Journal of Educational Evaluation for Health Professions

Research articles

Journal clubs in Australian medical schools: prevalence, application, and educators’ opinions: Damian James Ianno, Kelly Mirowska-Allen, Stephen Anthony Kunz, Richard O’Brien; J Educ Eval Health Prof. 2020;17:9. Published online February 26, 2020; DOI: https://doi.org/10.3352/jeehp.2020.17.9

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Purpose
Medically-focused journal clubs have been used as an educational tool for over 100 years, with research indicating that they improve knowledge, reading behaviour, and critical appraisal skills. However, it is unknown how widespread they are in Australian medical schools, nor the opinions of medical education leaders as to their value.
Methods
A nationwide cross-sectional study was performed among academic leaders from every Australian medical school. Individuals were asked to complete a survey detailing their attitudes towards journal clubs using single- or multiple-answer questions, Likert scales, and ranked data. They were asked whether students at their institutions were able to partake in journal clubs, and if so, provided details on their implementation.
Results
At least 1 response was collected from 18 of 19 Australian medical schools. The response rate was 40.8% (60 of 147), and 36 responses (60.0%) were from heads of clinical schools. Respondents from 15 of 18 institutions (83.3%) stated that their institution had a journal club. Of these, 23 (65.7%) were metropolitan institutions and 12 (34.3%) were rural institutions. Eighteen (51.4%) journal clubs were clinician-led, 13 (37.1%) were run through specific hospital departments, and 23 (65.7%) occurred during clinical years. Most respondents (20 [57.1%]) stated that the primary aim of the journal club was to develop critical appraisal skills.
Conclusion
Journal clubs are a highly regarded educational tool in the armoury of medical school educators, with significant heterogeneity in their structure, geographic prevalence, and intended purpose. Further studies of their efficacy in teaching evidence-based medicine is warranted.

Citations

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Using a journal club to navigate a maze of COVID-19 papers in a front-line hospital service
Rachel Wenke, Paulina Stehlik, John Gerrard, Sharon Mickan, David Henry
BMJ Evidence-Based Medicine.2023; 28(3): 210. CrossRef
Club bibliográfico de la Sociedad Española de Radiología Médica: Historia, análisis y perspectivas tras 10 años de trayectoria
D. Herrán de la Gala, C. Biosca Calabuig, J. Miranda Bautista
Radiología.2023; 65(4): 376. CrossRef
Spanish Society of Medical Radiology Journal Club: History, analysis and perspectives after ten years of experience
D. Herrán de la Gala, C. Biosca Calabuig, J. Miranda Bautista
Radiología (English Edition).2023; 65(4): 376. CrossRef
Assessing Medical Students’ Perception of Implementing Journal Club Activities: A Qualitative Study
Roaa Aljumaa, Reem Elmokattaf, Mohammad Aljumaa, Haifa Almuhanna , Marukh Rashid , Ismail A Abdullah, Abdul Rahman Sukar
Cureus.2023;[Epub] CrossRef
Medical students’ attitudes towards the teaching of cervical and ovarian cancer screening protocols in Ireland: a qualitative study
Paul McHugh, Donal Brennan, Mary F. Higgins
Irish Journal of Medical Science (1971 -).2022; 191(1): 469. CrossRef

Junior doctors’ preparedness to prescribe, monitor, and treat patients with the antibiotic vancomycin in an Australian teaching hospital: Cameron J Phillips, Ross A McKinnon, Richard J Woodman, David L Gordon; J Educ Eval Health Prof. 2017;14:13. Published online June 7, 2017; DOI: https://doi.org/10.3352/jeehp.2017.14.13

