Medical Certification of Death: Development and Feasibility of Deployment of an Online Course for Practicing Doctors
DOI:
https://doi.org/10.70284/njirm.v9i2.2322Keywords:
Medical Certification of Death, online learning for doctors, cause-of-death certification, MCCDAbstract
Introduction: Medical Certification of Cause of Death, a vital tool for country’s cause-specific mortality data, is an important responsibility of all medical practitioners. Despite its criticality, training on accurate certification and coding of cause-of-death is not routinely offered to all medical practitioners in the country very early in their careers. While MCCD training is vital, a face-to-face, classroom-based (traditional) training faces varied hurdles. A low-cost course on certification of cause-of-death that is easily accessible and available to country-wide medical practitioners would majorly benefit by enhancing their knowledge on death certification procedures. Method: We designed and hosted an 8-hour online course on certification of cause-of-death to strengthen the capacity of medical practitioners in death certification and ICD 10-coding. About 209 doctors from across the country have taken the course over the last six months. Result: Increasingly, medical practitioners are open to online learning. Accredited, knowledge-based online courses are an excellent tool for Continuing Professional Development of medical practitioners.
References
1. Dash S, Behera B, Patro S. Accuracy in certification of cause of death in a tertiary care hospital – A retrospective analysis. Journal of Forensic and Legal Medicine. 2014;24:33-36.
2. Azim A, Singh P, Bhatia P, Baronia A, Gurjar M, Poddar B et al. Impact of an educational intervention on errors in death certification: An observational study from the intensive care unit of a tertiary care teaching hospital. Journal of Anaesthesiology Clinical Pharmacology. 2014;30(1):78.
3. Mony PK, Nagaraj C. Health information management: An introduction to disease classification and coding. National Medical Journal of India. 2007 Nov 1;20(6):307.
4. Mahapatra P, Rao DP. Cause of death reporting in India: A performance analysis. Institute of Health Systems; 2000.
5. Kotabagi RB, Chaturvedi RK, Banerjee A. Medical certification of cause of death. Medical Journal Armed Forces India. 2004 Jul 1;60(3):261-72.
6. Selinger CP, Ellis RA, Harrington MG. A good death certificate: improved performance by simple educational measures. Postgraduate medical journal. 2007 Apr 1;83(978):285-6.
7. Pandya H, Bose N, Shah R, Chaudhury N, Phatak A. Educational intervention to improve death certification at a teaching hospital.
8. Maharjan L, Shah A, Shrestha KB, Shrestha G. Errors in cause-of-death statement on death certificates in intensive care unit of Kathmandu, Nepal. BMC health services research. 2015 Jun;15(1):507
9. Aung E, Rao C, Walker S. Teaching cause-of-death certification: lessons from international experience. Postgraduate medical journal. 2010 Mar 1;86(1013):143-52.
10. Shantibala K, Akoijam BS, Usharani L, Singh HN, Laishram J, Singh TA. Death certification in a teaching hospital--a one year review. Indian journal of public health. 2009;53(1):31-3.
11. Gupta N, Bharti B, Singhi S, Kumar P, Thakur JS. Errors in filling WHO death certificate in children: lessons from 1251 death certificates. Journal of tropical pediatrics. 2013 Jul 31;60(1):74-8.
12. World Health Organization. eLearning for undergraduate health professional education-a systematic review informing a radical transformation of health workforce development. World Health Organization, Imperial College London. 2015.
13. World Health Organization. Task shifting to tackle health worker shortages. Geneva: WHO. 2007.
14. Mullan F, Frehywot S, Omaswa F, Buch E, Chen C, Greysen SR, Wassermann T, Abubakr DE, Awases M, Boelen C, Diomande MJ. Medical schools in sub-Saharan Africa. The Lancet. 2011 Mar 26;377(9771):1113-21.
15. Mars M. Building the capacity to build capacity in e-health in sub-Saharan Africa: the KwaZulu-Natal experience. Telemedicine and e-Health. 2012 Jan 1;18(1):32-7.
