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分享戒烟绩效改进继续医学教育项目的协作设计。

Sharing collaborative designs of tobacco cessation performance improvement CME projects.

作者信息

Mullikin Elizabeth A, Ales Mary W, Cho Jane, Nelson Teena M, Rodrigues Shelly B, Speight Mike

机构信息

Office of Continuing Professional Development, University of Wisconsin School of Medicine and Public Health, USA.

出版信息

J Contin Educ Health Prof. 2011 Fall;31 Suppl 1:S37-49. doi: 10.1002/chp.20147.

Abstract

INTRODUCTION

Performance Improvement Continuing Medical Education (PI CME) provides an important opportunity for CME providers to combine educational and quality health care improvement methodologies. Very few CME providers take on the challenges of planning this type of intervention because it is still a new practice and there are limited examples from which to model. This article offers case examples of educational design, results, and lessons learned from 4 tobacco cessation PI CME activities.

PURPOSE

To share with the CME community different cases of PI CME educational design and results so that CME providers may have examples to draw from and develop more PI CME activities.

METHODS

This is a case report.

RESULTS

Four of 9 partners of the Cease Smoking Today (CS2day) initiative developed the 4 tobacco cessation PI CME activities. Each project was designed and implemented using a common planning framework and clinical performance measures but with varying operational and educational design components depending on the strengths and resources of the leading partner. Three projects that are completed show improvements in aggregated practitioner performance and smoking quit rates. One project is currently under way.

DISCUSSION

These cases highlight the value of collaboration, identify influences of operational and educational designs on variation in compliance with performance measures, and lead to a discussion of similarities in barriers, successes, and lessons for future practice.

摘要

引言

持续医学教育中的绩效改进(PI CME)为继续医学教育提供者提供了一个重要契机,使其能够将教育方法与优质医疗保健改进方法相结合。很少有继续医学教育提供者愿意应对规划此类干预措施的挑战,因为这仍是一种新做法,可供借鉴的范例有限。本文提供了4项戒烟PI CME活动的教育设计、结果及经验教训的案例。

目的

与继续医学教育界分享PI CME教育设计和结果的不同案例,以便继续医学教育提供者能够从中获取范例并开展更多的PI CME活动。

方法

这是一份案例报告。

结果

“今日戒烟”(CS2day)倡议的9个合作伙伴中的4个开展了这4项戒烟PI CME活动。每个项目均使用通用的规划框架和临床绩效指标进行设计和实施,但根据主导合作伙伴的优势和资源,其运营和教育设计组成部分有所不同。已完成的3个项目显示,从业者的总体绩效和戒烟率有所提高。1个项目正在进行中。

讨论

这些案例突出了合作的价值,确定了运营和教育设计对绩效指标合规性差异的影响,并引发了关于未来实践中障碍、成功经验和教训的相似性的讨论。

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