Mamary E M, Charles P
Department of Health Science, San Jose State University, One Washington Square, San Jose, CA 95102-0052, USA.
J Contin Educ Health Prof. 2000 Summer;20(3):171-5. doi: 10.1002/chp.1340200306.
Continuing education/continuing medical education (CE/CME) programs that adopt self-directed, computer-based instruction formats via the Internet or CD-ROM can ease the demands placed on clinicians who are required by licensing boards to accumulate CE/CME credits as part of their career-long learning. Despite the benefits and availability of computer-based instruction, on-site programs still dominate current CE/CME delivery modes. In order to increase the use of computer-based CE/CME programs, it is important to identify the barriers that inhibit their use.
A survey was conducted to assess the practices, preferences, and barriers to use of CE/CME delivery methods among physicians, nurse practitioners, and physician assistants in Nevada.
Of 3,213 surveys sent, 1,120 were completed and returned for an overall response rate of 35%. In-person conferences (93%) and print-based methods (66%) were the most frequently reported methods of acquiring CE/CME. The majority of respondents had access to computer-based technologies. Respondents with more years in clinical practice were less likely to have access to or to use computer-based technologies. The top three preferred CE/CME delivery modes, in rank order, were in-person conferences, print-based self-study, and CD-ROM. The least preferred method of receiving CE/CME was interactive audioconference (telephone conference calls). "Not knowing how" was the most frequently reported reason for not using the Internet for computer-based training and the second most frequent reason for not using a CD-ROM.
Program planners may wish to offer training in new technologies during on-site conferences, provide CD-ROMs as take-home instructional materials, or promote technology awareness in other ways to help clinicians prepare for changes in the electronic delivery of health care and education.
采用通过互联网或光盘的自主式计算机辅助教学形式的继续教育/继续医学教育（CE/CME）项目，能够减轻临床医生因执照颁发机构要求积累CE/CME学分作为其终身学习一部分而面临的压力。尽管基于计算机的教学有诸多益处且易于获取，但现场教学项目仍主导着当前的CE/CME授课模式。为了增加基于计算机的CE/CME项目的使用，识别阻碍其使用的障碍至关重要。
在内华达州对医生、执业护士和医师助理进行了一项调查，以评估他们在使用CE/CME授课方法方面的实践、偏好和障碍。
共发放3213份调查问卷，1120份被完成并返回，总体回复率为35%。面对面会议（93%）和基于印刷品的方法（66%）是最常被报告的获取CE/CME的方式。大多数受访者能够使用基于计算机的技术。临床实践年限较长的受访者使用基于计算机技术的可能性较小。按排名顺序，CE/CME的三种首选授课模式依次为面对面会议、基于印刷品的自学和光盘。最不喜欢的获取CE/CME的方式是交互式电话会议（电话会议）。“不知道如何操作”是不使用互联网进行基于计算机培训最常被报告的原因，也是不使用光盘的第二大常见原因。
项目规划者不妨在现场会议期间提供新技术培训，提供光盘作为带回家的教学材料，或以其他方式提高技术意识，以帮助临床医生为医疗保健和教育的电子授课变化做好准备。
