• Internal medicine journal · Dec 2019

    Unique approach to continuing medical education in clinical pharmacology across Australia and New Zealand.

    • Akshay Athavale and Bridin Murnion.
    • Drug Health Services, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
    • Intern Med J. 2019 Dec 1; 49 (12): 1488-1495.

    BackgroundAdvanced physician training in clinical pharmacology lacks a continuing education programme. There is a need for continuing medical education but how to introduce and develop education remains unclear.AimsThe primary aim was to develop and implement a peer-led, web-based multiple choice question approach to continuing education in clinical pharmacology training across Australia and New Zealand. Secondary aims included determining, quality, difficulty, utility, relevance, user-friendliness, sustainability and potential to form part of formal clinical pharmacology physician training.MethodsIn February 2018, a survey of clinical pharmacology trainees identified topics for question development. Questions covering requested topics were developed and piloted in PeerWise between March and October 2018. Participants could rate quality and difficulty of questions using categorical rating scales and make free text comments. After questions were piloted, a survey using a 0-10-point Likert scale and yes/no responses assessed utility, relevance, user-friendliness, sustainability and formalisation potential.ResultsTwenty-four trainees were invited to participate. Nine (38%) of trainees completed the initial survey, 10 (42%) attempted questions and 7 (29%) completed the end survey. Median scores of 8.00 (IQR 6.50 - 9.00), 7.00 (IQR 6.50 - 7.50) and 8.00 (IQR 6.50 - 8.00) using a 0-10-point Likert scale indicated trainees found this approach useful, relevant and user-friendly. Five (71%) out of seven responding trainees felt this approach was sustainable and could be incorporated as part of formal clinical training.ConclusionThis study suggests that peer-led multiple choice questions could form an enduring education modality which could be incorporated into clinical pharmacology training.© 2019 Royal Australasian College of Physicians.

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