Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 128
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Costa, Juliana de Oliveira Almeida-Brasil, Celline Cardoso Godman, Brian Fischer, Michael Adam Dartnell, Jonathan Heaney, Aine dos Santos, Carolina Greco Bernardes Acurcio, Francisco de Assis Álvares, Juliana and Guerra, Augusto Afonso 2016. Implementation of clinical guidelines in Brazil: should academic detailing be used?. Journal of Pharmaceutical Health Services Research, Vol. 7, Issue. 2, p. 105.


    Fordis, Michael King, Jason E. Bonaduce de Nigris, Francesca Morrow, Robert Baron, Robert B. Kues, John R. Norton, James C. Kessler, Harold Mazmanian, Paul E. and Colburn, Lois 2016. Dissemination of Evidence From Systematic Reviews Through Academic CME Providers. Journal of Continuing Education in the Health Professions, Vol. 36, Issue. 2, p. 104.


    González-Guajardo, Eduardo Enrique Salinas-Martínez, Ana María Botello-García, Antonio and Mathiew-Quiros, Álvaro 2016. Clinical coaching in primary care: Capable of improving control in patients with type 2 diabetes mellitus?. Primary Care Diabetes, Vol. 10, Issue. 3, p. 171.


    Nguyen, Vu H. 2016. Osteoporosis knowledge assessment and osteoporosis education recommendations in the health professions. Osteoporosis and Sarcopenia, Vol. 2, Issue. 2, p. 82.


    Pokharel, Yashashwi Steinberg, Lynne Chan, Winston Akeroyd, Julia M. Jones, Peter H. Nambi, Vijay Nasir, Khurram Petersen, Laura Ballantyne, Christie M. and Virani, Salim S. 2016. Case-based educational intervention to assess change in providers' knowledge and attitudes towards the 2013 American College of Cardiology/American Heart Association Cholesterol Management Guideline. Atherosclerosis, Vol. 246, p. 115.


    Reed, E. Kate Johansen Taber, Katherine A. Ingram Nissen, Therese Schott, Suzanna Dowling, Lynn O. O'Leary, James C. and Scott, Joan A. 2016. What works in genomics education: outcomes of an evidenced-based instructional model for community-based physicians. Genetics in Medicine, Vol. 18, Issue. 7, p. 737.


    Schoen, Deborah E. Gausia, Kaniz Glance, David G. and Thompson, Sandra C. 2016. Improving rural and remote practitioners’ knowledge of the diabetic foot: findings from an educational intervention. Journal of Foot and Ankle Research, Vol. 9, Issue. 1,


    Wang, Jing Feng, Qiming Tam, Andrew Sun, Tong Zhou, Peijing and So, Samuel 2016. Evaluation of the first open-access hepatitis B and safe injection online training course for health professionals in China. BMC Medical Education, Vol. 16, Issue. 1,


    Weaver, Marcia R Pillay, Erushka Jed, Suzanne L de Kadt, Julia Galagan, Sean Gilvydis, Jennifer Marumo, Eva Mawandia, Shreshth Naidoo, Evasen Owens, Tamara Prongay, Vickery and O'Malley, Gabrielle 2016. Three methods of delivering clinic-based training on syndromic management of sexually transmitted diseases in South Africa: a pilot study. Sexually Transmitted Infections, Vol. 92, Issue. 2, p. 135.


    Badertscher, N. Tandjung, R. Senn, O. Kofmehl, R. Held, U. Rosemann, T. Hofbauer, G.F.L. Wensing, M. Rossi, P.O. and Braun, R.P. 2015. A multifaceted intervention: no increase in general practitioners' competence to diagnose skin cancer (minSKIN) - randomized controlled trial. Journal of the European Academy of Dermatology and Venereology, Vol. 29, Issue. 8, p. 1493.


    Bensadon, Benjamin A. 2015. Psychology and Geriatrics.


    Beroukhim, Kourosh Nguyen, Catherine Danesh, Melissa J. Wu, Jashin J. and Koo, John 2015. The Evolving Role of Primary Care Practitioners in Dermatology. Journal of the Dermatology Nurses’ Association, Vol. 7, Issue. 6, p. 325.


