Nelson Benjamin A
Dr. Nelson: Assistant Professor of Pediatrics, Program Director, Pediatric Pulmonary Fellowship MGHfC, and Associate Director CME, Department of Pediatrics MGHfC. Department of Pediatrics, MassGeneral Hospital for Children. Boston, MA.
J Contin Educ Health Prof. 2019 Winter;39(1):64-68. doi: 10.1097/CEH.0000000000000237.
States dictate the type of continuing medical education (CME) required for licensing; however, CME providers are not mandated to create content relevant to all specialties. This often forces pediatricians to engage in educational activities that are irrelevant to their practice. This is contrary to what constitutes effective CME. The goal was to develop pediatric content using adult learning theory that aligns with effective CME principles while simultaneously satisfying state licensure requirements. A targeted needs assessment of pediatric providers revealed that pediatric-specific CME activities satisfying the state's requirement for pain management and end-of-life issues were lacking. Webinars adhering to adult learning principles were created in consultation with content experts. Five hundred ninety-seven learners across 30 states successfully completed the webinars and received CME credit. To satisfy ongoing state licensing requirements, 44% of learners had completed similar activities in the past, but 72% of those learners participated in activities focused on adult medicine due to the lack of available pediatric modules. Until states and regulators allow for more flexibility in satisfying licensing requirements, it will be incumbent on those who create CME to develop educational activities that satisfy state requirements while aligning with the principles of effective CME. With strategic planning, this is possible and will hopefully empower physicians to engage in CME without resorting to "checking a box."
各州规定了获得执照所需的继续医学教育(CME)类型;然而,CME提供者并没有被强制要求创建与所有专业相关的内容。这常常迫使儿科医生参与与其执业无关的教育活动。这与有效的CME的构成背道而驰。目标是利用成人学习理论开发儿科内容,使其符合有效的CME原则,同时满足州执照要求。对儿科提供者的目标需求评估显示,缺乏满足该州疼痛管理和临终问题要求的儿科特定CME活动。在与内容专家协商后创建了遵循成人学习原则的网络研讨会。来自30个州的597名学习者成功完成了网络研讨会并获得了CME学分。为了满足持续的州执照要求,44%的学习者过去曾完成过类似活动,但由于缺乏可用的儿科模块,其中72%的学习者参加了专注于成人医学的活动。在各州和监管机构允许在满足执照要求方面有更大灵活性之前,CME的创建者有责任开发既满足州要求又符合有效CME原则的教育活动。通过战略规划,这是可行的,有望使医生能够参与CME而不必只是“走过场”。