Telemed J E Health - Interactive tele-education applied to a distant clinical microbiology specialization university course.

Tópicos

{ research(1218) medic(880) student(794) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(2837) hospit(1953) medic(668) }
{ perform(999) metric(946) measur(919) }
{ spatial(1525) area(1432) region(1030) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ clinic(1479) use(1117) guidelin(835) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ case(1353) use(1143) diagnosi(1136) }
{ risk(3053) factor(974) diseas(938) }
{ ehr(2073) health(1662) electron(1139) }
{ medic(1828) order(1363) alert(1069) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ high(1669) rate(1365) level(1280) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ network(2748) neural(1063) input(814) }
{ assess(1506) score(1403) qualiti(1306) }
{ concept(1167) ontolog(924) domain(897) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ howev(809) still(633) remain(590) }
{ research(1085) discuss(1038) issu(1018) }
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{ import(1318) role(1303) understand(862) }
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{ health(3367) inform(1360) care(1135) }
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{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The microbiology laboratory provides a strategic support for infectious disease diagnosis and also alerts the medical community about bacterial resistance to antibiotics. The microbiologists' training is a challenge in Brazil, a country with an extensive territory, a diverse population, and disparity of resource allocation. The aim of this study was to implement an interactive tele-educational course in clinical microbiology to reach distant laboratory workers and to improve their professional skills. The course scientific content was defined according to competences associated, distributed in 560 h, with laboratory practices (knowledge matrix-contextual education). The 11-module course structure comprised 70% distance learning, 22% on campus (integrated modules), and 8% monographs. The group included 7 physicians and 21 microbiologists from 20 different Brazilian cities. The time flexibility and location were the two main reasons for student participation, thus decreasing absences to the workplace, different from the traditional teaching methodologies. The group performance was measured by monthly evaluations, and 1 year postcourse, the researcher visited their workplace. There was significant improvement in microbiological practices performed before compared with after group participation. Therefore, 76.9% of laboratory practices were modified because of the knowledge acquired in the course. Students showed behavioral changes in relation to performance in infection control as well as on the dissemination of their knowledge. This specialization course using distance education did not compromise the quality. This educational methodology represents an alternative to teach clinical microbiology to laboratory workers from remote hospitals, as a nationwide continuing educational strategy.

Resumo Limpo

microbiolog laboratori provid strateg support infecti diseas diagnosi also alert medic communiti bacteri resist antibiot microbiologist train challeng brazil countri extens territori divers popul dispar resourc alloc aim studi implement interact teleeduc cours clinic microbiolog reach distant laboratori worker improv profession skill cours scientif content defin accord compet associ distribut h laboratori practic knowledg matrixcontextu educ modul cours structur compris distanc learn campus integr modul monograph group includ physician microbiologist differ brazilian citi time flexibl locat two main reason student particip thus decreas absenc workplac differ tradit teach methodolog group perform measur month evalu year postcours research visit workplac signific improv microbiolog practic perform compar group particip therefor laboratori practic modifi knowledg acquir cours student show behavior chang relat perform infect control well dissemin knowledg special cours use distanc educ compromis qualiti educ methodolog repres altern teach clinic microbiolog laboratori worker remot hospit nationwid continu educ strategi

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