    Bucklin, Brenda A. Gibbs, Ronald S. Wieber, Carolyn and Myers, Leslie 2015. The Influence of a Continuing Medical Education Campaign on New Strategies to Improve Appropriate Use of Antibiotics. Journal of Biomedical Education, Vol. 2015, p. 1.


    de Groot, Marieke de Beurs, Derek P. de Keijser, Jos and Kerkhof, Ad F.J.M. 2015. An e-learning supported Train-the-Trainer program to implement a suicide practice guideline. Rationale, content and dissemination in Dutch mental health care. Internet Interventions, Vol. 2, Issue. 3, p. 323.


    Duckett, Ashley Cuoco, Theresa Pride, Pamela Wiley, Kathy Iverson, Patty J. Marsden, Justin Moran, William and Caton, Cathryn 2015. Academic Detailing to Teach Aging and Geriatrics. Gerontology & Geriatrics Education, Vol. 36, Issue. 4, p. 331.


    Faruqi, Nighat Lloyd, Jane Ahmad, Raghib Yeong, Lin-Lee and Harris, Mark 2015. Feasibility of an intervention to enhance preventive care for people with low health literacy in primary health care. Australian Journal of Primary Health, Vol. 21, Issue. 3, p. 321.


    Herndon, Jill Boylston Tomar, Scott L. and Catalanotto, Frank A. 2015. Effect of Training Pediatricians and Family Physicians in Early Childhood Caries Prevention. The Journal of Pediatrics, Vol. 166, Issue. 4, p. 1055.


    Hines, Sonia Ramsbotham, Joanne and Coyer, Fiona 2015. The Effectiveness of Interventions for Improving the Research Literacy of Nurses: A Systematic Review. Worldviews on Evidence-Based Nursing, Vol. 12, Issue. 5, p. 265.


    Jagt - van Kampen, Charissa Thari Kremer, Leontien C. M. Verhagen, A. A. Eduard and Schouten - van Meeteren, Antoinette Y. N. 2015. Impact of a multifaceted education program on implementing a pediatric palliative care guideline: a pilot study. BMC Medical Education, Vol. 15, Issue. 1,


    Jochemsen-Van Der Leeuw, H. G. A. Ria Buwalda, Nienke Wieringa-De Waard, Margreet and Van Dijk, Nynke 2015. Learning from a role model: A cascade or whirlpool effect?. Medical Teacher, Vol. 37, Issue. 5, p. 482.


    ×
  • International Journal of Technology Assessment in Health Care, Volume 21, Issue 3
  • July 2005, pp. 380-385

Effects of continuing medical education on improving physician clinical care and patient health: A review of systematic reviews

  • Bernard S. Bloom (a1)
  • DOI: http://dx.doi.org/10.1017/S026646230505049X
  • Published online: 01 July 2005
Abstract

Objectives: The objective of physician continuing medical education (CME) is to help them keep abreast of advances in patient care, to accept new more-beneficial care, and discontinue use of existing lower-benefit diagnostic and therapeutic interventions. The goal of this review was to examine effectiveness of current CME tools and techniques in changing physician clinical practices and improving patient health outcomes.

Methods: Results of published systematic reviews were examined to determine the spectrum from most- to least-effective CME techniques. We searched multiple databases, from 1 January 1984 to 30 October 2004, for English-language, peer-reviewed meta-analyses and other systematic reviews of CME programs that alter physician behavior and/or patient outcomes.

Results: Twenty-six reviews met inclusion criteria, that is, were either formal meta-analyses or other systematic reviews. Interactive techniques (audit/feedback, academic detailing/outreach, and reminders) are the most effective at simultaneously changing physician care and patient outcomes. Clinical practice guidelines and opinion leaders are less effective. Didactic presentations and distributing printed information only have little or no beneficial effect in changing physician practice.

Conclusions: Even though the most-effective CME techniques have been proven, use of least-effective ones predominates. Such use of ineffective CME likely reduces patient care quality and raises costs for all, the worst of both worlds.

Copyright
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: