The DOI matches its Crossref record; 119 of the 121 references it cites were found in a registry or an index.
Continuing Medical Education Effect on Practice Performance
Abstract
Background There has been sizable debate and widespread skepticism about the effect of continuing medical education (CME) on the performance of physicians in the practice setting. This portion of the review was undertaken to examine that effect.Methods The guideline panel used data from a comprehensive review of the effectiveness of CME developed by The Johns Hopkins Evidence-based Practice Center, focusing on the effect of CME on clinical performance.Results The review found 105 studies, which evaluated the impact of CME on short- and long-term physician practice performance. Nearly 60% met objectives relative to changing clinical performance in prescribing; screening; counseling about smoking cessation, diet, and sexual practices; guideline adherence; and other topics. Single live and multiple media appeared to be generally positive in their effect, print media much less so. Multiple educational techniques were more successful at changing provider performance than single techniques. The amount or frequency of exposure to CME activities appeared to have little effect on behavior change.Conclusions Overall, CME, especially using live or multiple media and multiple educational techniques, is generally effective in changing physician performance. More research, however, is needed that focuses on the specific types of media and educational techniques that lead to the greatest improvements in performance.
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In the citing paper
“In 2008, data from 11 states showed that the majority of people surveyed in each state reported having smoke-free home rules, ranging from 68.8% in West Virginia to 85.6% in Arizona (BRFSS).21”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“The prevalence of obesity increased by 5.6% or ≈2.7 million people from 1997 to 2002 among Medicare beneficiaries.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“For large-vessel ischemic stroke, a new association for large-vessel stroke with histone deacetylase 9 on chromosome 7p21.1 has been identified (>9000 subjects) and replicated (>12 000 subjects).21”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“The same 9p21.3 region has also been associated with intracranial aneurysm, abdominal aortic aneurysm (AAA),20 and ischemic stroke.21”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“Several studies suggest that the Framingham Risk Score (FRS) is a better predictor of incident CVD than metabolic syndrome.21–23”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“Furthermore, the sensitivity for CVD at a fixed specificity was significantly higher for the FRS than for the metabolic syndrome.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“Studies from a broad range of cohorts demonstrate an association between reduced eGFR and elevated risk of CVD, CVD outcomes, and all-cause death17,20–25 that appears to be largely independent of other known major CVD risk factors.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“Lifetime risk for incident stroke at 65 years of age decreased significantly in the latest data period compared with the first, from 19.5% to 14.5% in men and from 18.0% to 16.1% in women.21”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“Analysis of data from the FHS suggests that stroke incidence is declining over time in this largely white cohort.”
From Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association (2013) · cites this paper as [21]
In the citing paper
“The use of multiple educational techniques, including live and media presentations, can improve healthcare provider knowledge about and use of behavioral change.483”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [483]
Citations
Cites
Effectiveness and efficiency of guideline dissemination and implementation strategies
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Self-citationContinuing Medical Education and the Physician as a Learner
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Self-citationComparison of the Instructional Efficacy of Internet-Based CME With Live Interactive CME Workshops
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Research works printed but not linked: 1
- Gerstein, 1999, A controlled evaluation of a national continuing medical education programme designed to improve family physicians' implementation of diabetes-specific clinical practice guidelines, Diabet Med, 16, 964, 10.1046/j.1464-5491.1999.00159.x · DOI
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Heart Disease and Stroke Statistics—2016 Update: A Report From the American Heart Association
Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., Das, S. R., de Ferranti, S., Després, J.-P., Fullerton, H. J., et al. (2016) · Circulation · doi:10.1161/cir.0000000000000350 · Cited by 6,596
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Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., de Ferranti, S., Després, J.-P., Fullerton, H. J., Howard, V. J., et al. (2015) · Circulation · doi:10.1161/cir.0000000000000152 · Cited by 5,797
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Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., Fox, C. S., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31828124ad · Cited by 5,292
Heart Disease and Stroke Statistics—2014 Update
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Blaha, M. J., Dai, S., Ford, E. S., Fox, C. S., Franco, S., et al. (2013) · Circulation · doi:10.1161/01.cir.0000441139.02102.80 · Cited by 5,264
Metadata
- Authors
- Davis, D., & Galbraith, R.
- Affiliations
- Association of American Medical Colleges (US)
- National Board of Medical Examiners (US)
- Corresponding author
- Davis, Dave
- ORCID
- Davis, Dave
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 135
- Issue
- 3
- Pages
- 42S-48S
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W3191707265
- Cited by
- 172
- References
- 121
- Citations by year
- 2026: 9 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 10 · 2019: 8 · 2018: 15 · 2017: 20 · 2016: 7 · 2015: 18 · 2014: 6 · 2013: 16 · 2012: 14
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- continuing medical education, clinical performance, drug prescribing, screening, smoking cessation counseling, nutrition counseling, guideline adherence, instructional media, behavior change
- MeSH terms
- Attitude of Health Personnel, Clinical Competence, Education, Medical, Continuing, Humans, Practice Patterns, Physicians', Quality of Health Care, Thoracic Diseases, United States, Treatment Outcome, Practice Guidelines as Topic, Evidence-Based Medicine
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