Does continuing medical education in general practice make a difference?
Does continuing medical education in general practice make a difference?
复制标题
全科医学继续教育有作用吗？
DOI：
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复制
发表时间：
1999
影响因子：
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通讯作者：
Roger C. Jones
中科院分区：
文献类型：
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作者：
P. Cantillon;Roger C. Jones
近年来，继续医学教育（CME）在其理论基础、所使用的方法以及对它应该提供的期望方面发生了巨大的变化。它已经成为政府、患者和医生越来越重要的关注点。随着重新认证和质量保证计划变得越来越普遍，继续医学教育在改变临床行为方面的有效性受到了更密切的关注。
戴维斯将继续医学教育定义为“医生在正式完成培训后学习的任何和所有方式”。1 Grant和Stanton对继续医学教育和继续专业发展进行了区分。2继续医学教育被视为代表了一种更多以教师为基础的教学风格，而继续专业发展则意味着更多以学习者为中心和自我导向的学习方法。这些术语在文献中可互换使用。为了本文的目的，我们将所有研究生教育活动称为继续医学教育。
在这篇综述中，我们的目的是描述一些力量的变化，在继续医学教育，总结的系统评价的结果继续医学教育，并检查研究生继续医学教育的有效性，特别是在一般的做法。基于全科实践的教育干预是否改变了医生的行为并改善了患者的治疗效果？
#总结要点
Continuing medical education (CME) has undergone enormous changes in recent years in terms of its theoretical base, the methodologies used, and the expectations of what it should deliver. It has become an increasingly important concern for governments and patients as well as doctors. As reaccreditation and quality assurance programmes have become more widespread, the effectiveness of continuing medical education in changing clinical behaviour has come under closer scrutiny.
Davis defines continuing medical education as “any and all the ways by which doctors learn after formal completion of their training.”1 Grant and Stanton distinguish between continuing medical education and continuing professional development.2 Continuing medical education is seen as representing a more teacher based, didactic style whereas continuing professional development implies a more learner centred and self directed approach to learning. These terms are used interchangeably in the literature. For the purposes of this article we will refer to all postgraduate educational events as continuing medical education.
In this review we aim to describe some forces for change in continuing medical education, to summarise the findings of systematic reviews of continuing medical education, and to examine the effectiveness of postgraduate continuing medical education in general practice in particular. Do educational interventions based on general practice change doctors' behaviour and improve patient outcomes?
### Summary points