Continuing medical education challenges in chronic fatigue syndrome

BMC Medical Education - Tập 9 - Trang 1-9 - 2009
Dana J Brimmer1, K Kimberly McCleary2, Teresa A Lupton2, Katherine M Faryna2, William C Reeves1
1Chronic Viral Diseases Branch, Coordinating Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, USA
2The CFIDS Association of America, Charlotte, USA

Tóm tắt

Chronic fatigue syndrome (CFS) affects at least 4 million people in the United States, yet only 16% of people with CFS have received a diagnosis or medical care for their illness. Educating health care professionals about the diagnosis and management of CFS may help to reduce population morbidity associated with CFS. This report presents findings over a 5-year period from May 2000 to June 2006 during which we developed and implemented a health care professional educational program. The objective of the program was to distribute CFS continuing education materials to providers at professional conferences, offer online continuing education credits in different formats (e.g., print, video, and online), and evaluate the number of accreditation certificates awarded. We found that smaller conference size (OR = 80.17; 95% CI 8.80, 730.25), CFS illness related target audiences (OR = 36.0; 95% CI 2.94, 436.34), and conferences in which CFS research was highlighted (OR = 4.15; 95% CI 1.16, 14.83) significantly contributed to higher dissemination levels, as measured by visit rates to the education booth. While print and online courses were equally requested for continuing education credit opportunities, the online course resulted in 84% of the overall award certificates, compared to 14% for the print course. This remained consistent across all provider occupations: physicians, nurses, physician assistants, and allied health professionals. These findings suggest that educational programs promoting materials at conferences may increase dissemination efforts by targeting audiences, examining conference characteristics, and promoting online continuing education forums.

Tài liệu tham khảo

Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A: The chronic fatigue syndrome: a comprehensive approach to its definition and study. Ann Int Med. 1994, 121: 953-959. Reeves WC, Lloyd A, Vernon SD, Klimas N, Jason LA, Bleijenberg G, Evengard B, White PD, Nisenbaum R, Unger ER: Identification of ambiguities n the 1994 chronic fatigue syndrome research case definition and recommendations for resolution. BMC Health Services Research. 2003, 3: 25-10.1186/1472-6963-3-25. Reeves WC, Jones JF, Maloney E, Heim C, Hoaglin DC, Boneva R, Morrissey M, Devlin R: Prevalence of chronic fatigue syndrome in metropolitan, urban, and rural Georgia. Population Health Metrics. 2007, 8 (5): 5-10.1186/1478-7954-5-5. Reyes M, Nisenbaum R, Hoaglin DC, Emmons C, Stewart G, Randall B, Stewart JA, Abbey S, Jones JF, Gantz N, Minden S, Reeves WC: Prevalence and incidence of chronic fatigue syndrome in Wichita, Kansas. Arch Intern Med. 2003, 163: 1530-1536. 10.1001/archinte.163.13.1530. Jason LA, Richman JA, Rademaker AW, Jordan KM, Plioplys AV, Taylor RR, McCready W, Huan CF, Plioplys S: A community-based study ofchronicfatigue syndrome. Arch Int Med. 1999, 159: 2129-2137. 10.1001/archinte.159.18.2129. Jason LA, Taylor RR, Kennedy CL, Jordan K, Song S, Johnson DE, Torres SR: Chronic fatigue syndrome: sociodemographic subtypes in a community-based sample. Eval Health Profess. 2000, 23 (3): 243-63. 10.1177/01632780022034598. Solomon L, Nisenbaum R, Reyes M, Papanicolaou DA, Reeves WC: Functional status of persons with chronic fatigue syndrome in the Wichita population. Health Qual Life Outcomes. 2003, 1 (1): 48-10.1186/1477-7525-1-48. Reynolds KJ, Vernon SD, Bouchery E, Reeves WC: The economic impact of chronic fatigue syndrome. Cost Effectiveness Resource Allocation. 2004, 2 (1): 4-10.1186/1478-7547-2-4. Bowen J, Pheby D, Charlett A, McNulty C: Chronic Fatigue Syndrome: a survey of GPs' attitudes and knowledge. Fam Pract. 2005, 22 (4): 389-93. 10.1093/fampra/cmi019. Epub 2005 Apr 1 Terry PB, Wang VL, Flynn BS, Cuthie J, Salim JH, Windsor RA, Smith PL, Williamson J: A continuing medical education program in chronic obstructive pulmonary diseases: design and outcome. Am Rev Respir Dis. 1981, 123: 42-46. Clark NM, Nothwehr F, Gong M, Evans D, Maiman LA, Hurwitz ME, Roloff D, Mellins RB: Physician - patient partnership in managing chronic illness. Academic Medicine. 1995, 70: 957-959. 10.1097/00001888-199511000-00008. Masmanian PE, Davis DA: Continuing medical education and the physician as a learner - guide to the evidence. JAMA. 2002, 288: 1057-1060. 10.1001/jama.288.9.1057. Oxman AD, Thomson MA, Davis DA, Haynes RB: No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. CMAL. 1995, 153: 1423-1431. Grol R: Improving the quality of medical care: building bridges among professional pride, payer profit, and patient satisfaction. JAMA. 2001, 284: 2578-2585. 10.1001/jama.286.20.2578. Copley Cobb S: Internet continuing education for health care professionals: An integrative review. J of Continuing Edu in Health Profess. 2005, 24 (3): 171-80. 10.1002/chp.1340240308. Wotoh R, Boren SA, Balas EA: eLearning: A Review of Internet-Based Continuing Medical Education. The Journal of Continuing Education in the Health Professions. 2004, 24: 20-30. 10.1002/chp.1340240105. Brimmer DJ, McCleary KK, Lupton TA, Faryna KM, Hynes K, Reeves WC: A train-the-trainer education program: chronic fatigue syndrome -- a diagnostic and management challenge. BMC Medical Education. 2008, 8: 49-10.1186/1472-6920-8-49. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6920/9/70/prepub