Parboosingh J
Royal College of Physicians and Surgeons of Canada, 777 Promenade Echo Drive, Ottawa, ON K1S 5N8, Canada.
J Contin Educ Health Prof. 2000 Summer;20(3):188-90. doi: 10.1002/chp.1340200309.
Professionals involved in the regulation, credentialing, and certification of physicians around the world met in Chicago in June 2000 to discuss systems to ensure the competence of physicians. We learned that public demand for evidence of continuing competence in practice is driving the profession in most countries to explore new approaches to the education and assessment of physicians. Most groups have called the value of traditional continuing medical education (CME) into question and are exploring the use of self-directed CME methods, self-assessment, and quality improvement as the main instruments for maintenance of certification. It seems likely that teachers will be required to integrate assessment with enhancement of competencies, in much the same way that a coach uses an athlete's performance as a basis for continuous improvement. Recognizing the tough challenges ahead and the demand for CME to adapt to complement future plans for continuous assessment of physician competence, conference participants agreed to create a communication network that would facilitate information sharing and avoid duplication of research efforts.
2000年6月，世界各地参与医生监管、资格认定和认证工作的专业人士齐聚芝加哥，讨论确保医生能力的体系。我们了解到，在大多数国家，公众对医生在实际工作中持续具备能力的证据的需求，正推动该行业探索医生教育和评估的新方法。大多数团体对传统的继续医学教育（CME）的价值提出了质疑，并正在探索将自主式CME方法、自我评估和质量改进作为维持认证的主要手段。教师可能需要将评估与能力提升相结合，这与教练以运动员的表现为基础进行持续改进的方式非常相似。认识到未来面临的严峻挑战以及CME需要适应并补充医生能力持续评估的未来计划，会议参与者同意建立一个通信网络，以促进信息共享并避免研究工作的重复。
