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Volume 27 (1)

Volume 27, Issue 1, Winter 2007line
J Contin Educ Health Prof 2007; 27(1):42
ORIGINAL RESEARCH

Influence of Remedial Professional Development Programs for Poorly Performing Physicians
François Goulet
Robert Gagnon
Marie-Ève Gingras

A b s t r a c t

Introduction: The Collège des médecins du Québec (CMQ) offers an individualized remedial professional development program to help physicians overcome selected clinical shortcomings. To measure the influence of the remedial professional development program, physicians who completed the program between 1993 and 2004 and who were assessed by peer review during a 2-year period preceding or following the remedial activities were tracked.
Methods: For each physician, 30 to 50 patient records were selected randomly for review. Ratings were assigned for the quality of record keeping and for 3 elements pertaining to the quality of care: the clinical investigation plan, diagnostic accuracy, and patient treatment and follow-up. The impact of the program was measured by comparing the proportion of physicians with satisfactory ratings assigned by peer review before and after the remedial professional development program.
Results: Statistically significant improvements (p < .05) were observed for a proportion of physicians with regard to record keeping (34%), the clinical investigation plan (46%), diagnostic accuracy (29%), and patient treatment and follow-up (36%).
Discussion: Participation in a CMQ remedial professional development program can result in improved clinical performance, as assessed through peer review.

Lessons for Practice
  • Professional development programs must target a physician's specific deficiencies by using an individualized approach.
  • Remediation programs should be completed on a 1-on-1 basis, allowing tutors to proceed at the physician's pace and to adapt to his or her learning capacity.
  • When poorly performing physicians take part in a remedial professional development program, are not ill, and have learning capacity, there can be improvement.
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