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. 1996 Jun;46(407):353–356.

Motivation of general practitioners attending postgraduate education.

M H Kelly 1, T S Murray 1
PMCID: PMC1239667  PMID: 8983254

Abstract

BACKGROUND: The 1990 Contract encouraged general practitioners to participate in continuing medical education by providing a financial incentive. AIM: The study was designed: to determine the motivation of general practitioners attending education events; and to compare motivation and reasons for attendance pre- and post-Contract at commercial and non-commercial meetings, and at the different educational categories of Disease Management (DM), Health Promotion (HP) and Service Management (SM). METHOD: Two structured questionnaires were used. The first was sent to all general practitioners in the West of Scotland and asked about motivation pre-1990 Contract and the second, post-Contract, looked at motivation and reasons for attending a course as part of post course assessment. This latter was part of a much larger study evaluating continuing medical education. RESULTS: A total of 1161 practitioners responded to questionnaire I and 552 general practitioners attended 27 randomly selected postgraduate meetings. Finance was a motivator in 3.8% pre-Contract, and this increased to 33.3% post-Contract and was the most commonly stated reason for attendance in 81.3%. Financial incentive had the biggest influence on those attending HP sessions (91.5%), then SM (87.2%) and finally DM (78.6% (chi 2 = 8.68; P < or = 0.013). It was also important to 73% attending drug-company-sponsored meetings compared with 83.7% going to non-commercial ones. Interest was a good motivator both pre- and post-Contract, but more so for DM than other categories and drug company as opposed to non-commercial meetings (chi 2 = 9.4; P < 0.002). Lack of knowledge became a less-important motivator post-Contract, and doctors felt least knowledgeable in SM (62.2%), as opposed to DM (57.9%) and HP (23.6%) (chi 2 = 38.8; P < 0.001, with each differing significantly from both others). Doctors found the topics provided by the pharmaceutical companies more interesting (chi 2 = 9.4; P < 0.002) and the hospitality provided more alluring than scheme meetings (chi 2 = 28.6; P < 0.001). CONCLUSIONS: Finance has a major effect on attendance at postgraduate meetings but may not be a good incentive for learning. Planning for education must take into account the different motivational factors for the different categories. Reasons for attending commercial meetings differ from non-commercial ones and these events should be closely monitored.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Acheson H. W. Continuing education in general practice in England and Wales. J R Coll Gen Pract. 1974 Sep;24(146):643–647. [PMC free article] [PubMed] [Google Scholar]
  2. Durno D., Gill G. M. Survey of general practitioners' views on postgraduate education in North-east Scotland. J R Coll Gen Pract. 1974 Sep;24(146):648–654. [PMC free article] [PubMed] [Google Scholar]
  3. Eskin F. A hierarchical model of continuing education. Med Educ. 1981 Sep;15(5):346–348. doi: 10.1111/j.1365-2923.1981.tb02501.x. [DOI] [PubMed] [Google Scholar]
  4. Forrest J. M., McKenna M., Stanley I. M., Boaden N. T., Woodcock G. T. Continuing education: a survey among general practitioners. Fam Pract. 1989 Jun;6(2):98–107. doi: 10.1093/fampra/6.2.98. [DOI] [PubMed] [Google Scholar]
  5. Horder J., Bosanquet N., Stocking B. Ways of influencing the behaviour of general practitioners. J R Coll Gen Pract. 1986 Nov;36(292):517–521. [PMC free article] [PubMed] [Google Scholar]
  6. Kelly M. H., Murray T. S. General practitioners' views on continuing medical education. Br J Gen Pract. 1994 Oct;44(387):469–471. [PMC free article] [PubMed] [Google Scholar]
  7. McKnight A., Mills K. Continuing medical education for general practitioners--a Northern Ireland plan. Ulster Med J. 1992 Oct;61(2):157–162. [PMC free article] [PubMed] [Google Scholar]
  8. Millac J. Continuing medical education. J R Coll Gen Pract. 1985 Jun;35(275):303–304. [PMC free article] [PubMed] [Google Scholar]
  9. Murray T. S., Dyker G. S., Campbell L. M. Postgraduate education allowance: a regional analysis of the first year. Health Bull (Edinb) 1992 Sep;50(5):348–350. [PubMed] [Google Scholar]
  10. Murray T. S., Dyker G. S., Campbell L. M. Postgraduate education allowance: educational attainment of subscribers and non-subscribers to a centrally organized educational scheme. Br J Gen Pract. 1993 Jan;43(366):19–21. [PMC free article] [PubMed] [Google Scholar]
  11. Owen P. A., Allery L. A., Harding K. G., Hayes T. M. General practitioners' continuing medical education within and outside their practice. BMJ. 1989 Jul 22;299(6693):238–240. doi: 10.1136/bmj.299.6693.238. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Pickup A. J., Mee L. G., Hedley A. J. Obstacles to continuing education. J R Coll Gen Pract. 1983 Dec;33(257):799–801. [PMC free article] [PubMed] [Google Scholar]
  13. Pickup A. J., Mee L. G., Hedley A. J. The general practitioner and continuing education. J R Coll Gen Pract. 1983 Aug;33(253):486–490. [PMC free article] [PubMed] [Google Scholar]
  14. Sanazaro P. J. Determining physicians' performance. Continuing medical education and other interacting variables. Eval Health Prof. 1983 Jun;6(2):197–210. doi: 10.1177/016327878300600205. [DOI] [PubMed] [Google Scholar]
  15. Schofield T. P. Continued medical education must not be an optional extra. Br Med J (Clin Res Ed) 1987 Feb 28;294(6571):526–527. doi: 10.1136/bmj.294.6571.526. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Shirriffs G. G. Continuing educational requirements for general practitioners in Grampian. J R Coll Gen Pract. 1989 May;39(322):190–192. [PMC free article] [PubMed] [Google Scholar]

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