Polliack M R
Department of Family Medicine, Sackler School of Medicine, Tel Aviv University, Israel.
Med Law. 1990;9(2):791-5.
In Israel there is increasing pressure for a commitment towards accredited continuing medical education (CME) in the expectation that this will improve the quality of medical care. Some ethical problems in these trends are discussed in relation to adult learning, various educational methods, the assessment of quality of medical care and the problems of cognitive assessments, examinations, peer review and medical audit. It is recommended that high priority be given to educational research on the methodology of CME and its potential impact on professional competence and the quality of medical care. A voluntary commitment to regular CME should be considered as much a part of the responsibility of the practising doctor as his service commitment. In this context, accreditation could serve as a means towards facilitating and verifying the doctor's commitment to CME. The basic problem is however, not only the transference of scientific concepts, but also the change in professional behaviour in response to constantly changing medical needs.
在以色列，对于认可的继续医学教育（CME）做出承诺的压力日益增大，人们期望这将提高医疗服务质量。针对这些趋势中的一些伦理问题，本文结合成人学习、各种教育方法、医疗服务质量评估以及认知评估、考试、同行评审和医疗审计等问题进行了讨论。建议高度重视关于继续医学教育方法及其对专业能力和医疗服务质量潜在影响的教育研究。定期参加继续医学教育的自愿承诺应被视为执业医生责任的一部分，如同其服务承诺一样。在此背景下，认证可作为促进和核实医生对继续医学教育承诺的一种手段。然而，基本问题不仅在于科学概念的传授，还在于如何根据不断变化的医疗需求改变专业行为。
