The past, present, and future of continuing medical education. Achievements and opportunities, computers and recertification.
The past, present, and future of continuing medical education. Achievements and opportunities, computers and recertification.
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继续医学教育的过去、现在和未来。
DOI：
10.1001/jama.1987.03400240074027
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发表时间：
1987
期刊：
影响因子：
--
通讯作者：
D. Petit
中科院分区：
文献类型：
--
作者：
P. R. Manning;D. Petit
在过去的三十年里，继续医学教育(CME)的变化一直是有争议的和复杂的。一项20世纪50年代式的、小规模的志愿活动在1987年演变为拥有认可赞助商并与再保险联系在一起的广泛项目。在接下来的30年里，继续医学教育将由专业委员会选择重新认证的方法以及计算机和电信技术的开发来指导。书面重新认证考试会浪费医生学习材料的时间，而这些材料不会改善对患者的护理。我们希望改进的个人实践分析方法、现场获取相关医疗信息以及医生之间更好的沟通可以纳入重新认证程序。现在制定的政策将塑造未来几十年的芝加哥商品交易所。我们鼓励医学专业委员会、医学会、医院、医学院、计算机公司、电信公司、授权机构和国家医学图书馆协调努力，以确保最有效和最高效的重新认证和继续医学教育政策。
Changes in continuing medical education (CME) during the past three decades have been controversial and complex. A 1950s-style, small-scale, voluntary activity has evolved, in 1987, into broad-scale programs with accredited sponsors and with ties to relicensure. Within the next three decades, CME will be directed by methods chosen by specialty boards for recertification and by exploitation of computer and telecommunication technology. Written recertification examinations can waste physicians' time studying material that will not improve care of their patients. We hope improved methods of analysis of individual practices, on-the-spot access to pertinent medical information, and better communication among physicians can be incorporated into recertification procedures. Policies established now will shape CME for decades to come. We encourage a coordinated effort by medical specialty boards, medical societies, hospitals, medical schools, computer corporations, telecommunication firms, granting agencies, and the National Library of Medicine to ensure the most effective and efficient recertification and CME policies.