Continuing education in pulmonary disease for primary-care physicians.
Continuing education in pulmonary disease for primary-care physicians.
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初级保健医生肺部疾病的继续教育。
DOI：
10.1164/arrd.1983.127.6.739
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
Macdonald,R
中科院分区：
文献类型：
--
作者：
Stross,JK;Hiss,RG;Watts,CM;Davis,WK;Macdonald,R
在16家社区医院实施了继续医学教育计划并进行了评估。它针对的是初级保健医生，并使用同行认为在传播信息方面具有教育影响力的医生。自学材料，其次是一个密集的2周preceptorship，导致医生知识的显着增加。住院病历审核发现，干预医院在慢性阻塞性肺疾病的管理方面发生了一系列变化，而对照医院没有发现这些变化。这些包括静脉输液、静脉支气管扩张剂负荷剂量、雾化和单药支气管扩张剂以及呼吸治疗服务的使用增加。继续医学教育，通过以社区为基础的教育有影响力的医生提供，是一种有效的方式改变医生的行为在小社区没有事先正在进行的教育计划。这种方法应该改善病人的护理，并可能减少学术教师参与传统的继续教育计划的需要。
A continuing medical education program was implemented and evaluated in 16 community hospitals. It was targeted at primary-care physicians and used physicians identified by their peers as being educationally influential for the dissemination of information. Self-study materials were used, followed by an intensive 2-wk preceptorship that resulted in a significant increase in physician knowledge. Inpatient chart audits identified a series of changes in the management of chronic obstructive pulmonary disease in the intervention hospitals that were not noted in the control hospitals. These included the increased use of intravenously administered fluids, loading doses of intravenously administered bronchodilators, aerosolized and single agent bronchodilators, and respiratory therapy services. Continuing medical education, delivered through community-based educationally influential physicians, is an effective way of changing physician behavior in small communities with no prior ongoing educational programs. This approach should improve patient care and may reduce the need for participation of academic faculty in traditional continuing education programs.