Please note that the course is offered online only.
European guideline education and Cost-Conscious Healthcare (CoCoCare)
With the growing medical possibilities, new questions arise. It is not only a matter of being able to treat, but also of considering the added value of treatment. In deciding the value of treatment, many factors have to be weighed, such as health benefit, quality of life effect and expenses. Medical guidelines can make an important contribution when making such treatment decisions. As such, they have a considerable influence on the quality and effectiveness of healthcare and allow the (future) healthcare professional to be as cost-conscious as possible.
However, despite the importance of medical guidelines for cost-effective healthcare, they are rarely included in medical training programs. On a European level, training is dispersed in terms of content and geography. Additionally, the educational programs that are available have limited focus on competence development, whereas guideline development relies heavily on a broad range of competences. Because of those needed skills, teaching guideline development offers the opportunity for specialists to develop competences that they will need in their daily practice, also when they do not develop guidelines (CanMEDS).
In order to fill this educational gap, CoCoCare aims to develop a state-of-the-art educational program for residents across Europe. The objective of the project is twofold:
To teach residents to develop and implement high quality, evidence-based guidelines and;
To equip them with the competences to be more cost conscious.
These objectives will be achieved by a highly integrated, international blended learning program that combines e-learning, plenary discussions and workshops, self-study and practical training from an innovative holistic approach.
CONTENT OF THE PROGRAMME
The content of the program will cover all steps that are crucial in developing medical guidelines and focus on 4 subtopics:
EVIDENCE-BASED DECISION MAKING
The residents will learn the necessary steps of systematic review and guideline development.
HIGH QUALITY PATIENT-CENTERED CARE
This topic will focus on patient centered care, patient related evidence, and incorporation of patient perspectives in guidelines.
COST CONSCIOUS CARE
Providing care that is of high value to the patient but also cost effective, needs to consider economic aspects as well as quality of life outcomes. The residents will learn to methodologically develop, teach, and study the functioning of the health care system from an economic perspective.
IMPLEMENTATION IN MEDICAL PRACTICE
In the implementation of clinical guidelines feasibility, practicality, uptake and acceptance play important roles. The residents will learn to develop tools and methods to improve the implementation of guidelines. Moreover, they will be supported in personal development to implement the guidelines themselves, including decisiveness and leadership.
The residents must prepare each topic by going through an e-learning.
Residents have to be supervised by a neurologist from their hospital. So they will be asked to register together with a supervisor. The supervisor will monitor their progress. The supervisor will be responsible for supervising the medical content of the guideline module that will be developed by his or her resident during the ‘training on the job’. The supervisors should have affinity with guidelines and guideline development.
The CoCoCare training program combines e-learning, plenary discussions and online workshops, self-study and practical training from an innovative holistic approach. The program will consist of the following subparts:
2 hours of preparatory e-learning in the form of online lectures, videos, readings, etc (approximately 30 minutes of study time for each subtopic of the course).
Course handbook containing 4 integrated syllabi (a syllabus for each subtopic of the curriculum)
Two-hour interactive teaching programs per subtopic of the course (8 hours of interactive teaching in total to replace the face-to-face workshop)
Open educational resources (OER) programs to support practical training (training on the job)
An innovative toolbox with multiple education support tools, including:
A communication portal to facilitate communication among trainees and between trainees and trainers
Very specialized, interactive instructions for the use of educational materials for trainers and trainees
Links to LinkedIn discussion groups on the topics of the training program to facilitate discussion.
At the end of the CoCoCare project the participant will:
understand the value and the limitations of guidelines;
understand how to apply guidelines;
have insight in how guidelines are developed;
have insight in the different aspects that are taken into account when a guideline is developed, i.e.: systematic evaluation of medical and economic scientific research, the context of research results, the advantages and disadvantages of care options, the expertise of healthcare professionals, and the experiences of health care users;
be able to participate in a committee that develops a new guideline;
have developed an international network of fellow specialists early in their career.
The course will run from July 2020 till May 2021. The entire program will require approximately 328 study hours from the trainees (expected workload 3-4 days/ month). Registration is open until July 31st 2020. There is room for 30 EAN Resident and Research Members from EAN member countries. The supervisors are invited to participate but it is not obligatory. Preparation by means of e-learning (2 days) is needed to follow the rest of the program. The preparatory e-learning will be available to the course participants from July 1st, 2020 onwards. The official program including virtual workshops, self-study and practical training will commence in the end of August 2020.
Since it is a new project, the participants have the opportunity to help shape the program.