time a barrier to learning. Rural doctors found CME sessions more difficult to attend than did their metropolitan colleagues. Conclusions: Traditional forms of CME were more popular than modern CME approaches, such as e-learning. Australian doctors had a positive attitude towards undertaking CME despite struggling to find time to perform CME. The differences in attitudes towards CME demonstrated between specialties and different practice location will aid future CME planning.

scholarly journals Factors associated with delays in pulmonary tuberculosis diagnosis and treatment initiation in Cali, Colombia

2019 ◽  
Vol 43 ◽  
pp. 1
Author(s):  
Cindy Córdoba ◽  
Lucy Luna ◽  
Diana M. Triana ◽  
Freddy Perez ◽  
Lucelly López
Keyword(s):  
Pulmonary Tuberculosis ◽  
Treatment Initiation ◽  
Control Program ◽  
Diagnosis And Treatment ◽  
Individual Treatment ◽  
Tb Control ◽  
Factors Associated ◽  
Tb Treatment ◽  
Tuberculosis Diagnosis ◽  
Tb Control Program

Objective.To determine factors associated with delays in pulmonary tuberculosis diagnosis and treatment initiation in the city of Cali, Colombia.Methods.This was a retrospective cohort study of cases of tuberculosis (TB) reported in the TB control program of Cali between January and December 2016. The information was collected from the databases of the TB control program, individual treatment cards, and clinical histories. The variables considered were sociodemographic factors, clinical factors, substance use, and performance of the health service.Results.A total of 623 cases were identified, of which 57.0% were male. The median age was 42 years (interquartile range (IQR): 27–60). The median time from onset of symptoms to TB diagnosis was 57 days (IQR: 21–117), and from onset of symptoms to TB treatment initiation was 72 days (IQR: 35–145). A factor associated with longer time from the onset of symptoms to TB treatment was being a previously treated TB patient (coefficient: 123.8 days, 95% confidence interval (CI): 48.3 to 199.3). In contrast, being incarcerated was a protective factor for earlier TB treatment initiation (coefficient: -57.3 days; 95% CI: -92.4 to -22.3).Conclusions.Our results provide important information concerning risk factors that are associated with delays in the diagnosis and treatment of tuberculosis, and that are subject to future interventions. Health insurance program managers must work together with health care providers on issues that include patient care, health promotion, and updating TB protocols and standards.

scholarly journals Effectiveness of e-learning in continuing medical education for occupational physicians

2008 ◽  
Vol 58 (5) ◽  
pp. 370-372 ◽  
Author(s):  
N. I. R. Hugenholtz ◽  
E. M. de Croon ◽  
P. B. Smits ◽  
F. J. H. van Dijk ◽  
K. Nieuwenhuijsen
Keyword(s):  
Medical Education ◽  
Continuing Medical Education ◽  
Occupational Physicians ◽  
E Learning

scholarly journals Implementasi Program Penanggulangan TB Paru dengan Strategi Directly Observed Treatment Shortcourse di Puskesmas Panyabungan Jae Kabupaten Mandailing Natal

2021 ◽  
Vol 10 (1) ◽  
pp. 83
Author(s):  
Mawaddah Marahmah ◽  
Rapotan Hasibuan
Keyword(s):  
Control Program ◽  
Public Knowledge ◽  
Political Commitment ◽  
Data Presentation ◽  
Tb Control ◽  
Directly Observed Treatment ◽  
Descriptive Approach ◽  
Using Data ◽  
Depth Interviews ◽  
Tb Control Program

TB cases in Southeast Asia contribute 40% of the world's TB cases and causes the highest mortality in Indonesia. Panyabungan Jae Health Center (PJHC) itself has the highest number of TB cases in Mandailing Natal Regency. This study, therefore, aimed to determine the implementation of the TB Control Program with the Directly Observed Treatment Shortcourse Strategy (DOTS) at PJHC.Qualitative methods with descriptive approach was used for this research. In-depth interviews was conducted with 5 informants in July 2020. The data were analyzed using data reduction, data presentation, and conclusion drawing.The research found that communication between the TB program officer and the DOTS strategy worked well in the PJHC as well as the disposition, resources and bureaucratic structures. Political commitment in the DOTS strategy with cross-sectoral cooperation has an important influence in the handling of TB cases,however village authorities have not played a role in efforts to reduce for number of TB cases. The patients had lack of understanding about TB and some localshad views TB as a disease caused by poison becomes an obstacle in treating patients. TB prevention with the DOTS strategy at the PJHC runs according to standard guidelines, and complemented by the Puskesmas innovation "Tor Tor Libas TB".The MNDHO officersare advised to collaborate with entire stakeholders in overcoming TB by strengthening education in the form of routine counseling to increase public knowledge about TB

scholarly journals Identification of TB space-time clusters and hotspots in Ouest département, Haiti, 2011–2016

2021 ◽  
Vol 11 (2) ◽  
pp. 101-107
Author(s):  
A. M. Dismer ◽  
M. Charles ◽  
N. Dear ◽  
J. M. Louis-Jean ◽  
N. Barthelemy ◽  
...  
Keyword(s):  
Metropolitan Area ◽  
Urban Areas ◽  
Control Program ◽  
High Volume ◽  
Space Time ◽  
Case Finding ◽  
Western Hemisphere ◽  
Spatial Clusters ◽  
Tb Control ◽  
Tb Control Program

BACKGROUND: Haiti has the highest incidence rate of TB in the Western Hemisphere, with an estimated 170 cases per 100,000 in 2019. Since 2010, control efforts have focused on targeted case-finding activities in urban areas, implementation of rapid molecular diagnostics at high-volume TB centers, and improved reporting. TB analyses are rarely focused on lower geographic units; thus, the major goal was to determine if there were focal areas of TB transmission from 2011 to 2016 at operational geographic levels useful for the National TB Control Program (PNLT).METHODS: We created a geocoder to locate TB cases at the smallest geographic level. Kulldorff’s space-time permutation scan, Anselin Moran’s I, and Getis-Ord Gi* statistics were used to determine the spatial distribution and clusters of TB.RESULTS: With 91% of cases linked using the geocoder, TB clusters were identified each year. Getis-Ord Gi* analysis revealed 14 distinct spatial clusters of high incidences in the Port-au-Prince metropolitan area. One hundred retrospective space-time clusters were detected.CONCLUSION: Our study confirms the presence of TB hotspots in the Ouest département, with most clusters in the Port-au-Prince metropolitan area. Results will help the PNLT and its partners better design case-finding strategies for these areas.

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