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Association between participation and compliance with Continuing Medical Education and care production by physicians: a cross-sectional study

机译：参与和继续医学教育的依从性与医生提供的护理之间的关联：一项横断面研究

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Objective Physician participation in Continuing Medical Education programs may be influenced by a number of factors. To evaluate the factors associated with compliance with the Continuing Medical Education requirements at a private hospital, we investigated whether physicians’ activity, measured by volumes of admissions and procedures, was associated with obtaining 40 Continuing Medical Education credits (40 hours of activities) in a 12-month cycle. Methods In an exclusive and non-mandatory Continuing Medical Education program, we collected physicians’ numbers of hospital admissions and numbers of surgical procedures performed. We also analyzed data on physicians’ time since graduation, age, and gender. Results A total of 3,809 credentialed, free-standing, private practice physicians were evaluated. Univariate analysis showed that the Continuing Medical Education requirements were more likely to be achieved by male physicians (odds ratio 1.251; p=0.009) and who had a higher number of hospital admissions (odds ratio 1.022; p0.001). Multivariate analysis showed that age and number of hospital admissions were associated with achievement of the Continuing Medical Education requirements. Each hospital admission increased the chance of achieving the requirements by 0.4%. Among physicians who performed surgical procedures, multivariate analysis showed that male physicians were 1.3 time more likely to achieve the Continuing Medical Education requirements than female physicians. Each surgical procedure performed increased the chance of achieving the requirements by 1.4%. Conclusion The numbers of admissions and number of surgical procedures performed by physicians at our hospital were associated with the likelihood of meeting the Continuing Medical Education requirements. These findings help to shed new light on our Continuing Medical Education program.
机译：内科医生参与继续医学教育计划的客观性可能受多种因素影响。为了评估与满足私立医院继续医学教育要求相关的因素，我们调查了按入院量和手术量衡量的医生活动是否与在一个医院获得40个继续医学学分（活动40小时）有关。 12个月的周期。方法在一项排他性和非强制性的继续医学教育计划中，我们收集了医生的住院人数和所执行的外科手术次数。我们还分析了有关医生毕业后的时间，年龄和性别的数据。结果对总共3,809名具有证书的，独立的私人执业医师进行了评估。单因素分析表明，男性医生更有可能达到继续医学教育的要求（优势比1.251; p = 0.009），住院人数更高（优势比1.022; p <0.001）。多因素分析表明，住院年龄和住院人数与继续医学教育要求的实现有关。每次入院都会使达到要求的机会增加0.4％。在进行外科手术的医师中，多变量分析显示，男性医师达到持续医学教育要求的可能性是女性医师的1.3倍。进行的每个外科手术将达到要求的机会提高了1.4％。结论：我院医师的入院次数和外科手术次数与满足继续医学教育要求的可能性有关。这些发现有助于为我们的继续医学教育计划提供新的思路。

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