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Updated: Jul 12, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Effectiveness of continuing medical education
Continuing Medical Education (CME) appears effective in improving physician knowledge, skills, and practice outcomes. Further research is needed to identify optimal CME strategies for enhancing patient care.
Area of Science:
- Medical Education Research
- Continuing Professional Development
- Healthcare Quality Improvement
Background:
- Physician practice often deviates from evidence-based guidelines, with continuing medical education (CME) implicated in this gap.
- Understanding effective CME methods is crucial for improving physician knowledge and patient outcomes.
Purpose of the Study:
- To systematically review the effectiveness of CME and various instructional designs.
- To assess CME's impact on physician knowledge, attitudes, skills, practice behavior, and clinical outcomes.
Main Methods:
- Systematic literature search across multiple databases (MEDLINE, EMBASE, Cochrane, PsycINFO, ERIC).
- Inclusion of articles and systematic reviews based on predefined eligibility criteria.
- Independent double review for article selection, data abstraction, and quality assessment.
Main Results:
- 136 articles and 9 systematic reviews met eligibility criteria; overall literature quality was low.
- CME demonstrated effectiveness in improving knowledge (22/28 studies), attitudes (22/26), skills (12/15), practice behavior (61/105), and clinical outcomes (14/33).
- Live media, multimedia, and multiple exposures were more effective than print, single media, and single exposures, respectively. Simulation methods are effective for psychomotor skills.
Conclusions:
- Despite low-quality evidence, CME is generally effective for knowledge, attitude, skill, behavior, and outcome acquisition.
- Further research is required to identify optimal CME media, techniques, exposure volumes, and audience characteristics for improved outcomes.
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