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The Effect of a Clinical Training Program for Capacity Building of Medical Doctors in a Developing Country

개발도상국 의사들의 역량강화를 위한 임상연수 프로그램의 효과

  • Received : 2015.04.15
  • Accepted : 2015.05.13
  • Published : 2015.06.30

Abstract

Mongolia is suffering from the inadequate capacity of medical doctors due to a poor education and training system. The purpose of this article is to evaluate the effect of a clinical training program for capacity building of medical doctors in Mongolia, and to suggest an effective model for continuing professional development in developing countries. Based on the results of a needs assessment, Korean and Mongolian medical experts developed a clinical training program and trained the trainers on 32 topics regarding major clinical problems in 6 specialties, including cardiology, endocrinology, pediatrics, obstetrics and gynecology, neurology, and emergency medicine. Surveillance survey and pre/post-test were used on every topic to evaluate the satisfaction and achievement, respectively, of the trainees. Six months after the clinical training program, we interviewed a sample of medical professionals to evaluate the change and impact. A total of 612 (person-year) medical doctors participated in the training, and the average score for satisfaction was 7.69 out of 8. The average score of the pre-test was 46.9 out of 100, while the post-test was 82.4. After the training, the medical doctors were applying their new knowledge and skills to their practice, and using the materials as guidelines, which improved their practice and increased patient satisfaction. They also started their own training program and adopted new equipment at their hospitals. The satisfaction and achievement of the trainees were very high, and there was significant change in the medical practice, education system, and infrastructure after the training program. This training program can be an effective model for capacity building of medical doctors in developing countries.

Keywords

Capacity building;Continuing professional development;Program evaluation;Training

References

  1. Chen, L., Evans, T., Anand, S., Boufford, J. I., Brown, H., Chowdhury, M., ... Wibulpolprasert, S. (2004). Human resources for health: overcoming the crisis. Lancet, 364(9449), 1984-1990. https://doi.org/10.1016/S0140-6736(04)17482-5
  2. Gedikli, B. (2009). The role of leadership in the success of participatory planning processes experience from Turkey. Eur Urban Reg Stud, 16(2), 115-130. https://doi.org/10.1177/0969776408101684
  3. Hicks, C., & Hennessy, D. (2011). Hennessy-Hicks Training needs analysis questionnaire and manual. Birmingham: University of Birmingham.
  4. Kern, D. E., Thomas, P. A., & Hughes, M. T. (2009). Curriculum development for medical education: A six-step approach (2nd ed.). Baltimore: The Johns Hopkins University Press.
  5. Kirkpatrick, D. L. (1959). Techniques for evaluating training programs. J Am Soc Train Dir, 13, 21-26.
  6. Korea International Cooperation Agency. (2013). 2012 KOICA aid statistics. Seongnam: Korea International Cooperation Agency.
  7. Lee, S., Shin, J. S., Kim, D. H., Kim, E. J., Hwang, J., & Yoon, H. B. (2014). Evaluation of first year outcomes of Lee Jong-Wook Seoul Project using Kirkpatrick's four-level evaluation approach. Korean J Med Educ, 26(1), 41-51. https://doi.org/10.3946/kjme.2014.26.1.41
  8. Ministry of Health, Mongolia. (2012). Health service delivery profile, Mongolia, 2012. Ulan Bator: Ministry of Health, Mongolia.
  9. Mongolian National University of Medical Sciences. (2014). [2014-2015 Academic Year Explore Your Potentials]. Ulan Bator: Mongolian National University of Medical Sciences.
  10. Rossett, A. (2007). Leveling the levels. Train Dev, 61(2), 49-53.
  11. Smith, S. R., & Dollase, R. (1999). AMEE guide no. 14: Outcome-based education: Part 2-Planning, implementing and evaluating a competencybased curriculum. Med Teach, 21(1), 15-22. https://doi.org/10.1080/01421599979978
  12. Stanfield, R. B. (2002). The workshop book: From individual creativity to group action. Garboria Island (BC): New Society Publishers.
  13. World Health Organization. (2014). Human resources for health country profiles: Mongolia. Geneva: World Health Organization.
  14. Yardley, S., & Dornan, T. (2012). Kirkpatrick's levels and education 'evidence'. Med Educ, 46(1), 97-106. https://doi.org/10.1111/j.1365-2923.2011.04076.x