Van Harrison R
Department of Medical Education, Office of Continuing Medical Education, University of Michigan Medical School, Ann Arbor, Michigan, USA.
J Contin Educ Health Prof. 2003 Fall;23(4):198-209. doi: 10.1002/chp.1340230503.
To preserve a professionally responsible system for continuing medical education (CME), medicine must recognize and address two powerful economic forces: commercial interests and societal resource limitations. Commercial support to accredited CME providers is now more than 50% of total CME income. The cumulative influence is increasingly biasing CME development, presentation, and participation toward topics that benefit commercial interests. Options to address this cumulative bias are proposed. Limitations on societal resources for health care have reduced funding from medical schools and hospitals for the infrastructure of CME. Financial pressures are likely to increase, potentially leading to controls on drug costs and significant reductions in commercial support of CME. Financial pressures on physicians' incomes may limit the extent to which registration fees could offset these reductions. Physicians and their professional organizations should recognize these threats to the objectivity, funding, and infrastructure of the CME system and they should work to ensure a viable CME system in the future.
为维护一个具备专业责任感的继续医学教育（CME）体系，医学领域必须认识并应对两种强大的经济力量：商业利益和社会资源限制。目前，对经认可的继续医学教育提供者的商业支持已超过继续医学教育总收入的50%。这种累积影响正日益使继续医学教育的发展、呈现方式和参与方向偏向于有利于商业利益的主题。文中提出了应对这种累积偏差的办法。社会用于医疗保健的资源限制减少了医学院校和医院对继续医学教育基础设施的资金投入。财务压力可能会加大，这有可能导致对药品成本进行控制，并大幅减少对继续医学教育的商业支持。医生收入面临的财务压力可能会限制注册费抵消这些减少费用的程度。医生及其专业组织应认识到这些对继续医学教育体系的客观性、资金和基础设施构成的威胁，并且应努力确保未来有一个可行的继续医学教育体系。
