Nylenna Magne, Aasland Olaf G
Helsebiblioteket (Norwegian Electronic Health Library), Oslo, Norway.
BMC Med Educ. 2007 May 8;7:10. doi: 10.1186/1472-6920-7-10.
Coping with the increasing body of medical knowledge is a main challenge to all doctors. The aim of this study was to investigate self reported reading and learning habits among Norwegian doctors and their subjective ability to keep professionally updated.
A cross sectional survey among a randomised sample of Norwegian doctors was undertaken in 2004 (n = 1005, response rate 71%). A similar study with many identical questions was done in 1993 (n = 1041, response rate 71%) and a comparison of the results was made.
Attending courses/congresses and reading medical literature were reported to be the most important sources of professional information in 2004, just like in 1993. Less time was spent on courses/congresses in 2004 than in 1993, and more time was spent on medical reading. The internet was regarded as useful for their professional life for three out of five, mostly among the younger and least among GPs. Two out of three doctors felt that they could obtain sufficient information for keeping updated in 2004, the same proportion as in 1993. A correlation was found between subjective coping with the information and a high level of continuing medical education (CME)-activities. The information copers had a higher level of job satisfaction than non-copers.
Over the last decade Norwegian doctors spend less time on attending courses/congresses and more time on medical reading, while the level of self perceived coping with information has been unchanged. The changing pattern of professional updating may reflect a more general individualistic trend in society. The consistent finding of a correlation between reading and attending courses, subjective coping and job satisfaction gives good reasons for recommending a high level of CME-activities among doctors.
应对日益增长的医学知识体系是所有医生面临的主要挑战。本研究旨在调查挪威医生自我报告的阅读和学习习惯,以及他们在专业知识更新方面的主观能力。
2004年对挪威医生的随机样本进行了横断面调查(n = 1005,应答率71%)。1993年进行了一项有许多相同问题的类似研究(n = 1041,应答率71%),并对结果进行了比较。
与1993年一样,2004年参加课程/学术会议和阅读医学文献被报告为专业信息的最重要来源。2004年花在课程/学术会议上的时间比1993年少,而花在医学阅读上的时间更多。五分之三的人认为互联网对他们的职业生涯有用,其中年轻人居多,全科医生中最少。2004年,三分之二的医生认为他们能够获得足够的信息以保持知识更新,这一比例与1993年相同。发现主观应对信息的能力与高水平的继续医学教育(CME)活动之间存在相关性。信息应对者的工作满意度高于非应对者。
在过去十年中,挪威医生花在参加课程/学术会议上的时间减少,花在医学阅读上的时间增加,而自我感觉应对信息的能力没有变化。专业知识更新模式的变化可能反映了社会中更普遍的个人主义趋势。阅读与参加课程、主观应对与工作满意度之间始终存在相关性,这为建议医生开展高水平的CME活动提供了充分理由。