|
|
|
|
||
|
|
|
|||
| Your Location: Home > Volume 17, Issue 1 | |||||
|
CURRENT ISSUE
BACK ISSUES SUBSCRIBE ADVERTISE ABOUT JCEHP FOR AUTHORS JCEHP AWARD SEARCH |
Volume 17 (1)
Volume 17, Issue 1, Winter 1997 
J Contin Educ Health Prof 1997; 17(1):12-19
ORIGINAL ARTICLES
Dorothy S. Lane, MD, MPH A b s t r a c t Approaches to outcome determination for multi-interventional continuing medical education (CME) are described using, as a case example, community-wide CME interventions to increase primary care physician adherence to national guidelines for breast cancer screening. The sources and types of data that can be used for outcome determination are reviewed and baseline measures for needs assessment are provided. The example of preintervention and postintervention surveys of primary care physicians and women demonstrates a methodology for determining changes in breast cancer screening practices and barriers to screening. The multimethod "package" of interventions used in the case example included formal CME conferences, a physician newsletter, breast examination skills training, a breast cancer CME monograph, a "question of the month" at hospital staff meetings, and primary care office visits. The outcome measures demonstrated that physicians practicing in the CME intervention towns had a significant increase in the number of reported mammography referrals of asymptomatic women aged 50 to 75 years (33% preintervention to 53% postintervention). Changes in the CME control town were smaller and not statistically significant for the sample size available. There were no significant increases in reported performance of breast examination. The multi-interventional CME methods can be used for many other content areas. The specified outcome measures can be collected through surveys and/or chart review and include all levels within the hierarchy of evaluation data. Surveying physicians at community hospital department meetings was a cost-effective approach to obtaining good survey response rates. Multi-interventional CME is a feasible method to increase community physician adherence to mammography screening guidelines. Keywords: Breast Cancer; Continuing Medical Education; Evaluation; Mammography; Multi-Interventional; Outcome |
|
|
JCEHP.com & The Journal of Continuing Education in the Health Professions All rights reserved Disclaimer · About This Site · Web Editor · Make JCEHP Your Homepage Information on this site was last updated: 28 October 2008 |
||