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Continue Medical Education : MCE training

Primary Health Care is an MCE training area for professionals that already work in Health services. The main educational tasks are: “developing culture and skills multi-professional integration oriented (equipe working), cure continuity ( assistance and cure pathways for chronic patients, protected discharging), increasing patient and GP's involving (empowerment, caregiver therapeutic education). Some educational programs from various Regional local Health Authorities are explained below.
Educational event's title:
Protected hospital discharge and complex patient cure and care.
Trainers' training program.
Course referent:
 Prof. Maria Angela Becchi
Community Medicine/PHC professor and chairman of CM/PHC' specialty training, Modena and Reggio Emilia University.
Topic relevance
1) Cure and care continuity must be guaranteed in every complex patient, chronic, disable's pathway, more and more fragmented in many ultra-specialist competence nowadays.
2) the new Health System Planning 2011-2013 emphasizes cures' continuity as an indispensable welfare pathway for the NHS.
3) WHO stated cure and care continuity as being one of many important values in ASP integration with hospital cares.
In order to guarantee cure's continuity many groups of WHO's experts elaborated methods and instruments that can be used in our country too.
4) Care and cure's continuity implies many managerial, clinical and relational skills still not owned by the majority of Health and social professionals. WHO indicates  Bio-psico-social approach, multi-professional group working, improving family and patient involvement as important skills in coping with multidimensional patients' needs.
5) The development of this skills requires a “Long Life Learning” training model (before and after taking the medical degree,  and during all the work activity) with short, medium and long-term results.
6) MCE Educational Events on the actual topic “care and cure continuity” are needed in order to obtain short-term results with the professionals already working in the Health system.
7) In order to obtain the needed competences a “waterfall training model” is needed, based on a training program designed by experts, targeted on a professionals group that could become trainers, and handle MCE programs for Health local territory themselves, by the moment that they had acquired the required cultural contents, methods and instruments.
Course’s purpose
The course improves working skills in professionals involved in protected discharge, in order to set up and manage CME training course for Health districts.
Event’s typology
Theoretical-practical residential course for trainers
Physicians and other Health related professions
General educational training goals
Providing didactical instruments and methods in order to participants to achieve autonomy in managing  MCE educational training targeted to local Health unit’s professionals.
Specific educational training goals
1) knowledge’s area: providing knowledge and didactical instruments in order to spread cultural aspects emerging in WHO documents
2) skills’ area: presenting didactical methods and instruments consistent with WHO documents’ emerging cultural aspects ordered to maintain a global, integrated and continuous approach to complex patient and his family.
3) behaviour’s area: presenting didactical  methods and instruments aimed at developing equipe works and reasons for its application
Educational contents
1) cultural aspects concerning:
     Health: Multidimensional health
     patient and family: complex patient, complex patient caregiver, family patient binomy, patient and family centrality, patient and family’s involvement
     services organization and professional figures: global, integrated offert, caring continuity, services net, coordination, multiprofessional equipe.
     results: taking charge, costs sustainability
     outcomes: effects on Health, autonomy, quality of life
2) methodologic aspects concerning:
     appropriate approach to patient and family: bio-psico-social approach, therapeutic education, patient’s participation involvement, empowerment, therapeutic alliance
     care’s continuity planning: protected discharge’s structures and processes, cure and care’s pathways
     checking processes, results, outcomes
Didactical methodology
Frontal lessons
Group working
Awaited results
Aquirance of didactical and professional competences in new operative models:
     based on bio-psico-social approach to patient and family
     based on multiprofessional group working
     oriented to global, integrated , continuous taking charge, in a cost-sustainable setting
Educational event's title:
Home Care Assistance: cultural aspects, methods and instruments
Course referent:
Prof. Maria Angela Becchi
Community Medicine/Primary Health Care professor and Community Medicine/Primary Health Care’s specialty training Chair, Modena and Reggio Emilia University.
Topic relevance
1      Home Care Assistance (HCA) is a PHC (Primary Health Care) model of assistance.
2      WHO has greatly sponsored a development of PHC and indicates its required features in a large variety of documents
3      WHO highlights PHC as the right strategy in order to give a suitable answer to population’s primary needs in a cost-effective way.
4      HCA is nowadays the caring model more suitable to chronic or disable patient, it’s usually appreciated by patients and cost effective for Health authorities.
5      The development of WHO Primary Health care-centred model of Home Care Assistance requires professionals training. This training needs to be multi-professional and multi-disciplinar.
Course’s purpose
The training event intends to improve professional skills of operators who work, in many roles, in home assistance. It provides cultural and methodological references as intended in WHO documents.
Course’s features
Multiprofessional theoretical-practical course and residential multi-disciplinar
Physicians, nurses and other health and caring professionals working in Home Care Assistance
 Educational  goals
knowledge’s area : update professionals’ knowledge of H.C.A. in WHO’s suggested prospective about patient ‘s taking charge.
ability’s area : presenting methods and instruments that WHO suggests in dealing with patients and families.
relationship’s area : presenting relationship patterns typical of Home Caring and a methodological approach suitable for improving it.
Educational contents
cultural aspects concerning with:
     Health: multidimensional health.
     patient and family: complex patient, complex patient’s caregiver, patient-family binomial, patient and family centrality, patient  and family involvement.
     services and professionals’ offer: global offer, integrated offer, continuity of care, services’ network, coordination, multi-professional equipe.
     results: patient’s taking charge, cost-sustainability
     outcomes: health, autonomy and quality of life results.
methodological aspects:
     approach to patient and family: bio-psico-social approach, therapeutic education, improving patient involvement, empowerment, therapeutic alliance.
     home-caring team managing: inter-team coordination and coordination with hospital professionals.
     continuity of cares planning: integration with hospital, out of hospital specialists, social services, charity association.
     process, results, output check.
Didactical methodology
Frontal lessons
Group working