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Remedial Medical Education

Remedial Medical Education Abstract Continuing medical education plays an essential role in efforts to improve physician performance. This article deals with remedial or personalized physician education. The experience of selected institutions and state organizations that have and/or continue to provide such remedial education is reviewed. The emphasis of remedial or focused physician education is educational enhancement, not suspension or revocation of license. (Arch Intern Med. 1994;154:274-279) References 1. Peterson JC III, Pierson RN Jr. Peer review and CME . In: Rosof AB, Felch WC, eds. Continuing Medical Education: A Primer . 2nd ed. New York, NY: Praeger Publishers; 1992:191-200. 2. Stross JK, Schumacker HR, Weisman MH, Spalding DM. Continuing medical education: changing behavior and improving outcomes . Arthritis Rheum . 1985;28:1163-1167.Crossref 3. Stross JK, Bole GG. Evaluation of a continuing medical education program in rheumatoid arthritis . Arthritis Rheum . 1980;23:846-849.Crossref 4. Berg AO. Does continuing medical education improve the quality of medical care? a look at the evidence . J Fam Pract . 1979;8:320-326. 5. Miller GE. Continuing education for what? J Med Educ . 1967;42:320-326. 6. Sibley JC, Sackett DL, Neufeld V, Gerrard B, Rudnick KV, Fraser W. A randomized trial of continuing medical education . N Engl J Med . 1982; 306:511-515.Crossref 7. Hotvedt MD, Schottstaedt WW. Tailoring continuing medical education to the individual needs of practicing physicians . Tex Med . 1983;79:51-52. 8. Rosner F, Cohen S. Reviewing the Long Island Jewish Medical Center's experience with 'miniresidencies.' Acad Med . 1991;66:628.Crossref 9. Manning PR, Lee PV, Clintworth WA, Denson TA, Oppenheimer PR, Gilman NJ. Changing prescribing practices through individual continuing education . JAMA . 1986;256:230-232.Crossref 10. Berwick DM, Coltin KL. Feedback reduces test use in a health maintenance organization . JAMA . 1986;255:1450-1454.Crossref 11. Gross LJ. Continuing education and competency: some critical unresolved issues . Health Policy Educ . 1982;3:125-131.Crossref 12. Bertram DA, Brooks-Bertram PA. The evaluation of continuing medical education: a literature review . Health Educ Monogr . 1977;4:330-362.Crossref 13. Davis DA. A critical analysis of the literature evaluating CME . Mobius . 1984;4:20-28. 14. Finestone AJ. CME and clinical competence: is it time for mandatory relicensure and recertification? J Cont Ed Health Prof . 1988;8:67-70.Crossref 15. Benson JA Jr. Certification and recertification: one approach to professional accountability . Ann Intern Med . 1991;114:238-242.Crossref 16. Shimberg B. Assuring the continued competence of health professionals . Federation Bull . 1987; 74:76-85. 17. Accreditation Council for Continuing Medical Education (ACCME). Policies and Procedures Manual . Chicago, III: American Medical Association; 1982. 18. Gellhorn A. Periodic physician recredentialing . JAMA . 1991;265:752-755.Crossref 19. Pierson RN Jr. Remedial medical education: the problem of 'dyscompetence.' In: Rosof AB, Felch WC, eds. Continuing Medical Education: A Primer . 2nd ed. New York, NY: Praeger Publishers; 1992: 201-205. 20. Pierson RN Jr. Focused/Prescribed/Remedial Education for Enhanced Clinical Competence: A Planning Conference . New York, NY: Praeger Publishers;1989:132. 21. Thorpe JH. Dealing with substandard care . Hosp Physician . 1989;25:23. 22. Davis DA, Norman GR, Painvin A, Lindsay E, Ragbeer MS, Roth D. Attempting to ensure physician competence . JAMA . 1190;263:2041-2042.Crossref 23. McAuley RG, Paul WM, Morrison GH, Beckett RF, Goldsmith CH. Five-year results of the peer assessment program of the College of Physicians and Surgeons of Ontario . Can Med Assoc J . 1990;143:1193-1199. 24. Langsley DG. Recredentialing . JAMA . 1991;265: 772.Crossref 25. Gullion DS, Adamson TE, Watts MSM. The effect of an individualized practice-based CME program on physician performance and patient outcomes . West J Med . 1983;138:582-588. 26. Bunnell KP, Kahn KA, Kasunic LB, Radcliff S. CPEPP: development of a model for personalized continuing medical education . J Cont Ed Health Prof . 1991;11:19-27.Crossref 27. Davidson ET. Committee on Clinical Excellence Report . Tallahassee, Fla: Florida Medical Association; 1990:3. 28. Raub AC, Bowler FL, Escovitz GH. A physician retraining program: assessment update . JAMA . 1982;248:2994-2998.Crossref 29. Meyer TC. The role of remedial CME . Federation Bull . 1990;77:182-187. 30. Wentz DK, Osteem AM, Cannon MI. Continuing medical education: unabated debate . JAMA . 1992; 268:1118-1120.Crossref 31. Davis DA, Thomson MA, Oxman AD, Haynes RB. Evidence for the effectiveness of CME: a review of 50 randomized controlled trials . JAMA . 1992; 268:1111-1117.Crossref 32. Manning PR, DeBakey L. Lifelong learning tailored to individual clinical practice . JAMA . 1992; 268:1135-1136.Crossref 33. Anbar M. Guidelines for medical practice and the future of medicine . Arch Intern Med . 1992;152: 266-267.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1994.00420030074007
Publisher site
See Article on Publisher Site

