Lloyd-Williams Mari, Kite Suzanne, Hicks Fiona, Todd Jennifer, Ward Jason, Barnett Mandy
School of Population, Community and Behavioural Sciences, University of Liverpool Medical School, Liverpool, UK.
Med Teach. 2006 Mar;28(2):171-4. doi: 10.1080/01421590500313050.
All doctors are required to undertake Continuing Professional development (CPD)--for good practice and for the purposes of annual appraisal and re-validation. The medical workforce in palliative medicine is diverse. Many doctors work on a part time basis, with the same CPD requirements as those working fulltime. This survey was undertaken: to establish whether doctors had fulfilled their CPD requirements in the year 2001-2002 and to identify problems or difficulties experienced by doctors in undertaking CPD. A questionnaire was sent to all doctors known to be working in non-training posts within palliative medicine in October 2002, requesting information on CPD undertaken between 1 April 2001 and 31 March 2002. Questions were also asked regarding knowledge and understanding of appraisal and revalidation. The response rate was 53% (381/721). Palliative medicine was the main post for 276 (72%) respondents and 169 were on the specialist register (44%). The subgroup most likely to have fulfilled CPD requirements were those on the Specialist Register (64%), and those least likely were those holding a contract with a charitable organisation (33%). Less than half of those not on the specialist register understood CPD and revalidation requirements. Overall, only 43% of respondents were meeting CPD requirements (median 25 credits; range 5-375 hours). This study has highlighted widespread barriers to the successful planning, participation in, and recording of, CPD for palliative medicine doctors, with those who are not on the specialist register appearing to be particularly disadvantaged. Individual doctors' information needs need to be addressed, but organisational support for CPD is also required. We believe many of these issues also apply in other specialities.
所有医生都必须进行持续专业发展（CPD）——这既是为了保持良好的医疗实践，也是为了年度评估和重新认证。姑息医学领域的医疗队伍构成多样。许多医生从事兼职工作，他们的持续专业发展要求与全职医生相同。此次调查旨在：确定医生在2001 - 2002年期间是否满足了他们的持续专业发展要求，并找出医生在进行持续专业发展时遇到的问题或困难。2002年10月，向所有已知在姑息医学非培训岗位工作的医生发送了一份问卷，要求提供2001年4月1日至2002年3月31日期间进行的持续专业发展的相关信息。问卷还询问了关于评估和重新认证的知识与理解情况。回复率为53%（381/721）。276名（72%）受访者表示姑息医学是其主要岗位，169人在专科注册名单上（44%）。最有可能满足持续专业发展要求的亚组是专科注册名单上的医生（64%），最不可能满足的是与慈善组织签订合同的医生（33%）。未在专科注册名单上的人中，不到一半理解持续专业发展和重新认证要求。总体而言，只有43%的受访者满足持续专业发展要求（中位数为25学分；范围为5 - 375小时）。这项研究凸显了姑息医学医生在成功规划、参与和记录持续专业发展方面存在广泛障碍，未在专科注册名单上的医生似乎处于特别不利的地位。需要满足个体医生的信息需求，但也需要组织对持续专业发展提供支持。我们认为其中许多问题在其他专业领域也同样存在。
