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International Diabetes Federation (IDF) East Mediterranean and Middle East Region (EMME) Whorkshop Handouts on Professional Educational Methodology in Diabetes 17-18 November 2004 Helnan Palestine Hotel , Alexandria.
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International Diabetes Federation (IDF)East Mediterranean and Middle EastRegion (EMME)Whorkshop HandoutsonProfessional Educational Methodology in Diabetes17-18 November 2004Helnan Palestine Hotel , Alexandria
Professional Technology Standards in EducationalDevelopmentbyProf. Morsi Arab
Indicators of Educational Failure (Physicians)By Expert JudgmentBy structured criteria1- prevalence of : Hyperglycemia. Hypertension Hypercholesterolemia 2- Hospitalization due to DKA, foot infection,ulcers…etc.
Indicators ( cont. )3- Indirectly, from patients: * poor information * poor skills * poor attitudes4- Evaluation Studies: Effect of implementation of education courses on physicians’ achievement (a) before and after a course (b) performance in jobs
Causes of failure of physician’s Education Programmes1- wrong selection of objectives.2- educators lack professional education skills (only have diabetes knowledge).3- inco-ordination of programmes maldistribution in place and time .4- Poor cost-benefit ……(education parties) - minimal attendance of scientific activities. - false certification - too short courses. - poor curriculum content (Kn> skills & attitudes)
Causes of failure (cont. ) 5- Unsuitable content ( too much theoretical !!) 6- lack of evaluation & feedback. 7- biased education ….. deception 8- lack of a national plan - unified guidelines - assessment of outcome 9- lack of accountability.
Causes of Failure of Patients Education1- unsuitable objective ( not matched with their background: belief, education, psychological stage, type of disease ..etc)2- unqualified educators .. ( in programme content and/or education skills).3- poor resources: lack, mal-distribution , wrong selection of personnel, equipment , place, times…etc
The Uncompliant Patient1- At early stages of denial , revolt , refusal, protest…etc.2- Slaves of their habits (smoking, eating, exercise…etc)3- Adherence to background belief about: - the cause of diabetes or its complications - health locus of control - External? - Internal?4- Depression, after: - failure to achieve goals (e.g. glycaemia, body wt ) - too much blaming5- Transient stress ( social , economic, intercurrent illness…etc) N.B.:To change attitude to get back to compliance needs an individualized approach.
Thank You Bibliotheca Alexandrina on WDD