Practice Enhancement Division, Collège des médecins du Québec, Canada.
Can Fam Physician. 2013 May;59(5):518-25.
To evaluate the link between the quantity and quality of continuing professional development (CPD) activities completed by family physicians in Quebec and the quality of their practice.
Retrospective analysis of data collected during professional inspection visits (PIVs).
Quebec.
Three groups were created from among Quebec family physicians who had been subject to PIVs (peer evaluation) by the Collège des médecins du Québec between 1998 and 2005. Group 1 was composed of physicians who were members of the College of Family Physicians of Canada, which requires participation in 250 hours of CPD in every 5-year cycle. Group 2 was composed of family physicians who were not members of the College of Family Physicians of Canada but who had declared at least 50 hours a year of CPD on their Collège des médecins du Québec annual notice of assessment for the same period. Group 3 was composed of family physicians who had declared fewer than 10 hours of CPD a year.
During the PIV, the following characteristics were examined: record keeping, quality and number of hours of CPD activities, and quality of professional practice based on 3 components- clinical investigation, accuracy of diagnosis, and appropriateness of treatment plan and follow-up.
The factors associated with a high quality of practice were privileges in a hospital or local community health centre (institution) and a substantial number of accredited CPD hours (Mainpro-M1, Credit I, or Mainpro-C). The factors associated with a poor quality of practice were advanced age of the physician, absence of privileges in an institution (hospital or local community health centre), and participation in CPD activities that were more informal, such as reading and non-accredited activities (Mainpro-M2).
This study supports earlier research showing that CPD activities of sufficient quality and quantity are correlated with a high quality of professional practice by family physicians.
评估魁北克家庭医生完成的继续职业发展（CPD）活动的数量和质量与其实践质量之间的联系。
对 1998 年至 2005 年间由魁北克医师学院（Collège des médecins du Québec）进行专业检查访问（PIV）收集的数据进行回顾性分析。
魁北克。
从 1998 年至 2005 年间接受过魁北克医师学院（Collège des médecins du Québec）同行评估（同行评议）的魁北克家庭医生中创建了三个小组。第 1 组由加拿大家庭医师学院（College of Family Physicians of Canada）的成员组成，该学院要求在每 5 年周期内完成 250 小时的 CPD。第 2 组由不隶属于加拿大家庭医师学院（College of Family Physicians of Canada）但在同一时期向魁北克医师学院（Collège des médecins du Québec）年度评估通知中每年至少申报 50 小时 CPD 的家庭医生组成。第 3 组由每年申报少于 10 小时 CPD 的家庭医生组成。
在 PIV 期间，检查了以下特征：记录保存、CPD 活动的质量和数量，以及基于三个组成部分的专业实践质量-临床调查、诊断准确性以及治疗计划和随访的适当性。
与高质量实践相关的因素是医院或当地社区卫生中心（机构）的特权以及大量认可的 CPD 小时数（Mainpro-M1、Credit I 或 Mainpro-C）。与低质量实践相关的因素是医生年龄较大、机构（医院或当地社区卫生中心）中没有特权以及参与质量较低的 CPD 活动，例如阅读和未经认可的活动（Mainpro-M2）。
这项研究支持了早期的研究，表明数量和质量足够的 CPD 活动与家庭医生的高质量专业实践相关。
