Continuing medical education and the anesthesiologist

Tetzlaff, John E.; Schoenwald, Peter K.; Jackman, Donna M.; Smith, Jan Weingrad

doi:10.1016/s0952-8180(99)00015-x

Cited by 7 publications

(6 citation statements)

References 68 publications

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“…While we could not find another study examining physician recruitment and participation in a similarly designed intervention, there are several studies of physician participation in traditional CME courses [ 3 , 8 - 12 ]. Factors which influence physician participation in traditional CME courses include licensure requirements and opportunities for review or general updates and for interaction with colleagues, especially in the context of professional societies [ 8 , 9 ]. Internet-based CME may be tailored to meet individual needs and be more interactive than traditional CME.…”

Section: Discussionmentioning

confidence: 92%

“…CME is increasingly more available via the Internet, making it much more accessible than traditional CME activities. In addition, use of Web-based technologies is expected to increase [ 8 , 14 ]. Understanding physician factors associated with participation will assist in designing future recruitment efforts as well as Internet-based interventions.…”

Section: Discussionmentioning

confidence: 99%

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Improving Physician Performance Through Internet-Based Interventions: Who Will Participate?

Wall

Mian²,

Ray³

et al. 2005

J Med Internet Res

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BackgroundThe availability of Internet-based continuing medical education is rapidly increasing, but little is known about recruitment of physicians to these interventions.ObjectiveThe purpose of this study was to examine predictors of physician participation in an Internet intervention designed to increase screening of young women at risk for chlamydiosis.MethodsEligibility was based on administrative claims data, and eligible physicians received recruitment letters via fax and/or courier. Recruited offices had at least one physician who agreed to participate in the study by providing an email address. After one physician from an office was recruited, intensive recruitment of that office ceased. Email messages reminded individual physicians to participate by logging on to the Internet site.ResultsOf the eligible offices, 325 (33.2%) were recruited, from which 207 physicians (52.8%) participated. Recruited versus nonrecruited offices had more eligible patients (mean number of eligible patients per office: 44.1 vs 33.6; P < .001), more eligible physicians (mean number of eligible physicians per office: 6.2 vs 4.1; P < .001), and fewer doctors of osteopathy (mean percent of eligible physicians per office who were doctors of osteopathy: 20.5% vs 26.4%; P = .02). Multivariable analysis revealed that the odds of recruiting at least one physician from an office were greater if the office had more eligible patients and more eligible physicians. More participating versus nonparticipating physicians were female (mean percent of female recruited physicians: 39.1% vs 27.0%; P = .01); fewer participating physicians were doctors of osteopathy (mean percent of recruited physicians who were doctors of osteopathy: 15.5% vs 23.9%; P = .04) or international medical graduates (mean percent of recruited physicians who were international graduates: 12.3% vs 23.8%; P = .003). Multivariable analysis revealed that the odds of a physician participating were greater if the physician was older than 55 years (OR = 2.31; 95% CI = 1.09–4.93) and was from an office with a higher Chlamydia screening rate in the upper tertile (OR = 2.26; 95% CI = 1.23–4.16).ConclusionsPhysician participation in an Internet continuing medical education intervention varied significantly by physician and office characteristics.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Improving Physician Performance Through Internet-Based Interventions: Who Will Participate?

Wall

Mian²,

Ray³

et al. 2005

J Med Internet Res

View full text Add to dashboard Cite

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“…3,6,[11][12][13][14][15] Anesthesia has been and remains among the leading specialties in the field, and the number of anesthesia simulation centres worldwide is increasing exponentially. 1 The University of Toronto has over a decade of experience with simulation based education.…”

Section: Discussionmentioning

confidence: 99%

“…For faculty, the relevance for clinical practice and the need to keep up to date with new technology are important motivations at the CME level. 10,11,16 Simulation has the potential to meet these needs. As educators, our role is to provide course content and learning objectives that are relevant and adapted to the level of training of the learners.…”

Section: Discussionmentioning

confidence: 99%

Barriers to use of simulation-based education

Savoldelli

Naik

Hamstra

et al. 2005

Can J Anesth/J Can Anesth

131

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Purpose: Barriers to simulation-based education in postgraduate and continuing education for anesthesiologists have not been well studied. We hypothesized that the level of training may influence attitudes towards simulation-based education and impact on the use of simulation. This study investigated this issue at the University of Toronto which possesses two sites equipped with high-fidelity patient simulators. Methods: A 40-question survey of experiences, perceptions, motivations and perceived barriers to simulation-based education, was distributed to 154 anesthesiologists attending a departmental conference. Data were analyzed using descriptive statistics and associations between responses were assessed using either the Chi-Square statistic or a one-way analysis of variance. Results:The rate of response was 58%. Residents had experienced simulation-based education (96%) more often than staff (58%) and fellows (36%), (P < 0.001 respectively). Residents had also attended more simulation sessions than staff and fellows (mean 2.8 vs 1.05 and 1.04, P < 0.001 respectively). Residents and fellows found simulation-based education more relevant for their training than staff (88% vs 65%, P < 0.05). Eighty-one percent of the respondents identified at least one significant barrier that prevents or limits them from attending simulator sessions. Staff anesthesiologists perceived multiple barriers and identified 'time' and 'financial issues' as significant barriers. Conclusion:Anesthesiologists' level of training influences their attitudes towards and their perceptions of simulation-based education. This survey has identified perceived barriers that may limit a wider utilization of simulation. These results may be used to implement targeted actions such as course design, incentives, and information strategies, which could improve access and future use of simulation. Objectif Résultats : Le taux de réponses a été de 58 %. Les résidents avaient plus d'expérience de la simulation (96 %) que les spéciali-stes (58 %) et les boursiers (36 %), (P < 0,001 respectivement). Les résidents avaient aussi assisté à plus de sessions de simulation

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“…The CME programmes are usually conducted at different places with the intent to benefit the users, and they are held at weekends to get maximum participation of PGS when elective surgeries are relatively less in number. [ 7 ]…”

Section: Introductionmentioning

confidence: 99%