Aligning Practice Data and Institution-specific CPD: Medical Quality Management as the Driver for an eLearning Development Process

Figures & data

Table 1. Participant demographics

	Frequency	Percentage
Gender
Male	6	33%
Female	12	67%
Role
Residents	15	83%
PGY1	12	67%
PGY2	2	11%
PGY3	1	6%
Staff	3	17%
Computer proficiency
Basic (can perform simple word processing tasks; conduct a web search; send an email)	2	11%
Proficient (comfortable with a variety of software applications; can add/remove programs)	12	67%
Advanced (have advanced computer knowledge and skills; can problem-solve computer problems)	4	22%
Prior experience with online learning
Yes	16	89%
No	2	11%
Attitude towards online learning
Before
Very positive	6	33%
Positive	10	56%
Neutral	2	11%
Negative	0	0%
Very negative	0	0%
After
Very positive	6	33%
Positive	11	61%
Neutral	1	6%
Negative	0	0%
Very negative	0	0%

Table 2. Satisfaction survey findings

Question*	Mean (SD)
CONTENT
The module …
Includes content cases of appropriate depth and breadth	4.22 (0.43)
Presents realistic cases similar to those faced at Bruyère Continuing Care	4.33 (0.59)
Builds on my current experience and knowledge	4.22 (0.55)
Teaches the skills necessary to deal with the illness/issue cases presented	4.17 (0.71)
Provides information that is applicable and adaptable to new cases	4.22 (0.43)
Is missing information that I would find useful when diagnosing similar cases	3.22 (1.00)
Is missing information that I would find useful when managing similar cases	3.33 (0.91)
DESIGN
The module is aesthetically pleasing	4.39 (0.50)
The module is clear and easy to view	4.44 (0.51)
The module is organised and well laid out	4.44 (0.51)
I could easily find the information I needed	4.17 (1.04)
It was easy to navigate throughout the module	4.33 (0.77)
The module is sufficiently interactive	4.33 (0.59)
The icons, menu buttons, links, and controls did what I expected	4.00 (1.08)
I did not encounter any problems using the module	3.22 (1.17)
OUTCOMES
After completing the module I am able to …
Define an approach to hospital acquired pneumonia	4.06 (0.42)
Select appropriate antimicrobial therapy in the empiric management of pneumonia in patients admitted in continuing care hospitals, while avoiding excessive broad spectrum antibiotic use	4.00 (0.59)
Identify appropriate supportive measures for patients with pneumonia in continuing care hospitals	4.22 (0.43)
Define an approach to skin infection	4.17 (0.51)
Select appropriate antibiotic therapy in the empiric management of skin infection in patients admitted in continuing care hospitals, while avoiding excessive broad spectrum antibiotic use	4.00 (0.69)
Identify appropriate supportive measures for patients with skin infection in continuing care hospitals	4.11 (0.58)
Define an approach to urinary tract infections	4.28 (0.46)
Select appropriate antimicrobial therapy in the empiric management of urinary tract infections in patients admitted in continuing care hospitals, while avoiding excessive broad spectrum antibiotic use	3.94 (0.64)
Identify appropriate supportive measures for patients with urinary tract infections in continuing care hospitals	4.28 (0.46)
OVERALL
I enjoyed learning using this module	4.17 (0.71)
The module was engaging	4.11 (0.58)
The module met or exceeded my expectations	4.00 (0.59)
The module allowed me to meet some of my educational goals	4.28 (0.46)
I would recommend this module to residents on rotation at Bruyère Continuing Care	4.06 (0.94)
I would recommend this module to staff physicians at Bruyère Continuing Care	3.83 (0.92)

*Response options: Strongly Agree [5]; Agree [4]; Neutral [3]; Disagree [2]; Strongly Disagree [1]

Figure 1. Changes in knowledge quiz score. Mean percent correct for quizzes completed before and after completing the eLearning module ± standard error. Scores are represented for each question and for the total quiz score

Sargeant J, Wong BM, Campbell CM. CPD of the future: a partnership between quality improvement and competency-based education. Med Educ. 2018 Jan 1;52(1):125–135.

 PubMed Web of Science ®Google Scholar

Davis D, MAT O, Freemantle N, et al. Impact of Formal Continuing Medical Education. JAMA. 1999 Sep 1;282(9):867.

 PubMed Web of Science ®Google Scholar

Cook DA, Blachman MJ, West CP, et al. Physician Attitudes About Maintenance of Certification. Mayo Clin Proc. 2016 Oct 1;91(10):1336–1345.

 Web of Science ®Google Scholar

Duffy FD, Holmboe ES. Self-assessment in Lifelong Learning and Improving Performance in Practice. JAMA. 2006 Sep 6;296(9):1137.

 PubMed Web of Science ®Google Scholar

Kulatunga GG, Marasinghe RB, Karunathilake IM, et al. Development and implementation of a web-based continuing professional development (CPD) programme on medical genetics. Journal of Telemedicine and Telecare. 2013 Oct 10;19(7):388–12.

 Web of Science ®Google Scholar

Availability of data and materials

The datasets used and analysed during the current study are available from the corresponding author on reasonable request.