![]() ![]() Furthermore, CME activities were used to prevent professional fatigue and burnout. Danish GPs chose their CME activities based on personal needs analysis related to patient problems, a need to be professionally updated, and a need to meet engaged colleagues. found that Danish GPs used many different types of CME activities including online updating of knowledge and problem based small group learning (PBSGL). Educational research emphasizes the importance of individual needs analysis and self-assessment but also the importance of providing strategies on how to implement new knowledge into daily clinical practice. GPs are less motivated by overall competence improvement goals. Especially if the learning activities are related to patient care relevant for the GP’s daily work. To be continuously competent in delivery of high-quality health care is important for being a GP and is the most important motivational factor for participating in CME. Furthermore, participation in CME can reduce feelings of professional isolation and reinforce feelings of competence and autonomy in physicians. CME can stimulate job satisfaction, diminish burnout, and delayed retirement is seen among GPs who thrive in their job. ĭanish GPs state that avoiding burnout is an important reason for participation in CME. Although there is not shown a causal link between participating in PBSGL and less burnout, non-participation in CME may be seen as a warning sign. GPs who do not participate in practice based small group learning (PBSGL) have an increased risk of burnout. Ī comprehensive CME programme for general practitioners is essential for developing and maintaining high professional standards in general practice, especially if it supports both professional development and professional motivation. Learning from and with colleagues is an important source of both new information and strategies for applying that information to practice. Ericsson describes deliberate practice as a prerequisite for expertise development and higher quality in patient care: Significant improvements in performance have been seen when professionals have a well-defined goal, motivation to improve, and are provided with feedback and ample opportunities for repetition and gradual refinements. WONCA’s initiative is important because when a professional achieves an acceptable level of skills, more experience does not, by itself, necessarily lead to improvements. Consequently, the World Organisation of Family Doctors (WONCA) has developed global standards in CME to assist general practitioners in providing excellent patient care. While all GP trainees acquire new knowledge through their specialist training, their post-training continuing medical education has received little attention. A knowledge of the barriers for participating in accredited continuous medical education can be used to better target continuous medical education to the general practitioners.ĬME as expertise development and improvement of patient care The barriers fell into three main categories:īarriers related to the individual general practitionerīarriers related to the accredited continuous medical education offeredĪpproximately 7% of the Danish general practitioners did not participate in accredited remunerated continuous medical education. ResultsĮach of the ten interviewed general practitioners mentioned several barriers for participating in continuous education. The interviews were analysed using Systematic Text Condensation. All ten selected general practitioners accepted to be interviewed. Ten general practitioners were selected for an interview regarding maximum variation in practice form, number of listed patients, seniority as a general practitioner, geography, gender, and age. ![]() Methodsįrom a total of 3440 Danish general practitioners 243 did not apply for reimbursement for accredited continuous medical education in a two-year period. Continuous medical education may have positive implications for patients and for healthcare expenditures.ĭespite renumeration and a comprehensive continuous education model some Danish general practitioners do not participate in continuous medical education. To tailor continuous medical education targeting general practitioners who are currently deselecting education, systematic knowledge of the barriers is needed.Ĭontinuous medical education can in addition to professional growth stimulate job satisfaction, diminish burnout, and reinforce feelings of competence. There has been research into the reasons for participation in continuous medical education, but little is known about the barriers to participation. Continuous medical education is essential for the individual patient care, the society, and the wellbeing of the general practitioner. ![]()
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