Professional Education Task Force

1
Professional Education Task Force

• Patrick Lyden, MD Collin Rorrie, PhD
• Susan Hickenbottom, MD, MS Ed Sloan, MD, MPH
• Richard Atkinson, MD Judith Spilker, RN
• Lisa Davis, RN, MSN Robert Suter, DO, MHA
• Jeremy Golding, MD Steven Warach, MD, PhD
• Judith Hinchey, MD
• Kurt Kleinschmidt, MD
• Thomas Kwiatkowski, MD
• Christopher Lewandowski, MD

2
Principles of Adult Education

• Must be motivated to learn
• Need a relevant use for the knowledge or skill
  being sought
• Prefer learning concepts and principles
• Prefer an active curriculum that is learner-based
• Like feedback on their own performance

3
Deficiencies in Professional Education

• Ultimate goal of education is behavioral change
• Traditional continuing education methods alone
  have been found ineffective
• Didactic lectures
• Journal articles

4
Effectiveness of Interventions

• Most effective
• Reminders (at point of service/need)
• Patient-mediated strategies
• Outreach visits
• Opinion leaders
• Multiple, sequenced interventions sustained over
  time
• Moderately effective
• Audit and feedback
• Educational material
• Least effective
• Formal CME conferences or activities
• Davis, JAMA 1995274700-705

5
Deficiencies in Professional Education

• Poorly targeted
• Narrowly focused
• Environmental barriers
• Increased service requirements and decreased
  on-job time for learning/teaching
• ED crowding
• Nursing shortage and lack of nurse educators and
  mentors

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Strategies for Improving Professional Education

• Audience
• Method
• Content
• Support

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Strategies for Improving Professional Education
Audience

• Identify gaps in knowledge and performance (needs
  assessment)
• Target audiences with interventions appropriate
  to knowledge level
• EMS Physicians assistants
• Medical students Nurse practitioners
• Nursing students Physicians
• Residents Other health care providers
• Nurses

8
Strategies for Improving Professional Education
Method

• Change the approach to continuing education
• Provide interactive learning opportunities
• May include introductory materials
• Case studies
• Web and PDA based
• Multimodal activities sustained over time

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Strategies for Improving Professional Education
Content

• Expand the content of acute stroke education
• Soup to nuts approach
• Consistent and updated guidelines
• National organizations help to develop integrated
  stroke curricula

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Strategies for Improving Professional Education
Support

• Institutional
• Organizational buy-in
• Funding
• Needs assessment
• Validating and measuring adherence to guidelines
• Evaluating effectiveness of educational
  interventions

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Summary of Recommendations

• Content development
• Delivery consistent with educational principles
• Financial support for educational interventions