Dowling Stephanie, Last Jason, Finnigan Henry, Cullen Walter
a University College Dublin Health Sciences, School of Medicine & Medical Science , Dublin , Ireland.
b ICGPCME Centre , Marina House Medical Centre , Ballinasloe, Co Galway , Ireland.
Educ Prim Care. 2018 May;29(3):151-165. doi: 10.1080/14739879.2018.1450096. Epub 2018 Apr 6.
Background Studies demonstrate that the CME/CPD (continuing medical education/continuing professional development) needs of rural general practitioners (GPs) are unique. Little research has focused specifically on the effectiveness of CME/CPD programmes for rural practice. Aims To review the literature on CME/CPD for GPs in rural areas, focussing on studies which examined impact on doctor performance or patient outcomes. Methods A search of peer-reviewed English language literature and relevant grey literature was conducted: identified literature was reviewed. Results Nineteen articles met the pre-specified inclusion criteria. Educational delivery approaches examined include regional CME/CPD small-group learning programmes, workshops and distance learning. Most articles report on participant experience or satisfaction while doctor performance and patient outcomes are seldom reported. Distance learning programmes found it difficult to recruit or engage doctors, two out of six studies found improvements in self-reported knowledge or performance, while none reported measurable changes in doctor performance/patient care.
背景 研究表明，农村全科医生的继续医学教育/持续专业发展（CME/CPD）需求独具特色。专门针对CME/CPD项目在农村医疗实践中的有效性的研究较少。目的 回顾关于农村地区全科医生CME/CPD的文献，重点关注考察对医生表现或患者结局影响的研究。方法 检索了同行评审的英文文献及相关灰色文献：对检索到的文献进行了综述。结果 19篇文章符合预先设定的纳入标准。所考察的教育提供方式包括区域CME/CPD小组学习项目、研讨会和远程学习。大多数文章报告的是参与者的体验或满意度，而很少报告医生表现和患者结局。远程学习项目发现难以招募或吸引医生参与，六项研究中有两项发现自我报告的知识或表现有所改善，但没有一项报告医生表现/患者护理方面有可衡量的变化。
