Empowering Rural-Remote Doctors Through Distance CME: a Literature Study

https://doi.org/10.22146/jpki.25310

Kristian Wongso Giamto(1*)

(1) General Practitioner, Chasan Busoirie Public Hospital of Ternate North Maluku
(*) Corresponding Author

Abstract


Background: Doctors in rural and remote areas in eastern Indonesia, particularly North Maluku (northern part of the Moluccas Islands), are burdened with difficulties in their daily practice due to shortage of radiology or laboratory devices and other medical specialties. Travel distance and cost sometimes made referral to a better health facility impossible. They also have limited accessibility to live Continuing Medical Education (CME), due to relatively high travel cost and limited health professionals remaining while they are absent. However, in this challenging situation, they still obliged to deliver the most optimal medical services possible. In some ways, such setting is more challenging than working as a doctor in urban area.

Method: This paper derived its data from scientific journal publications, newspaper and also direct interview.

Results: Online CME may be a very promising method to empower doctors in rural and remote settings. More awareness to the significance of CME, especially, to rural and remote doctors is needed. Further advocacy and collaboration among stakeholders are needed to support this idea, which is relevant not only to rural and remote doctors in North Maluku, but also in other eastern parts, and perhaps in other remote areas in entire Indonesia.

Conclusion: Online CME, as proven by evidence-based findings, will reduce professional isolation and equip them cognitively. This empowerment will ultimately benefit patients and, indirectly, other sectors as well.

 


Keywords


remote and rural doctors, distance CME, distance learning, North Maluku, eastern Indonesia

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References

  1. Connecticut State Medical Society. Continuing Medical Education [Internet]. Connecticut State Medical Society. 2015 [cited 17 September 2015]. Available from: http://csms.org/cme/
  2. Ikatan Dokter Indonesia. Pedoman Pelaksanaan Program Pengembangan Pendidikan Keprofesian Berkelanjutan (Continuing Professional Development). 2nd ed. Jakarta: Ikatan Dokter Indonesia; 2013.
  3. Schlosser L, Simonson M, Hudgins T. Distance education. Charlotte, N.C.: IAP -Information Age Pub.; 2010.
  4. Hall W. Rural Health Policy Debate [Internet]. Health System Trust. 2003 [cited 17 September 2015]. Available from: http://www.hst.org.za/summary-bulletin-7-dhs-lg-discussion-list
  5. Smith J, Ayton J, Ross V, Margolis S. Defining remote medical practice. Medical Journal of Australia [Internet]. 2008 [cited 13 September 2015];188(3):159-161. Available from: https://www.mja.com.au/ journal/2008/188/3/defining-remote-medical-practice
  6. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Provinsi Maluku Utara 2012. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013 p. 5-6.
  7. Wikipedia. North Maluku [Internet]. [cited 13 September 2015]. Available from: https://commons.wikimedia.org/wiki/File:IndonesiaNorthMaluku.png
  8. Konsil Kedokteran Indonesia. Standar Kompetensi Dokter Indonesia. 2nd ed. Jakarta: Konsil Kedokteran Indonesia; 2012.
  9. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Provinsi Maluku Utara 2012. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013 p. 78.
  10. Pusat Data dan Informasi Kementerian Kesehatan. Peta Kesehatan Indonesia Tahun 2012. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan; 2013, p. 12-9.
  11. Curran V, Rourke L, Snow P. A framework for enhancing continuing medical education for rural physicians: A summary of the literature. Med Teach [Internet]. 2010 [cited 19 September 2015];32(11):e501-e508. Available from: http://www.ncbi.nlm.nih. gov/pubmed/21039092
  12. World Federation for Medical Education. Continuing Professional Development (CPD) of Medical Doctors: WFME Global Standards for Quality Improvement [Internet]. World Federation for Medical Education. 2003 [cited 16 September 2015]. Available from:http://wfme.org/standards/ cpd/16-continuing-professional-development-cpd-of-medical-doctors-english/file
  13. Knebel E. The Use and Effect of Distance Education in Healthcare: What Do We Know? [Internet]. Quality Assurance Project. 2001 [cited 19 September 2015]. Available from: https://www.usaidassist.org/ sites/assist/files/distance_education.pdf
  14. Butterworth K, Hayes B, Zimmerman M. Remote and rural: do mentors enhance the value of distance learning continuing medical education? Educ Health (Abingdon) [Internet]. 2011 [cited 16 September 2015];24(3):539. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22267349
  15. Ruf D, Kriston L, Berner M, Härter M. General practitioners and online continuing medical education – which factors influence its use? Ger Med Sci [Internet]. 2009;24(7):8. Available from: http://www. ncbi.nlm.nih.gov/pmc/articles/PMC2733536
  16. Knapp H, Fletcher M, Taylor A, Chan K, Goetz M. No Clinic Left Behind: Providing Cost-Effective In-Services Via Distance Learning. Journal for Healthcare Quality [Internet]. 2010 [cited 16 September 2015];. Available from: http://www.ncbi.nlm.nih. gov/pubmed/22059939
  17. Robinson T, Kelly B, Heathcote S. Outcomes from the trial implementation of a multidisciplinary online learning program in rural mental health emergency care. Educ Health (Abingdon) [Internet]. 2010 [cited 16 September 2015];23(1):351. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20589605
  18. Ricci M, Caputo M, Callas P, Gagne M. Telemed J E Health. The use of telemedicine for delivering continuing medical education in rural communities [Internet]. 2005 [cited 16 September 2015];11(2):124-9. Available from:http://www.ncbi.nlm.nih.gov/pubmed/15857252
  19. Wutoh R, Boren S, Balas E. eLearning: a review of Internet-based continuing medical education. J Contin Educ Health Prof [Internet]. 2004 [cited 16 September 2015];2(1):20-30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15069909
  20. Cook D, Levinson A, Garside S, Dupras D, Erwin P, Montori V. Internet-based learning in the health professions: a meta-analysis. JAMA [Internet]. 2008 [cited 16 September 2015];300(10):1181-96. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18780847
  21. Cook D, Levinson A, Garside S. Time and learning efficiency in Internet-based learning: a systematic review and meta-analysis. Adv Health Sci Educ Theory Pract [Internet]. 2010 [cited 16 September 2015];15(5):755-70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20467807
  22. Cobb S. Internet continuing education for health care professionals: an integrative review. J Contin Educ Health Prof [Internet]. 2004 [cited 16 September 2015];24(3):171-80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15490549
  23. Majalah Kedokteran Indonesia. Berita MKI [Internet]. Majalah Kedokteran Indonesia. [cited 21 September 2015]. Available from: http://mki.idionline.org/
  24. IDI Online. Informasi CME Online [Internet]. 2010 [cited 21 September 2015]. Available from: http://www.idicmeonline.org/ InformasiCME/tabid/62/Default.aspx
  25. CME Medicinus Online. Informasi [Internet]. CME Medicinus Online. [cited 17 September 2015]. Available from: http://cme.medicinus.co/files/pdf/info/info_cme.pdf
  26. Kalbe. Continuing Medical Education [Internet]. Kalbe. [cited 18 September 2015]. Available from: http://www.kalbemed.com/CME.aspx



DOI: https://doi.org/10.22146/jpki.25310

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