Campion-Smith C, Smith H, White P, Baker E, Baker R, Holloway I
Dorset Centre for General Practice.
Br J Gen Pract. 1998 Sep;48(434):1590-3.
General practitioners' (GPs') attendance at continuing medical education (CME) events has increased since the introduction of the Post Graduate Educational Allowance (PGEA) in 1990. However, few studies have examined doctors' perceptions about their continuing education, and explored their views in depth.
To investigate general practitioners' experience of CME events, what personal impact they had, and how the GPs perceived the influence of CME in their professional practice and patient care.
A qualitative study, with in-depth semi-structured interviews, of a purposive sample of 25 general practitioners in Dorset was conducted. Content analysis was used to identify major themes from the transcripts.
GPs perceived CME events as beneficial. Confidence levels rose, and the events provided a break from practice that refreshed and relaxed, thus indirectly benefiting patients. The opportunities provided by formal events for informal learning and exchange of ideas, with both peers in general practice and consultant colleagues, were highly valued. The relevance of the subject to general practice, and the appropriateness of the educational format, were considered of paramount importance. Few responders identified major changes in their practice as a result of formal CME events, and information was seldom disseminated among practice colleagues.
The results of this study challenge GP educators to provide CME that is relevant, to recognize the value of peer contact, and to facilitate the incorporation of new information into practice.
自1990年引入研究生教育津贴（PGEA）以来，全科医生（GPs）参加继续医学教育（CME）活动的人数有所增加。然而，很少有研究调查医生对其继续教育的看法，也很少深入探讨他们的观点。
调查全科医生参加CME活动的经历、这些活动对他们个人的影响，以及全科医生如何看待CME对其专业实践和患者护理的影响。
对多塞特郡25名全科医生进行了一项定性研究，采用深入的半结构化访谈。内容分析用于从访谈记录中识别主要主题。
全科医生认为CME活动有益。自信心增强，这些活动提供了从实践中解脱出来的机会，让人恢复精力并放松，从而间接使患者受益。正式活动为与全科同行和顾问同事进行非正式学习和思想交流提供的机会受到高度重视。主题与全科实践的相关性以及教育形式的适宜性被认为至关重要。很少有受访者认为正式的CME活动使他们的实践有重大改变，信息也很少在实践同事之间传播。
本研究结果促使全科医生教育工作者提供相关的CME，认识到同行交流的价值，并促进将新信息融入实践。
