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• W2051878487 abstract "To assess the impact of diverse continuing medical education (CME) interventions on physician performance and health care outcomes.Using continuing medical education and related phrases, we performed regular searches of the indexed literature (MEDLINE, Social Science Index, the National Technical Information Service, and Educational Research Information Clearinghouse) from 1975 through 1991. In addition, for these years, we used manual searches, key informants, and requests to authors to locate other indexed articles and the nonindexed literature of adult and continuing professional education.From the resulting database we selected studies that met the following criteria: randomized controlled trials; educational programs, activities, or other interventions; studies that included 50% or more physicians; follow-up assessments of at least 75% of study subjects; and objective assessments of either physician performance or health care outcomes.Studies were reviewed for data related to physician specialty and setting. Continuing medical education interventions were classified by their mode(s) of activity as being predisposing, enabling, or facilitating. Using the statistical tests supplied by the original investigators, physician performance outcomes and patient outcomes were classified as positive, negative, or inconclusive.We located 777 CME studies, of which 50 met all criteria. Thirty-two of these analyzed physician performance; seven evaluated patient outcomes; 11 examined both measures. The majority of the 43 studies of physician performance showed positive results in some important measures of resource utilization, counseling strategies, and preventive medicine. Of the 18 studies of health care outcomes, eight demonstrated positive changes in patients' health care outcomes.Broadly defined CME interventions using practice-enabling or reinforcing strategies consistently improve physician performance and, in some instances, health care outcomes." @default.
• W2051878487 created "2016-06-24" @default.
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• W2051878487 creator A5037961412 @default.
• W2051878487 creator A5080461023 @default.
• W2051878487 creator A5081821458 @default.
• W2051878487 date "1992-09-02" @default.
• W2051878487 modified "2023-10-14" @default.
• W2051878487 title "Evidence for the Effectiveness of CME" @default.
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• W2051878487 doi "https://doi.org/10.1001/jama.1992.03490090053014" @default.
• W2051878487 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/1501333" @default.
• W2051878487 hasPublicationYear "1992" @default.
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