Affiliation:
1. Yonsei University Wonju College of Medicine
Abstract
Abstract
Background: The obstetrics and gynaecology (OB-GYN) residency training programme in Lao People’s Democratic Republic (PDR) began in 2003 based on the Millennium Development Goals (MDGs) and ‘Reproductive, maternal, newborn, and child health interventions (RMNCH) strategies and action plan’. However, a proper evaluation of the training programme was not conducted previously. This study aims to evaluate the postgraduate OB-GYN residency training programme in Lao PDR and identify the current problems and suggest a future plan.
Method: The context, input, process and product classification was used to develop criteria and indicators. A mixed research method was adopted for this study. To capture instructional material for quantitative analysis, a Google survey with 38 items and a t-test was used to determine a significant difference in responses between residents and lecturers(N = 120). Based on qualitative analysis, in depth interview was done (four questions based on study outcomes, including satisfaction, strengths and weaknesses and future opportunities) with six interviews provided different viewpoints on the course. The SPSS software program was used to measure validity and p-values = 0.05.
Results: The overall average response rate was 97.5%. Two significant differences in the programme perspectives were revealed between lecturers and residents, difficulties in maintaining the course (professors 3.66 ± 1.03 and residents 3.27 ± 0.98, p = 0.04) and learning outcomes achieved (professors 3.57 ± 0.85 and residents 3.14 ± 0.95, p = 0.01).
overall average under 3.00 on the questionnaire of the context part included the overlapped learning outcome and the difficulties in maintaining the course. The input part, lack of the classroom, skills lab and staff; the process part, lecturer to collect student opinions and the product part on learning outcomes.
Conclusion: Curriculum improvement based on the programme evaluation results, i.e. regular evaluation and feedback, will advance the residency training programme based on the RMNCH strategy and will contribute to the promotion of maternal health in the Lao PDR.
Publisher
Research Square Platform LLC
Reference44 articles.
1. Competency-Based Medical Education and Assessment of Training: Review of Selected National Obstetrics and Gynaecology Curricula;Garofalo M;J Obstet Gynaecol Can,2017
2. Competency-based medical education: theory to practice;Frank JR;Med Teach,2010
3. A Practical Framework for Evaluating Health Services Management Educational Program: The Application of The Mixed-Method Sequential Explanatory Design;Bazrafshan A;Res Dev Med Educ,2015
4. Madaus GF, Stufflebeam DL. Program Evaluation: A Historical Overview. In: Stufflebeam DL, Madaus GF, Kellaghan T, editors. Evaluation Models. Evaluation in Education and Human Services. Vol. 49. Dordrecht: Springer; 2000. https://doi.org/10.1007/0-306-47559-6_1).
5. Medical education in Laos;Wittick TA;Med Teach,2019