Factors associated with the improvement of professional performance through continuing medical education

Authors

Keywords:

Continuing medical education, professional performance, medical education, future training plans, effective factors.

Abstract

Introduction: Despite the efforts to improve the quality of self-improvement activities, the effective factors that guarantee improvement in professional performance produced by these activities are unknown.

Objective: To identify the factors associated with the improvement of professional performance through continuing medical education.

Material and Methods:Aqualitative descriptive study was carried out. It consisted on a review and documentary analysis, especially systematic reviews of publications in journals indexed in SciELO, Medline, and Lilacs databases.

Development: Eleven factors that could facilitate the effectiveness of improvement activitieswere identified.However, it is considered a non-exhaustive list that could be corrected. It is suggested that there are external and internal factors that can influence professional performance.

Conclusions: Once the effective factors that contribute to the improvement of professional performancethrough activities have been identified, it is necessary to take these elements into account when planning future training plans for health professionals.

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References

1.Cardentey García J, González Rodríguez R. Aspectos acerca de la superación profesional en la educación médica. Educ Med Super [Internet]. 2016 [Citado 21/01/2020];30(1):[Aprox. 2 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412016000100015

2. Stevenson RD, Moore DE. A Culture of Learning for the NHS. J Eur CME [Internet]. 2019 [Citado 21/01/2020];8(1):1613862. Disponible en: http://doi.org.10.1080/21614083.2019.1613862

3. Consejo de Estado. Decreto - Ley No. 372/2019 del Sistema Nacional de Grados Científicos (GOC-2019-772-O65) [Internet[. La Habana: Gaceta Oficial de la República de Cuba; 2019 [Citado 14/10/2019]. Disponible en: https://www.gacetaoficial.gob.cu/pdf/GOC-2019-O65.pdf

4. Valcárcel Izquierdo N, Suárez Cabrera A, López Espinosa GJ, Pérez Bada E. La formación permanente y continuada: principio de la educación médica. EDUMECENTRO [Internet].2019 [Citado 21/01/2020];11(4):[Aprox. 2 p.]. Disponible en: http://www.revedumecentro.sld.cu/index.php/edumc/article/view/1382/html515

5. Davis D, Galbraith R. Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest. 2009;135(3 Suppl):42S-48S.

6. Ministerio de Educación Superior. Instrucción No. 01/2018 Normas y Procedimientos para la gestión del posgrado. La Habana: MINSAP; 2018.

7. WFME. Continuing Professional Development of Medical Doctors WFME Global Standards For Quality Improvement The 2015 Revision. Denmark: University of Copenhagen; 2015.

8. Cervero RM, Gaines JK. The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J. Contin Educ Health Prof. 2015; 35:131-8.

9. Vidal Ledo M, Vicedo Tomey A. Educación médica basada en la mejor evidencia. Educ Med Super [Internet]. 2017 [Citado 21/01/2020];31(3):[Aprox. 2 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412017000300024

10.McLeod PJ, McLeod AH. If formal CME is ineffective, why do physicians still participate?. Med Teach. 2004;26(2):184-6.

11.Banning M.Aproaches to teaching: current opinions and related researc.Nurse Educ Today [Internet]. 2005 Oct [Citado 21/01/2020];25(7):502-8. Disponible en: http://doi.org.10.1016/j.nedt.2005.03.007

12. Bloom BS. Effects of continuing medical education on improving physician clinical care and patient health: A review of systematic reviews. Int J Technol Assess Health Care. 2005; 21:380-5.

13.Goulet F, Hudon E, Gagnon R,Gauvin E , Lemire F, Arsenault I. Effects of continuing professional development on clinical performance. Can Fam Physician. 2013 May; 59(5): 518-25.

14. Rethans JJ, Norcini JJ, Barón Maldonado M, Blackmore D, Jolly BC, LaDuca T, et al. The relationship between competence and performance: Implications for assessing practice performance. MedEduc [Internet]. 2002 [Citado 21/01/2020]; 36(10):901-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12390456/

15. Filipe HP, Mack HG, Mayorga EP, Golnik KC, eds. ICO Guide to Effective CPD/CME [Internet]. California: International Council of Ophthalmology; 2016 [Citado 21/01/2020]. Disponible en: http://www.icoph.org/ICO-CPD-CME.html

16. Kitto S, Price D, Jeong D, Campbell C, Reeves S. Continuing Professional Development. In: SwanwickT , Forrest K , O'Brien BC. Understanding Medical Education: Evidence, Theory, and Practice [Internet]. Edimburgo: The Association for the Study of Medical Education (ASME); 2019 [Citado 21/01/2020] . Disponible en: http://doi.org.10.1002/9781119373780

17. Winkelbauer S. An Authentic, Practice-Based Assessment as a Catalyst for Continuous Professional Development. Pharmacy (Basel) [Internet]. 2020 Feb [Citado 21/01/2020];8(1):15. Disponible en: http://doi.org.10.3390/pharmacy8010015

18. Manley K, Martin A, Jackson C, Wright T. A realist synthesis of effective continuing professional development (CPD): A case study of healthcare practitioners' CPD. Nurse Educ Today [Internet]. 2018 Oct [Citado 21/01/2020];69:134-41. Disponible en: http://doi.org.10.1016/j.nedt.2018.07.010

