免許更新のための継続医療教育活動の正式な監査
1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor 48109-0368.
JAMA
|November 14, 1990
まとめ
ミシガン州の医師は,一般的に継続医療教育 (CME) の時間要件を満たしていましたが,多くは文書化に苦労しました. 監査では,記録の保存に関する問題が明らかになり,CMEのコンプライアンスに関するより明確なガイドラインと参加者への通知の必要性を示唆しました.
科学分野:
- 医療教育 医療教育について
- 保健医療政策について
- 医者のコンプライアンス
背景:
- ミシガン州の法律では,ライセンスを取得した医師は3年ごとに150時間の継続医療教育 (CME) を義務付けています.
- CME要件への医師の遵守は,医療能力と患者の安全を維持するために不可欠です.
研究 の 目的:
- 公式の監査を通じて,医師が義務的なCME時間に従っているかどうかを評価する.
- CME活動の文書化における課題と欠陥を特定する.
主な方法:
- 1987-1988年に免許を更新した医師のランダムなサンプルに,CMEの遵守に関する監査が行われました.
- 医師は,完了したCME時間のドキュメントを提供するよう求められました.
主要な成果:
- 医師は平均で175時間のカテゴリーICMEを記録し,必要条件を上回った.
- CME時間の半分以上 (53.1%) は州外で獲得され,ホームコミュニティではわずか27.6%でした.
- 13.7%の医師は,当初150時間の書類作成に失敗し,72.5%の書類作成や計算に誤りがあった.
結論:
- 医者は通常,十分なCME時間を蓄積しますが,重要なドキュメンテーション問題は,正確なコンプライアンス評価を妨げています.
- 効果的な将来の監査には,コミュニケーションの改善,明確な指示,標準化された文書 (例えば,カテゴリーIのみ) が必要である.
- トレーニーを除くカテゴリーIのCME活動に焦点を当てた監査は,従順性のより信頼性の高い測定を提供することができます.
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