Sanazaro P J
Eval Health Prof. 1983 Jun;6(2):197-210. doi: 10.1177/016327878300600205.
Participation in formal continuing medical education (CME) is required by many organizations and state governments as the foremost means of assuring the quality of medical care. Analysis of the literature reveals that CME in all its forms is effective in improving competence, i.e., the ability to provide good care. However, that competence is not regularly reflected in physicians' habitual performance in the care of patients. A number of factors are known to narrow the gap between competence and performance, including clear specification of standards, individual feedback on actual performance, and a professional environment conductive to the maintenance of high standards. In the presence of such factors, CME can improve physicians' performance when directed to objectively identified deficiencies. However, public assurance of the quality of medical care can only be provided through certification that individual physicians' performance conforms to contemporary valid standards.
许多组织和州政府都要求参与正规的继续医学教育（CME），将其作为确保医疗质量的首要手段。对文献的分析表明，各种形式的CME在提高能力方面是有效的，即提供优质医疗服务的能力。然而，这种能力并没有经常体现在医生在照顾患者时的日常表现中。已知有许多因素可以缩小能力与表现之间的差距，包括明确的标准规范、对实际表现的个人反馈以及有利于维持高标准的专业环境。在存在这些因素的情况下，当针对客观确定的不足进行CME时，可以提高医生的表现。然而，只有通过认证个别医生的表现符合当代有效标准，才能向公众保证医疗质量。
