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Research article Evaluation of an infectious‑disease response training program for primary care physicians in Korea using Kirkpatrick’s 4 levels and the Context, Input, Process, and Product model: a mixed‑methods study
Kyung Hee Chun1orcid, Jin Seo Lee2orcid, Seon Young Jeong3orcid, Young Soon Park4*orcid

DOI: https://doi.org/10.3352/jeehp.2025.22.40 [Epub ahead of print]
Published online: December 31, 2025

1Department of Medical Education, Konyang University College of Medicine, Daejeon, Korea

2Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea

3Department of Nursing, Konyang University College of Nursing, Daejeon, Korea

4Department of Medical Education, Catholic Kwandong University College of Medicine, Gangneung, Korea

*Corresponding email:  yspark23@cku.ac.kr

Editor: Sun Huh, Hallym University, Korea

• Received: 24 December 2025   • Accepted: 29 December 2025
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Purpose
This study systematically evaluated the effectiveness of a training program designed to enhance infectious disease response capabilities among primary care physicians. Using a mixed-methods design, the evaluation applied Kirkpatrick’s 4-level model and the Context, Input, Process, and Product (CIPP) framework to assess program outcomes and identify areas for improvement.
Methods
The study focused on a national infectious disease training program for primary care physicians conducted in 2022 (N=1,718). Quantitative pre- and post-training data were analyzed from 100 randomly selected participants, along with qualitative data obtained through in-depth interviews with 10 participants. Validated assessment tools, developed by psychometricians and content experts, were used to measure satisfaction (Kirkpatrick level 1), learning achievement (level 2), practical application (level 3), and organizational contribution (level 4).
Results
Overall training satisfaction was high (3.96±0.72). Learning achievement (level 2) demonstrated statistically significant improvement from pre-training to post-training assessments (F=12.922, P<0.001). Scores for practical application (level 3; 3.19±0.86) and organizational contribution (level 4; 3.47±0.70) indicated both strong motivation to apply newly acquired knowledge and institutional readiness to implement response strategies.
Conclusion
This study confirmed that the training program effectively enhanced both individual competencies and organizational response capacity across all 4 Kirkpatrick levels. The integrated application of the Kirkpatrick and CIPP models provided a robust framework for evaluating learning transfer and guiding program improvement. These findings highlight the importance of continued investment in diverse training initiatives, systematic evaluation processes, and the dissemination of successful practices to the broader healthcare community.

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JEEHP : Journal of Educational Evaluation for Health Professions
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