Pardell Alenta H, Ramos Torre A, Salto Cerezuela E, Tresserras Gaju R
Consell Coordinador de la Formació Médica Continuada, Barcelona.
An Med Interna. 1995 Apr;12(4):168-74.
In order to learn about opinions, behaviours and needs of continuing medical education (CME), a telephone survey was carried out with a random sample of 1,001 physicians of Catalonia. Books and journals (67.7%; IC: 64.8-70.6) are the most frequent training methods used, much more than the courses and seminars (11.5%; IC: 9.5-13.5)--which are used more often by generalists than specialists--and clinical sessions (9.2%; IC 6.6-12.4). A high proportion (59.2%; IC: 56.1-62.2) do CME out of their workplace, specially general practitioners (66%; IC: 61.5-70.5). Most participants (74.7%; IC: 72.0-77.4) consider that the main objective of CME is to increase their level of knowledge. Those who argue that CME should not be mandatory are mainly general practitioners (58.9%; IC: 54.2-63.6) of which a significant number work in private practice (63.5%; IC: 60.5-66.5). 64.7% (IC: 61.8-67.7) are in favour of cost-free CME. The majority, 80% (IC: 77.4-82.4) believe that CME has to be included in the work timetable: of the physicians who support this point, the majority work in hospitals while only a few work in private practice. Some of the achieved findings could be explained by generational, training and work place differences; as well as the increasing bureaucratic elements in the profession.
为了解继续医学教育(CME)的意见、行为和需求,对加泰罗尼亚的1001名医生进行了随机抽样电话调查。书籍和期刊(67.7%;置信区间:64.8 - 70.6)是最常用的培训方式,远比课程和研讨会(11.5%;置信区间:9.5 - 13.5)——全科医生比专科医生更常使用——以及临床课程(9.2%;置信区间6.6 - 12.4)使用得多。很大一部分人(59.2%;置信区间:56.1 - 62.2)在工作场所以外参加继续医学教育,尤其是全科医生(66%;置信区间:61.5 - 70.5)。大多数参与者(74.7%;置信区间:72.0 - 77.4)认为继续医学教育的主要目标是提高他们的知识水平。那些认为继续医学教育不应强制要求的人主要是全科医生(58.9%;置信区间:54.2 - 63.6),其中相当一部分在私人诊所工作(63.5%;置信区间:60.5 - 66.5)。64.7%(置信区间:61.8 - 67.7)赞成免费的继续医学教育。大多数人,80%(置信区间:77.4 - 82.4)认为继续医学教育必须纳入工作时间表:在支持这一点的医生中,大多数在医院工作,而只有少数在私人诊所工作。一些已取得的调查结果可以通过代际、培训和工作场所差异来解释;以及该行业中日益增加的官僚因素。