Journal of Continuing Education in the Health Professions



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CURRENT ISSUE BACK ISSUES SUBSCRIBE ADVERTISE ABOUT JCEHP FOR AUTHORS JCEHP AWARD SEARCH (Members only) FULL-TEXT		Volume 24 (Suppl 1) Volume 24, Supplement 1, Fall 2004 J Contin Educ Health Prof 2004; 24(Suppl 1):S50-S62 INVITED PAPER Systems-based framework for continuing medical education and improvements in translating new knowledge into physicians' practices Harrison RV A b s t r a c t Concerns about health care costs and quality are focusing increasing attention on physicians and their continuing medical education (CME). These concerns have produced several calls for "a new definition", "a new vision", "repositioning", "reinventing", and "transforming" CME. However, differences in conceptualizations and vocabularies have introduced appreciable confusion in recommending changes. This article uses a systems-based approach to describe and analyze the processes involved in translating new information into physicians' practices. The article (1) introduces a conceptual framework that links physician learning and performance to systems for information, education, implementation, and regulation in the context of the larger health care system; (2) uses the framework to identify concerns and opportunities for the major types of systems immediately relevant to CME; and (3) uses the framework to suggest broader implications for CME, including the nature of process for changing physicians' practices, needed improvements, priorities in performing research, and implications for CME professionals. Lessons for Practice: Consider how you can increase your effectiveness within the larger framework for translating new knowledge into physicians' practices: How can you work more effectively within your own system? How can systems that provide input to you do so more effectively? How can you change your work outputs to be more effective for those who use them in their systems? Research and practice to improve physician performance should integrate the strengths of theoretical and research literature addressing CME, quality improvement, and physician performance change. MeSH Terms: Diffusion of Innovation; Education, Medical, Continuing; Models, Educational; Research; Systems Theory
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