16. Roberts L. Health information and the Internet: The 5 Cs website evaluation tool. British journal of Nursing. 2010 Mar 12;19(5):322-5.
17. Cline RJ, Haynes KM. Consumer health information seeking on the Internet: the state of the art. Health education research. 2001 Dec 1;16(6):671-92.
18. Tonsaker T, Bartlett G, Trpkov C. Health information on the Internet: gold mine or minefield?. Canadian Family Physician. 2014 May 1;60(5):407-8
19. Casebeer L, Bennett N, Kristofco R, Carillo A, Centor R. Physician internet medical information seeking and onâ€line continuing education use patterns. Journal of Continuing Education in the Health Professions. 2002 Dec 1;22(1):33-42.
20. Hersh WR, Bhupatiraju RT, Greene PS, Smothers V, Cohen C. Adopting e-learning standards in health care: competency-based learning in the medical informatics domain. InAMIA Annual Symposium Proceedings 2006 (Vol. 2006, p. 334). American Medical Informatics Association.
21. Oz HH. Synchronous distance interactive classroom conferencing. Teaching and Learning in Medicine. 2005 Jul 1;17(3):269-73.
22. Hugenholtz NI, De Croon EM, Smits PB, Van Dijk FJ, Nieuwenhuijsen K. Effectiveness of e-learning in continuing medical education for occupational physicians. Occupational Medicine. 2008 May 20;58(5):370-2.
23. Frehywot S, Vovides Y, Talib Z, Mikhail N, Ross H, Wohltjen H, Bedada S, Korhumel K, Koumare AK, Scott J. E-learning in medical education in resource constrained low-and middle-income countries. Human resources for health. 2013 Dec;11(1):4.
24. Childs S, Blenkinsopp E, Hall A, Walton G. Effective eâ€learning for health professionals and students—barriers and their solutions. A systematic review of the literature—findings from the HeXL project. Health Information & Libraries Journal. 2005 Dec 1;22(s2):20-32.
25. Win KT, Hassan NM, Bonney A, Iverson D. Benefits of online health education: perception from consumers and health professionals. Journal of medical systems. 2015 Mar 1;39(3):27.
26. Lobb A. Online Education in Health Care: Quality and Convenience. Journal of the American College of Surgeons. 2011 Jun 1;212(6):1099.
27. Cartwright J, Franklin D, Forman D, Freegard H. Promoting collaborative dementia care via online interprofessional education. Australasian journal on ageing. 2015 Jun 1;34(2):88-94.
28. Arbour MW, Nypaver CF, Wika JC. Innovative uses of technology in online midwifery education. Journal of Midwifery & Women’s Health. 2015 May 1;60(3):278-82.
29. SrivaSTava TK, Waghmare LS, Jagzape AT, Rawekar AT, Quazi NZ, Mishra VP. Role of information communication technology in higher education: Learners perspective in rural medical schools. Journal of clinical and diagnostic research: JCDR. 2014 Jun;8(6):XC01.
30. Agrawal S, Maurya AK, Shrivastava K, Kumar S, Pant MC, Mishra SK. Training the trainees in radiation oncology with telemedicine as a tool in a developing country: A two-year audit. International journal of telemedicine and applications. 2011 Jan 1;2011:1.
31. Chang AY, Ghose S, Littman-Quinn R, Anolik RB, Kyer A, Mazhani L, Seymour AK, Kovarik CL. Use of mobile learning by resident physicians in Botswana. Telemedicine and e-Health. 2012 Jan 1;18(1):11-3.
32. Kim S. The future of e-learning in medical education: current trend and future opportunity. Journal of educational evaluation for health professions. 2006;3.
33. Clark D. Psychological myths in e-learning. Medical teacher. 2002 Jan 1;24(6):598-604.
34. Al-Sughayr AM, Al-Abdulwahhab BM, Al-Yemeni MR. Primary health care physicians' knowledge, use, and attitude towards online continuous medical education in Saudi Arabia. Saudi Medical Journal. 2010;31(9):1049-53.
