Significant Improvement of Physicians' Knowledge and Clinical Practice: an Opportune, Effective, and Convenient Continuing Medical Education Program on Functional Dyspepsia

Overview

Journal Front Med (Lausanne)

Specialty General Medicine

Date 2024 Apr 25

PMID 38660419

Authors

Jie Chen

Tao Bai

Jinsong Liu

Lishou Xiong

Weifeng Wang

Huahong Wang

Rongquan Wang

Xiaohua Hou

Affiliations

Soon will be listed here.

Abstract

Aims: This cohort study aimed to explore the effect of a one-day online continuing medical education (CME) on the improvement of physicians' knowledge and clinical practice on functional dyspepsia (FD).

Methods: Physicians were invited to participate in this CME via medical education applications. FD training videos made in advance were sent to participants via a weblink. Before and after training, participants were required to finish the FD knowledge test and provide case information of FD patients. McNemar test, Wilcoxon rank-sum test, Freidman test, Chi-square test, quantile regression, and generalized estimating equations (GEE) were used to perform statistical analysis.

Results: There were 397 of 430 (92.33%) physicians finished this CME program. The total score of the FD knowledge test after training was significantly higher compared with before training [488.3 (468.3-510.0) vs. 391.7 (341.7-450.0), < 0.001]. Particularly, physicians from primary hospitals show more increase in total scores than physicians from secondary and tertiary hospitals. According to the GEE model, receiving this online training was an independent predictor of physicians' choice of upper gastrointestinal endoscopy in patients with FD [OR 1.73, 95%CI (1.09-2.73), = 0.020], especially in PDS. Also, it was an independent predictor of physicians' choice of acid-suppressive drugs in patients with FD [OR 1.30, 95%CI (1.03-1.63), = 0.026], especially in EPS and PDS overlapping EPS.

Conclusion: This one-day online CME program effectively and conveniently improved physicians' knowledge and clinical practice, providing new ideas for future CME and facilitating precise clinical management of FD patients with different subtypes especially in primary hospitals.

References

Lacy B, Weiser K, Kennedy A, Crowell M, Talley N . Functional dyspepsia: the economic impact to patients. Aliment Pharmacol Ther. 2013; 38(2):170-7. DOI: 10.1111/apt.12355. View

Fang X, Francisconi C, Fukudo S, Gerson M, Kang J, Schmulson W M . Multicultural Aspects in Functional Gastrointestinal Disorders (FGIDs). Gastroenterology. 2016; . DOI: 10.1053/j.gastro.2016.02.013. View

Nissen S . Reforming the continuing medical education system. JAMA. 2015; 313(18):1813-4. DOI: 10.1001/jama.2015.4138. View

Moayyedi P, Lacy B, Andrews C, Enns R, Howden C, Vakil N . ACG and CAG Clinical Guideline: Management of Dyspepsia. Am J Gastroenterol. 2017; 112(7):988-1013. DOI: 10.1038/ajg.2017.154. View

Shalabi K, Almurdi M . Satisfaction and attitudes towards online continuous medical education and its impact on clinical practice among physiotherapists. BMC Med Educ. 2024; 24(1):70. PMC: 10795308. DOI: 10.1186/s12909-024-05049-2. View

Camilleri M, Stanghellini V . Current management strategies and emerging treatments for functional dyspepsia. Nat Rev Gastroenterol Hepatol. 2013; 10(3):187-94. DOI: 10.1038/nrgastro.2013.11. View

Davis D, Galbraith R . Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest. 2009; 135(3 Suppl):42S-48S. DOI: 10.1378/chest.08-2517. View

Sears K, Cohen J, Drope J . Comprehensive evaluation of an online tobacco control continuing education course in Canada. J Contin Educ Health Prof. 2008; 28(4):235-40. DOI: 10.1002/chp.190. View

Cervero R, Gaines J . The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J Contin Educ Health Prof. 2015; 35(2):131-8. DOI: 10.1002/chp.21290. View

10.

Currie J, Macleod W . Diagnosing Expertise: Human Capital, Decision Making, and Performance among Physicians. J Labor Econ. 2017; 35(1). PMC: 5736164. DOI: 10.3386/w18977. View

11.

Sylvia S, Shi Y, Xue H, Tian X, Wang H, Liu Q . Survey using incognito standardized patients shows poor quality care in China's rural clinics. Health Policy Plan. 2014; 30(3):322-33. DOI: 10.1093/heapol/czu014. View

12.

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Epidemiology. 2007; 18(6):800-4. DOI: 10.1097/EDE.0b013e3181577654. View

13.

Hsieh C, Tang C . The multi-tiered medical education system and its influence on the health care market-China's Flexner Report. Hum Resour Health. 2019; 17(1):50. PMC: 6612177. DOI: 10.1186/s12960-019-0382-4. View

14.

Tack J, Talley N, Camilleri M, Holtmann G, Hu P, Malagelada J . Functional gastroduodenal disorders. Gastroenterology. 2006; 130(5):1466-79. DOI: 10.1053/j.gastro.2005.11.059. View

15.

Wang A, Liao X, Xiong L, Peng S, Xiao Y, Liu S . The clinical overlap between functional dyspepsia and irritable bowel syndrome based on Rome III criteria. BMC Gastroenterol. 2008; 8:43. PMC: 2569040. DOI: 10.1186/1471-230X-8-43. View

16.

Anand S, Fan V, Zhang J, Zhang L, Ke Y, Dong Z . China's human resources for health: quantity, quality, and distribution. Lancet. 2008; 372(9651):1774-81. DOI: 10.1016/S0140-6736(08)61363-X. View

17.

Davis D, OBrien M, Freemantle N, Wolf F, Mazmanian P, Taylor-Vaisey A . Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?. JAMA. 1999; 282(9):867-74. DOI: 10.1001/jama.282.9.867. View

18.

Talley N, Stanghellini V, Heading R, Koch K, Malagelada J, Tytgat G . Functional gastroduodenal disorders. Gut. 1999; 45 Suppl 2:II37-42. PMC: 1766695. DOI: 10.1136/gut.45.2008.ii37. View

19.

Sockalingam S, Arena A, Serhal E, Mohri L, Alloo J, Crawford A . Building Provincial Mental Health Capacity in Primary Care: An Evaluation of a Project ECHO Mental Health Program. Acad Psychiatry. 2017; 42(4):451-457. DOI: 10.1007/s40596-017-0735-z. View

20.

Mahadeva S, Ford A . Clinical and epidemiological differences in functional dyspepsia between the East and the West. Neurogastroenterol Motil. 2015; 28(2):167-74. DOI: 10.1111/nmo.12657. View