BACKGROUND:Traditional continuing medical education (CME) has not been successful in improving physicians'practice. This project evaluated the use of e-mail to deliver evidence-based moderated case discussions to family physicians. METHODS: In a randomized controlled trial, 58 southwestern Ontario physicians were recruited and randomly assigned to receive two evidence-based cases (type 2 diabetes, prevention) or were put on a waiting list to receive the same. On-line discussions took place about each case. Data were collected using two knowledge questionnaires, charts audits, and standardized patient visits for each of the two cases. RESULTS: The two groups were similar except for rural/urban and solo versus group practice. The latter was related to outcomes, and analyses were controlled for this variable. The intervention group showed statistically significant improvements compared to the control group for knowledge and chart-audit scores for one of the two cases. CONCLUSIONS: Using a randomized control design, this e-mail CME method demonstrated mixed effectiveness.
RCT Entities:
BACKGROUND: Traditional continuing medical education (CME) has not been successful in improving physicians'practice. This project evaluated the use of e-mail to deliver evidence-based moderated case discussions to family physicians. METHODS: In a randomized controlled trial, 58 southwestern Ontario physicians were recruited and randomly assigned to receive two evidence-based cases (type 2 diabetes, prevention) or were put on a waiting list to receive the same. On-line discussions took place about each case. Data were collected using two knowledge questionnaires, charts audits, and standardized patient visits for each of the two cases. RESULTS: The two groups were similar except for rural/urban and solo versus group practice. The latter was related to outcomes, and analyses were controlled for this variable. The intervention group showed statistically significant improvements compared to the control group for knowledge and chart-audit scores for one of the two cases. CONCLUSIONS: Using a randomized control design, this e-mail CME method demonstrated mixed effectiveness.
Authors: Christopher M Wittich; Francisco Lopez-Jimenez; Lindsay K Decker; Jason H Szostek; Jayawant N Mandrekar; Timothy I Morgenthaler; Thomas J Beckman Journal: J Gen Intern Med Date: 2010-10-27 Impact factor: 5.128
Authors: Elie A Akl; Reem Mustafa; Mark C Wilson; Andrew Symons; Amir Moheet; Thomas Rosenthal; Gordon H Guyatt; Holger J Schünemann Journal: Implement Sci Date: 2009-09-21 Impact factor: 7.327
Authors: Robert L Williams; Laurie McPherson; Alberta Kong; Betty Skipper; Nancy Weller Journal: J Am Board Fam Med Date: 2009 Jul-Aug Impact factor: 2.657
Authors: Jessie L McGowan; Roland Grad; Pierre Pluye; Karin Hannes; Katherine Deane; Michel Labrecque; Vivian Welch; Peter Tugwell Journal: Cochrane Database Syst Rev Date: 2009-07-08
Authors: Sara Schroter; Richard D Jenkins; Rebecca A Playle; Kieran M Walsh; Courtenay Probert; Thomas Kellner; Gerhard Arnhofer; David R Owens Journal: BMC Med Educ Date: 2011-06-16 Impact factor: 2.463
Authors: Sara Schroter; Dean Jenkins; Rebecca Playle; Kieran Walsh; Courtenay Probert; Thomas Kellner; Gerhard Arnhofer; David Owens Journal: Trials Date: 2009-07-30 Impact factor: 2.279