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首页> 外文期刊>Chest: The Journal of Circulation, Respiration and Related Systems >Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines.
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Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines.

机译：继续医学教育对实践表现的影响：继续医学教育的有效性：美国胸科医师学院循证教育指南。

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BACKGROUND: There has been sizable debate and widespread skepticism about the effect of continuing medical education (CME) on the performance of physicians in the practice setting. This portion of the review was undertaken to examine that effect. METHODS: The guideline panel used data from a comprehensive review of the effectiveness of CME developed by The Johns Hopkins Evidence-based Practice Center, focusing on the effect of CME on clinical performance. RESULTS: The review found 105 studies, which evaluated the impact of CME on short- and long-term physician practice performance. Nearly 60% met objectives relative to changing clinical performance in prescribing; screening; counseling about smoking cessation, diet, and sexual practices; guideline adherence; and other topics. Single live and multiple media appeared to be generally positive in their effect, print media much less so. Multiple educational techniques were more successful at changing provider performance than single techniques. The amount or frequency of exposure to CME activities appeared to have little effect on behavior change. CONCLUSIONS: Overall, CME, especially using live or multiple media and multiple educational techniques, is generally effective in changing physician performance. More research, however, is needed that focuses on the specific types of media and educational techniques that lead to the greatest improvements in performance.
机译：背景：关于继续医学教育（CME）对医生在实践环境中的表现的影响，已经引起了广泛的争论和广泛的怀疑。审查的这一部分是为了检验这种影响。方法：指南小组使用了约翰·霍普金斯循证医学实践中心对CME有效性进行的全面审查得出的数据，重点是CME对临床表现的影响。结果：审查发现105项研究，评估了CME对短期和长期医师执业表现的影响。近60％的人达到了有关改变处方药临床表现的目标;筛选;戒烟，饮食和性行为方面的咨询;遵守指南;和其他主题。单一直播和多种媒体在效果上通常是积极的，而印刷媒体则少得多。多种教育技术在改变提供者绩效方面比单一技术更成功。接触CME活动的数量或频率似乎对行为变化影响很小。结论：总体而言，CME，特别是使用现场或多种媒体和多种教育技术，通常可以有效地改变医生的表现。但是，需要进行更多的研究，将重点放在可以最大程度提高性能的特定类型的媒体和教育技术上。

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