{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T07:03:06Z","timestamp":1779951786663,"version":"3.53.1"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Objective<\/jats:title>\n To explore the impact of short-term online continuing education on gastroesophageal reflux disease (GERD) on the cognitive level, diagnostic and therapeutic behaviors of physicians in medical consortiums.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Physicians of different levels, titles, and specialties from member units of the medical consortium were invited to receive an online GERD training program via the DingTalk platform and complete knowledge tests. The differences in knowledge test scores before and after training were analyzed, and the differences in physicians' choices of GERD examination methods and treatment plans before and after training were evaluated.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 232 physicians completed the study. The total score of the knowledge test after training was significantly higher than that before training (\n P<\/jats:italic>\n &lt; 0.05). The increase in knowledge test scores of physicians from primary and secondary hospitals, general practitioners and internal medicine physicians were significantly higher (\n P<\/jats:italic>\n &lt; 0.05). Data analysis using the GEE model showed that compared with before training, physicians were more likely to choose gastroscopy and gastrointestinal motility tests after training (\n P<\/jats:italic>\n &lt; 0.05). Gastroenterologists were more likely to choose gastrointestinal motility tests than general practitioners, and physicians from tertiary hospitals were more likely to choose gastrointestinal motility tests than those from primary hospitals (\n P<\/jats:italic>\n &lt; 0.05). Compared with before training, physicians were more likely to choose lifestyle modifications after training (\n P<\/jats:italic>\n &lt; 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Short-term online continuing education on GERD can effectively improve the cognitive level of physicians in medical consortiums, especially for physicians in primary hospitals and general practitioners.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1821119","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T06:20:16Z","timestamp":1779949216000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of short-term online continuing education on gastroesophageal reflux disease on the cognitive level and diagnostic and therapeutic behaviors of physicians in medical consortiums"],"prefix":"10.3389","volume":"14","author":[{"given":"Yibing","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Wenzhou Central Hospital (The Dingli Clinical College of Wenzhou Medical University)","place":["Zhejiang Province, Wenzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Wenzhou Central Hospital (The Dingli Clinical College of Wenzhou Medical University)","place":["Zhejiang Province, Wenzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuping","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Wenzhou Central Hospital (The Dingli Clinical College of Wenzhou Medical University)","place":["Zhejiang Province, Wenzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifan","family":"Ke","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Wenzhou Central Hospital (The Dingli Clinical College of Wenzhou Medical University)","place":["Zhejiang Province, Wenzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junyan","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Wenzhou Central Hospital (The Dingli Clinical College of Wenzhou Medical University)","place":["Zhejiang Province, Wenzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"6410","DOI":"10.3748\/wjg.v28.i45.6410","article-title":"Meta-analysis on the epidemiology of gastroesophageal reflux disease in China","volume":"28","author":"Lu","year":"2022","journal-title":"World J Gastroenterol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"2536","DOI":"10.1001\/jama.2020.21360","article-title":"Gastroesophageal reflux disease: a review","volume":"324","author":"Maret-Ouda","year":"2020","journal-title":"JAMA."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.2214\/ajr.168.5.9129405","article-title":"On-line delivery of continuing medical education over the World-Wide Web: an on-line needs assessment","volume":"168","author":"Richardson","year":"1997","journal-title":"Am J Roentgenol."},{"key":"B4","first-page":"649","article-title":"2020 Chinese expert consensus on gastroesophageal reflux disease","volume":"40","year":"2020","journal-title":"Chin J Dig"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1960030","DOI":"10.1155\/2022\/1960030","article-title":"The significance of three-dimensional team management in the medical community model for patients with hypertension and diabetes","volume":"2022","author":"Lu","year":"2022","journal-title":"J Healthc Eng."},{"key":"B6","doi-asserted-by":"publisher","first-page":"6","DOI":"10.5334\/ijic.7550","article-title":"Practice and enlightenment of chronic disease management at the county level in china from the perspective of professional integration: a qualitative case study of Youxi County, Fujian Province","volume":"23","author":"Zheng","year":"2023","journal-title":"Int J Integr Care."},{"key":"B7","doi-asserted-by":"publisher","first-page":"107957","DOI":"10.1016\/j.cct.2025.107957","article-title":"Comparing primary-tertiary multidisciplinary collaborative care with usual care in community patients with atrial fibrillation: the protocol for a cluster randomized controlled trial","volume":"154","author":"Wang","year":"2025","journal-title":"Contemp Clin Trials."},{"key":"B8","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1001\/jama.2015.7094","article-title":"Advancing continuing medical education","volume":"314","author":"McMahon","year":"2015","journal-title":"JAMA."},{"key":"B9","first-page":"717","article-title":"Online continuing medical education (CME) for GPs: does it work? 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