Setting quality standards for web-based continuing medical education.

Continuing medical education (CME) on the Internet has grown steadily over the past several years. However, the quality of Web-based CME has received limited attention in the medical literature, and there have been few attempts to articulate quality standards. This article describes five sets of standards published in the distance education literature and explores whether the standards might be used to inform and enhance approaches to designing and delivering Web-based CME programs. Standards synthesize practical knowledge, best practices, and research findings. They vary in their perspectives on quality, fall short of being comprehensive, and convey many elements that apply to Web CME. We conclude that published standards in the distance education literature can provide valuable guidance to Web CME providers, and there is a clear need for additional research into questions about what works in Web-based education and why.