继续医学教育活动的正式审计,以更新许可证
1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor 48109-0368.
JAMA
|November 14, 1990
概括
密歇根州的医生通常满足持续医学教育 (CME) 时的要求,但许多医生在文件方面遇到了困难. 审计发现了记录保存方面的问题,表明需要更明确的指导方针和参与者通知CME合规.
科学领域:
- 医学教育 医学教育
- 医疗保健政策 医疗保健政策
- 医生合规性 医生合规性
背景情况:
- 密歇根州的法律规定,执照医生每三年必须进行150小时的持续医学教育 (CME).
- 医生遵守CME要求对于保持医疗能力和患者安全至关重要.
研究的目的:
- 通过正式审计,评估医生是否遵守强制性CME小时.
- 确定CME活动记录的挑战和缺陷.
主要方法:
- 在1987-1988年,随机抽取的医生续签执照,对CME合规性进行了审计.
- 要求医生提供他们完成的CME小时的文件.
主要成果:
- 医生平均有175个小时的I类CME,超过了要求.
- 超过一半 (53.1%) 的CME小时是在州外获得的,只有27.6%在家庭社区获得.
- 13.7%的医生最初未能记录150小时,而72.5%的表格有文档或计算错误.
结论:
- 虽然医生通常积累了足够的CME小时,但重大文档问题阻碍了准确的合规评估.
- 改进的沟通,明确的说明和标准化的文档 (例如,只有I类) 是有效的未来审计所必需的.
- 将审计集中在I类CME活动上,不包括实习生,可以提供更可靠的合规度量.
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