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Volume 20 (3)
Volume 20, Issue 3, Summer 2000
J Contin Educ Health Prof 2000; 20(3):171-175
ORIGINAL ARTICLES
On-site to on-line: barriers to the use of computers for continuing education
Mamary EM
Charles P
A b s t r a c t
BACKGROUND: Continuing education/continuing medical education (CE/CME) programs that adopt self-directed, computer-based instruction formats via the Internet or CD-ROM can ease the demands placed on clinicians who are required by licensing boards to accumulate CE/CME credits as part of their career-long learning. Despite the benefits and availability of computer-based instruction, on-site programs still dominate current CE/CME delivery modes. In order to increase the use of computer-based CE/CME programs, it is important to identify the barriers that inhibit their use.
METHOD: A survey was conducted to assess the practices, preferences, and barriers to use of CE/CME delivery methods among physicians, nurse practitioners, and physician assistants in Nevada.
RESULTS: Of 3,213 surveys sent, 1,120 were completed and returned for an overall response rate of 35%. In-person conferences (93%) and print-based methods (66%) were the most frequently reported methods of acquiring CE/CME. The majority of respondents had access to computer-based technologies. Respondents with more years in clinical practice were less likely to have access to or to use computer-based technologies. The top three preferred CE/CME delivery modes, in rank order, were in-person conferences, print-based self-study, and CD-ROM. The least preferred method of receiving CE/CME was interactive audioconference (telephone conference calls). "Not knowing how" was the most frequently reported reason for not using the Internet for computer-based training and the second most frequent reason for not using a CD-ROM.
IMPLICATIONS: Program planners may wish to offer training in new technologies during on-site conferences, provide CD-ROMs as take-home instructional materials, or promote technology awareness in other ways to help clinicians prepare for changes in the electronic delivery of health care and education.
MeSH Terms: Attitude of Health Personnel; Attitude to Computers; CD-ROM; Computer-Assisted Instruction; Data Collection; Education, Continuing; Internet; Support, Non-U.S. Gov't; Support, U.S. Gov't, P.H.S
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