Leong L, Ninnis J, Slatkin N, Rhiner M, Schroeder L, Pritt B, Kagan J, Ball T, Morgan R
Department of Continuing Medical Education, City of Hope Comprehensive Cancer Center, 1500 E. Duarte Rd, Duarte, CA 91010, USA.
J Cancer Educ. 2010 Jun;25(2):224-8. doi: 10.1007/s13187-010-0040-y. Epub 2010 Mar 5.
California Assembly Bill AB487 mandates that all practicing physicians are required to obtain 12 h of Continuing Medical Education in Pain Management and End of Life Care before the year 2006 in order to renew their state license to practice medicine. In order to determine the effectiveness of this bill in influencing the practice of medicine, we conducted the first of five planned annual Pain Management seminars and utilized physician questionnaires to determine possible practice changes as a result of this seminar. Eighty-one physicians representing 17 multiple specialties of medicine enrolled in this seminar. The topics included: management of malignant and non-malignant pain, pharmacology and management of side effects of opiate and non-opiate analgesics, and adjunctive therapies including depression management and spirituality issues. Physicians were asked to respond to an immediate post-seminar questionnaire and were subsequently queried 4 months following the conference. Fifty-one out of 81 physician registrants responded to an immediate post-attendance questionnaire, and 31 responded to the 4-month follow-up questionnaire. Responses included: [Please see text]. This audience represents the most motivated group of practitioners electing to receive Pain Management Education long before the mandated deadline. Sixty-seven percent expressed an interest in changing their practice following this intensive educational experience. Ninety percent responding to the follow-up evaluation indicated that their practices had changed, suggesting that this seminar series is effective in altering physician practice patterns (supported by Cancer Center Support Grant CA 33572 and Sarnat Foundation).
加利福尼亚州议会法案AB487规定，所有执业医师必须在2006年之前获得12小时的疼痛管理和临终关怀继续医学教育学分，以便更新其在该州的行医执照。为了确定该法案对医学实践的影响效果，我们举办了计划中的五场年度疼痛管理研讨会中的第一场，并通过医师问卷调查来确定此次研讨会可能导致的实践变化。来自17个医学专科的81名医师参加了此次研讨会。主题包括：恶性和非恶性疼痛的管理、阿片类和非阿片类镇痛药的药理学及副作用管理，以及包括抑郁症管理和精神问题在内的辅助治疗。要求医师在研讨会结束后立即填写问卷，并在会后4个月再次接受询问。81名注册医师中有51人回复了研讨会结束后的即时问卷，31人回复了4个月后的随访问卷。回复内容包括：[请见原文]。这群听众代表了在规定截止日期之前很久就选择接受疼痛管理教育的最积极的从业者群体。67%的人表示有兴趣在这次强化教育经历后改变他们的行医方式。对随访评估做出回应的90%的人表示他们的行医方式已经改变，这表明这个系列研讨会在改变医师的行医模式方面是有效的（得到癌症中心支持拨款CA 33572和萨尔纳特基金会的支持）。
