Two related studies that evaluated the impact of a continuing education program about community-based rehabilitation on the performance of administrators, professionals, and paraprofessionals are presented. One study contained a second part that examined whether differences between pre-course test performance and post-course test performance might be accounted for by practice effects.
Factorial mixed model designs.
Three hundred and eight professionals, administrators, and paraprofessionals from a variety of community-based rehabilitation programs.
The 4-day graduate-level course focused on three content areas: brain and behavior relationships, behavioral and cognitive intervention strategies, and a rehabilitation philosophy that emphasizes individual client rights.
An examination completed before and immediately after taking the course.
Professionals and administrators perform better than paraprofessionals when tested at the beginning and end of the training. However, the absolute differences among these groups were not substantial. In addition, the rate of learning course content was the same for administrators, paraprofessionals, and professionals.
The results support the usefulness of training for all levels of staff and suggest that all levels of staff benefit in an equal fashion.
The Danish Medical Association and the scientific societies have initiated three studies to evaluate the use of questionnaires for continuous medical education. One study was a questionnaire in anaesthesiology with 30 questions with answers yes/no/no answer, which was sent to 600 specialists in anaesthesiology. One study was in cardiology with a multiple choice questionnaire, sent to 300 general practitioners and 75 specialists in internal medicine outside cardiology. One study concerned the educational value of State-of-the-Art articles about neurology in Ugeskrift for Laeger (Journal of the Danish Medical Association) sent to 500 doctors outside neurology. All questionnaires were sent anonymously, with one general reminder. For the anaesthesiology study 234 questionnaires were returned (40.5%). In the cardiology study 195 questionnaires were returned (52%). For the study on neurology 278 answered (56%). Only about half of the questionnaires were returned for the three studies, and a lot of effort and resources were put into the studies. An extension from these small pilot studies to a general systematic continuous methodology with updated questionnaires in the postgraduate medical education seems troublesome. An optional self-registration for medical education such as The Canadian "Mocomp concept" might be a more realistic suggestion.
Decentralized training for the didactic portion of allied health programs has been assessed for its ability to increase the likelihood that graduates will practice in underserved areas. The question still remains whether these distant sites provide an education that is comparable to that offered at the main campuses. Exams and final grades for all classes over the course of five years at MEDEX Northwest in Seattle were compared to determine whether there was any major discrepancy between the main training location and the decentralized sites. With the exception of three individual cases, overall academic performances in all training sites were comparable. This suggests that programs employing some of the curricular and administrative controls in place at MEDEX Northwest can achieve a parity in education across their various training sites.
Canada appears to have little formal history of nurses functioning in a RN first assistant (RNFA) role. On recent examination, however, perioperative nurses are first assisting in Canada daily, and several provinces have started programs. The following articles provides an overview of RNFA activities as of April 1997.
The integration of RNST 1 and 3 together with our integration as a whole with Med Squadron was successfully and effectively implemented and clearly indicated that should we be required to work together as a collective in the future, either in a training capacity or on an operational deployment, we are prepared. The opportunity to carry out AST was highly beneficial and although taxing at times for many, provided a package suitable for all levels of experience. Once again, living in such field conditions was often interesting, sometimes daunting and also eye-opening. The change to the MEDEX phase of the deployment was a disappointment to most but another exercise is planned in Wales. On a positive note, it was very beneficial to actually be involved in erecting the DRASH as previously we had only ever seen it in its formed state. In conclusion, the poignant message from this exercise took three main forms: first, the integration of the two teams was smooth and we worked well together. Secondly, we all learnt something from the high quality arctic training we were given and all successfully passed this, and finally, some new aspects to the DRASH system. All in all this deployment was of a high standard and has shown that the interaction between Med Squadron, Cdo Logistics Regt RM and RNSTs is ever improving.
A part of the Altai Territory of Russia has been subjected to radioactive contamination from nuclear testing. Cancer morbidity in neighboring areas has increased 15-27%. An anticancer program begun in 1993 is in the developmental stage. In conjunction with a number of social measures, a significant education program is being developed. It includes, first, education of health care professionals in the prevention and early diagnosis of cancer, and second, public cancer education. For this purpose it has been necessary to develop teaching programs for doctors and other health care professionals (undergraduate and postgraduate), schoolteachers and schoolchildren, administrators, members of the working classes, and clergy. Because the population has already been subjected to a dangerous radiation load, the program for health care professionals is designed to eliminate whenever possible the need for radiographic and isotope investigations for screening purposes and diagnosis. The public cancer education program includes data about the importance of healthy lifestyles and skills for self-examination. The authors invite the collaboration of colleagues in other countries who have had experience with regional cancer education programs.