Abstract
BACKGROUND: General practitioners' (GPs') attendance at continuing medical education (CME) events has increased since the introduction of the Post Graduate Educational Allowance (PGEA) in 1990. However, few studies have examined doctors' perceptions about their continuing education, and explored their views in depth. AIM: To investigate general practitioners' experience of CME events, what personal impact they had, and how the GPs perceived the influence of CME in their professional practice and patient care. METHOD: A qualitative study, with in-depth semi-structured interviews, of a purposive sample of 25 general practitioners in Dorset was conducted. Content analysis was used to identify major themes from the transcripts. RESULTS: GPs perceived CME events as beneficial. Confidence levels rose, and the events provided a break from practice that refreshed and relaxed, thus indirectly benefiting patients. The opportunities provided by formal events for informal learning and exchange of ideas, with both peers in general practice and consultant colleagues, were highly valued. The relevance of the subject to general practice, and the appropriateness of the educational format, were considered of paramount importance. Few responders identified major changes in their practice as a result of formal CME events, and information was seldom disseminated among practice colleagues. CONCLUSION: The results of this study challenge GP educators to provide CME that is relevant, to recognize the value of peer contact, and to facilitate the incorporation of new information into practice.
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Selected References
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- Burnard P. A method of analysing interview transcripts in qualitative research. Nurse Educ Today. 1991 Dec;11(6):461–466. doi: 10.1016/0260-6917(91)90009-y. [DOI] [PubMed] [Google Scholar]
- Davis D. A., Thomson M. A., Oxman A. D., Haynes R. B. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA. 1995 Sep 6;274(9):700–705. doi: 10.1001/jama.274.9.700. [DOI] [PubMed] [Google Scholar]
- Davis D. A., Thomson M. A., Oxman A. D., Haynes R. B. Evidence for the effectiveness of CME. A review of 50 randomized controlled trials. JAMA. 1992 Sep 2;268(9):1111–1117. [PubMed] [Google Scholar]
- Hayes T. M. Continuing medical education: a personal view. BMJ. 1995 Apr 15;310(6985):994–996. doi: 10.1136/bmj.310.6985.994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 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]
- al-Shehri A. The market and educational principles in continuing medical education for general practice. Med Educ. 1992 Sep;26(5):384–388. doi: 10.1111/j.1365-2923.1992.tb00191.x. [DOI] [PubMed] [Google Scholar]