35. Mazzoleni MC, Maugeri C, Rognoni C, Cantoni A, Imbriani M. Is it worth investing in online continuous education for healthcare staff?. Studies in health technology and informatics. 2012;180:939-43.
36. Masic I. E-learning as new method of medical education. Acta informaticamedica. 2008;16(2):102.
37. Liyanagunawardena TR, Williams SA. Massive open online courses on health and medicine. Journal of medical Internet research. 2014 Aug;16(8).
2. Azim A, Singh P, Bhatia P, Baronia A, Gurjar M, Poddar B et al. Impact of an educational intervention on errors in death certification: An observational study from the intensive care unit of a tertiary care teaching hospital. Journal of Anaesthesiology Clinical Pharmacology. 2014;30(1):78.
3. Mony PK, Nagaraj C. Health information management: An introduction to disease classification and coding. National Medical Journal of India. 2007 Nov 1;20(6):307.
4. Mahapatra P, Rao DP. Cause of death reporting in India: A performance analysis. Institute of Health Systems; 2000.
5. Kotabagi RB, Chaturvedi RK, Banerjee A. Medical certification of cause of death. Medical Journal Armed Forces India. 2004 Jul 1;60(3):261-72.
6. Selinger CP, Ellis RA, Harrington MG. A good death certificate: improved performance by simple educational measures. Postgraduate medical journal. 2007 Apr 1;83(978):285-6.
7. Pandya H, Bose N, Shah R, Chaudhury N, Phatak A. Educational intervention to improve death certification at a teaching hospital.
8. Maharjan L, Shah A, Shrestha KB, Shrestha G. Errors in cause-of-death statement on death certificates in intensive care unit of Kathmandu, Nepal. BMC health services research. 2015 Jun;15(1):507
9. Aung E, Rao C, Walker S. Teaching cause-of-death certification: lessons from international experience. Postgraduate medical journal. 2010 Mar 1;86(1013):143-52.
10. Shantibala K, Akoijam BS, Usharani L, Singh HN, Laishram J, Singh TA. Death certification in a teaching hospital--a one year review. Indian journal of public health. 2009;53(1):31-3.
11. Gupta N, Bharti B, Singhi S, Kumar P, Thakur JS. Errors in filling WHO death certificate in children: lessons from 1251 death certificates. Journal of tropical pediatrics. 2013 Jul 31;60(1):74-8.
12. World Health Organization. eLearning for undergraduate health professional education-a systematic review informing a radical transformation of health workforce development. World Health Organization, Imperial College London. 2015.
13. World Health Organization. Task shifting to tackle health worker shortages. Geneva: WHO. 2007.
14. Mullan F, Frehywot S, Omaswa F, Buch E, Chen C, Greysen SR, Wassermann T, Abubakr DE, Awases M, Boelen C, Diomande MJ. Medical schools in sub-Saharan Africa. The Lancet. 2011 Mar 26;377(9771):1113-21.
15. Mars M. Building the capacity to build capacity in e-health in sub-Saharan Africa: the KwaZulu-Natal experience. Telemedicine and e-Health. 2012 Jan 1;18(1):32-7.
16. Roberts L. Health information and the Internet: The 5 Cs website evaluation tool. British journal of Nursing. 2010 Mar 12;19(5):322-5.
17. Cline RJ, Haynes KM. Consumer health information seeking on the Internet: the state of the art. Health education research. 2001 Dec 1;16(6):671-92.
18. Tonsaker T, Bartlett G, Trpkov C. Health information on the Internet: gold mine or minefield?. Canadian Family Physician. 2014 May 1;60(5):407-8
19. Casebeer L, Bennett N, Kristofco R, Carillo A, Centor R. Physician internet medical information seeking and onâ€line continuing education use patterns. Journal of Continuing Education in the Health Professions. 2002 Dec 1;22(1):33-42.
