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Quality e-CME

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Quality e-CME

  1. 1. Quality electronic Continuing Medical Education (eCME) ¿ How to meet physician' needs through learning technology? Ricard Robledo Elsevier Iberoamérica
  2. 3. <ul><li>Need of lifelong learning 1,2,3 : </li></ul><ul><li>“… the educative means of </li></ul><ul><li>updating, developing and enhancing how doctors apply the </li></ul><ul><li>knowledge, skills and attitudes </li></ul><ul><li>required in their working lives.” </li></ul><ul><li>(UEMS, Basel Declaration, 2001) </li></ul>
  3. 4. <ul><ul><li>¿How physician´s needs are covered by eCME? </li></ul></ul>Ramon y Cajal giving an anatomy lesson (1915) Tutor oriented vs learner oriented
  4. 5. <ul><ul><li>¿How physician´s needs are covered by eCME? </li></ul></ul><ul><ul><li>Ease in updating content </li></ul></ul><ul><ul><li>Personalized instruction </li></ul></ul><ul><ul><li>Interactive learning 3 </li></ul></ul>Learning progress and control
  5. 6. <ul><ul><li>¿How physician´s needs are covered by eCME? </li></ul></ul>Improvement of clinical competence Patient outcome eCME= efficient CME 4
  6. 7. <ul><ul><ul><ul><ul><li>Learning technology for eCME </li></ul></ul></ul></ul></ul>Importance of instructional design
  7. 8. <ul><ul><ul><ul><ul><li>Learning technology for eCME </li></ul></ul></ul></ul></ul><ul><li>Training of clinical decision making : Efficiency of virtual patient simulator 5,6,7,8 </li></ul>1 2 3 4 5
  8. 9. <ul><ul><li>¿How to measure the quality of an eCME activity? </li></ul></ul>Phisycian´ needs Efficiency Accreditation system QUALITY LEARNER
  9. 10. <ul><ul><li>Five quality criterion for eCME </li></ul></ul><ul><ul><ul><ul><li>Accredited activity 9 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Instructional design 10 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Multimedia resources 11,12 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Rapid feedback 13 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Quality Standards 14,15 </li></ul></ul></ul></ul>
  10. 12. <ul><li>Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med (2005) 142:260–273 </li></ul><ul><li>Richard JD, Pan MD. Physician lifelong learning. Report of the council on medical </li></ul><ul><li>Ruiz GJ, Mintzer M, Rosanne M, The impact of e-learning in medical education. Academic medicine , (2006) vol 81, nº3, </li></ul><ul><li>Comparison of the Instructional Efficacy of Internet-Based CME with Live Interactive CME WorkshopsA Randomized Controlled Trial JAMA , (2005) –Vol294, No. 9 </li></ul><ul><li>Holzinger A, Kickmeier-Rust M, Wassertheurer S, Hessinger M. Learning performance with interactive simulations in medical education: Lessons learned from results of learning complex physiological models with the HAEMO dynamics SIMulator. Computers&Education (2009), 52:292-301 </li></ul><ul><li>Hofmann B. Why simulation can be efficient: on the preconditions of efficient learning in complex technology based practices. BMC Medical Education (2009), 9: 48 </li></ul><ul><li>Leigh LoPresti, MD; Patrick Ginn, MD, MBA; Robert Treat, PhD. Using a Simulated Practice to Improve </li></ul><ul><li>Practice Management Learning. Family medicine (2009), 41(9): 640-5 </li></ul><ul><li>John Wiecha 1 , MD, MPH; Robin Heyden 2 , BS; Elliot Sternthal 3 , MD, FACP; Mario Merialdi 4 , MD, PhD. Learning </li></ul><ul><li>in a Virtual World: Experience With Using Second Life for Medical Education. JMIR (2010) Vol 12 nº1 </li></ul><ul><li>UEMS 2008/20 Rev. The accreditation of e-Learning materials by the EACCME </li></ul><ul><li>Geoff Wong, Trisha Greenhalgh, Ray Pawson Internet-based medical education: a realist review </li></ul><ul><li>of what works, for whom and in what circumstances BMC Medical Education (2010), 10:12 </li></ul><ul><li>Lim, R F.; Hsiung, B C.; Hales, DJ. Lifelong Learning: Skills and Online (2006) Academic Psychiatry, v30 n6 p540-547 </li></ul><ul><li>Casebeer, L, Bennett N, Kristofco R, Carillo A , Centor R. Physician Internet Medical Information Seeking and On-line Continuing </li></ul><ul><li>Education Use Patterns The Journal of Continuing Education in the Health Professions, (2002) Volume 22, pp. 33–42. </li></ul><ul><li>Chen, J.C.  Whittinghill, D.C.  Kadlowec, J.A. . Using Rapid Feedback to Enhance Student Learning and Satisfaction . Frontiers in Education Conference, 36th Annual. (2006) 13-18 </li></ul><ul><li>Hilera Gonzalez JR. UNE 66181:2008, el primer estándar sobre calidad de la formación virtual. RED (2008). Número monográfico VII </li></ul><ul><li>Hilera Gonzalez JR. Creación de una guía de consulta de estándares de e-learning. FINTDI (2009) ISBN 978-84-8158-463-9 </li></ul>

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