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Abstract PDF

Purpose
We aimed to assess the preparedness of junior doctors to use vancomycin, and to determine whether attending an educational session and being provided pocket guidelines were associated with self-reported confidence and objective knowledge.
Methods
This was a 2-component cross-sectional study. A 60-minute educational session was implemented and pocket guidelines were provided. Preparedness was evaluated by a self-reported confidence survey in the early and late stages of each training year, and by continuing medical education (CME) knowledge scores.
Results
Self-confidence was higher among those later in the training year (n=75) than in those earlier (n=120) in the year for all questions. In the late group, vancomycin education was associated with higher self-confidence regarding the frequency of therapeutic drug monitoring (P=0.02) and dose amendment (P=0.05); however, the confidence for initial monitoring was lower (P<0.05). Those with pocket guidelines were more confident treating patients with vancomycin (P<0.001), choosing initial (P=0.01) and maintenance doses (P<0.001), and knowing the monitoring frequency (P=0.03). The 85 respondents who completed the knowledge assessment scored a mean±standard deviation of 8.55±1.55 on 10 questions, and the interventions had no significant effect.
Conclusion
Attending an educational session and possessing pocket guidelines were associated with preparedness, as measured by higher self-reported confidence using vancomycin. High knowledge scores were attained following CME; however attending an educational session or possessing pocket guidelines did not significantly increase the knowledge scores. Our findings support providing educational sessions and pocket guidelines to increase self-confidence in prescribing vancomycin, yet also highlight the importance of evaluating content, format, and delivery when seeking to improve preparedness to use vancomycin through education.

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Assessment and evaluation of prescribing competences: A systematic review and recommendations
John C. McLachlan, Asa Auta, Aderonke Ajiboye
British Journal of Clinical Pharmacology.2024;[Epub] CrossRef
Awareness, perception, and barriers of healthcare providers toward the revised consensus guideline for therapeutic monitoring of vancomycin
Sarah S. Alghanem, Abdullah Albassam, Nwayer Al-Rashidi, Zainab Bin Haidar
Saudi Pharmaceutical Journal.2023; 31(6): 955. CrossRef
Implementation of antimicrobial stewardship to reduce antimicrobial drug resistance
Mohammed S Razzaque
Expert Review of Anti-infective Therapy.2021; 19(5): 559. CrossRef
Are vancomycin dosing guidelines followed? A mixed methods study of vancomycin prescribing practices
Jane E. Carland, Sophie L. Stocker, Melissa T. Baysari, Crystal Li, Jacqueline Själin, Maria A. Moran, Sarah Tang, Indy Sandaradura, Tania Elhage, Timothy Gilbey, Kenneth M. Williams, Deborah J. E. Marriott, Richard O. Day
British Journal of Clinical Pharmacology.2021; 87(11): 4221. CrossRef
Evaluation of Eight-Item Vancomycin Prescribing Confidence Questionnaire Among Junior Doctors
Lu Liu, Zhehan Jiang, Ana Xie, Weimin Wang
Frontiers in Medicine.2021;[Epub] CrossRef
The knowledge and perceptions regarding antibiotic stewardship of the interns rotating at the Bloemfontein Academic Complex
Anke Archer, Marna Blom, Renette de Lange, Esther Jansen van Vuuren, Theunis E Kellerman, Samantha Potgieter, Gina Joubert
South African Family Practice.2021;[Epub] CrossRef
Ist die Fachrichtung assoziiert mit der Selbstsicherheit im Umgang mit rationaler Antibiotikaverordnung?
F. Schneider, C. M. Schulz, M. May, G. Schneider, M. Jacob, H. Mutlak, M. Pawlik, M. Zoller, M. Kretzschmar, C. Koch, M. G. Kees, M. Burger, S. Lebentrau, A. Novotny, M. Hübler, T. Koch, M. Heim
Der Anaesthesist.2020; 69(3): 162. CrossRef
The association of the anesthesiologist’s academic and educational status with self-confidence, self-rated knowledge and objective knowledge in rational antibiotic application
Frederick Schneider, Christian M. Schulz, Matthias May, Gerhard Schneider, Christian Ernst, Matthias Jacob, Kai Zacharowski, Thomas Hachenberg, Maren Schmidt, Moritz Kretzschmar, Bernhard Graf, Martin G. Kees, Michael Pawlik, Michael Sander, Christian Koc
BMC Research Notes.2020;[Epub] CrossRef
Rational application of antibiotics—The influence of anaesthetists’ gender on self‐confidence and knowledge
Markus Heim, Frederick Schneider, Haitham Mutlak, Christian M. Schulz, Thomas Hachenberg, Michael Zoller, Jens Soukup, Michael Pawlik, Julika Schön, Martin Kees, Matthias Hübler, Michael Sander, Christian Ernst, Matthias Jacob, Matthias May
Acta Anaesthesiologica Scandinavica.2019; 63(8): 1037. CrossRef
Sustained improvement in vancomycin dosing and monitoring post-implementation of guidelines: Results of a three-year follow-up after a multifaceted intervention in an Australian teaching hospital
Cameron J. Phillips, Ross A. McKinnon, Richard J. Woodman, David L. Gordon
Journal of Infection and Chemotherapy.2018; 24(2): 103. CrossRef

