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Volume 16 (2)
Volume 16, Issue 2, Spring 1996 
J Contin Educ Health Prof 1996; 16(2):82-93
ORIGINAL ARTICLES
Peter M. Dodek, MD Judith M. Ottoson, EdD A b s t r a c t Clinical practice guidelines (CPGs) are statements designed to assist practitioners and patients in making decisions about health care in specific clinical circumstances. The purpose of practice guidelines is to improve patient outcomes by changing physician behavior. Continuing medical education (CME) has a similar purpose. Many strategies facilitate implementation of practice guidelines, some of which are also strategies used in CME. By systematically examining the factors that influence implementation of practice guidelines and the factors that influence the effectiveness of CME, many similarities between the two types of interventions are found. Factors considered include those related to the expected change in behavior itself, the method of implementation, the implementing organization, the actors involved in implementation, and the environment or context of implementation. Based on these similarities and other common features, including development and evaluation strategies, we propose that CME programs may provide an existing framework to facilitate implementation of CPGs. In addition, we propose that development, implementation, and evaluation of CPGs may be considered CME activities in their own right. Keywords: Clinical practice guidelines; continuing medical education; implementation |
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