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Creating and Validating E-Cases As Educational Tools in General Practitioners' Continuing Medical Education Context Publisher



Hadadgar A1, 2 ; Changiz T3 ; Kononowicz AA4 ; Safaeian L5 ; Mirshahzadeh N6 ; Najimi A3 ; Ahmadi F7 ; Mostafavizadeh K8 ; Zary N2 ; Masiello I9
Authors
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Authors Affiliations
  1. 1. Isfahan University of Medical Sciences, Department of Medical Education, Hezar Jerib Av Isfahan, 8174673461, Iran
  2. 2. Department of Learning Informatics Management and Ethics, Karolinska Institute, Stockholm, Sweden
  3. 3. Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Bioinformatics and Telemedicine, Faculty of Medicine, Jagiellonian University, Krakow, Poland
  5. 5. Department of Pharmacology and Toxicology, Isfahan Pharmaceutical Sciences Research Center, School of Pharmacy and Pharmaceutical Sciences, Food and Drug Deputy, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Continuing Medical Education Office, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Infectious Disease Ward, Razi Hospital, School of Medicine, Joundishapour University of Medical Sciences, Ahwaz, Iran
  8. 8. Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  9. 9. Department of Clinical Science and Education, Karolinska Institute, Sodersjukhuset, Stockholm, Sweden

Source: Bio-Algorithms and Med-Systems Published:2018


Abstract

This study aimed at creating electronic cases (e-cases) and analyzing their validity as a diagnostic assessment tool within the context of continuing medical education (CME) to measure general practitioners' (GPs) knowledge of common infectious disease. We designed assessment e-cases in an electronic CME platform. The e-cases were designed to measure GPs' knowledge about diagnosis and treatment of common infectious disease in outpatient settings. The data collected were analyzed for five forms of evidence: content, response process, internal structure, relations with other variables and consequences. A total of 46 GPs participated in the study. Among them, 87% perceived the e-cases as resembling the patients whom they visit in their everyday practice. Although attendance in this activity made 85% of the participants more cautious about prescription of antibiotics, we could not detect any statistically significant association between the assessment scores and the physicians' previous antibiotic prescription. The diagnostic assessment with e-cases was supported by most of the elements of validity evidence, including content, response process, internal structure and consequences. Overall, evidence suggests that using e-cases might be a valid diagnostic assessment CME activity to measure GPs' knowledge of common infectious disease, but more research is necessary. © 2018 2018 Walter de Gruyter GmbH, Berlin/Boston.