Yang Dongxue, Chen Jiansong, Li Jiaying, Pu Xicheng, Wu Siyu, Jiang Zeyu, Li Zhuoli, Cai Yinglian, Ye Biyu, Yang Chanjuan
The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
School of Mental Health, Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.
Adv Med Educ Pract. 2025 Aug 26;16:1547-1558. doi: 10.2147/AMEP.S535544. eCollection 2025.
Continuing Medical Education (CME) is vital for maintaining and improving the competencies of healthcare professionals. Despite the recognized importance of CME, disparities in CME engagement across professional roles remain underexplored in China. This study aims to addresses this gap by analyzing the participation and credit compliance of healthcare professionals in CME programs at a hospital in Guangdong Province over a five-year period (2019-2023) and to explore the differences across different professional titles and specializations.
We conducted a retrospective analysis of 5,156 records from the hospital's proprietary electronic CME management system. All full-time clinical staff were included. Descriptive statistics quantified annual average participation and credit compliance rates. Chi-square tests (χ²) assessed differences by title and specialty.
The results indicate that over the past five years, both CME participation and credit compliance steadily increased. Significant differences were observed in participation among healthcare professionals with different professional titles ( =38.02, <0.001), with intermediate-title staff exhibiting the highest participation (98.8%) and junior-title staff the lowest (95.4%). Credit compliance rates also differed significantly among professional titles ( =43.88, <0.001), with intermediate-title group reaching the highest credit compliance rate (97.1%) and senior consultant-title group the lowest (89.1%). Additionally, there were significant variations in credit compliance rates across different specialties ( =233.10, <0.001), with nursing professionals at the top (99.3%) and technicians at the bottom (90.6%).
Significant disparities in CME participation and credit compliance were observed across professional titles and clinical specialties. The findings suggest that CME programs should be tailored to the specific needs of different professional groups. These insights provide valuable recommendations for policymakers and hospital administrators seeking to optimizing CME program design, enhancing participation, and improving healthcare quality through continued professional development.
继续医学教育（CME）对于维持和提升医疗专业人员的能力至关重要。尽管继续医学教育的重要性已得到认可，但在中国，不同专业角色在继续医学教育参与方面的差异仍未得到充分研究。本研究旨在通过分析广东省一家医院的医疗专业人员在五年期间（2019 - 2023年）参与继续医学教育项目的情况以及学分合规情况来填补这一空白，并探讨不同职称和专业之间的差异。
我们对医院专有的电子继续医学教育管理系统中的5156条记录进行了回顾性分析。纳入了所有全职临床工作人员。描述性统计量化了年度平均参与率和学分合规率。卡方检验（χ²）评估了职称和专业之间的差异。
结果表明，在过去五年中，继续医学教育的参与率和学分合规率均稳步上升。不同职称的医疗专业人员在参与率方面存在显著差异（=38.02，<0.001），中级职称人员的参与率最高（98.8%），初级职称人员最低（95.4%）。学分合规率在职称之间也存在显著差异（=43.88，<0.001），中级职称组的学分合规率最高（97.1%），高级顾问职称组最低（89.1%）。此外，不同专业的学分合规率也存在显著差异（=233.10，<0.001），护理专业人员最高（99.3%），技术人员最低（90.6%）。
在职称和临床专业之间观察到继续医学教育参与率和学分合规率存在显著差异。研究结果表明，继续医学教育项目应根据不同专业群体的特定需求进行调整。这些见解为政策制定者和医院管理人员提供了有价值的建议，有助于他们优化继续医学教育项目设计、提高参与率，并通过持续专业发展提升医疗质量。