19. Kain NA, Hodwitz K, Yen W, Ashworth N. Experiential knowledge of risk and support factors for physician performance in Canada: a qualitative study. BMJ Open [Internet]. 2019 Feb [Citado 21/01/2020];9(2):e023511. Disponible en: http://doi.org.10.1136/bmjopen-2018-023511

20. Von Gunten CF, Mullan PB, Nelesen R, Garman K, McNeal H, Savoia M, et al. Primary Care Residents Improve Knowledge, Skills, Attitudes, and Practice After a Clinical Curriculum With a Hospice. Am J Hosp Palliat Care [Internet]. 2017 Sep [Citado 21/01/2020];34(8):713-20. Disponible en: http://doi.org.10.1177/1049909116655767

21. Lim SC, Mustapha FI, Aagaard Hansen J, Calopietro M, Aris T, Bjerre-Christensen U. Impact of continuing medical education for primary healthcare providers in Malaysia on diabetes knowledge, attitudes, skills and clinical practices. Med Educ Online [Internet]. 2020 Dec [Citado 21/01/2020];25(1):1710330. Disponible en: http://doi.org.10.1080/10872981.2019.1710330

22. Ali SA, Hamiz Ul, Fawwad S, Ahmed G, Naz S, Waqar SA, et al. Continuing Medical Education: A Cross Sectional Study on a Developing Country's Perspective. Sci Eng Ethics [Internet]. 2018 Feb [Citado 21/01/2020];24(1):251-60. Disponible en: http://doi.org.10.1007/s11948-017-9900-8

23. Gaye Sullivan L. A systematic review to compare the effectiveness of face-to-face versus online (including blended learning) delivery of CME/CPD for healthcare practitioners (HCPs) [Thesis of Master of Philosophy]. London: The University of Queensland in Medicine Faculty; 2017 [Citado 21/01/2020]. Disponible en: https://espace.library.uq.edu.au/data/UQ_674199/s4251763_mphil_thesis.pdf

24. Maher B, Faruqui A, Horgan M, Bergin C, Tuathaigh CO, Bennett D. Continuing professional development and Irish hospital doctors: a survey of current use and future needs. Clin Med (Lond) [Internet]. 2017 Jul [Citado 21/01/2020];17(4):307-15. Disponible en: http://doi.org.10.7861/clinmedicine.17-4-307

25. Lavoie KL, Rash JA, Campbell TS. Changing Provider Behavior in the Context of Chronic Disease Management: Focus on Clinical Inertia. Annu Rev Pharmacol Toxicol [Internet]. 2017 Jan [Citado 21/01/2020];57:263-83. Disponible en: http://doi.org.10.1146/annurev-pharmtox-010716-104952

26. Beckett H. Effect of e-learning on nurses’ continuing professional development. Nurs Manag (Harrow) [Internet]. 2020 Mar [Citado 21/01/2020];27(2):16-22. Disponible en: http://doi.org.10.7748/nm.2020.e1899

27. Jacobs ZG, Elnicki DM, Perera S, Weiner DK. An E-learning Module on Chronic Low Back Pain in Older Adults: Effect on Medical Resident Attitudes, Confidence, Knowledge, and Clinical Skills. Pain Med [Internet]. 2018 Jun [Citado 21/01/2020];19(6):1112-20. Disponible en: http://doi.org.10.1093/pm/pnx333

28. Sehlbach C, Govaerts MJ, Mitchell S, Rohde GGU, Smeenk FWJM, Driessen EW. Doctors on the move: a European case study on the key characteristics of national recertification systems. BMJ Open [Internet]. 2018 Apr [Citado 21/01/2020];8(4):e019963. Disponible en: http://doi.org.10.1136/bmjopen-2017-019963

29. Kornides ML, Garrell JM, Gilkey MB. Content of web-based continuing medical education about HPV vaccination. Vaccine [Internet]. 2017 Aug [Citado 21/01/2020];35(35):4510-4. Disponible en: http://doi.org.10.1016/j.vaccine.2017.07.038

30. Lynn B, Hatry A, Burnett C, Kan L, Olatunbosun T, Bluman B. Identifying Primary Care Physicians Continuing Education Needs by Examining Clinical Practices, Attitudes, and Barriers to Screening Across Multiple Cancers. J Cancer Educ [Internet]. 2018 Dec [Citado 21/01/2020];33(6):1255-62. Disponible en: http://doi.org.10.1007/s13187-017-1240-5

31. Ratelle JT, Bonnes SL, Wang AT, Mahapatra S, Schleck CD, Mandrekar JN, et al. Associations between teaching effectiveness and participant self-reflection in continuing medical education. Med Teach [Internet] 2017 Jul [Citado 21/01/2020];39(7):697-703. Disponible en: http://doi.org.10.1080/0142159X.2017.1301655

32. El-Haddad C, Damodaran A, McNeil HP, Hu W. A Patient-Centered Approach to Developing Entrustable Professional Activities.Acad Med [Internet]. 2017 Jun [Citado 21/01/2020];92(6):800-8. Disponible en: http://doi.org.10.1097/ACM.0000000000001616

Published

2020-12-24

How to Cite

1.
Bonal Ruiz R, Díaz Díaz AA, Sotomayor Escalona R. Factors associated with the improvement of professional performance through continuing medical education. Rev haban cienc méd [Internet]. 2020 Dec. 24 [cited 2025 Aug. 22];19(6):e3240. Available from: https://revhabanera.sld.cu/index.php/rhab/article/view/3240

Issue

Section

Educational Sciences