J Educ Eval Health Prof.  2016;13:21. 10.3352/jeehp.2016.13.21.

Evaluation of a continuing professional development training program for physicians and physician assistants in hospitals in Laos based on the Kirkpatrick model

Affiliations
  • 1Department of Medical Education, Seoul National University College of Medicine, Seoul, Korea. hismed1@snu.ac.kr
  • 2Education Development Center, University of Health Sciences, Vientiane, Lao People's Democratic Republic.
  • 3Center for Public Healthcare Education and Training, National Medical Center, Seoul, Korea.

Abstract

PURPOSE
Medical professionals from Korea and Laos have been working together to develop a continuing professional development training program covering the major clinical fields of primary care. This study aimed to evaluate the effectiveness of the program from 2013 to 2014 using the Kirkpatrick model.
METHODS
A questionnaire was used to evaluate the reaction of the trainees, and the trainers assessed the level of trainees' performance at the beginning and the end of each clinical section. The transfer (behavioral change) of the trainees was evaluated through the review of medical records written by the trainees before and after the training program.
RESULTS
The trainees were satisfied with the training program, for which the average score was 4.48 out of 5.0. The average score of the trainees' performance at the beginning was 2.39 out of 5.0, and rose to 3.88 at the end of each section. The average score of the medical records written before the training was 2.92 out of 5.0, and it rose to 3.34 after the training. The number of patient visits to the district hospitals increased.
CONCLUSION
The continuing professional development training program, which was planned and implemented with the full engagement and responsibility of Lao health professionals, proved to be effective.

Keyword

Continuing professional development; Kirkpatrick model; Korea; Laos; Program evaluation

MeSH Terms

Education*
Health Occupations
Hospitals, District
Humans
Korea
Laos*
Medical Records
Physician Assistants*
Primary Health Care
Program Evaluation

Figure

  • Fig. 1. Changes in number of outpatient visits in district and provincial hospitals in Laos after training of physicians and physician assistants in district hospitals in 2013.

  • Fig. 2. Changes in the number of inpatient visits in the district and provincial hospitals in Laos after training of physicians and physician assistants in district hospitals in 2013.


Reference

References

1. World Health Organization. Human resources for health country profiles: Lao People’s Democratic Republic [Internet]. Geneva (CH): World Health Organization;2013. [cited 2016 Apr 2]. Available from: http://www.wpro.who.int/hrh/documents/publications/wpr_hrh_country_profiles_lao_peoples_democratic_republic/en/.
2. Yoon HB, Shin JS, Lee SH, Kim DH, Hwang J, Kim EJ, Ketsomsouk B. The effect of formative program evaluation on continuous program improvement: a case study of a clinical training program in Lao PDR. J Korean Med Sci. 2015; 30:1743–1747. http://dx.doi.org/10.3346/jkms.2015.30.12.1743.
Article
3. Kirkpatrick DL. Evaluating training programs: The four levels. 2nd ed. San Francisco (CA): Berrett-Koehler Publishers;1998.
4. Lee S, Shin J, Kim D, Kim EJ, Hwang J, Yoon HB. Evaluation of first year outcomes of Lee Jong-Wook Seoul Project using Kirkpatrick’s four-level evaluation approach. Korean J Med Educ. 2014; 26:41–51. http://dx.doi.org/10.3946/kjme.2014.26.1.41.
Article
5. Omar M, Gerein N, Tarin E, Butcher C, Pearson S, Heidari G. Training evaluation: a case study of training Iranian health managers. Hum Res Health. 2009; 7:20. http://dx.doi.org/10.1186/1478-4491-7-20.
Article
6. Toolbox of assessment methods. Accreditation Council for Graduate Medical Education and American Board of Medical Specialties. 2000. http://njms.rutgers.edu/culweb/medical/documents/ToolboxofAssessmentMethods.pdf.
7. Holmboe ES. Practice audit, medical record review, and chart-stimulated recall. In : Holmboe ES, Hawkins RE, editors. Practical guide to the evaluation of clinical competence. Mosby: 2008. p. 60–74.
8. Campbell J, Buchan J, Cometto G, David B, Dussault G, Fogstad H, Fronteira I, Lozano R, Nyonator F, Pablos-Mendez A. Human resources for health and universal health coverage: fostering equity and effective coverage. Bull World Health Organ. 2013; 91:853–863. http://dx.doi.org/10.2471/BLT.13.118729.
Article
9. Hongoro C, McPake B. How to bridge the gap in human resources for health. Lancet. 2004; 364:1451–1456. http://dx.doi.org/10.1016/S0140-6736(04)17229-2.
Article
Full Text Links
  • JEEHP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr