Over only a few weeks in March 2020 the COVID-19 pandemic changed health care delivery in the United Kingdom completely - not least in general practice, where over 1 million patients are already treated every day. To reduce viral spread, practices introduced remote doctor-led triage and face-to-face consultations where converted almost exclusively…

Introduction: Multisource feedback (MSF) ratings provided by patients and colleagues are often poorly correlated with doctors' self-assessments. Doctors' reactions to feedback depend on its agreement with their own perceptions, but factors influencing self-other agreement in doctors' MSF ratings have received little attention. We aimed to identify…

This article draws on a longitudinal qualitative study of graduate transitions from higher education programmes to the world of work. In the study, 23 physicians and 20 master's level engineers in information technology, recently graduated from four different universities in Sweden, were interviewed. The aim of this article is to explore the…

Introduction: Judgment in the face of uncertainty is an important dimension of expertise and clinical competence. However, it is challenging to conceive continuing professional development (CPD) initiatives aimed at helping physicians enhance their clinical judgment skills in ill-defined situations. We present an online script concordance-based…

Introduction: The mini-clinical evaluation exercise (mini-CEX) is widely used for the evaluation of medical trainees' clinical competence. To our knowledge, no study has examined the effect of mini-CEX on the preceptors. Based on the principle of "to teach is to learn twice," we hypothesized that the act of precepting a mini-CEX would enhance…

This case study surveys the growing use of open and distance learning approaches to the provision of support, education and training to health workers over the past few decades. It classifies such uses under four headings, providing brief descriptions from the literature of a few examples of each group. In conclusion, it identifies key lessons…

Introduction: There has been a surge of interest in the area of bias in industry-supported continuing medical education/continuing professional development (CME/CPD) activities. In 2007, we published our first study on measuring bias in CME, demonstrating that our assessment tool was valid and reliable. In light of the increasing interest in this…

Explored Scottish clinicians' perceptions of the workplace as an environment for learning. In-depth interviews with junior and senior clinicians revealed the process through which novice clinicians become part of a "community of practice" and their senior colleagues continue to learn in an environment, which poses fewer professional…

Orthodox medical education for women in the nineteenth century is examined to determine to what extent women's actual experience reflected their stated goals. It is contended that although women successfully founded some medical schools providing creditable, and in some cases outstanding, training to females, women physicians' ambivalence about…

Professional societies in the field of medicine have recommended that the traditional model for lifelong medical learning, which had previously focused on attendance at weeklong didactic continuing medical education (CME) courses, should be replaced by individualized study. Self-directed and practice-linked learning are well accepted in principle,…

Evidence-based practice (EBP) requires practitioners to identify and formulate questions in response to patient encounters, and to seek, select, and appraise applicable clinical research. A standardized workshop format serves as the model for training of medical educators in these skills. We developed an evaluation exercise to assess the ability…

Introduction: In academic health centers, the number of physician investigators and the number of research studies headed by clinicians has been declining. The U.S. Institute of Medicine and the National Institutes of Health suggest improved mentoring is important to reversing these trends. Methods: This is a case study review of the role of…

The 1979 report of a working group of the World Health Organization (WHO) in cooperation with the West German government, on the design of training in health planning and management in the European region is presented. The working group consisted of 15 temporary advisers from 11 countries, in addition to WHO staff and a consultant. The group was…

In this review of the literature evaluating the effectiveness of continuing medical education (CME), 238 studies from 1935 to 1982 were reviewed and annotated using previously established and tested assessment criteria. CME interventions were found to have an impact on physician competence and, less consistently, on physician performance and…

Physicians' reasons for participating in continuing medical education are assessed and the efficacy of using a specific instrument for planning and evaluating continuing medical education (CME) programs is judged. Practicing physicians from four Illinois hospitals participated and the responses were factor analyzed. Implications for CME program…