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首页> 外文期刊>BMC Medical Education >A web-based Alcohol Clinical Training (ACT) curriculum: Is in-person faculty development necessary to affect teaching?
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A web-based Alcohol Clinical Training (ACT) curriculum: Is in-person faculty development necessary to affect teaching?

机译：基于网络的酒精临床培训（ACT）课程：面对面的教师发展是否对教学有影响？

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Background Physicians receive little education about unhealthy alcohol use and as a result patients often do not receive efficacious interventions. The objective of this study is to evaluate whether a free web-based alcohol curriculum would be used by physician educators and whether in-person faculty development would increase its use, confidence in teaching and teaching itself. Methods Subjects were physician educators who applied to attend a workshop on the use of a web-based curriculum about alcohol screening and brief intervention and cross-cultural efficacy. All physicians were provided the curriculum web address. Intervention subjects attended a 3-hour workshop including demonstration of the website, modeling of teaching, and development of a plan for using the curriculum. All subjects completed a survey prior to and 3 months after the workshop. Results Of 20 intervention and 13 control subjects, 19 (95%) and 10 (77%), respectively, completed follow-up. Compared to controls, intervention subjects had greater increases in confidence in teaching alcohol screening, and in the frequency of two teaching practices – teaching about screening and eliciting patient health beliefs. Teaching confidence and teaching practices improved significantly in 9 of 10 comparisons for intervention, and in 0 comparisons for control subjects. At follow-up 79% of intervention but only 50% of control subjects reported using any part of the curriculum (p = 0.20). Conclusion In-person training for physician educators on the use of a web-based alcohol curriculum can increase teaching confidence and practices. Although the web is frequently used for disemination, in-person training may be preferable to effect widespread teaching of clinical skills like alcohol screening and brief intervention.
机译：背景技术医师几乎不接受有关不健康饮酒的教育，结果患者常常没有得到有效的干预。这项研究的目的是评估医师教育者是否会使用基于网络的免费酒精课程，以及个人教师的发展是否会增加其使用，对教学的信心以及自我教学。方法受试者是医师教育工作者，他们申请参加了有关使用网络课程进行酒精筛查以及简短干预和跨文化功效的研讨会。向所有医师提供了课程网址。干预对象参加了一个3个小时的讲习班，包括网站演示，教学建模和制定课程使用计划。所有受试者在研讨会之前和之后3个月都完成了调查。结果在20名干预者和13名对照者中，分别完成了19例（95％）和10例（77％）。与对照组相比，干预对象对酒精筛查的教学和两种教学实践（关于筛查和激发患者健康信念的教学）的频率有了更大的信心。在进行干预的10个比较中，有9个比较了对照组，在0个比较中，对照组的教学信心和教学实践得到了显着改善。随访时有79％的干预者报告，但只有50％的对照对象报告使用了课程的任何部分（p = 0.20）。结论对医师教育者进行有关基于网络的酒精课程使用的现场培训可以提高教学信心和实践。尽管网络经常用于传播信息，但面对面的培训可能更适合进行广泛的临床技能教学，例如酒精筛查和短暂干预。

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