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Continuing medical education. Changing behavior and improving outcomes.

J K Stross, H R Schumacher, M H Weisman

    Arthritis and Rheumatism
    |October 1, 1985
    PubMed
    Summary

    An intensive continuing medical education program in rheumatology significantly improved primary care physicians' knowledge and patient care behaviors. This led to short-term improvements in patient outcomes, demonstrating the value of targeted medical education.

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    Area of Science:

    • Medical Education
    • Rheumatology
    • Primary Care

    Background:

    • Continuing medical education (CME) is crucial for updating physician knowledge and practice.
    • Rheumatology care often presents challenges in primary care settings.
    • Assessing the impact of CME on physician behavior and patient outcomes is essential.

    Purpose of the Study:

    • To evaluate the effectiveness of an intensive rheumatology CME program for primary care practitioners.
    • To determine if the CME program improved physician knowledge, behavior, and patient outcomes.

    Main Methods:

    • A 2-week academic medical center-based preceptorship was provided to 15 educationally influential primary care practitioners.
    • Pre- and post-tests assessed physician knowledge.
    • Chart audits and patient interviews evaluated physician behavior.

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  • Patient functional outcomes were measured using the Sickness Impact Profile.

    • Main Results:

    • Physician knowledge scores increased significantly from 65.3% to 82.9%.
    • Significant improvements were observed in the use of diagnostic tests, corticosteroids, and physician-patient interactions.
    • Patient functional outcomes, measured by the Sickness Impact Profile, showed improvement.

    Conclusions:

    • A well-designed rheumatology CME program can effectively enhance physician knowledge and practice behaviors.
    • Improvements in physician knowledge and behavior can lead to short-term positive changes in patient outcomes.
    • Targeted CME interventions show promise for improving the quality of rheumatology care in primary settings.