期刊名称：Journal of Educational Evaluation for Health Professions
电子版ISSN：1975-5937
出版年度：2017
卷号：14
期号：1
页码：1-7
DOI：10.3352/jeehp.2017.14.13
语种：English
出版社：Korea Health Insurance Licensing Examination Institute
摘要：Purpose:We aimed to assess the preparedness of junior doctors to use vancomycin,and to determine whether attending an educa_x0002_tional session and being provided pocket guidelines were associated with self-reported confidence and objective knowledge.Meth?ods: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.
关键词：Purpose:We aimed to assess the preparedness of junior doctors to use vancomycin,and to determine whether attending an educa_x0002_tional session and being provided pocket guidelines were associated with self-reported confidence and objective knowledge.Meth?ods: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.
