Young Kevin J, Kim Julie J, Yeung George, Sit Christina, Tobe Sheldon W
Department of Medicine, University of Toronto, A240 Toronto, Canada M4N 3M5.
J Contin Educ Health Prof. 2011 Fall;31(4):241-6. doi: 10.1002/chp.20136.
The need for up-to-date and high-quality continuing medical education (CME) is growing while the financial investment in CME is shrinking. Despite online technology's potential to efficiently deliver electronic CME (eCME) to large numbers of users, it has not yet displaced traditional CME. The purpose of this study was to explore what health care providers want in eCME and how they want to use it.
This was a qualitative study. Two 3-hour focus groups were held with physicians in both academic and community practices as well as trainees knowledgeable in the hypertension clinical practice guidelines with a willingness to discuss eCME. Content/thematic analysis was used to examine the data.
Three main themes emerged: credibility, content/context, and control. Credibility was the most consistent and dominant theme. Affiliations with medical organizations and accreditation were suggested as methods by which eCME can gain credibility. The content and need for discussion of the content emerged as a key pivot point between eCME and traditional CME: a greater need for discussion was linked to a preference for traditional face-to-face CME. Control over the content and how it was accessed was an emergent theme, giving learners the ability to control the depth of learning and the time spent. They valued the ability to quickly find information that was in a format (podcast, video, mobile device) that best suited their learning needs or preferences at the time.
This study provides insight into physician preferences for eCME and hypotheses that can be used to guide further research.
对最新且高质量继续医学教育（CME）的需求不断增长，而CME的财政投入却在缩减。尽管在线技术有潜力高效地向大量用户提供电子继续医学教育（eCME），但它尚未取代传统的CME。本研究的目的是探索医疗保健提供者对eCME的需求以及他们希望如何使用它。
这是一项定性研究。针对学术和社区医疗机构的医生以及熟悉高血压临床实践指南且愿意讨论eCME的实习生，举办了两个时长为3小时的焦点小组。采用内容/主题分析来检查数据。
出现了三个主要主题：可信度、内容/背景和控制权。可信度是最一致且占主导地位的主题。与医学组织的附属关系和认证被认为是eCME获得可信度的方法。内容以及对内容进行讨论的需求成为eCME与传统CME之间的一个关键转折点：对讨论的更大需求与对传统面对面CME的偏好相关联。对内容及其获取方式的控制权是一个新出现的主题，使学习者能够控制学习的深度和所花费的时间。他们重视能够快速找到以最适合他们当时学习需求或偏好的格式（播客、视频、移动设备）呈现的信息的能力。
本研究深入了解了医生对eCME的偏好以及可用于指导进一步研究的假设。
