Comparing the differences in participation by course grade was more difficult because the HGLM does not produce an output that is comparable to the mean grades for participants and non-participants, which is the statistic that prior studies report.
Fig. 4 Participation by course grade and recommended practices based on model 3. Gender was entered into the linear equation as the mean value (0.39) to simplify the figure.
Other stratification criteria, such as participation in courses of global health or tropical medicine, were also not specified in terms of course duration and course providers.
Higher scores in objective knowledge correlated significantly with a higher frequency of IHE and participation in courses of tropical medicine and descriptively with participation in global health courses.
Four GPs named participation in courses and congresses as a reason for non-participating.
In one study, standardized tests administered before and after participation in courses offered at a Canadian CME web site revealed increases in participant knowledge, confidence, and self-reported change in practice patterns resulting from participation [ 13].
Participation in courses and congresses was considered necessary.
We also asked students whether their plans for future education were impacted by their participation in courses with GEP activities.
The questionnaire captured other relevant educational interventions beyond immediate preparation before IHE, such as participation in courses of global health or tropical medicine.
Secondly, participation in courses of tropical medicine and global health correlate significantly with a higher interest in learning about the influences of 'culture, language and religion' and of the 'economic system' on health.
