The Effect Of Continuing Medical Education For Chronic Obstructive Pulmonary Disease On The Cognitive Ability Changes Of Primary Doctors In Northeast China

Purpose: To understand the changes in the cognitive ability of primary-level doctors on COPD after COPD continuing medical education,analyze the possibility of its changes,and continue to carry out continuing medical education for the urgent needs of primary-level doctors,so as to improve the overall awareness of primary-level doctors on COPD Standardize diagnosis and treatment.Research method: After conducting a baseline survey to roughly understand the understanding of COPD by some grassroots doctors in Northeast China,based on various forms of continuing medical education,questionnaires were distributed to 467 doctors in128 hospitals in 14 cities in Northeast China.The recovery rate is 100%,including 466 valid questionnaires.The main contents of the questionnaire include: general information and basic information of doctors,risk factors for COPD,main symptoms,suspected diagnosis methods,definition of acute exacerbation,comorbidities,assessment tools,long-term management,inhaled type Drug name,etc.Using the composition ratio and frequency as the statistical description,the chi-square test statistical method was used for statistical analysis with SPSS22.0 statistical software,and there was a statistical difference at P<0.05.Results: In terms of COPD risk factor cognition,after training,primary doctors who have been practicing for 16-20 years and ≥20 years,and have the title of deputy chief physician and chief physician,have a decline in the cognitive rate of COPD risk factors.Third B hospitals and communities The cognition rate of primary-level doctors in hospitals has increased;in terms of cognition of the main symptoms of COPD,the cognition rate of primary-level doctors after training has shown a downward trend;in terms of cognition of COPD suspected diagnosis methods,the range of practicing years after training is 6-20 years.The cognition rate of doctors in the ranks of residents and attending physicians,and primary-level doctors at the second-level hospital level has declined,while the recognition rate among primary-level doctors at the third-level hospital level has increased;in terms of cognition of COPD assessment tools,After training,the cognition rate of basic-level doctors who have been practicing for 6-10 years,the doctor’s job title is resident,and the hospital level is second-level hospitals has increased;in terms of cognition of COPD comorbidities,the practicing experience after training is less than 15 years The cognition rate of doctors as attending physicians,deputy chief physicians and chief physicians,and grassroots doctors at all levels of hospitals has increased;in terms of cognition of acute exacerbations of COPD,after training,the number of years of practice is ≤5 years and 16-20 years,doctors The cognition rate among primary-level doctors with job titles as residents and hospital-level third-and second-level hospitals has increased;in terms of long-term management of COPD,the cognition rate among primary-level doctors who have been practicing for ≥20years after training has decreased;In terms of the cognition of COPD inhaled drugs,after training,the cognition of primary-level doctors who were named as residents only as doctors,and the hospital level was Grade 3 hospitals and Grade 2 hospitals increased,and the differences in the above results were statistically significant(P<0.05).Conclusion: 1.The results of some stratification factors show that the cognitive rate of risk factors,suspected diagnosis methods,complications of assessment tools,acute aggravation and inhalation drugs has been improved after training,but it is worth noting that the overall cognitive rate is still low.2.The results show that the cognitive rate has declined after training,which may be related to factors such as inconsistent training methods,small matching degree of trainees,rapid update of guidelines,profound training contents and inadequate training.3.Based on this,CME can improve the content of training grass-roots doctors,increase the training frequency,increase the examination system,combine theory with practice,and strengthen the hardware of grass-roots hospitals to gradually improve the overall prevention and treatment level of chronic obstructive pulmonary disease in China.