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Association between participation and compliance with Continuing Medical Education and care production by physicians:
Renato Melli Carrera1, Miguel Cendoroglo Neto1, Paulo David Scatena Gonçales1
1Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Insights
Physician hospital admissions and surgical procedures correlate with meeting Continuing Medical Education (CME) requirements. Male physicians and those with higher activity levels were more likely to achieve CME credits.
Area of Science:
- Medical Education
- Healthcare Administration
- Physician Professional Development
Background:
- Physician engagement in Continuing Medical Education (CME) is crucial for maintaining clinical competency.
- Factors influencing physician compliance with CME requirements are not fully understood.
- Understanding these factors can optimize CME program design and participation.
Purpose of the Study:
- To investigate the association between physician clinical activity (admissions, procedures) and CME credit attainment.
- To identify demographic and professional factors linked to CME compliance in a private hospital setting.
Main Methods:
- Retrospective analysis of 3,809 private practice physicians' data over a 12-month cycle.
- Collected data included hospital admissions, surgical procedures, time since graduation, age, and gender.
- Statistical analyses (univariate and multivariate) were used to determine associations with achieving 40 CME credits.
Main Results:
- Higher numbers of hospital admissions and surgical procedures were significantly associated with achieving CME requirements.
- Male physicians were more likely to meet CME requirements compared to female physicians, particularly among those performing procedures.
- Each hospital admission increased CME achievement likelihood by 0.4%, and each surgical procedure by 1.4%.
Conclusions:
- Physician clinical activity, measured by admissions and procedures, is a significant predictor of CME compliance.
- These findings offer insights into optimizing CME program structures and encouraging physician participation.
- The study highlights the link between practice volume and educational engagement in physicians.
Objective:
Physician participation in Continuing Medical Education programs may be influenced by a number of factors. To evaluate the factors associated with compliance with the Continuing Medical Education requirements at a private hospital, we investigated whether physicians' activity, measured by volumes of admissions and procedures, was associated with obtaining 40 Continuing Medical Education credits (40 hours of activities) in a 12-month cycle.
Methods:
In an exclusive and non-mandatory Continuing Medical Education program, we collected physicians' numbers of hospital admissions and numbers of surgical procedures performed. We also analyzed data on physicians' time since graduation, age, and gender.
Results:
A total of 3,809 credentialed, free-standing, private practice physicians were evaluated. Univariate analysis showed that the Continuing Medical Education requirements were more likely to be achieved by male physicians (odds ratio 1.251; p=0.009) and who had a higher number of hospital admissions (odds ratio 1.022; p<0.001). Multivariate analysis showed that age and number of hospital admissions were associated with achievement of the Continuing Medical Education requirements. Each hospital admission increased the chance of achieving the requirements by 0.4%. Among physicians who performed surgical procedures, multivariate analysis showed that male physicians were 1.3 time more likely to achieve the Continuing Medical Education requirements than female physicians. Each surgical procedure performed increased the chance of achieving the requirements by 1.4%.
Conclusion:
The numbers of admissions and number of surgical procedures performed by physicians at our hospital were associated with the likelihood of meeting the Continuing Medical Education requirements. These findings help to shed new light on our Continuing Medical Education program.
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