Stafford Renae E, Dreesen Elizabeth B, Charles Anthony, Marshall Harry, Rudisill Michele, Estes Eithiel
Division of Trauma and Critical Care, Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599, USA.
Am Surg. 2010 Jul;76(7):692-6.
The American Board of Surgery has adopted the Maintenance of Certification requirement for surgeons. It requires continuous professional development (CPD) using active and passive learning modalities in contrast to traditional continuing medical education (CME). The Rural Trauma Team Development Course developed by the American College of Surgeons Committee on Trauma is a CPD learning activity. We provided 22 free courses between May 2007 and June 2009 to trauma care providers at 11 affiliated community and critical access hospitals. The course was taught on-site by an interdisciplinary group and at least one trauma surgeon was faculty. Free Category I CME credits and continuing education units were provided. Two hundred thirty-four providers attended and the majority were RNs (60%) and emergency medical technicians (21.8%). Only 18 were physicians (7.7%) and none were surgeons. The majority felt that they would change their practice as a result of the course but cited the lack of attendance at the course by emergency physicians and surgeons as a deficit. It may be that surgeons have barriers such as time away from a practice to attending these newer types of educational opportunities. Those who develop and offer these courses may need to develop different strategies to reach this target audience.
美国外科委员会已采用针对外科医生的认证维持要求。与传统的继续医学教育（CME）不同，它要求通过主动和被动学习方式进行持续专业发展（CPD）。美国外科医师学会创伤委员会开发的农村创伤团队发展课程就是一项CPD学习活动。在2007年5月至2009年6月期间，我们为11家附属社区医院和急救医院的创伤护理人员提供了22门免费课程。该课程由一个跨学科小组在现场授课，并且至少有一名创伤外科医生作为教员。提供了一类免费的CME学分和继续教育单元。234名人员参加了课程，其中大多数是注册护士（60%）和急救医疗技术员（21.8%）。只有18人是医生（7.7%），没有外科医生。大多数人认为他们会因该课程而改变自己的医疗行为，但指出急诊医生和外科医生未参加该课程是一个缺陷。外科医生可能存在诸如因离开工作岗位而无法参加这些新型教育机会等障碍。那些开发和提供这些课程的人可能需要制定不同的策略来吸引这一目标受众。
