Evidence map›Paper›PMID 21573054›Full record

ArticlePloS one2011

An interactive internet-based continuing education course on sexually transmitted diseases for physicians and midwives in Peru.

Fredy A Canchihuaman, Patricia J Garcia, Stephen S Gloyd, King K Holmes

Abstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fredy A CanchihuamanSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Patricia J Garcia
Stephen S Gloyd
King K Holmes

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
INTERNATIONAL TRAINING GRANT IN EPIDEMIOLOGYD43TW000007 · FIC · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 1988 to 2012
$16.3M
University of Washington STI-TM Cooperative Research CtrU19AI031448 · NIAID · UNIVERSITY OF WASHINGTON · PI HOLMES, KING K. · 1995 to 2010
$15.2M
UNIVERSITY OF WASHINGTON STD COOPERATIVE RESEARCH CENTERU01AI031448 · NIAID · UNIVERSITY OF WASHINGTON · PI HOLMES, KING KENNARD · 1991 to 1994
–
FIC NIH HHS D43 TW000007FIC NIH HHS D43-TW00007NIAID NIH HHS AI31448NIAID NIH HHS P30 AI027757NIAID NIH HHS P30-AI27757NIAID NIH HHS U19 AI031448PHS HHS U2-RTW007368PHS HHS U2-RTW007374Wellcome TrustWellcome Trust 059131/Z/99/ZWellcome Trust 078835/Z/05/BWellcome Trust 078835/Z/05/Z
6 · The paper itself

Abstract

backgroundClinicians in developing countries have had limited access to continuing education (CE) outside major cities, and CE strategies have had limited impact on sustainable change in performance. New educational tools could improve CE accessibility and effectiveness. METHODOLOGY/PRINCIPAL

findingsThe objective of this study was to evaluate an interactive Internet-based CE course on Sexually Transmitted Diseases (STDs) management for clinicians in Peru. Participants included physicians and midwives in private practice drawn from a census of 10 Peruvian cities. The CE included a three-hour workshop for improving Internet skills, followed by a 22-hour online course on STD-syndrome-management, with subsequent educational support. The course used case-based clinical vignettes tailored to local STD problems. Knowledge and reported practices on STD management were assessed before, immediately after and at four months after completion of the course. Statistical analysis included parametric tests-linear regression multivariate analysis, paired t-test and repeated measures ANOVA using SPSS 14.0. Of 1,071 eligible clinicians, 510 agreed to participate, as did an additional 132 public sector clinicians. Of these 642 participants, 619 (96.4%) completed the course, and 596 (96.3%) took the four-month follow-up evaluation. Physician and midwife scores improved from 64.2% correct answers on the pre-test to 77.9% correct on the four-month follow-up test (p<0.001). Most participants (95%) found the online course useful for their work needs. Self reported STD management practices did not change. CONCLUSIONS/SIGNIFICANCE: Among physicians and midwives in Peru, an Internet-based CE course was feasible, acceptable with high participation rates, and led to sustained improvement in knowledge at four months. Further studies are needed to test it as a model for improving the training of physicians, midwives, and other health care providers.

Indexed as

MidwiferyPhysiciansSexually Transmitted DiseasesAdultEducation, Medical, ContinuingFemaleHumansInternetMaleMiddle AgedPeru

Identifiers

PMID21573054
PMCPMC3090386

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.