The modern approach to the education of doctors — a concept of continuing medical education and continuing professional development

Authors

  • O.M. Klygunenko State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine
  • О.V. Кravets State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine
  • Yu.O. Ploshchenko State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine
  • V.A. Sedinkin State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine
  • V.V. Khalimonchyk State Institution “Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine”, Dnipro, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.5.92.2011.143255

Keywords:

continuing medical education, continuing professional development, structure of teaching, methods of education, training of doctors

Abstract

According to modern requirements, medical education is the continuity of the three stages. The first two — academic or traditional — are higher education and postgraduate education. The third component of medical education is continuing medical education. According to the results of systematized analyzes, getting only academic education (level 3) does not lead to the achievement of clinical competence (level 4) and performance (level 5), while exactly qualitative mastering of the latter allows improving the health of patients (level 6). Department of anesthesiology, intensive care and medicine of urgent conditions of Dnipropetrovsk Medical Academy for 30 years carries out postgraduate training of interns and doctors specializing in anesthesiology and pediatric anesthesio-logy for the Dnipropetrovsk region and all Ukraine. We continue to train on structured programs accredited by the Ministry of Health of Ukraine, at the same time conducting specific courses that take into account the health needs of the region. To improve the quality and effectiveness of training, we use hybrid/mixed training (recorded webinar followed by in-person, small-group problem-solving sessions; live webcast followed by a group quality improvement), bedside case discussions, review of records and registry data by a physician or group, use of art to stimulate reflections about personal wellness,
online case discussion using social media, procedural training ­using virtual reality, role-play simulation to practice communication skills, interactive game to learn effective practice management. The combination of the two educational systems (continuing medical education/continuing professional development) allowed us to raise the effectiveness of training from level 4 (competence) to level 6 (the health of patients) of knowledge in the pyramid of the continuing medical education, which was confirmed by the increased effectiveness of the accreditation of anesthesiologists conducted every 5 years by the Ministry of Health of Ukraine on regional and national levels.

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References

Moore D.E.Jr. Achieving desiredresults and improved outcomes: integrating planning and assessment throughout learning activities / D.E.Jr. Moore, J.S. Green, H.A. Gallis // J. Contin. Educ. Health. Prof. — 2009. — Vol. 29(1). — P. 1-15.

Cervero R.M. The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews / R.M. Cervero, J.K. Gaines // J. Contin. Educ. Health. Prof. — 2015. — Vol. 35(2). — P. 131-138.

The association between income and life expectancy in the United States, 2001–2014 / R. Chetty, M. Stepner, S. Abraham et al. // JAMA. — 2016. — Vol. 315(16). — P. 1750-1766.

GBD 2015 Healthcare Access and Quality Collaborators. Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015: a novel analysis from the Global Burden of Disease Study 2015 // Lancet. — 2017. — Vol. 390(10091). — P. 231-266.

Health Consumer Powerhouse. Euro Health Consumer Index 2016 report. Available from: https://www.healthpowerhouse.com/files/EHCI_2016/EHCI _2016_report.pdf. Accessed: August 19, 2017.

Competency-based continuing professional development / C. Campbell, I. Silver, J. Sherbino // Med. Teach. — 2010. — Vol. 32(8). — P. 657-662.

Longitudinal study evaluating the association between physician burnout and changes in professional work effort / T.D. Shanafelt, M. Mungo, J. Schmitgen et al. // Mayo Clin. Proc. — 2016. — Vol. 91(4). — P. 422-431.

American Medical Association. AMA/ACCME alignment. Available from: https://www.ama-assn.org/education /ama-pra-credit-system. Accessed: November 22, 2017.

Accreditation Council for Continuing Medical Education. AMA/ACCME alignment. Available from: http://www .accme.org/cme-providers/ama-accme-alignment. Accessed: November 22, 2017.

Accreditation Council for Continuing Medical Education. Standards for commercial support. Available from: http://www.accme.org/requirements /accreditation-requirements-cme-providers /standards-for-commercial-support. Accessed: November 22, 2017.

National Academy of Medicine. The learning health system series. Available from: https://nam.edu/programs/value-science-driven-health-care/learning-health-system-series/. Accessed: November 22, 2017.

McMahon G.T. The leadership case for investing in continuing professional development / G.T. McMahon // Acad. Med. — 2017. — Vol. 92(8). — P. 1075-1077.

Joint Accreditation for Interprofessional Continuing Education. By the team for the team. Available from: http://www.jointaccreditation.org/sites/default/files/2016_Joint_Accreditation_Leadership_Summit Accessed: November 22, 2017.

Єхалов В.В. Деякі мотиваційні моменти в формуванні майбутнього фахівця-невролога. Актуальні проблеми сучасної медицини / В.В. Єхалов, К.В. Мізякіна // Вісник Української медичної стоматологічної академії. — 2018. — Т. 18, вип. 1(61). — С. 249-252.

Єхалов В.В. Клінічне та «кліпове» мислення у лікарів-інтернів / В.В. Єхалов, А.В. Самойленко, І.А. Романюта, С.І. Бараннік // Український журнал медицини, біології та спорту. — 2018. — Т. 3, № 1(10). — С. 241-244.

Єхалов В.В. Практичні рекомендації слухачам циклів післядипломного навчання з конспектування отриманої інформації / В.В. Єхалов, В.А. Седінкін // Медичний форум. — 2017. — № 10(10). — С. 62-66.

Єхалов В.В. Інтерактивні форми надання лекційного матеріалу в післядипломній медичній освіті / В.В. Єхалов, К.О. Кущ, Н.В. Хоботова // Південноукраїнський медичний науковий журнал. — 2017. — № 17(17). — С. 40-42.

Published

2018-09-27

How to Cite

Klygunenko, O., Кravets О., Ploshchenko, Y., Sedinkin, V., & Khalimonchyk, V. (2018). The modern approach to the education of doctors — a concept of continuing medical education and continuing professional development. EMERGENCY MEDICINE, (5.92), 169–172. https://doi.org/10.22141/2224-0586.5.92.2011.143255

Issue

Section

The Problems of the Higher School

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