Research Articles

Is a decentralized continuing medical education program feasible for Chinese rural health professionals?: Guijie Hu, Yanhua Yi; J Educ Eval Health Prof. 2016;13:18. Published online April 28, 2016; DOI: https://doi.org/10.3352/jeehp.2016.13.18

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Abstract PDF

Purpose
Rural health professionals in township health centers (THCs) tend to have less advanced educational degrees. This study aimed to ascertain the perceived feasibility of a decentralized continuing medical education (CME) program to upgrade their educational levels. Methods: A cross-sectional survey of THC health professionals was conducted using a self-administered, structured questionnaire in Guangxi Zhuang Autonomous Region, China. Results: The health professionals in the THCs were overwhelmingly young with low education levels. They had a strong desire to upgrade their educational degrees. The decentralized CME program was perceived as feasible by health workers with positive attitudes about the benefit for license examination, and by those who intended to improve their clinical diagnosis and treatment skills. The target groups of such a program were those who expected to undertake a bachelor’s degree and who rated themselves as “partially capable” in clinical competency. They reported that 160-400 USD annually would be an affordable fee for the program. Conclusion: A decentralized CME program was perceived feasible to upgrade rural health workers’ education level to a bachelor’s degree and improve their clinical competency.

Citations

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Evaluation of the star family doctors training program: an observational cohort study of a novel continuing medical education program for general practitioners within a compact medical consortium: a quantitative analysis
Ling-Bo Liang, Xu Li, Xiang-Ping Liu, Cai-Zheng Li, Dan Luo, Feng Liu, Ting-Rui Mao, Qiao-Li Su
BMC Medical Education.2023;[Epub] CrossRef
Needs and difficulties of Tibetan rural health care workers participating in professional training
Ling Chen, Jie Liu, Zhihui Zheng, Sangphel Yeshi
Australian Journal of Rural Health.2021; 29(4): 578. CrossRef
Continuing medical education and work commitment among rural healthcare workers: a cross-sectional study in 11 western provinces in China
Jinlin Liu, Ying Mao
BMJ Open.2020; 10(8): e037985. CrossRef
A Checklist for Implementing Rural Pathways to Train, Develop and Support Health Workers in Low and Middle-Income Countries
Belinda O'Sullivan, Bruce Chater, Amie Bingham, John Wynn-Jones, Ian Couper, Nagwa Nashat Hegazy, Raman Kumar, Henry Lawson, Viviana Martinez-Bianchi, Sankha Randenikumara, James Rourke, Sarah Strasser, Paul Worley
Frontiers in Medicine.2020;[Epub] CrossRef
Unmet needs in health training among nurses in rural Chinese township health centers: a cross-sectional hospital-based study
Yan Mo, Guijie Hu, Yanhua Yi, Yanping Ying, Huiqiao Huang, Zhongxian Huang, Jiafeng Lin
Journal of Educational Evaluation for Health Professions.2017; 14: 22. CrossRef

