Berg A O
J Fam Pract. 1979 Jun;8(6):1171-4.
Although continuing education has a long tradition within the medical profession, mandated continuing medical education is of very recent origin. The conceptual framework used to justify continuing medical education is that it exposes physicians to new knowledge, changes physician behavior, and favorably alters patient outcomes. Considerable evidence exists that physician knowledge can be increased, and that behavior can be changed, but there is very little to show an effect on patient outcomes. The effectiveness of continuing medical education is further clouded by such issues as consumerism, licensure politics, and professional standards review organization legislation. Family physicians should have a role in determining the outcome of the continuing medical education debate, as participants, as policy-setters, and as informed critics.
尽管继续教育在医学专业领域有着悠久的传统，但强制性继续医学教育却是最近才出现的。用于证明继续医学教育合理性的概念框架是，它能让医生接触新知识、改变医生行为，并对患者治疗结果产生积极影响。有大量证据表明医生的知识可以增加，行为可以改变，但几乎没有证据表明这对患者治疗结果有影响。消费主义、执照颁发政策以及专业标准审查组织立法等问题，进一步模糊了继续医学教育的有效性。家庭医生作为参与者、政策制定者和明智的批评者，应该在继续医学教育辩论结果的确定中发挥作用。
