| Autor: |
Carrizosa J; Pediatric Department Child Neurology Service, University of Antioquia, Medellín, Colombia, Education Commission 2013-2017, International League Against Epilepsy., Braga P; Education Commission 2013-2017, International League Against Epilepsy, Instituto de Neurología, Facultad de Medicina, Universidad de la República, Uruguay., Albuquerque M; Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil., Bogacz A; Instituto de Neurología, Facultad de Medicina, Universidad de la República, Uruguay., Burneo J; Epilepsy Program, Schulich School of Medicine and Dentistry, Western University, London, Canada., Coan AC; Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil., Contreras G; Unidad de Epilepsia, Centro Médico Docente la Trinidad, Caracas, Venezuela., Guilhoto L; Unidade de Pesquisa e Tratamento das Epilepsias, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil., Izquierdo Á; Pediatric Department, Universidad Nacional de Colombia, Bogotá, Colombia., Ladino L; Epilepsy Program, Hospital Pablo Tobón Uribe, University of Antioquia, Medellín, Colombia., Lin K; Serviço de Neurologia, Hospital Universitário, Universidade de Santa Catarina (HU/UFSC), Florianópolis, Brazil., Manreza ML; Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo (HCFM USP), São Paulo, Brazil., Morales L; Centro Internacional de Restauración Neurológica, La Habana, Cuba., Ríos L; Centro Avanzado de Epilepsia, Clínica Las Condes. Santiago, Chile., Solarte R; Pediatric Department Child Neurology Service, University of Antioquia, Medellín, Colombia., Valente K; Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo (HCFM USP), São Paulo, Brazil., Venegas V; Instituto de Neurocirugía Asenjo, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile., Uscátegui-Daccarett A; Pediatric Department, Universidad Nacional de Colombia, Bogotá, Colombia., Yacubian EM; Unidade de Pesquisa e Tratamento das Epilepsias, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil. |
| Abstrakt: |
A lack of neurologists in Latin America forces primary health care providers to manage epilepsy. With the main goal of improving diagnostic and therapeutic management of patients with epilepsy through training of physicians in the primary health care level, the International League Against Epilepsy Education Commission (2013-2017) created a low-cost, regional, virtual course. The course, set-up in Moodle platform, was structured in eight modules, each lasting for a week. Teaching was based on written didactic material, videos, and interactive discussions, both in Spanish and Portuguese. Topics included epidemiology, diagnosis, classification, treatment, prognosis, social issues, and epilepsy policies. Each course was limited to 50 participants and priority was given to general practitioners. Certification was given to those approving the final examination. Since 2015, five courses have been developed, involving 143 participants from 17 countries and 21 tutors. Of the participants, 61% worked in primary health care services. A total of 129 participants (90%) completed the course, and 110 submitted the final examination with an approval rate of 95%. From 85 participants completing the course evaluation, 98% would recommend the course to other colleagues, and 99% showed interest in taking other similar courses. High self-confidence for the management of patients with epilepsy increased from 21% at baseline to 73% after the course. The online course on epilepsy for primary care physicians in Latin America was shown to be a cost-effective course, with good retention and excellent approval rates. Our current challenges include periodic updating, complete self-sustainability, and exploring different strategies to reach our target audience more effectively. |
Plný text