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首页> 外文期刊>BMC Medical Education >Barriers to identifying and obtaining CME: a national survey of physicians, nurse practitioners and physician assistants
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Barriers to identifying and obtaining CME: a national survey of physicians, nurse practitioners and physician assistants

机译：识别和获取CME的障碍：对医生，护士从业者和医师助理的国家调查

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CPD educators and CME providers would benefit from further insight regarding barriers and supports in obtaining CME, including sources of information about CME. To address this gap, we sought to explore challenges that clinicians encounter as they seek CME, and time and monetary support allotted for CME. In August 2018, we surveyed licensed US clinicians (physicians, nurse practitioners, and physician assistants), sampling 100 respondents each of family medicine physicians, internal medicine and hospitalist physicians, medicine specialist physicians, nurse practitioners, and physician assistants (1895 invited, 500 [26.3%] responded). The Internet-based questionnaire addressed barriers to obtaining CME, sources of CME information, and time and monetary support for CME. The most often-selected barriers were expense (338/500 [68%]) and travel time (N?=?286 [57%]). The source of information about CME activities most commonly selected was online search (N?=?348 [70%]). Direct email, professional associations, direct mail, and journals were also each selected by ?50% of respondents. Most respondents reported receiving 1–6?days (N?=?301 [60%]) and $1000–$5000 (n?=?263 [53%]) per year to use in CME activities. Most (?70%) also reported no change in time or monetary support over the past 24?months. We found few significant differences in responses across clinician type or age group. In open-ended responses, respondents suggested eight ways to enhance CME: optimize location, reduce cost, publicize effectively, offer more courses and content, allow flexibility, ensure accessibility, make content clinically relevant, and encourage application. Clinicians report that expense and travel time are the biggest barriers to CME. Time and money support is limited, and not increasing. Online search and email are the most frequently-used sources of information about CME. Those who organize and market CME should explore options that reduce barriers of time and money, and creatively use online tools to publicize new offerings.
机译：CPD教育工作者和CME提供商将受益于进一步的识别障碍，并支持获得CME，包括关于CME的信息来源。为了解决这一差距，我们试图探讨临床医生在寻求CME时遇到的挑战，以及分配CME的时间和货币支持。 2018年8月，我们调查了美国临床医生（医生，护士从业者和医师助理），抽样100名受访者每家庭医学医师，内科医院医师，医学专业医师，护士医生和医师助理（1895名邀请，500 [26.3％]回应）。基于互联网的问卷解决了获得CME，CME信息来源以及CME的时间和货币支持的障碍。最常用的障碍是费用（338/500 [68％]）和行程时间（n？= 286 [57％]）。关于CME活动的信息来源，最常见的是在线搜索（n？=？348 [70％]）。直接电子邮件，专业协会，直邮和期刊也被＆？50％的受访者。大多数受访者报告每年接受1-6天？几天（n？= 301 [60％]）和1000美元（n？=？263 [53％]）在CME活动中使用。大多数（＆？70％）还报告了过去24个月没有时间或货币支持的变化。我们发现临床医生类型或年龄组的反应差异很大。在开放式答复中，受访者建议提高CME的八种方法：优化位置，降低成本，有效宣传，提供更多的课程和内容，允许灵活性，确保临床相关，并鼓励应用。临床医生报告费用和旅行时间是CME最大的障碍。时间和金钱支持有限，而且没有增加。在线搜索和电子邮件是有关CME最常用的信息来源。组织和市场CME的人应该探索减少时间和金钱障碍的选项，创造性地使用在线工具宣传新产品。

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