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Volume 12 (1)

Volume 12, Issue 1, 1992
J Contin Educ Health Prof 1992; 12(1):15-23
MEDICINE

Providing Individualized CME to Geographically Isolated Specialists: A Feasibility Study
JL Craig, PhD
P Gannon, MB, ChB, MLS
BM Brown, MSc

A b s t r a c t

Specialists who practice in isolated rural areas present a problem to providers of continuing medical education (CME) as the usual group offerings entail cost in time, travel, and loss of income. An attempt to provide individualized CME in the form self-directed learning was unsuccessful. However, this experience generated a program whereby individual specialists were visited by a medical librarian and taught how to use their computers to search the medical literature. Software was installed and sign-ons automated so that computer literacy was not a requirement. A telephone survey of 21 participants indicated that the program was extremely valuable in reducing the sense of isolation and increasing professional satisfaction. Several instances of positive impact on patient care were cited. The maximum cost of on-line searching was $106.99 (CDN) for one individual, over 11 months, representing a maximum monthly cost of less than 10 dollars a month to answer 20 clinical questions a month. Through funding from the British Columbia Medical Association a Visiting Librarian Program is now offered to all physicians in B.C.

Keywords: CME; self-directing learning; literature search; computers
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