Purpose Due to the shortage in the healthcare workforce, insufficient qualifications, a lack of infrastructure and limited resources in Mongolia, it is not always possible for healthcare workers in rural areas who wish to attend continuous training and retraining courses to do so. However, in order to provide high-quality care, the demand for distance learning and the upgrading of knowledge and practice of many medical topics (especially related to morbidity and mortality) are necessary for the rural population. This study aimed to assess the needs of e-learning medical education, of graduates in Mongolia.
Methods A cross-sectional research design was implemented. We collected data from 1,221 healthcare professionals (nursing professionals, physicians, midwives, and feldshers) who were randomly selected from 69 government hospitals in Mongolia. Data were collected using self-assessment questionnaires which captured the needs assessment in a survey for online continuous medical education in Mongolia. Data were analyzed using descriptive statistics and Kruskal-Wallis statistical test.
Results Ninety percent of the respondents reported that they plan on attending online continuous medical education with the most preferred specialty area being emergency medicine. Results using the Kruskal-Wallis statistical technique suggested the preferred specialty area, educational content, appropriate time schedule, available devices, and tools were statistically significant and were different between the nursing professionals, physicians, midwives, and feldshers (p<0.05).
Conclusion Findings provide important evidence for the implementation of measures and strategies which can assist healthcare professionals in low and middle-income areas/countries to constructively address their need for enhanced knowledge and practice through distance learning.
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Transforming Mongolian Nursing Education: A Cultural–Historical Activity Theory Analysis of Historical Activity Systems Buyandelger Batmunkh, Munguntuul Enkhbat, Tuguldur Gankhuyag, Bat-Ulzii Enkh-Amgalan, Enkhbold Dogmidsangi, Oyungoo Badamdorj International Medical Education.2026; 5(3): 73. CrossRef
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Purpose To assess knowledge retention of physicians after participating in a webinar series and its perceived benefits on daily practice and career development.
Methods The webinar series comprised six separate webinars about daily practice. Online questionnaires were sent to all participating physicians via email 3 months after the webinars. The questionnaire assessed knowledge retention through the difference between initial and follow-up post-test as well as the webinar series’ benefits on daily practice and career development. Participants’ demographic information, including their age, gender, education, year of graduation, and work details, were collected to compare outcomes between demographic groups.
Results A total of 689 responses were gathered, and 622 were analyzed. At follow-up, the median knowledge score was significantly lower than the initial median knowledge score (Z=-6.973, p<0.001). Participants’ perception of the webinar series’ benefits on daily practice and career development was very positive. A significant weak negative correlation was found between age and knowledge score at follow-up (rs=-0.157, p<0.001). Physicians who graduated more recently and worked for less than 3 years scored significantly higher on knowledge tests at follow-up. Meanwhile, perception score towards webinar series’ benefits on daily practice was significantly higher among physicians with more extended work history. Male physicians scored significantly higher on perception score towards webinar series’ benefits on career development.
Conclusion Online continuing medical education programs like webinars can encourage physicians to maintain their competence, but further research on improving knowledge retention over time is necessary. Overall, physicians perceived webinars to be beneficial for their professional development.
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Podcasts are increasingly being used for medical education, both within teaching institutions and on an international scale by major journals. To date, there are no evidence-based guidelines for the development of educational podcasts. To review the state of the literature, MEDLINE, SCOPUS, and ERIC were searched in May 2016 for articles describing audio format podcasts used in medical education. Eighty-four articles met inclusion criteria. A qualitative synthesis of the evidence was done using Kirkpatrick’s model for evaluating outcomes. Twenty-four articles described reaction outcomes, eleven described learning outcomes, and one described behavioral outcomes. None measured patient impact. The literature demonstrates that podcasts are both feasible and accepted by learners. The mean length of reported podcasts was 18 minutes, which falls within the recommended range in at least one paper, and is consistent with reported listener preference. Interview format, clear disclosures, and accurate information were reported as desirable. There is limited evidence showing the efficacy of podcasts as teaching tools, or regarding best practices in making podcasts. More rigorous studies evaluating efficacy, changes in behavior, and changes in patient outcomes need to be performed in order to prove podcasts’ value and to justify production costs.
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Purpose This study analyzed the learning characteristics of primary care physicians that are necessary to develop proper educational support systems in continuing medical education. Methods: The research participants were 15 physicians with an average of 8 years of experience in primary care clinics. The data were collected through in-person interviews with each participant and analyzed by keyword coding, expert review, and content elaboration. Results: The learning styles of primary care physicians were classified as “reactive,” “organized,” and “exploratory,” according to their problem-solving approaches in clinics. The types of learning interaction were “unilateral acquisition,” “mutual exchange,” and “organization participation.” The primary motives of learning in clinics were the primary care physicians' recognition of accountability and the intrinsic enjoyment of learning itself. Conclusion: For continuous professional development—i.e., the self-directed learning of primary care physicians with problemsolving approaches—learning interactions in professional communities should be considered in continuing educational support systems.
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Both MD and postgraduate education programs in Korea have been established and conducted independently with considerable lack of close coordination for the forthcoming programs from the designing stag e; this phenomenon has apparently led to a significant retardation of continuing medical education (CME) together with ignorance of competency development by self learning in medical schools.
It was further triggered with teacher-centered learning epxperience during the medical school life. Postgraduate institutional education programs were denatured by a simultaneous availability of both Ph.D. and clinical subspecialty training programs, and facilitated decrease of relevance on CME. This article summarized the growing patterns of CME programs in Korea, and described the problems of current undergraduate and postgraduate education based in terms of competency required for CME program. The followings recommendations were specially stressed to promote CME in Korean medical society; (1) providing an opportunity for medical school students to experience the situations closely similar to that in the postgraduate practice during the MD course, (2) earlier introduction of recertification and/or relicensure mechanisms in both medical licensure or specialty board qualification, (3) expansion of medical school's role to CME for their graduates, and (4) emphasis of CME activity by strengthening of accreditation of the training hospitals.
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