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Posted: January 2nd, 2024
Continuing medical education (CME) is the process of providing lifelong learning opportunities for healthcare professionals to maintain and enhance their knowledge, skills, and competence in their respective fields of practice. CME is essential for ensuring high-quality patient care, staying updated with the latest developments and innovations, addressing real-world challenges, and advancing professional growth and career status .
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The impact of CME on healthcare quality can be assessed by various outcomes, such as professional practice, patient health, clinical performance, and health system efficiency. Several systematic reviews have been conducted to synthesize the evidence from different types of CME interventions and outcomes. The main findings of these reviews are summarized below:
- Educational meetings, such as lectures, workshops, seminars, and conferences, are one of the most common forms of CME. Compared with no intervention, educational meetings as the main component of an intervention probably slightly improve professional practice and, to a lesser extent, patient outcomes . However, the effects of educational meetings may vary depending on the topic, setting, format, duration, frequency, and interaction level of the meetings. Educational meetings are more likely to be effective when they are interactive, tailored to the needs and context of the learners, combined with other interventions (such as reminders, audit and feedback, or outreach visits), and focused on outcomes that are important to the learners .
- Interactive techniques, such as case discussions, role-playing, simulations, problem-based learning, and peer coaching, are another common form of CME. Interactive techniques aim to engage learners in active participation, reflection, feedback, and application of knowledge and skills. Interactive techniques may improve professional practice and patient outcomes more than didactic techniques (such as lectures or reading materials) . However, the evidence is limited by the heterogeneity and low quality of the studies. Interactive techniques may be more effective when they are based on clear objectives, relevant to the learners' needs and context, facilitated by experts or peers, and supported by adequate resources and follow-up .
- Online or e-learning is a relatively new form of CME that uses information and communication technologies to deliver educational content and activities. Online or e-learning may have similar or slightly better effects on professional practice and patient outcomes than traditional learning methods (such as lectures or printed materials) . However, the evidence is also limited by the heterogeneity and low quality of the studies. Online or e-learning may be more effective when it is interactive, self-paced, personalized, integrated with clinical practice, and supplemented by other interventions (such as reminders or feedback) .
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In conclusion, CME can have a positive impact on healthcare quality by improving professional practice and patient outcomes. However, the impact of CME depends on various factors related to the design, delivery, content, context, and evaluation of the educational interventions. Therefore, CME providers and learners should consider these factors when planning, implementing, and participating in CME activities.
Bibliography
: IMPORTANCE of CME - American Association of Continuing Medical Education® https://aacmet.org/cme/importance-of-cme/
: The Importance of Continuous Education in Healthcare - HealthManagement.org https://healthmanagement.org/c/healthmanagement/issuearticle/the-importance-of-continuous-education-in-healthcare
: The impact of a quality improvement continuing medical education intervention on physicians’ vaccination practice: a controlled study https://www.tandfonline.com/doi/pdf/10.1080/21645515.2020.1737457?needAccess=true
: Continuing education meetings and workshops: effects on healthcare professionals' practice and patients https://www.cochrane.org/CD003030/EPOC_continuing-education-meetings-and-workshops-effects-healthcare-professionals-practice-and-patients
: Interactive techniques for clinical teaching https://pubmed.ncbi.nlm.nih.gov/17625032/
: E-learning for health professionals https://www.cochrane.org/CD011736/EPOC_e-learning-health-professionals
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