Didactic CME and practice change: don’t throw that baby out quite yet
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Skepticism exists regarding the role of continuing medical education (CME) in improving physician performance. The harshest criticism has been reserved for didactic CME. Reviews of the scientific literature on the effectiveness of CME conclude that formal or didactic modes of education have little or no impact on clinical practice. This has led some to argue that didactic CME is a highly questionable use of organizational and financial resources, and a cause of lost opportunities for physicians to engage in meaningful learning. The authors’ current program of research has forced them to reconsider the received wisdom regarding the relationship between didactic modes of education and learning, and the role frank dissemination can play in bringing about practice change. The authors argued that the practice of assessing and valuing educational methods based only on their capacity to directly influence practice reflects an impoverished understanding of how change in clinical practice actually occurs. Drawing on case studies research, examples were given of the functions didactic CME served in the interest of improved practice. Reasons were then explored as to why the contribution of didactic CME is often missed or dismissed. The goal was not to advocate for a return to the status quo ante where lecture-based education is the dominant modality, but rather to acknowledge both the limits and potential of this longstanding approach to delivering continuing education.
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- Didactic CME and practice change: don’t throw that baby out quite yet
Advances in Health Sciences Education
Volume 17, Issue 3 , pp 441-451
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Medical education
- Continuing medical education
- Didactic education
- Practice change
- Physician performance
- Assessment healthcare outcomes
- Industry Sectors
- Author Affiliations
- 1. Department of Medicine, University of Wisconsin-Madison, Madison, WI, USA
- 2. Office of Continuing Professional Development in Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA
- 3. 6 High Street West, Anstruther, Fife, KY10 3DL, UK