电邮这篇文章 Experience of distance learning of a multidisciplinary approach in the management of an elderly patient with a low-energy fracture
- 作者: Lesnyak O.M.1, Frolova E.V.1, Turusheva A.V.1, Gladkova E.N.1
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隶属关系:
- North-Western state medical university named after I.I. Mechnikov
- 期: 卷 27, 编号 2 (2023)
- 页面: 73-84
- 栏目: Medical Education
- URL: https://ogarev-online.ru/RFD/article/view/132693
- DOI: https://doi.org/10.17816/RFD321859
- ID: 132693
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详细
BACKGROUND: In the Russian Federation, high mortality and unsatisfactory treatment results of elderly and senile patients with low-energy fractures have been noted. Urgent implementation of a systematic approach to the treatment and prevention of osteoporotic fractures is needed, for which it is necessary to train a large number of medical professionals involved in care of these patients.
AIM: To create a distance learning course demonstrating the importance and effectiveness of a multidisciplinary approach to the management of an elderly patient with a fracture and to evaluate its effectiveness.
MATERIALS AND METHODS: The course used the TeleECHO technology based on the analysis of specific clinical cases by a multidisciplinary team of experts. Active interaction with the audience was carried out through interactive voting. The evaluation of the effectiveness of training was carried out using a questionnaire conducted before and after the course.
RESULTS: The training was attended by doctors and health care managers from 208 regions of the Russian Federation, as well as 10 other countries, most of whom were orthopedic surgeons. A survey conducted before the course showed an unsatisfactory audience’s understanding of current approaches to the care for elderly people with fractures. Upon completion of the training, most of the participants mastered the principles of the orthogeriatric approach and were ready to implement them into their practice. 94% of the attendees expressed their willingness to participate in future sessions on this topic.
CONCLUSIONS: Distance learning of the principles of a multidisciplinary approach in the health care for elderly patients with low-energy fractures, based on participation of trainees in the discussion of specific clinical cases along with experts, will allow the widespread introduction of current principles of orthogeriatrics into clinical practice.
作者简介
Olga Lesnyak
North-Western state medical university named after I.I. Mechnikov
Email: olga.m.lesnyak@yandex.ru
ORCID iD: 0000-0002-0143-0614
SPIN 代码: 6432-4188
医学博士，教授，家庭医学系教授
俄罗斯联邦, 圣彼得堡，193015，Kirochnaya41Elena Frolova
North-Western state medical university named after I.I. Mechnikov
编辑信件的主要联系方式.
Email: elena.frolova@szgmu.ru
ORCID iD: 0000-0002-5569-5175
SPIN 代码: 1212-0030
Scopus 作者 ID: 37037140300
Researcher ID: O-4134-2014
医学博士，教授，家庭医学系教授
俄罗斯联邦, 41 Kirochnaya St., Saint Petersburg, 191015Anna Turusheva
North-Western state medical university named after I.I. Mechnikov
Email: anna.turusheva@gmail.com
ORCID iD: 0000-0003-3347-0984
SPIN 代码: 9658-8074
Scopus 作者 ID: 57189466350
Researcher ID: U-3654-2017
MD, Cand. Sci. (Med.), Assistant Professor
俄罗斯联邦, 41 Kirochnaya St., Saint Petersburg, 191015Elena Gladkova
North-Western state medical university named after I.I. Mechnikov
Email: gen4605@mail.ru
ORCID iD: 0000-0002-6689-6941
SPIN 代码: 6535-4153
MD, Cand. Sci. (Med.)
俄罗斯联邦, 41 Kirochnaya St., Saint Petersburg, 191015参考
- Lesnyak OM, Baranova IA, Belova KY, et al. Osteoporosis in Russian federation: epidemiology, socio-medical and economical aspects (review). Traumatology and Orthopedics of Russia. 2018;24(1):155–168. (In Russ.) doi: 10.21823/2311-2905-2018-24-1-155-168
- Lesnyak O, Bilezikian JP, Zakroyeva A, et al. Report on the audit on burden of osteoporosis in eight countries of the Eurasian region: Armenia, Belarus, Georgia, Moldova, Kazakhstan, the Kyrgyz Republic, the Russian Federation, and Uzbekistan. Arch Osteoporos. 2020;15(1):175. doi: 10.1007/s11657-020-00836-y
- Gladkova EN, Khodyrev VN, Lesnyak OM. Analiz sostoyaniya okazaniya meditsinskoy pomoshchi i iskhodov u bol’nykh s perelomom proksimal’nogo otdela bedra (dannye populyatsionnogo issledovaniya). Osteoporosis and Bone Diseases. 2011;14(3):7–10. (In Russ.) doi: 10.14341/osteo201137-10
- Lesnyak O, Svedbom A, Belova K, et al. Quality of life after fragility fracture in the Russian Federation: results from the Russian arm of the International Cost and Utility Related to Osteoporotic Fractures Study (ICUROS). Arch Osteoporos. 2020;15(1):37. doi: 10.1007/s11657-020-0699-6
- Simunovic N, Devereaux PJ, Sprague S, et al. Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. CMAJ. 2010;182(15):1609–1616. doi: 10.1503/cmaj.092220
- Federal’nye klinicheskie rekomendatsii “Perelomy proksimal’nogo otdela bedrennoi kosti” [Internet]. Available from: https://cr.minzdrav.gov.ru/recomend/729_1. Accessed: 25.05.2023. (In Russ.)
- Wong RMY, Wong PY, Liu C, et al. The imminent risk of a fracture-existing worldwide data: a systematic review and meta-analysis. Osteoporos Int. 2022;33(12):2453–2466. doi: 10.1007/s00198-022-06473-0
- Falaschi P, Marsh D, editors. Orthogeriatrics: The Management of Older Patients with Fragility Fractures [Internet]. 2nd ed. Cham (CH): Springer; 2021. PMID: 33347100.
- Frolova EV. Innovative teaching methods: the experience of annual spring school of practical geriatric. Russian family doctor. 2019;23(1):41–48. (In Russ.) doi: 10.17816/RFD2019141-48
- Lewiecki EM, Rochelle R. Project ECHO: Telehealth to expand capacity to deliver best practice medical care. Rheum Dis Clin North Am. 2019;45(2):303–314. doi: 10.1016/j.rdc.2019.01.003
- Belaya Z, Melnichenko G, Golounina O, et al. Three-year progress report of Bone Health TeleECHO Moscow: a strategy to improve the care of patients with osteoporosis and other metabolic skeletal diseases in underserved communities of Russia. Osteoporos Int. 2022;33(9):2035–2040. doi: 10.1007/s00198-022-06431-w
- Frolova EV, Andryukhin AN. Evaluation of distance learning course on spirometry. Russian family doctor. 2013;17(2):32–36. (In Russ.)
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