Fletcher P
East Gloucestershire NHS Trust, Delancey Hospital, Cheltenham, Gloucestershire GL53 9DU, UK.
Med Educ. 2001 Oct;35(10):967-72.
"Consultants' continuing medical education (CME) activity is variable." Is this true? What part do prompts and constraints play?
To identify the CME activity of 80 district general hospital consultants from 27 specialties and all nine Royal Colleges. What do they do and why? What constrains them? What are their views on CME as a basis for revalidation?
A cross-sectional survey using a structured questionnaire derived from a content validity exercise, a pilot study and structured interviews.
Of the 74 consultants who replied (92.5%) most claim to be spending sufficient time (defined by their College) undertaking a variety of internal and external CME. They do so through methods such as reading, discussion with colleagues, and teaching, which are not universally recognized by their Colleges. The majority declared most CME activity to be in their subspecialty rather than in their wider clinical or non-clinical roles. Least popular was non-clinical professional development. The majority knew how much CME they should be undertaking and all but one claimed to be doing so. Prompts were personal rather than organizational or external, while constraints centred on finding time. CME activity as a basis for re-certification was accepted and rejected by almost equal numbers.
CME is being undertaken on the basis of personal choice. The focus is on subspecialty topics without considering needs. The guidance from the Colleges exerts little influence as a prompt. The methods chosen are personal choices and ignore what the Colleges recognize as valid CME.
“顾问医生的继续医学教育（CME）活动存在差异。” 这是真的吗？提示因素和限制因素起到了什么作用？
确定来自27个专业和所有9所皇家医学院的80名地区综合医院顾问医生的CME活动情况。他们做什么以及为什么这样做？是什么限制了他们？他们对将CME作为重新认证基础的看法是什么？
采用一项横断面调查，使用一份基于内容效度检验、预试验研究和结构化访谈得出的结构化问卷。
在74名回复的顾问医生中（92.5%），大多数声称有足够时间（由其所在学院定义）开展各种内部和外部CME活动。他们通过阅读、与同事讨论和教学等方式来进行，而这些方式并未得到所在学院的普遍认可。大多数人表示其大部分CME活动集中在亚专业领域，而非更广泛的临床或非临床角色方面。最不受欢迎的是非临床专业发展。大多数人知道自己应该进行多少CME活动，除一人外所有人都声称正在这样做。提示因素多为个人因素而非组织或外部因素，而限制因素主要是时间问题。几乎同样数量的人接受和拒绝将CME活动作为重新认证的基础。
CME活动是基于个人选择进行的。重点是亚专业主题，而未考虑需求。学院的指导作为一种提示几乎没有影响力。所选择的方式是个人选择，忽视了学院认可的有效CME方式。
