M. O'Brien Pott is senior analyst, Planning Services, Mayo Clinic, Rochester, Minnesota.
A.S. Blanshan is senior marketing manager, Mayo Clinic, Rochester, Minnesota.
Acad Med. 2021 Jan 1;96(1):93-100. doi: 10.1097/ACM.0000000000003758.
To explore what influences clinicians in selecting continuing medical education (CME) activities in the United States.
In August 2018, the authors conducted an Internet-based national survey, sampling 100 respondents from each of 5 groups: family medicine physicians, internal medicine and hospitalist physicians, medicine specialist physicians, nurse practitioners, and physician assistants. In total, 1,895 clinicians were invited and 500 (26%) responded. Questions addressed the selection and anticipated use of CME delivery modalities and perceived characteristics of specific CME providers. Response formats used best-worst scaling or 5-point ordinal response options.
The factors identified as most important in selecting CME activities were topic (best-worst scaling net positivity 0.54), quality of content (0.51), availability of CME credit (0.43), and clinical practice focus (0.41), while referral frequency (-0.57) ranked lowest. The activities that the respondents anticipated using most in the future were live (mean 3.8 [1 = not likely, 5 = very likely]), online (mean 3.5), point-of-care (mean 3.5), and print-based (mean 3.5) activities. For online CME, the features of greatest appeal were that learning could be done when clinicians had time (mean 4.4), at their own pace (mean 4.2), and at lower cost (mean 4.2). For live CME, the features of greatest appeal were that the subject was best taught using this modality (mean 4.0), or the activity was located in a destination spot (mean 4.0) or a regional location (mean 3.9). When rating specific CME providers, most academic institutions received relatively high ratings for research focus and clinical practice focus, whereas commercial providers had slightly higher ratings for ease of access. Responses were generally similar across clinician types and age groups.
Physicians, nurse practitioners, and physician assistants are interested in using a variety of CME delivery modalities. Appealing features of online and live CME were different.
探索美国临床医生选择继续医学教育（CME）活动的影响因素。
2018 年 8 月，作者进行了一项基于互联网的全国性调查，从 5 个群体中各抽取 100 名受访者：家庭医学医师、内科和医院医师、医学专家医师、执业护士和医师助理。共有 1895 名临床医生受邀，其中 500 名（26%）做出了回应。问题涉及选择和预期使用 CME 交付模式以及对特定 CME 提供者的感知特征。使用最佳最差分级或 5 点有序响应选项回答问题。
被确定为选择 CME 活动最重要的因素是主题（最佳最差分级净正性 0.54）、内容质量（0.51）、CME 学分的可用性（0.43）和临床实践重点（0.41），而推荐频率（-0.57）排名最低。受访者预计未来最常使用的活动是现场（平均 3.8[1=不太可能，5=非常可能]）、在线（平均 3.5）、即时护理（平均 3.5）和基于印刷的（平均 3.5）活动。对于在线 CME，最吸引人的特点是当临床医生有时间时（平均 4.4）、按照自己的节奏（平均 4.2）和以较低的成本（平均 4.2）学习。对于现场 CME，最吸引人的特点是该主题最好通过这种模式教授（平均 4.0），或者活动位于目的地（平均 4.0）或地区位置（平均 3.9）。在对特定 CME 提供者进行评分时，大多数学术机构因其研究重点和临床实践重点获得了相对较高的评分，而商业提供者因其易于访问而获得了略高的评分。各临床医生类型和年龄组的回复基本相似。
医生、执业护士和医师助理有兴趣使用各种 CME 交付模式。在线和现场 CME 的吸引人之处不同。
