Evidence map›Paper›PMID 27760535›Full record

ArticleBMC medical education2016

The Haiti Medical Education Project: development and analysis of a competency based continuing medical education course in Haiti through distance learning.

Robert Battat, Marc Jhonson, Lorne Wiseblatt, Cruff Renard, Laura Habib, Manouchka Normil, Brian Remillard, Timothy F Brewer, Galit Sacajiu

Abstract readEditorial
In one paragraph

Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

Robert BattatDepartment of Gastroenterology, McGill University Health Centre (MUHC) , 1001 Decarie Blvd, D05-7161, Montreal, H4A 3J1, Canada. robert.battat@mail.mcgill.ca.
Marc JhonsonService Medecine Interne, Hopital Universite d'Etat d'Haiti, Port-au-Prince, Haiti.
Lorne WiseblattDepartment of Medicine, McGill University, Montreal, Canada.
Cruff RenardDepartment of Hospital Medicine, St Elizabeth Medical Center, Edgewood, KY, USA.
Laura HabibDepartment of Internal medicine, McGill University, Montreal, Canada.
Manouchka NormilDepartment of Family Medicine, Hopital St. Nicolas, St Marc, Haiti.
Brian RemillardDartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, USA.
Timothy F BrewerDepartment of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, USA.
Galit SacajiuARC Health Resources, Congers, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent calls for reform in healthcare training emphasize using competency-based curricula and information technology-empowered learning. Continuing Medical Education programs are essential in maintaining physician accreditation. Haitian physicians have expressed a lack access to these activities. The Haiti Medical Education Project works in alliance with Haitian medical leadership, faculty and students to support the Country's medical education system. We present the creation, delivery and evaluation of a competency-based continuing medical education curriculum for physicians in rural Haiti.

methodsReal time lectures from local and international institutions were teleconferenced to physicians in remote Haitian sites using VidyoConferencing™ technology. With American Academy of Family Physicians (AAFP) and College of Family Physicians Canada (CFPC) guidelines as references, a competency-derived syllabus was created for a Haitian continuing medical education program. The resulting educational goals were reviewed by a committee of Haitian and North American physician/medical education practitioners to reflect local needs. All authors reviewed lectures and then conferred to establish agreement on competencies presented for each lecture.

resultsSixty-seven lectures were delivered. Human immunodeficiency virus/Acquired Immunodeficiency Syndrome, ophthalmologic, infectious diseases, renal and endocrine competencies were well-represented, with more than 50 % of the joint AAFP and CFPC recommended competencies outlined. Areas under-represented included allergy and immunology, cardiology, surgery, pain management, gastroenterology, neurology, pulmonology, men's health and rheumatology; these topics accounted for less than 25 % of AAFP/CFPC recommended competencies. Areas not covered included geriatrics, nutrition, occupational health and women's health. Within practice-based lectures, only disaster medicine, health promotion and information management were included, but only partially covered.

conclusionsWe identified teaching goals covered and competencies that were missing from a CME program for rural Haitian physicians. We aim to use this analysis to provide a competency-based CME lecture series that proportionally meets local needs while following recommendations of recognized national family medicine organizations.

Indexed as

PhysiciansClinical CompetenceCompetency-Based EducationCurriculumEducation, DistanceEducation, Medical, ContinuingHaitiHumansNeeds AssessmentProgram DevelopmentProgram EvaluationDistance learningGlobal healthMedical education

Identifiers

PMID27760535
PMCPMC5069788

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LicenceCC BY
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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.