Professional improvement for the development of national clinical guidelines: Description of a online learning program

Article type
Authors
de Araujo C1, Dorneles G1, de Barros M1, Parahiba S1, Colpani V1, Vidal Á2, Maior M2, Stein C1, Falavigna M1
1Hospital Moinhos De Vento, Porto Alegre, Brazil
2Secretaria de Ciência, Tecnologia e Inovação e do Complexo Econômico-Industrial da Saúde – SECTICS/Ministério da Saúde, Brasília, Brazil
Abstract
Background: Clinical practice guidelines (CPG) are essential for the Brazilian Unified Health System (SUS) sustainability, as they establish evidence-based standards and recommendations for the diagnosis and treatment of health conditions. Tutorials and training programs optimize methodological support, standardization and development of CPG.
Objectives: To describe an online learning program (OLP) for professional improvement in the development of national CPG in Brazil.
Methods: The OLP provided 5 courses: 1) synchronous and supervised basic course (SSBC) focusing on CPG development (2 editions); 2) self-instructional basic course (SIBC); 3) synchronous advanced course (SAC) on CPG; 4) synchronous course on the GRADE system (SCGS) (2 editions); and 5) self-instructional course on the GRADE system (SICGS), for Health Technology Assessment Centers (HTAC) professionals, between 2020-2023.
Results: Professionals from 13 HTCA participated in the OLP. The SSBC and SIBC were available in 16 classes (8 and 7 modules, respectively). 48 participants completed the SSBC with an average attendance of 80%, and a final average of 8.6±2.0. 263 participants from 20 Brazilian states completed the SIBC, with a final average of 8.3±1.0. The SAC offered 9 weekly synchronous classes (8 modules), was completed by 37 participants from 11 HTCA,with a final grade of 9.3±1.2. Two editions of the SCGS were available in 2021 and 2022, during 8 weeks with 14 and 16 asynchronous and synchronous classes, respectively (6 modules). 48 participants from 11 HTCA completed the course, with an average of 86%, and a final score of 7.7±2.7. For SICGS, 13 classes (7 modules) were available, with 115 participants from 15 Brazilian states that presented a final average of 8.7±1.1. At the end, participants suggested the inclusion of topics related to CPGs development and economic evaluations in health.
Conclusion: The OLP was an effective strategy to enhance professional capacity to support evidence-based decision-making in Brazil. The flexibility of the online modality allowed the participation of professionals from different regions, overcoming geographic barriers, improving the dissemination of Health Technology Assessment.