Continuing professional development challenges in a rural setting: A mixed-methods study
Por:
Campos-Zamora, Melissa, Gilbert, Hannah, Esparza-Perez, I, Ramiro, Sanchez-Mendiola, Melchor, Gardner, Roxane, Richards, Jeremy B., Lumbreras-Marquez, I, Mario, Dobiesz, Valerie A.
Publicada:
1 oct 2022
Resumen:
Introduction Health professionals in rural settings encounter a wide
range of medical conditions requiring broad knowledge for their clinical
practice. This creates the need for ongoing continuing professional
development (CPD). In this study, we explored the barriers that health
professionals in a rural healthcare context faced participating in CPD
activities and their preferences regarding educational strategies to
overcome these challenges. Methods This mixed-methods (exploratory
sequential) study in a community hospital in rural Mexico includes 22
interviews, 3 focus groups, 40 observational hours, and a questionnaire
of healthcare staff. Results Despite low engagement with CPD activities
(67% not motivated), all participants expressed interest and
acknowledged the importance of learning for their practice. Barriers to
participating include a disparity between strategies used
(lecture-based) and their desire for practical learning, institutional
barriers (poor leadership engagement, procedural flaws, and lack of
resources), and collaboration barriers (adverse interprofessional
education environment, ineffective teamwork, and poor communication).
Additional barriers identified were inconvenient scheduling of sessions
(75%), inadequate classrooms (65%), high workload (60%), ineffective
speakers (60%), and boring sessions (55%). Participants' preferred
learning strategies highlighted activities relevant to their daily
clinical activities (practical workshops, simulations, and case
analysis). The questionnaire had an 18% response rate. Discussion The
barriers to CPD in this rural setting are multifactorial and diverse. A
strong interest to engage in context-specific active learning strategies
highlighted the need for leadership to prioritize interprofessional
education, teamwork, and communication to enhance CPD and patient care.
These results could inform efforts to strengthen CPD in other rural
contexts.
Filiaciones:
Campos-Zamora, Melissa:
Harvard Med Sch, Postgrad Med Educ, Boston, MA 02115 USA
Gilbert, Hannah:
Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA
Sanchez-Mendiola, Melchor:
Univ Nacl Autonoma Mexico, Mexico City, DF, Mexico
Gardner, Roxane:
Brigham & Womens Hosp, Ctr Med Simulat, 75 Francis St, Boston, MA 02115 USA
Richards, Jeremy B.:
Beth Israel Deaconess Med Ctr, Shapiro Ctr Educ & Res, Div Pulm Crit Care & Sleep Med, Boston, MA 02215 USA
Dobiesz, Valerie A.:
Harvard Med Sch, STRATUS Ctr Med Simulat, Dept Emergency Med, Brigham & Womens Hosp Harvard Humanitarian Initia, Boston, MA 02115 USA
gold, Green Published, Gold, Green
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