Sherman Lawrence, Leon-Borquez Ricardo, Lopez Mildred, Chappell Kathy
Executive Office, Meducate Global, LLC, Tierra Verde, FL, USA.
Executive Office, World Federation for Medical Education, Mexico.
J CME. 2024 Nov 25;13(1):2427765. doi: 10.1080/28338073.2024.2427765. eCollection 2024.
The aims of this regional assessment of continuing medical education (CME)/continuing professional development (CPD) systems in Latin America were to describe the current requirements, if any, for physicians to engage in CME/CPD, explore perceptions of national CME/CPD systems from in-country subject matter experts (SMEs), to describe the perceptions of interprofessional continuing education (IPCE) and independent CME/CPD from in-country physicians and to provide recommendations that may be adopted by organisations/countries to improve the quality and effectiveness of their current CME/CPD systems and better meet their learners' needs. An assessment of 11 CME/CPD systems in Latin America was conducted using a mixed-methods approach that included 1:1 interviews with in-country SMEs and an electronic survey capturing qualitative and quantitative data from practicing in-country physicians. This assessment reflected countries with CME/CPD systems that are in various stages of maturity. Only three countries have systems that are self-regulated by the profession, several systems lack independence from pharmaceutical influence, and educational activities are described more in terms of traditional CME/CPD as compared to education focused on individual or team gaps or population health care needs. There was little description of incorporating learner self-assessment and evaluation of change and little focus on interprofessional education. This mixed-method assessment of 11 Latin American countries demonstrated CME/CPD systems that are developing in maturity. Participation was often voluntary, and there was relatively little regulation. Physicians overall have been resistant to regulation and have preferred to use a voluntary, incentive-based model. There was a relatively high degree of influence by the pharmaceutical industry. Affordability and access remain challenges. There is an opportunity to better tie country/population health outcomes to CME/CPD, implement interprofessional continuing education, increase faculty skills and learner engagement, and increase funding and access across geographic regions.
本次对拉丁美洲继续医学教育（CME）/继续职业发展（CPD）系统的区域评估旨在描述医生参与CME/CPD目前的要求（如有），探讨国内主题专家（SME）对国家CME/CPD系统的看法，描述国内医生对跨专业继续教育（IPCE）和独立CME/CPD的看法，并提供可供组织/国家采用的建议，以提高其当前CME/CPD系统的质量和有效性，并更好地满足学习者的需求。采用混合方法对拉丁美洲的11个CME/CPD系统进行了评估，其中包括与国内SME进行一对一访谈，以及通过电子调查收集国内执业医生的定性和定量数据。该评估反映了处于不同成熟阶段的CME/CPD系统的国家。只有三个国家的系统由专业自行监管，一些系统缺乏独立性，受制药业影响较大，与针对个人或团队差距或人群医疗需求的教育相比，教育活动更多地按照传统的CME/CPD来描述。关于纳入学习者自我评估和变化评估的描述很少，对跨专业教育的关注也很少。对11个拉丁美洲国家的这种混合方法评估表明，CME/CPD系统正在不断成熟。参与往往是自愿的，监管相对较少。总体而言，医生抵制监管，更倾向于采用基于激励的自愿模式。制药行业的影响程度相对较高。可承受性和获取机会仍然是挑战。有机会将国家/人群健康结果与CME/CPD更好地联系起来，开展跨专业继续教育，提高教员技能和学习者参与度，并增加地理区域的资金投入和获取机会。
