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Improving pediatricians' compliance-enhancing practices. A randomized trial.

L A Maiman1, M H Becker, G S Liptak

  • 1Department of Pediatrics, University of Rochester (NY) School of Medicine and Dentistry 14642.

American Journal of Diseases of Children (1960)
|July 1, 1988
PubMed
Summary
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Continuing medical education (CME) improved pediatricians' knowledge and practices. This led to better adherence to antibiotic regimens for children with otitis media, enhancing pediatric patient outcomes.

Area of Science:

  • Medical Education
  • Pediatrics
  • Pharmacology

Background:

  • Continuing medical education (CME) effectiveness on physician performance and patient outcomes is debated.
  • Poor adherence to pediatric treatment regimens is a significant challenge.

Purpose of the Study:

  • To evaluate CME's impact on pediatricians' knowledge of compliance-enhancing strategies.
  • To assess CME's effect on pediatricians' practice performance.
  • To determine if CME improves maternal adherence to pediatric antibiotic regimens for otitis media.

Main Methods:

  • Ninety pediatricians were randomized into a control group or one of two CME intervention groups (tutorial + print or print only).
  • Maternal adherence data (N=771) for children's otitis media antibiotic regimens were collected post-intervention.

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  • Pediatrician reported behaviors were also assessed.

    • Main Results:

    • CME interventions significantly increased pediatricians' knowledge of compliance-enhancing strategies.
    • Physician performance of these practices improved following CME.
    • Maternal adherence to prescribed antibiotic therapy for otitis media showed improvement.

    Conclusions:

    • CME can effectively enhance pediatricians' knowledge and clinical practices.
    • Targeted CME interventions can positively influence patient adherence to medication.
    • Improving physician practices through education can lead to better pediatric treatment outcomes.