Dietrich A J, Barrett J, Levy D, Carney-Gersten P
Department of Community, Dartmouth Medical School, Hanover, New Hampshire 03756.
Am J Prev Med. 1990 Nov-Dec;6(6):346-52.
Continuing medical education (CME) programs are a common way for physicians to keep up with new developments in medical care. CME has been criticized as poorly evaluated at best and ineffective at worst. Proposed modifications in the traditional CME format include a role for influential peers, physician discussion groups, and self-formulated contracts. As part of a project that is testing methods to improve primary care physician cancer control performance, we provided an eight-hour educational program that included these proposed modifications and that addressed early detection of breast, cervical, and colon cancer and counseling on nutrition and smoking cessation. Physician knowledge improved after the program in four of the five content areas. In addition, physicians reported significant increases in their cancer control activities after six months. We conclude that cancer control CME programs that use interactive discussion groups, influential peers, and self-formulated contracts are feasible, well received by physicians, and result in improvements in knowledge and self-reported cancer control behavior.
继续医学教育（CME）项目是医生跟上医疗保健新发展的常见方式。继续医学教育受到的批评是，往好里说是评估不佳，往坏里说是毫无成效。对传统继续医学教育形式的提议修改包括有影响力的同行、医生讨论小组和自行制定的合同所发挥的作用。作为一个测试改善初级保健医生癌症控制绩效方法的项目的一部分，我们提供了一个八小时的教育项目，其中包括这些提议的修改内容，涉及乳腺癌、宫颈癌和结肠癌的早期检测以及营养和戒烟咨询。在该项目之后，五个内容领域中的四个领域，医生的知识水平有所提高。此外，医生报告称，六个月后他们的癌症控制活动显著增加。我们得出结论，使用互动讨论小组、有影响力的同行和自行制定的合同的癌症控制继续医学教育项目是可行的，受到医生的好评，并能带来知识水平的提高和自我报告的癌症控制行为的改善。
