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[德国医生参与继续教育——以石勒苏益格-荷尔斯泰因州的研究为例]

[Participation in continuing education by German physicians--exemplified by the Schleswig-Holstein study].

作者信息

Ollenschläger G, Thust W, Pfeiffer A, Engelbrecht J, Birker T, Ratschko K W

机构信息

Zentralinstitut für die Kassenärztliche Versorgung in der Bundesrepublik Deutschland.

出版信息

Z Arztl Fortbild (Jena). 1995 Feb;89(1):75-80.

PMID:7709650
Abstract

In order to evaluate the CME behaviour of the physicians in the state of Schleswig-Holstein, the State Society of Physicians questioned all its members (n = 10,326 and 10,698) regarding the participation in CME activities during the previous year using the same questionnaire in 1991 and 1993. Answers were obtained from 6,329/6,904 physicians where 40.2/42.2% (1991/1993) worked in free practice, 46.9 (44.6)% in hospitals, 6.2 (6.9) % in administrative and scientific institutions, 5.2 (2.9)% in various medical occupations, and 1.6 (3.3)% without medical professions. CME activities were identical in 1990 and 1992, where the study of literature was the most relevant activity (99%). Mean reading time was 5.8/5.6 hours per week (physicians in practice: 5.3/5.3 hpw, in hospital 6.4/6.6 hpw), average of read journals: 3.9/3.9 (practice: 4.3/4.3 hospital: 3.6/3.6). Video-CME was documented with 41.7/44.2% in total (practice: 50.5/52.3%-hospital: 37.2/39.9%). Regarding CME courses and conferences, traditional class-room CME was used most frequently (total: 71.9/72.6%-practice: 69.7/71%-hospital: 73.9/74.9%), followed by workshops (total: 50.3/47.9%-practice: 56.4/54.1%-hospital: 45.6/54.1%) and training in small groups (total: 16.6%-practice: 20.9/19.2%-hospital: 13.2/12%). Physicians participated in CME courses and conferences usually in the evenings (7.6/7.2 times a year), followed by halfdays courses (1.4 times), weekend courses (1.4 times) and conferences lasting several day (1.2/1.3-practice: 0.8/0.9-hospital: 1.6/1.6). This study about CME activities firstly demonstrated both the representativity of systematic questionnaires based on the rules of the medical profession, as well as the continuity of the CME behaviour in Germany. The results proof that repeated questionnaires are of little influence on the answering behaviour of physicians.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为评估石勒苏益格-荷尔斯泰因州医生的继续医学教育(CME)行为,州医师协会于1991年和1993年使用相同问卷,就前一年参与CME活动的情况对其所有成员(分别为n = 10,326名和10,698名)进行了询问。共收到6,329 / 6,904名医生的回复,其中40.2% / 42.2%(1991年/ 1993年)从事自由执业,46.9%(44.6%)在医院工作,6.2%(6.9%)在行政和科研机构工作,5.2%(2.9%)从事各种医疗职业,1.6%(3.3%)无医疗职业。1990年和1992年的CME活动相同,其中文献研究是最主要的活动(99%)。平均阅读时间为每周5.8 / 5.6小时(执业医生:5.3 / 5.3小时/周,医院医生:6.4 / 6.6小时/周),平均阅读期刊数量为3.9 / 3.9种(执业医生:4.3 / 4.3种,医院医生:3.6 / 3.6种)。视频CME记录显示,总体占比为41.7% / 44.2%(执业医生:50.5% / 52.3%,医院医生:37.2% / 39.9%)。关于CME课程和会议,传统的课堂式CME使用最为频繁(总体:71.9% / 72.6%,执业医生:69.7% / 71%,医院医生:7,3.9% / 74.9%),其次是研讨会(总体:50.3% / %47.9%,执业医生:56.4% / 54.1%,医院医生:45.6% / 44.1%)和小组培训(总体:16.6%,执业医生:20.9% / %19.2%,医院医生:13.2% / 12%)。医生通常在晚上参加CME课程和会议(每年7.6 / 7.2次),其次是半天课程(1.4次)、周末课程(1.4次)和为期数天的会议(1.2 / 1.3次,执业医生:0.8 / 0.9次,医院医生:1.6 / 1.6次)。这项关于CME活动的研究首先证明了基于医学专业规则的系统问卷的代表性,以及德国CME行为的连续性。结果证明,重复问卷对医生的回答行为影响很小。(摘要截选至250字)

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