Abstract

Abstract Continuing medical education plays an essential role in efforts to improve physician performance. This article deals with remedial or personalized physician education. The experience of selected institutions and state organizations that have and/or continue to provide such remedial education is reviewed. The emphasis of remedial or focused physician education is educational enhancement, not suspension or revocation of license. (Arch Intern Med. 1994;154:274-279) References 1. Peterson JC III, Pierson RN Jr. Peer review and CME . In: Rosof AB, Felch WC, eds. Continuing Medical Education: A Primer . 2nd ed. New York, NY: Praeger Publishers; 1992:191-200. 2. Stross JK, Schumacker HR, Weisman MH, Spalding DM. Continuing medical education: changing behavior and improving outcomes . Arthritis Rheum . 1985;28:1163-1167.Crossref 3. Stross JK, Bole GG. Evaluation of a continuing medical education program in rheumatoid arthritis . Arthritis Rheum . 1980;23:846-849.Crossref 4. Berg AO. Does continuing medical education improve the quality of medical care? a look at the evidence . J Fam Pract . 1979;8:320-326. 5. Miller GE. Continuing education for what? J Med Educ . 1967;42:320-326. 6. Sibley JC, Sackett DL, Neufeld V, Gerrard B, Rudnick KV, Fraser W. A randomized trial of continuing medical education . N Engl J Med . 1982; 306:511-515.Crossref 7. Hotvedt MD, Schottstaedt WW. Tailoring continuing medical education to the individual needs of practicing physicians . Tex Med . 1983;79:51-52. 8. Rosner F, Cohen S. Reviewing the Long Island Jewish Medical Center's experience with 'miniresidencies.' Acad Med . 1991;66:628.Crossref 9. Manning PR, Lee PV, Clintworth WA, Denson TA, Oppenheimer PR, Gilman NJ. Changing prescribing practices through individual continuing education . JAMA . 1986;256:230-232.Crossref 10. Berwick DM, Coltin KL. Feedback reduces test use in a health maintenance organization . JAMA . 1986;255:1450-1454.Crossref 11. Gross LJ. Continuing education and competency: some critical unresolved issues . Health Policy Educ . 1982;3:125-131.Crossref 12. Bertram DA, Brooks-Bertram PA. The evaluation of continuing medical education: a literature review . Health Educ Monogr . 1977;4:330-362.Crossref 13. Davis DA. A critical analysis of the literature evaluating CME . Mobius . 1984;4:20-28. 14. Finestone AJ. CME and clinical competence: is it time for mandatory relicensure and recertification? J Cont Ed Health Prof . 1988;8:67-70.Crossref 15. Benson JA Jr. Certification and recertification: one approach to professional accountability . Ann Intern Med . 1991;114:238-242.Crossref 16. Shimberg B. Assuring the continued competence of health professionals . Federation Bull . 1987; 74:76-85. 17. Accreditation Council for Continuing Medical Education (ACCME). Policies and Procedures Manual . Chicago, III: American Medical Association; 1982. 18. Gellhorn A. Periodic physician recredentialing . JAMA . 1991;265:752-755.Crossref 19. Pierson RN Jr. Remedial medical education: the problem of 'dyscompetence.' In: Rosof AB, Felch WC, eds. Continuing Medical Education: A Primer . 2nd ed. New York, NY: Praeger Publishers; 1992: 201-205. 20. Pierson RN Jr. Focused/Prescribed/Remedial Education for Enhanced Clinical Competence: A Planning Conference . New York, NY: Praeger Publishers;1989:132. 21. Thorpe JH. Dealing with substandard care . Hosp Physician . 1989;25:23. 22. Davis DA, Norman GR, Painvin A, Lindsay E, Ragbeer MS, Roth D. Attempting to ensure physician competence . JAMA . 1190;263:2041-2042.Crossref 23. McAuley RG, Paul WM, Morrison GH, Beckett RF, Goldsmith CH. Five-year results of the peer assessment program of the College of Physicians and Surgeons of Ontario . Can Med Assoc J . 1990;143:1193-1199. 24. Langsley DG. Recredentialing . JAMA . 1991;265: 772.Crossref 25. Gullion DS, Adamson TE, Watts MSM. The effect of an individualized practice-based CME program on physician performance and patient outcomes . West J Med . 1983;138:582-588. 26. Bunnell KP, Kahn KA, Kasunic LB, Radcliff S. CPEPP: development of a model for personalized continuing medical education . J Cont Ed Health Prof . 1991;11:19-27.Crossref 27. Davidson ET. Committee on Clinical Excellence Report . Tallahassee, Fla: Florida Medical Association; 1990:3. 28. Raub AC, Bowler FL, Escovitz GH. A physician retraining program: assessment update . JAMA . 1982;248:2994-2998.Crossref 29. Meyer TC. The role of remedial CME . Federation Bull . 1990;77:182-187. 30. Wentz DK, Osteem AM, Cannon MI. Continuing medical education: unabated debate . JAMA . 1992; 268:1118-1120.Crossref 31. Davis DA, Thomson MA, Oxman AD, Haynes RB. Evidence for the effectiveness of CME: a review of 50 randomized controlled trials . JAMA . 1992; 268:1111-1117.Crossref 32. Manning PR, DeBakey L. Lifelong learning tailored to individual clinical practice . JAMA . 1992; 268:1135-1136.Crossref 33. Anbar M. Guidelines for medical practice and the future of medicine . Arch Intern Med . 1992;152: 266-267.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Feb 14, 1994

References