Continuing education--a choice between affluence and deprivation.

The study sought to identify reasons why initial enthusiasm for in-service training was not reflected in actual attendance. An interview and questionnaire survey of 61 midwives in a London health authority assessed their perceptions of, motivation for and participation in continuing professional education (CPE). The midwives surveyed appreciated the need for CPE, kept up with professional reading and took part in a wide range of educational activities. Managers and staff midwives were the poorest attenders at study days and training sessions, which may have adverse consequences for their development. It is suggested that CPE improves clinical standards and raises morale (a cycle of affluence) and that it may also prevent stress and 'burnout'.