An Interactive Internet-Based Continuing Education Course on Sexually Transmitted Diseases for Physicians and Midwives in Peru 英文参考文献.docVIP

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An Interactive Internet-Based Continuing Education Course on Sexually Transmitted Diseases for Physicians and Midwives in Peru 英文参考文献.doc

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An Interactive Internet-Based Continuing Education Course on Sexually Transmitted Diseases for Physicians and Midwives in Peru 英文参考文献

AnInteractiveInternet-BasedContinuingEducation CourseonSexuallyTransmittedDiseasesforPhysicians andMidwivesinPeru FredyA.Canchihuaman1,2*,PatriciaJ.Garcia1,3,StephenS.Gloyd2,3,KingK.Holmes2,3,4 1School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru, 2Departments of Global Health and Epidemiology, University of Washington, Seattle, Washington, United States of America, 3Center for AIDS and STD, University of Washington, Seattle, Washington, United States of America, 4DepartmentofMedicine,UniversityofWashington,Seattle,Washington,UnitedStatesofAmerica Abstract Background:Cliniciansindevelopingcountrieshavehadlimitedaccesstocontinuingeducation(CE)outsidemajorcities, andCEstrategieshavehadlimitedimpactonsustainablechangeinperformance.NeweducationaltoolscouldimproveCE accessibilityandeffectiveness. Methodology/PrincipalFindings:TheobjectiveofthisstudywastoevaluateaninteractiveInternet-basedCEcourseon SexuallyTransmittedDiseases(STDs)managementforcliniciansinPeru.Participantsincludedphysiciansandmidwivesin privatepracticedrawnfromacensusof10Peruviancities.TheCEincludedathree-hourworkshopforimprovingInternet skills, followed by a 22-hour online course on STD-syndrome-management, with subsequent educational support. The course used case-based clinical vignettes tailored to local STD problems. Knowledge and reported practices on STD managementwereassessedbefore,immediatelyafterandatfourmonthsaftercompletionofthecourse.Statisticalanalysis included parametric tests-linear regression multivariateanalysis, paired t-testand repeatedmeasuresANOVA using SPSS 14.0.Of1,071eligibleclinicians,510agreedtoparticipate,asdidanadditional132publicsectorclinicians.Ofthese642 participants,619(96.4%)completedthecourse,and596(96.3%)tookthefour-monthfollow-upevaluation.Physicianand midwifescoresimprovedfrom64.2%correctanswersonthepre-testto77.9%correctonthefour-monthfollow-uptest (p,0.001). Most participants (95%) found theonline course useful for their wo