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. 2024 Apr 10:11:1338206.
doi: 10.3389/fmed.2024.1338206. eCollection 2024.

Significant improvement of physicians' knowledge and clinical practice: an opportune, effective, and convenient continuing medical education program on functional dyspepsia

Jie Chen #  1 , Tao Bai #  1 , Jinsong Liu  1 , Lishou Xiong  2 , Weifeng Wang  3 , Huahong Wang  4 , Rongquan Wang  5 , Xiaohua Hou  1
Affiliations

Significant improvement of physicians' knowledge and clinical practice: an opportune, effective, and convenient continuing medical education program on functional dyspepsia

Jie Chen et al. Front Med (Lausanne). .

Abstract

Aims: This cohort study aimed to explore the effect of a one-day online continuing medical education (CME) on the improvement of physicians' knowledge and clinical practice on functional dyspepsia (FD).

Methods: Physicians were invited to participate in this CME via medical education applications. FD training videos made in advance were sent to participants via a weblink. Before and after training, participants were required to finish the FD knowledge test and provide case information of FD patients. McNemar test, Wilcoxon rank-sum test, Freidman test, Chi-square test, quantile regression, and generalized estimating equations (GEE) were used to perform statistical analysis.

Results: There were 397 of 430 (92.33%) physicians finished this CME program. The total score of the FD knowledge test after training was significantly higher compared with before training [488.3 (468.3-510.0) vs. 391.7 (341.7-450.0), p < 0.001]. Particularly, physicians from primary hospitals show more increase in total scores than physicians from secondary and tertiary hospitals. According to the GEE model, receiving this online training was an independent predictor of physicians' choice of upper gastrointestinal endoscopy in patients with FD [OR 1.73, 95%CI (1.09-2.73), p = 0.020], especially in PDS. Also, it was an independent predictor of physicians' choice of acid-suppressive drugs in patients with FD [OR 1.30, 95%CI (1.03-1.63), p = 0.026], especially in EPS and PDS overlapping EPS.

Conclusion: This one-day online CME program effectively and conveniently improved physicians' knowledge and clinical practice, providing new ideas for future CME and facilitating precise clinical management of FD patients with different subtypes especially in primary hospitals.

Keywords: clinical practice; continuing medical education; functional dyspepsia; knowledge level; primary hospital.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
(A) Total scores of FD knowledge test before and after training; (B) time spent on FD knowledge test before and after training; (C) scores of six aspects in FD knowledge test before and after training.
Figure 2
Figure 2
Quantile regressions on different percentiles of the increase in total scores of FD knowledge test.
Figure 3
Figure 3
(A) Physicians’ selection rate of upper gastrointestinal endoscopy before and after training; (B) GEE estimating model for independent predictors of physicians’ choice of upper gastrointestinal endoscopy in patients with FD.
Figure 4
Figure 4
(A) Physicians’ selection rate of prokinetic drugs before and after training; (B) GEE estimating model for independent predictors of physicians’ choice of prokinetic drugs in patients with FD.
Figure 5
Figure 5
(A) Physicians’ selection rate of acid-suppressive drugs before and after training; (B) GEE estimating model for independent predictors of physicians’ choice of acid-suppressive drugs in patients with FD.
See this image and copyright information in PMC

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