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  Vol. 251 No. 1, January 6, 1984 TABLE OF CONTENTS
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A Critical Appraisal of the Efficacy of Continuing Medical Education

R. Brian Haynes, MD, PhD; David A. Davis, MD; Ann McKibbon, MLS; Peter Tugwell, MD, MSc

JAMA. 1984;251(1):61-64.


Abstract

To determine the efficacy of continuing medical education (CME), we collected 248 original articles describing studies of CME interventions. These articles were reviewed for applicability and scientific credibility by applying preset methodological criteria. Thirteen percent of articles described randomized trials, but only 7% of all articles and 20% of randomized trials assessed the impact of CME on patient outcomes. Seven articles met all our criteria and were reviewed in detail. These studies provide convincing evidence that CME can improve physician behaviors. However, only three of these methodologically sound studies assessed patient outcomes and only one demonstrated any improvement in outcomes.

(JAMA 1984;251:61-64)



Author Affiliations

From the Program for Educational Development, McMaster University Faculty of Health Sciences, Hamilton, Ontario.


Footnotes

Reprint requests to Program for Educational Development, McMaster Health Sciences Center, Room 3V43, 1200 Main St W, Hamilton, Ontario, Canada L8N 3Z5 (Dr Haynes).



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