20. Hersh WR, Bhupatiraju RT, Greene PS, Smothers V, Cohen C. Adopting e-learning standards in health care: competency-based learning in the medical informatics domain. InAMIA Annual Symposium Proceedings 2006 (Vol. 2006, p. 334). American Medical Informatics Association.
21. Oz HH. Synchronous distance interactive classroom conferencing. Teaching and Learning in Medicine. 2005 Jul 1;17(3):269-73.
22. Hugenholtz NI, De Croon EM, Smits PB, Van Dijk FJ, Nieuwenhuijsen K. Effectiveness of e-learning in continuing medical education for occupational physicians. Occupational Medicine. 2008 May 20;58(5):370-2.
23. Frehywot S, Vovides Y, Talib Z, Mikhail N, Ross H, Wohltjen H, Bedada S, Korhumel K, Koumare AK, Scott J. E-learning in medical education in resource constrained low-and middle-income countries. Human resources for health. 2013 Dec;11(1):4.
24. Childs S, Blenkinsopp E, Hall A, Walton G. Effective eâ€learning for health professionals and students—barriers and their solutions. A systematic review of the literature—findings from the HeXL project. Health Information & Libraries Journal. 2005 Dec 1;22(s2):20-32.
25. Win KT, Hassan NM, Bonney A, Iverson D. Benefits of online health education: perception from consumers and health professionals. Journal of medical systems. 2015 Mar 1;39(3):27.
26. Lobb A. Online Education in Health Care: Quality and Convenience. Journal of the American College of Surgeons. 2011 Jun 1;212(6):1099.
27. Cartwright J, Franklin D, Forman D, Freegard H. Promoting collaborative dementia care via online interprofessional education. Australasian journal on ageing. 2015 Jun 1;34(2):88-94.
28. Arbour MW, Nypaver CF, Wika JC. Innovative uses of technology in online midwifery education. Journal of Midwifery & Women’s Health. 2015 May 1;60(3):278-82.
29. SrivaSTava TK, Waghmare LS, Jagzape AT, Rawekar AT, Quazi NZ, Mishra VP. Role of information communication technology in higher education: Learners perspective in rural medical schools. Journal of clinical and diagnostic research: JCDR. 2014 Jun;8(6):XC01.
30. Agrawal S, Maurya AK, Shrivastava K, Kumar S, Pant MC, Mishra SK. Training the trainees in radiation oncology with telemedicine as a tool in a developing country: A two-year audit. International journal of telemedicine and applications. 2011 Jan 1;2011:1.
31. Chang AY, Ghose S, Littman-Quinn R, Anolik RB, Kyer A, Mazhani L, Seymour AK, Kovarik CL. Use of mobile learning by resident physicians in Botswana. Telemedicine and e-Health. 2012 Jan 1;18(1):11-3.
32. Kim S. The future of e-learning in medical education: current trend and future opportunity. Journal of educational evaluation for health professions. 2006;3.
33. Clark D. Psychological myths in e-learning. Medical teacher. 2002 Jan 1;24(6):598-604.
34. Al-Sughayr AM, Al-Abdulwahhab BM, Al-Yemeni MR. Primary health care physicians' knowledge, use, and attitude towards online continuous medical education in Saudi Arabia. Saudi Medical Journal. 2010;31(9):1049-53.
35. Mazzoleni MC, Maugeri C, Rognoni C, Cantoni A, Imbriani M. Is it worth investing in online continuous education for healthcare staff?. Studies in health technology and informatics. 2012;180:939-43.
36. Masic I. E-learning as new method of medical education. Acta informaticamedica. 2008;16(2):102.
37. Liyanagunawardena TR, Williams SA. Massive open online courses on health and medicine. Journal of medical Internet research. 2014 Aug;16(8).
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Published
2018-05-16
How to Cite
Rangaswamy, K., Kamadod, R., & K, P. M. (2018). Medical Certification of Death: Development and Feasibility of Deployment of an Online Course for Practicing Doctors. National Journal of Integrated Research in Medicine, 9(2), 86–93. https://doi.org/10.70284/njirm.v9i2.2322
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