Applying the ADDIE—Analysis, Design, Development, Implementation and Evaluation—Instructional Design Model to Continuing Professional Development for Primary Care Physicians in Saudi Arabia
Background: As professionals, family physicians are obliged to remain current on advances and trends in medicine and health care delivery. This is usually achieved through engagement in continuing professional development. Instructional design is a systematic method of development of education and training programs for improved learner performance. ADDIE is an instructional systems design model for building effective education and training in five phases: analysis, design, development, implementation and evaluation. Purpose: The purpose of this study was to introduce a professional development program for primary care physicians using the ADDIE instructional design model. Methods: Program requirements were defined using a needs assessment questionnaire and consultation observations. Interactive sessions were designed and developed based on the analysis results. The sessions were evaluated with interim and final feedback forms, a final problem-based questionnaire, a self-assessment questionnaire, and focus groups. Results: Scores on the final knowledge assessment were lower than expected. However, at least 50% of participants self-reported their learning improvement as “great” for 16 out of 23 topics. Focus group feedback was generally positive but also identified areas for improvement. Conclusion: Applying a structured instructional design model for creating professional development program for physicians is a fruitful, relevant experience in primary healthcare. 1) Continuing professional development (CPD) is an essential method to help physicians maintain and further develop knowledge and expertise; 2) The ADDIE (analysis, design, development, implementation, evaluation) model provides an established and useful structure for creating effective CPD programs; 3) The ADDIE process ensures that physicians’ appropriate learning needs are met effectively; 4) The evaluation phase of the ADDIE process provides feedback that can lead to improvement in the CPD program’s future iterations.
References
[1]
Choudary, G.B. and Purnik, S. (2014) A Study on Employee Performance Appraisal in Health Care. Asian Journal of Management Sciences, 2, 59-64.
[2]
Toon, P. (1997) Educating Doctors to Improve Patient Care. BMJ, 315, 326. http://dx.doi.org/10.1136/bmj.315.7104.326
[3]
Paterson, K. (2002) The Professional Development of Principals: Innovations and Opportunities. Educational Administration Quarterly, 38, 213-232. http://dx.doi.org/10.1177/0013161X02382006
[4]
Towle, A. (1998) Changes in Health Care and Continuing Medical Education for the 21st Century. BMJ, 316, 301-304. http://dx.doi.org/10.1136/bmj.316.7127.301
[5]
Brigley, S., Young, Y., Littlejohn, P. and McEwen, J. (1998) Continuing Education for Medical Professionals: A Reflective Model. Postgraduate Medical Journal, 73, 23-26.
[6]
Booth, B. (1997) Does Continuing Medical Education Make a Difference? Medical Journal of Australia, 167, 236-237.
[7]
Davis, D.A., Thomson, M.A., Oxman, A.D. and Haynes, R.B. (1995) Changing Physician Performance: A Systematic Review of the Effect of Continuing Medical Education Strategies. JAMA, 274, 700-705. http://dx.doi.org/10.1001/jama.1995.03530090032018
[8]
Moellem, M. (2001) Applying Constructivist and Objectivist Learning Theories in the Design of a Web-Based Course: Implications for Practice. Educational Technology & Society, 4, 113-125.
[9]
Lee, J. and Jang, S. (2014) A Methodological Framework for Instructional Design Model Development: Critical Dimensions and Synthesized Procedures. Educational Technology Research and Development, 62, 743-765. http://dx.doi.org/10.1007/s11423-014-9352-7
[10]
Morrison, G.R. (2010) Designing Effective Instruction. 6th Edition, John Wiley & Sons, Hoboken, New Jersey.
[11]
Department of Health (2015) Allied Health Professions Project: Demonstrating Competence through Continuing Professional Development [CPD]. http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/consultations/closedconsultations/ DH_4071458
[12]
Battles, J.B. (2006) Proving Patient Safety by Instructional Systems Design. Quality & Safety in Health Care, 15, 25-29. http://dx.doi.org/10.1136/qshc.2005.015917