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全球继续医学教育/持续职业发展系统概述。

An overview of global CME/CPD systems.

机构信息

Meducate Global, LLC., Tierra Verde, FL, USA.

Faculty of Medicine, Cairo University, Cairo, Egypt.

出版信息

Med Teach. 2024 Nov;46(11):1428-1440. doi: 10.1080/0142159X.2024.2373879. Epub 2024 Jul 16.

Abstract

PURPOSE

Engagement in CME/CPD has a positive impact on healthcare professionals' (HCPs) knowledge, skills, and performance, and on patient outcomes, therefore it is critical to better understand the components of CME/CPD systems that foster engagement, high-quality education, and impact.

METHODS

An assessment of CME/CPD systems was conducted using a mixed-methods approach that included interviews with in-country subject matter experts and qualitative and quantitative data from practicing in-country physicians.

RESULTS

Results demonstrate areas of consistency in CME/CPD systems across world regions that included: types of educational providers; types of credit; educational formats; self-tracking of participation; high-degree of compliance when education is mandatory; overall satisfaction with available education; strong support for interprofessional education; and lack of alignment or evaluation of engagement in education with population health outcomes. Areas of variation included: whether engagement in education is required as a condition to practice medicine; whether regulations are uniformly applied; if mechanisms to ensure independence existed; and physician perceptions of independence.

CONCLUSION

Results of this assessment maybe used by a variety of different stakeholders to assess how well country-level CME/CPD systems are meeting the needs of practicing physicians and determine what, if any, changes might need to be implemented to improve outcomes.

摘要

目的

继续教育/持续职业发展(CME/CPD)的参与对医疗保健专业人员(HCPs)的知识、技能和绩效以及患者的结果有积极影响,因此,更好地了解促进参与、高质量教育和影响的 CME/CPD 系统的组成部分至关重要。

方法

采用混合方法评估 CME/CPD 系统,包括对国内主题专家的访谈以及来自国内执业医生的定性和定量数据。

结果

结果表明,世界各地区的 CME/CPD 系统在以下方面具有一致性:教育提供者的类型;学分类型;教育形式;自我跟踪参与情况;教育强制性时的高度合规性;对现有教育的总体满意度;对跨专业教育的大力支持;以及缺乏将教育参与度与人口健康结果进行协调或评估。存在差异的领域包括:参与教育是否作为行医的条件;法规是否统一适用;是否存在确保独立性的机制;以及医生对独立性的看法。

结论

该评估的结果可由各种不同的利益相关者使用,以评估国家一级的 CME/CPD 系统在多大程度上满足执业医生的需求,并确定是否需要进行任何更改以改善结果。

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