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Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment

BACKGROUND: Inadequate attention has been given to ensuring ongoing training to improve knowledge, skills and capacity of primary health care providers in low- and middle-income countries. The Hanoi Medical University, Vietnam is providing training sessions for physicians working in commune health s...

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Autores principales: Giang, Pham Ngan, Kelly, Matthew, Nhung, Nguyen Thi Tuyet, Sarma, Haribondhu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008997/
https://www.ncbi.nlm.nih.gov/pubmed/35418094
http://dx.doi.org/10.1186/s12909-022-03336-4
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author Giang, Pham Ngan
Kelly, Matthew
Nhung, Nguyen Thi Tuyet
Sarma, Haribondhu
author_facet Giang, Pham Ngan
Kelly, Matthew
Nhung, Nguyen Thi Tuyet
Sarma, Haribondhu
author_sort Giang, Pham Ngan
collection PubMed
description BACKGROUND: Inadequate attention has been given to ensuring ongoing training to improve knowledge, skills and capacity of primary health care providers in low- and middle-income countries. The Hanoi Medical University, Vietnam is providing training sessions for physicians working in commune health stations (CHSs) in three mountainous, remote northern provinces in 2019. This article aims to assess these physicians’ knowledge of correct medical responses to emergencies in order to assess their training needs. METHODS: We conducted a cross-sectional study amongst doctors posted to CHSs located in 3 mountainous remote provinces of northern Vietnam. We used a self-administered questionnaire that comprised questions on common medical emergencies, maternal and child care, and non-communicable disease management. We performed Chi-square tests to assess the statistical significance of differences in the mean proportions of correct answers for each health care question category, and for differences in mean proportions of correct answers by doctor characteristics. RESULTS: In total 302 doctors were recruited to the study. More than half of the sample answered 30–50% of the questions correctly, followed by around a third who answered 50–70% correctly. Less than 2% of doctors answered more than 70% correct responses to the entire question set. There were statistically significant differences between question categories, with cardiovascular care questions answered correctly significantly less often than any of the categories (p < 0.00001). CONCLUSION: The findings reported here show that the doctors who participated in the study have relatively low knowledge on common emergencies, particularly to answer cardiovascular care questions. The results also support the need for continuing medical education to improve doctors’ knowledge, who are mostly practicing in resource limited remote settings. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-022-03336-4.
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spelling pubmed-90089972022-04-15 Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment Giang, Pham Ngan Kelly, Matthew Nhung, Nguyen Thi Tuyet Sarma, Haribondhu BMC Med Educ Research BACKGROUND: Inadequate attention has been given to ensuring ongoing training to improve knowledge, skills and capacity of primary health care providers in low- and middle-income countries. The Hanoi Medical University, Vietnam is providing training sessions for physicians working in commune health stations (CHSs) in three mountainous, remote northern provinces in 2019. This article aims to assess these physicians’ knowledge of correct medical responses to emergencies in order to assess their training needs. METHODS: We conducted a cross-sectional study amongst doctors posted to CHSs located in 3 mountainous remote provinces of northern Vietnam. We used a self-administered questionnaire that comprised questions on common medical emergencies, maternal and child care, and non-communicable disease management. We performed Chi-square tests to assess the statistical significance of differences in the mean proportions of correct answers for each health care question category, and for differences in mean proportions of correct answers by doctor characteristics. RESULTS: In total 302 doctors were recruited to the study. More than half of the sample answered 30–50% of the questions correctly, followed by around a third who answered 50–70% correctly. Less than 2% of doctors answered more than 70% correct responses to the entire question set. There were statistically significant differences between question categories, with cardiovascular care questions answered correctly significantly less often than any of the categories (p < 0.00001). CONCLUSION: The findings reported here show that the doctors who participated in the study have relatively low knowledge on common emergencies, particularly to answer cardiovascular care questions. The results also support the need for continuing medical education to improve doctors’ knowledge, who are mostly practicing in resource limited remote settings. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-022-03336-4. BioMed Central 2022-04-13 /pmc/articles/PMC9008997/ /pubmed/35418094 http://dx.doi.org/10.1186/s12909-022-03336-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Giang, Pham Ngan
Kelly, Matthew
Nhung, Nguyen Thi Tuyet
Sarma, Haribondhu
Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment
title Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment
title_full Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment
title_fullStr Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment
title_full_unstemmed Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment
title_short Continuing medical education programs for primary care physicians from remote locations of Vietnam: a needs assessment
title_sort continuing medical education programs for primary care physicians from remote locations of vietnam: a needs assessment
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008997/
https://www.ncbi.nlm.nih.gov/pubmed/35418094
http://dx.doi.org/10.1186/s12909-022-03336-4
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