Unmet needs in continuing medical education programs for rural Chinese township health professionals: Yanhua Yi, Virasakdi Chongsuvivatwong, Hutcha Sriplung, Guijie Hu, Edward McNeil, Qiming Feng, Hongxia Zhou, Bo Wei; J Educ Eval Health Prof. 2015;12:25. Published online June 14, 2015; DOI: https://doi.org/10.3352/jeehp.2015.12.25

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Abstract PDF

Purpose
This study aimed to describe the system of continuing medical education (CME) in the Guangxi Zhuang Autonomous Region and to ascertain the perceived needs related to that system, in order to improve the performance of health professionals in Chinese township health centers (THCs). Methods: In-depth key informant interviews were conducted to gain insights into the current CME system. A cross-sectional survey using a self-administered structured questionnaire was also carried out from March to August 2014 in order to identify perceived needs among THC personnel in the Guangxi Zhuang Autonomous Region. Logistic regression was used to identify factors related to respondents’ interest in pursuing different levels of degree study. Results: The areas of need perceived by the respondents included general clinical competence and emergency or first aid knowledge. Most respondents wanted to study at medical colleges in order to obtain a higher degree. Respondents aged below 45 years with neutral or positive attitudes about the benefit of degree study for the licensure examination were more likely to attend a bachelor-level CME program than their older peers and respondents with negative attitudes towards degree study. Female respondents and respondents aged below 45 years were more likely to attend a junior college CME program than males and older respondents, respectively. Conclusion: It is necessary to develop degree-linked CME programs to meet the need for young health professionals in Chinese THCs; therefore, this programs can improve the expertise of poorly educated young health workers, who overwhelm rural Chinese heath systems.

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Demographic status and training needs of aesthetic plastic surgeons in government and private hospitals: evidence from Guangdong, China
Yanhua Yi, Zhifeng Wang, Guijie Hu, Shiwei Zhao, Yongbin Li, Bo Chen, Zhen Xiang, Qiaojun Zhang, Wei Lu, Jian Liu, Yongping Xue, Hongmian Li, Cimin Wu, Wuxiang Shi, Zhenyu Gong
F1000Research.2023; 12: 774. CrossRef
Unmet needs in health training among nurses in rural Chinese township health centers: a cross-sectional hospital-based study
Yan Mo, Guijie Hu, Yanhua Yi, Yanping Ying, Huiqiao Huang, Zhongxian Huang, Jiafeng Lin
Journal of Educational Evaluation for Health Professions.2017; 14: 22. CrossRef
Is a decentralized continuing medical education program feasible for Chinese rural health professionals?
Guijie Hu, Yanhua Yi
Journal of Educational Evaluation for Health Professions.2016; 13: 18. CrossRef

Brief Report

Continuing medical education as a national strategy to improve access to primary care in Saudi Arabia: Sami Ayed Alshammary, Savithiri Ratnapalan, Zekeriya Akturk; J Educ Eval Health Prof. 2013;10:7. Published online August 31, 2013; DOI: https://doi.org/10.3352/jeehp.2013.10.7

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Abstract PDF

The purpose of this study was to describe the development, implementation, and evaluation of an educational program in family medicine for general practitioners in Saudi Arabia from 2009 to 2011. A continuing medical education program called Family Medicine Education (FAME) was developed with 7 modules each consisting of 12-14 hours of teaching to be delivered in 3 day blocks, over 45 days. Twenty percent (2,761) of all general practitioners participated in the FAME program. Initial assessment of the program showed significant improvement of knowledge from scores of 49% on a pre-test to 89% on post-tests. FAME program in Saudi Arabia facilitated primary care physicians’ knowledge.

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Current Practices and Existing Gaps of Continuing Medical Education among Resident Physicians in Abha City, Saudi Arabia
Safar Abadi Alsaleem, Najwa Mohammed Almoalwi, Aesha Farheen Siddiqui, Mohammed Abadi Alsaleem, Awad S. Alsamghan, Nabil J. Awadalla, Ahmed A. Mahfouz
International Journal of Environmental Research and Public Health.2020; 17(22): 8483. CrossRef

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