突发公共卫生事件视域下线上继续医学教育调查研究

Survey and research on online continuing medical education amid public health emergencies

目的调查和分析突发公共卫生事件视域下线上继续医学教育状况,为推动线上继续医学教育发展提供实证依据。方法2022年7月,随机选择广西某市两家三级甲等医院医务人员开展线上继续医学教育状况的网络问卷调查。以新型冠状病毒肺炎(新冠肺炎)疫情发生前2年(2018—2019年)作为疫情前阶段,以新冠肺炎疫情发生后2年(2020—2021年)作为疫情后阶段,对所收集的调查数据进行统计分析。结果在所纳入的341名医务人员中,疫情后阶段参加线上继续医学教育活动(继教活动)次数≥6次者比例高于疫情前阶段(71.8%vs 49.3%,P<0.05);疫情后阶段,35~50岁(78.4%)或>50岁年龄段(82.9%)的医务人员、高级职称(83.9%)医务人员、工作年限为10~20年(73.5%)或>20年(84.2%)的医务人员参加线上继教活动次数≥6次的比例分别高于<35岁年龄段(54.9%)的医务人员、中级职称(67.9%)或初级及以下职称(59.2%)医务人员、工作年限<10年(59.1%)的医务人员(均P<0.05)。疫情后阶段,医务人员获得继教活动资讯的主要渠道为所在单位通知,参加线上继教活动时最常使用的电子产品为手机,医务人员认为线上继教活动的主要优势为时间与地点灵活方便,能够兼顾学习、工作和生活,主要劣势为技术挑战(网络速度和质量、音频和视频质量等软硬件问题)。在医务人员对培训师资的需求方面,排名前三的为临床一线专家、科研人员、高校教授。88.6%的医务人员认为疫情结束后仍有必要持续发展线上继续医学教育。结论突发公共卫生事件发生后,医务人员参加线上继教活动的积极性明显提升,尤其是高年资者和高职称者。线上继续医学教育具有明显优势和一定的劣势。在数字中国建设的新形势下,有必要持续推进线上继续医学教育的改革和完善,实现数字赋能医学教育,助力卫生事业的高质量发展。

Objective To investigate and analyze the status of online continuing medical education(CME)amid public health emergencies,and provide the empirical basis for boosting the development of online CME.Methods In July 2022,an online questionnaire survey on the status of online CME was conducted among medical staff at two Class A tertiary hospitals in a city of Guangxi randomly selected by convenience sampling.Two years before the outbreak of the coronavirus disease 2019(COVID-19)pandemic(i.e 2018—2019)acted as the pre-pandemic period,and two years after the outbreak of the COVID-19 pandemic(i.e 2020—2021)represented the post-pandemic period.Subsequently,a statistical analysis was carried out on the collected survey data.Results Among 341 medical staff enrolled,the proportion of medical staff who had taken part in online CME activities for no less than 6 times in the post-pandemic period was higher than that in the pre-pandemic period(71.8%versus 49.3%,P<0.05).In the post-pandemic period,the proportion of medical staff aged 35-50(78.4%)or over 50(82.9%),those with senior professional titles(83.9%),and those with 10-20 years(73.5%)or more than 20 years(84.2%)of working experience,participating in online CME activities for no less than 6 times,was significantly higher than that of medical staff aged younger than 35(54.9%),those with intermediate(67.9%)or junior professional title or below(59.2%),and those with less than 10 years(59.1%)of working experience,respectively(all P<0.05).For medical staff in the post-pandemic period,the major accessible approach to CME activities information was internal notifications from the hospital they worked for,and the most frequently used electronic product for online CME activities was smartphones;the leading strength of online CME activities was flexibility in terms of time and location,facilitating convenience in balancing learning,work,and personal life,whereas the majority weakness of online CME activities was technology challenges concerning software and hardware issues such as internet speed and quality,audio/video quality,etc.As for medical staff's requirements for CME training experts,the top three were front-line clinical experts,researchers,and university professors.Totally 88.6%of medical staff considered continuously promoting online CME development necessary even after the end of the pandemic.Conclusion After the outbreak of public health emergencies,medical staff,especially experienced or senior ones,exhibit significantly increased enthusiasm to participate in online CME activities.Online CME has obvious strengths and some weaknesses.It's necessary to push forward online CME reform and improvement in the context of Digital China Construction,thus achieving the digital empowerment of medical education and advancing the high-quality development of medical and healthcare services.