Based upon a review and analysis of selected literature, the author presents a conceptual model of discrepancy analysis evaluation for planning, implementing, and assessing the impact of continuing medical education (CME). The model is described in terms of its value as a means of diagnosing errors in the development and implementation of CME. The…

Introduction: The controversy surrounding commercial support for continuing medical education (CME) programs has led to policy changes, but data show no significant difference in perceived bias between commercial and noncommercial CME. Indeed, what attendees perceive as commercial influence is not fully understood. We sought to clarify what…

Introduction: Our goal was to identify the clinical questions that health care professionals have at the point of care and explore whether these questions could be used to drive a needs assessment for continuing education programs. Methods: We gathered questions from 28 clinicians; 11 were directly observed for approximately 5 days per person,…

Research into networking and interactivity among practitioners is providing new information that has the potential to enhance the effectiveness of practice improvement initiatives. This commentary reviews the evidence that practitioner interactivity can facilitate emergent learning and behavior change that lead to practice improvements. Insights…

Introduction: Health educators who teach professionals about evidence-based practice (EBP) need instruments to measure change in skills and knowledge. This study aimed to develop and evaluate the interrater reliability, internal consistency, and responsiveness of the Adapted Fresno Test (AFT) of competence in EBP. Methods: Reliability testing…

Introduction: Accurate self-assessment appears to be difficult and, some would propose, even impossible. Recent reviews suggest that peer assessment may be more accurate and that multisource feedback (MSF) may inform self-assessment. We had conducted a series of studies of family physicians in an MSF program including assessments from patients,…

Introduction: Performance Improvement Continuing Medical Education (PI CME) is a mechanism for joining quality improvement (QI) in health care to continuing medical education (CME) systems together. Although QI practices and CME approaches have been recognized for years, what emerges from their integration is largely unfamiliar, because it…

Describes a program for humane care of the dying in long-term care facilities including the data collection process for clinical practice and learning needs assessment, use of needs assessment in continuing education, and evaluation of the continuing-education program. (SK)

Health care organizations with successful internal education programs can expand their offerings through a formal externalization process. The process involves needs assessment, environmental scanning, identification of internal successes, and selection of appropriate topics. (SK)

Rapid changes make mandatory continuing education (MCE) for clinical laboratory professionals imperative. Recent well-designed studies refute arguments of ineffectiveness by showing how (MCE) alters professional practice. Problems other professions have had with licensure can be avoided. (SK)

In eight multidisciplinary teams, 50 health care professionals participated in a case-management workshop. Pre/posttest data revealed significant changes in knowledge and more value placed on cost monitoring. These improvements did not vary by type of hospital, profession, or experience. (SK)

The Getting Started Together project is a 48-hour curriculum to enhance health care professionals' abilities to work with handicapped and at-risk infants and toddlers and their families. The curriculum was packaged into 10 self-instructional videocassette modules for people who are unable to attend classroom sessions. (JOW)