Does an outcome-based approach to continuing medical education improve physicians' competences in rational prescribing?

Medical Teacher

Volumn 31, Issue 11, 2009, Pages

  Esmaily, Hamideh M ^a,b,c   Savage, Carl ^a   Vahidi, Rezagoli ^b,c   Amini, Abolghasem ^b   Dastgiri, Saeed ^b,c   Hult, Hakan ^a   Dahlgren, Lars Owe ^a   Wahlstrom, Rolf ^a,d  

^a KAROLINSKA INSTITUTE   (Sweden)

^b TABRIZ UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^c TABRIZ UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^d UPPSALA UNIVERSITY   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE DRUG REACTION; ANTIBIOTIC THERAPY; ARTICLE; CLINICAL PRACTICE; CONTINUING EDUCATION; CONTROLLED STUDY; DRUG INTERACTION; GENERAL PRACTITIONER; HUMAN; IRAN; MEDICAL EDUCATION; PHYSICIAN ATTITUDE; PRESCRIPTION; PRIMARY MEDICAL CARE; PROFESSIONAL COMPETENCE; PROFESSIONAL KNOWLEDGE; TEACHING;

ADULT; CLINICAL COMPETENCE; COMPETENCY-BASED EDUCATION; DRUG PRESCRIPTIONS; EDUCATION, MEDICAL, CONTINUING; FEMALE; HUMANS; IRAN; MALE; MIDDLE AGED; PHYSICIANS, FAMILY;

EID: 70450171769     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/01421590902803096     Document Type: Article

References (27)

1. Biggs JB. 2003. Teaching for quality learning at university: What the student does. Phildelphia, PA, Society for Research into Higher Education: Open University Press.
2. Bloom BS. 2005. Effects of continuing medical education on improving physician clinical care and patient health: A review of systematic reviews. Int J Technol Assess Health Care 21:380-385.
3. Cantillon P, Jones R. 1999. Does continuing medical education in general practice make a difference? Br Med J. 318:1276-1279.
4. Cheraghali AM, Nikfar S, Behmanesh Y, Rahimi V, Habibipour F, Tirdad R, Asadi A, Bahrami A. 2004. . Evaluation of availability, accessibility and prescribing pattern of medicines in the Islamic Republic of Iran. East Mediterr Health J. 10:406-415.
5. Davis DA, Thomson MA, Oxman AD, Haynes RB. 1995. Changing physician performance. A systematic review of the effect of continuing medical education strategies. J. Am. Med. Assoc. 274:700-705.
6. Davis D, O'brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-vaisey A. 1999. Impact of formal continuing medical education: Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? J. Am. Med. Assoc. 282(9):867-874.
7. Esmaily HM, Savage C, Vahidi R, Amini A, Zarrintan MH, Wahlstrom R. 2008. Identifying outcome-based indicators and developing a curriculum for a continuing medical education programme on rational prescribing using a modified Delphi process. BMC Med Educ. 8:33.
8. Gholamreza S, Meimandi MS. 2005. The quality of prescribing in general practice in Kerman, Iran. Int J Health Care Qual Assur Inc Leadersh Health Serv. 18:353-360.
9. Haidet P, Morgan RO, O'malley K, Moran BJ, Richards BF. 2004. A controlled trial of active versus passive learning strategies in a large group setting. Adv Health Sci Edu. 9:15-27.
10. Harden RM. 1999. AMEE Guide No. 14: Outcome-based education: Part 1- an introduction to outcome-based education. Med Teach. 21:7-14.
11. Harden RM. 2002. Developments in outcome-based education. Med Teach. 24:117-120.
12. Harden RM. 2006. Trends and the future of postgraduate medical education. Emerg Med J. 23:798-802.
13. Harden RM. 2007. Outcome-based education-the ostrich, the peacock and the beaver. Med Teach. 29:666-671.
14. Harrison R, Mitchell L. 2006. Using outcomes-based methodology for the education, training and assessment of competence of healthcare professionals. Med Teach. 28:165-170.
15. Hekmati Farid S. 2003. Ranking East Azerbaijan cities in terms of human development: Managment and Planning Organization. Tabriz- Iran.
16. Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. 2006. Audit and feedback: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev, CD 000259.
17. Meyer JC, Summers RS, Moller H. 2001. Randomized, controlled trial of prescribing training in a South African province. Med Educ. 35:833-840.
18. Moghadamnia AA, Mirbolooki MR, Aghili MB. 2002. General practitioner prescribing patterns in Babol city, Islamic Republic of Iran. East Mediterr Health J. 8:550-555.
19. Moore B, Tonniges TF. 2004. The "every child deserves a medical home" training program: More than a traditional continuing medical education course. Pediatrics 113:1479-1484.
20. Muijrers PE, Janknegt R, Sijbrandij J, Grol RP, Knottnerus JA. 2004. Prescribing indicators. Development and validation of guideline-based prescribing indicators as an instrument to measure the variation in the prescribing behaviour of general practitioners. Eur J Clin Pharmacol. 60:739-746.
21. Oxman A, Thomson MA, Davis D, Haynes B. 1995. No magic bullets: A systematic review of 102 trials of interventions to improve professional practice. Can Med Assoc J. 153:1423-1450.
22. Ramsden P. 2003. Learning to teach in higher education. London; New York: RoutledgeFalmer.
23. Shirazi M, Zeinaloo AA, Sabouri kashani A, Alaeddinin F. 2004. Assessing the gap between current and desirable needs in TUMS CME Unit: Participants viewpoints. Iran J Med Educ. 5(1):17-22.
24. Sohn W, Ismail AI, Tellez M. 2004. Efficacy of educational interventions targeting primary care providers' practice behaviors: An overview of published systematic reviews. J Public Health Dent. 64:164-172.
25. Thomson O'Brien MA, Freemantle N, Oxman AD, Wolf F, Davis DA, Herrin J. 2001. Continuing education meetings and workshops: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev, CD 003030.
26. Watkins C, Harvey I, Carthy P, Moore L, Robinson E, Brawn R. 2003. Attitudes and behaviour of general practitioners and their prescribing costs: A national cross sectional survey. Qual Saf Health Care. 12:29-34.
27. World Health Organization. 2003. Essential drugs monitor. Switzerland: Geneva.