面向神经科医师的遗传学继续教育项目开发实施

Development and implementation of genetic re-education project for neurologists

目的探讨并实施针对神经科医师系统的、案例引导的线上互动培训课程,以提高其对罕见遗传病的诊疗水平。方法选择2021年1月—9月参加北京协和医院神经科神经遗传项目课程调查的医师。结合成人学习理论,应用Kern医学教育课程开发六步法,开发了神经科医生遗传学培训课程。根据参与医师学习课程时间分为3组,完成全部课程组(10.7 h组)、完成1/2以上课程组(5.3~10.7 h组)及完成1/2以下课程组(<5.3 h),并根据医师参加工作时间分为3组,包括:<10年组、10~20年组、>20年组。分析不同类别医师培训时间的获益差异,并收集其对课程设置的反馈量表,用于后续课程提升改进。结果共纳入医师54人。其中,完成全部课程17人(31.5%),完成1/2以上课程29人(53.7%),完成1/2以下课程8人(14.8%);3组间自评提高分数比较差异有统计学意义(H=12.341,P=0.002);两两比较结果显示,<5.3 h组的自评提高分数低于10.7 h组(P=0.007),<5.3 h组的自评提高分数亦低于5.3~10.7 h组(P=0.002)。参加工作时间<10年组33人(61.1%),10~20年组16人(29.6%),>20年组5人(9.3%)。参加工作时间与参与课程时间无相关性(rs=0.113,P=0.418)。54人(100.0%)认为有中等程度以上帮助(≥3分)。多数医师(>90%)对课程设置评价较好。结论以案例为引导、缩短课程时间制作的神经遗传继续教育项目,有助于神经科医师提高罕见遗传病例的诊疗水平。

Objective To explore and implement a systematic,case guided online interactive training course for neurologists to improve their diagnosis and treatment of rare genetic diseases.Methods Doctors who participated in the course investigation of the neurogenetic project of the Department of Neurology of Peking Union Medical College Hospital between January and September 2021 were selected.Based on andragogy theory,a genetics training course for neurologists was developed by applying Kern’s six steps of curriculum development.According to the time of participating in the doctor’s courses,they were divided into three groups:completed all courses(10.7 h group),completed more than 1/2 courses(5.3~10.7 h group)and completed less than 1/2 courses(<5.3 h).According to the length of service,they were divided into groups of less than 10 years,10-20 years and more than 20 years.Analyze the benefit difference of different doctors’training time,and collect their feedback scales on the curriculum for the improvement of follow-up courses.Results A total of 54 doctors were included.Among them,17(31.5%)completed all courses,29(53.7%)completed more than 1/2 courses,and 8(14.8%)completed less than 1/2 courses.There was a statistically significant difference among the three groups in the self-assessment improvement score(H=12.341,P=0.002).The results of pairwise comparison between groups of self-assessment improvement score showed that the<5.3 h group was lower than that of the 10.7 h group(P=0.007),and the the<5.3 h group was also lower than that of the 5.3~10.7 h group(P=0.002).33(61.1%)in the less than 10 years group,16(29.6%)in the 10-20 years group,and 5(9.3%)in the more than 20 years group.There was no correlation between participating in work and course time(rs=0.113,P=0.418).54(100.0%)believed that they had more than moderate help(≥3 points).Most doctors(>90%)had a good evaluation of the curriculum.Conclusion The periodic neurogenetic re-education project is helpful for clinical diagnosis and treatment of rare neurogenetic diseases.