Markert Ronald J, O'Neill Sally C, Bhatia Subhash C
Center for Medical Education, Criss III Room 475, Creighton University School of Medicine, 2500 California Plaza, Omaha, NE 68178, USA.
J Contin Educ Health Prof. 2003 Summer;23(3):157-61. doi: 10.1002/chp.1340230306.
The objectives of continuing medical education (CME) programs include knowledge acquisition, skill development, clinical reasoning and decision making, and health care outcomes. We conducted a year-long medical education research study in which knowledge acquisition in our CME programs was assessed.
A randomized separate-sample pretest/past-test design, a quasi-experimental technique, was used. Nine CME programs with a sufficient number of participants were identified a priori. Knowledge acquisition was compared between the control group and the intervention group for the nine individual programs and for the combined programs.
A total of 667 physicians, nurses, and other health professionals participated. Significant gain in knowledge was found for six programs: Perinatology, Pain Management, Fertility Care 2, Pediatrics, Colorectal Diseases, and Alzheimer's Disease (each p < .001). Also, the intervention group differed from the control group when the nine programs were combined (p < .001), with an effect size of .84.
The use of sound quasi-experimental research methodology (separate-sample pretest/post-test design), the inclusion of a representative sample of CME programs, and the analysis of nearly 700 subjects led us to have confidence in concluding that our CME participants acquired a meaningful amount of new knowledge.
继续医学教育（CME）项目的目标包括知识获取、技能发展、临床推理与决策以及医疗保健成果。我们开展了一项为期一年的医学教育研究，对我们CME项目中的知识获取情况进行了评估。
采用随机分组前测/后测设计，这是一种准实验技术。事先确定了九个有足够参与者的CME项目。对九个单独项目以及合并后的项目，比较了对照组和干预组之间的知识获取情况。
共有667名医生、护士和其他卫生专业人员参与。六个项目的知识有显著增长：围产医学、疼痛管理、生育护理2、儿科学、结直肠疾病和阿尔茨海默病（每个p <.001）。此外，九个项目合并后，干预组与对照组存在差异（p <.001），效应量为0.84。
使用合理的准实验研究方法（分组前测/后测设计）、纳入具有代表性的CME项目样本以及对近700名受试者进行分析，使我们有信心得出结论：我们的CME参与者获得了大量有意义的新知识。
