Jones James H, Smith-Coggins Rebecca, Meredith J Mark, Korte Robert C, Reisdorff Earl J, Russ Chad M
Department of Emergency Medicine, Indiana University, School of Medicine, Indianapolis, Indiana.
J Emerg Med. 2013 Dec;45(6):935-41. doi: 10.1016/j.jemermed.2013.05.050. Epub 2013 Aug 9.
The Lifelong Learning and Self-assessment (LLSA) component of the American Board of Emergency Medicine (ABEM) Maintenance of Certification (MOC) program is a self-assessment exercise for physicians. Beginning in 2011, an optional continuing medical education (CME) activity was added.
As a part of a CME activity option for the LLSA, a survey was used to determine the relevancy of the LLSA readings and the degree to which medical knowledge garnered by the LLSA activity would modify clinical care.
Survey results from the 2011 LLSA CME activity were reviewed. This survey was composed of seven items, including questions about the relevancy of the readings and the impact on the physician's clinical practice. The questions used a 5-point Likert scale and data underwent descriptive analyses.
There were 2841 physicians who took the LLSA test during the study period, of whom 1354 (47.7%) opted to participate in the 2011 LLSA CME activity. All participants completed surveys. The LLSA readings were reported to be relevant to the overall clinical practice of Emergency Medicine (69.6% strongly relevant, 28.1% some relevance, and 2.3% little or no relevance), and provided information that would likely help them change their clinical practices (high likelihood 38.8%, some likelihood 53.0%, little or no change 8.2%).
The LLSA component of the ABEM MOC program is relevant to the clinical practice of Emergency Medicine. Through this program, physicians gain new knowledge about the practice of Emergency Medicine, some of which is reported to change physicians' clinical practices.
美国急诊医学委员会(ABEM)认证维持(MOC)计划中的终身学习与自我评估(LLSA)部分是一项针对医生的自我评估活动。从2011年开始,增加了一项可选的继续医学教育(CME)活动。
作为LLSA的CME活动选项的一部分,通过一项调查来确定LLSA阅读材料的相关性以及LLSA活动所获得的医学知识对临床护理的改变程度。
回顾了2011年LLSA CME活动的调查结果。该调查由七个项目组成,包括关于阅读材料相关性以及对医生临床实践影响的问题。问题采用5点李克特量表,数据进行描述性分析。
在研究期间有2841名医生参加了LLSA测试,其中1354名(47.7%)选择参加2011年LLSA CME活动。所有参与者都完成了调查。据报告,LLSA阅读材料与急诊医学的整体临床实践相关(69.6%高度相关,28.1%有些相关,2.3%几乎不相关或不相关),并提供了可能有助于他们改变临床实践的信息(很有可能改变38.8%,有些可能改变53.0%,几乎没有改变或没有改变8.2%)。
ABEM MOC计划的LLSA部分与急诊医学的临床实践相关。通过该计划,医生获得了有关急诊医学实践的新知识,其中一些据报告改变了医生的临床实践。