Gausche-Hill Marianne, Bhakta Yachana, Bond Michael C, Schneider Sandra M, Druck Jeffrey, Livingston Colleen E, Moreno-Walton Lisa, Jones Jonathan S, Barton Melissa A
Departments of Emergency Medicine and Pediatrics Harbor-UCLA Medical Center Los Angeles California USA.
American Board of Emergency Medicine East Lansing Michigan USA.
J Am Coll Emerg Physicians Open. 2024 Oct 9;5(5):e13314. doi: 10.1002/emp2.13314. eCollection 2024 Oct.
This study aims to better understand the perspectives of emergency medicine physicians' on the role that state-mandated, topic-specific continuing medical education (CME) plays in addressing knowledge gaps, its relevance to current emergency practice, its reported burden and costs of CME activities to emergency physicians, and its perceived improvement in patient care.
A cross-sectional survey was designed by the Coalition of Board-Certified Emergency Physicians (COBCEP) and distributed in February 2023 to all American Board of Emergency Medicine (ABEM)-certified physicians. Statistical tests of significance (Pearson's chi-square and Fisher's exact test) assessed the cost and time spent on CME as well as the perceived value placed on CME by ABEM-certified physicians to improve patient care. Data were summarized using descriptive statistics.
There were 5562 (13.0%) responses from the 43656 physicians who received the survey-5506 responses were included for analysis. Over half of the physicians (53.0%) had more than 15 years of post-residency practice experience. Most physicians (57.3%) spent less than $5,000 per year on obtaining CME. Most physicians practicing in states with state-mandated, topic-specific CME requirements believed that participation in ABEM continuing certification could be used to reduce the need for state-mandated, topic-specific CME requirements (83.6%) and state-mandated, topic-specific requirements were believed to be unlikely to improve patient care (70.8%).
Although well-intended, state CME requirements may lack relevancy and can, at times, place an undue burden on emergency physicians. Tailoring CME requirements to increase relevance to their patient populations and reduce barriers to completing CME could enhance knowledge translation and improve patient outcomes.
本研究旨在更好地了解急诊医学医生对于国家规定的特定主题继续医学教育（CME）在填补知识空白方面所起作用的看法，其与当前急诊实践的相关性，其报告的CME活动给急诊医生带来的负担和成本，以及其在改善患者护理方面的感知效果。
由美国急诊医学专科医师委员会联盟（COBCEP）设计了一项横断面调查，并于2023年2月分发给所有获得美国急诊医学委员会（ABEM）认证的医生。采用显著性统计检验（Pearson卡方检验和Fisher精确检验）评估ABEM认证医生在CME上花费的成本和时间，以及他们对CME在改善患者护理方面的感知价值。数据采用描述性统计进行汇总。
在收到调查的43656名医生中，有5562人（13.0%）回复，其中5506份回复纳入分析。超过一半的医生（53.0%）有超过15年的住院医师后实践经验。大多数医生（57.3%）每年在获取CME上花费不到5000美元。大多数在有国家规定的特定主题CME要求的州执业的医生认为，参与ABEM继续认证可用于减少对国家规定的特定主题CME要求的需求（83.6%），并且认为国家规定的特定主题要求不太可能改善患者护理（70.8%）。
尽管出发点是好的，但国家CME要求可能缺乏相关性，有时会给急诊医生带来不必要的负担。调整CME要求以增加与患者群体的相关性并减少完成CME的障碍，可以加强知识转化并改善患者结局。
