Needs and difficulties of Tibetan rural health care workers participating in professional training

Chen, Ling; Liu, Jie; Zheng, Zhi-hui; Yeshi, Sangphel

doi:10.1111/ajr.12767

Cited by 2 publications

(3 citation statements)

References 16 publications

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“…We should not underestimate the value of online instruction during the COVID-19 pandemic as many face-to-face courses were canceled. Worrying about deduction from wages, heavy workload, and transportation costs makes it difficult for GPs to make suitable arrangements between work and training ( 20 ). Online instruction is considered the potential for being a convenient, feasible, low-cost alternative to face-to-face instruction ( 35 , 36 ).…”

Section: Discussionmentioning

confidence: 99%

“…General practitioners in Tibet are few in number and mostly work in rural areas. They rarely travel to hospitals in major cities to accept training due to transportation costs, work pressure, and low-income concerns ( 20 ). A demand-oriented training plan and preferred training formats can help bridge the access gap by mitigating the cost and time concerns of Tibet GPs.…”

Section: Introductionmentioning

confidence: 99%

“…In this survey, we extended our search through optimized questionnaires. Moreover, this study aimed to determine the demand-oriented curriculum and learning method preferences of GPs in Tibet, given that previous studies suggest that varying GP types have different CME training needs ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

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Training needs and curriculum of continuing medical education among general practitioners in Tibet, China: A cross-sectional survey

Zhang

Qiao

et al. 2022

Front. Public Health

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BackgroundUneven distribution of health resources is higher in Tibet than in other regions. The development of core professional capability for general practitioners (GPs) is the main goal of continuing medical education (CME) training programs.AimThis study aimed to explore the needs of CME for GPs and provide advice for the development of policy, practice, and CME curriculums.MethodsWe conducted a cross-sectional online survey among GPs in Tibet Autonomous Region, China. We designed an online questionnaire including the demographic section, training contents, and training formats about CME.ResultsA total of 108 questionnaires were included in this study. Notably, 79 (73.15%) were women and 56 participants (51.85%) were working in primary care settings. We developed a curriculum priority: first-choice, major alternatives, and secondary considerations. The topics identified as first-choice for CME were related to “cardiovascular disease” (85.19%), “respiratory disease” (81.48%), and “digestive disease” (80.56%). Major alternatives included two essential knowledge and eight clinical skill items. We rated 10 items as secondary considerations. Only 39.81% ranked mental health as an essential priority; bedside teaching (51.85%) was the first choice.ConclusionWe presented priority areas identified in this study to focus on CME for GPs in Tibet. The 23 topics may reflect the features of general practice, which increasingly require common disease management skills, while a demand-oriented curriculum and staged training plans should be adopted. CME programs should be adapted dynamically to respond to evolving needs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Training needs and curriculum of continuing medical education among general practitioners in Tibet, China: A cross-sectional survey

Zhang

Qiao

et al. 2022

Front. Public Health

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Current status and continuing medical education need for general practitioners in Tibet, China: a cross-sectional study

Yang,

Zhao,

Zhang

et al. 2024

BMC Med Educ

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Background The Tibetan area is one of China’s minority regions with a shortage of general practice personnel, which requires further training and staffing. This research helps to understand the current condition and demand for general practitioner (GP) training in Tibetan areas and to provide a reference for promoting GP education and training. Methods We conducted a cross-sectional survey using stratified sampling targeting 854 GPs in seven cities within the Tibetan Autonomous Region, utilizing an online questionnaire. Achieving a high response rate of 95.1%, 812 GPs provided invaluable insights. Our meticulously developed self-designed questionnaire, available in both Chinese and Tibetan versions, aimed to capture a wide array of data encompassing basic demographics, clinical skills, and specific training needs of GPs in the Tibetan areas. Prior to deployment, the questionnaire underwent rigorous development and refinement processes, including expert consultation and pilot testing, to ensure its content validity and reliability. In our analysis, we employed descriptive statistics to present the characteristics and current training needs of GPs in the Tibetan areas. Additionally, chi-square tests were utilized to examine discrepancies in training needs across various demographic groups, such as age, job positions, and educational backgrounds of the participating GPs. Results The study was completed by 812 (812/854, 95.1%) GPs, of whom 62.4% (507/812) were female. The top three training needs were hypertension (81.4%, 661/812), pregnancy management (80.7%, 655/812), and treatment of related patient conditions and events (80.5%, 654/812). Further research shows that the training required by GPs of different ages in “puncturing, catheterization, and indwelling gastric tube use” (64.6% vs. 54.8%, p = 9.5 × 10− 6) varies statistically. GPs in various positions have different training needs in “community-based chronic disease prevention and management” (76.6% vs. 63.9%, p = 0.009). The training needs of GPs with different educational backgrounds in “debridement, suturing, and fracture fixation” (65.6% vs. 73.2%, p = 0.027) were also statistically significant. Conclusions This study suggests the need for targeted continuing medical education activities and for updating training topics and content. Course developers must consider the needs of GPs, as well as the age, job positions, and educational backgrounds of GPs practicing in the Tibetan Plateau region. Trial registration Not applicable.

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Needs and difficulties of Tibetan rural health care workers participating in professional training

Cited by 2 publications

References 16 publications

Training needs and curriculum of continuing medical education among general practitioners in Tibet, China: A cross-sectional survey

Training needs and curriculum of continuing medical education among general practitioners in Tibet, China: A cross-sectional survey

Current status and continuing medical education need for general practitioners in Tibet, China: a cross-sectional study

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