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Effectiveness of traditional lectures and case methods in Swedish general practitioners’ continuing medical education about COPD: a cluster randomised controlled trial
- Source :
- BMJ Open
- Publication Year :
- 2018
- Publisher :
- BMJ, 2018.
-
Abstract
- ObjectivesTo study the effects of continuing medical education (CME) about chronic obstructive pulmonary disease (COPD) for general practitioners (GPs) by comparing two commonly used CME methods with each other and no CME (reference group).DesignA pragmatic cluster randomised controlled trial with primary healthcare centres (PHCCs) as units of randomisation.Setting, participants and interventions24 PHCCs in Stockholm County, Sweden, were randomised into two CME intervention arms: case method learning (CM) (n=12) and traditional lectures (TL) (n=12). A reference group without CME (n=11) was recruited separately. GPs (n=255) participated in the study arm to which their PHCC was allocated: CM, n=87; TL, n=93; and reference, n=75. Two 2-hour CME seminars were given in a period of 3 months.Primary outcome measuresChanges in scores between baseline and 12 months on a 13-item questionnaire about evidence-based COPD management (0–2 points/question, maximum total score 26 points).Results133 (52%) GPs completed the questionnaire both at baseline and 12 months. Both CM and TL resulted in small yet significantly higher total scores at 12 months than at baseline (CM, 10.34 vs 11.44; TL, 10.21 vs 10.91; pConclusionsNeither short CM nor short TL CME sessions substantially improve GPs’ skills in managing COPD. It is justified to challenge the use of these common CME methods as a strategy for improving GPs’ level of knowledge about management of COPD and other complex chronic diseases characterised by multimorbidity.Trial registration numberNCT02213809; Results.
- Subjects :
- Adult
Male
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
education
cluster randomized controlled trial
Psychological intervention
Primary health care
continuing medical education
Pulmonary disease
traditional lectures
chronic diseases
Pulmonary Disease, Chronic Obstructive
primary care
03 medical and health sciences
0302 clinical medicine
Primary outcome
Continuing medical education
General Practitioners
Surveys and Questionnaires
professional training
medicine
Humans
COPD
030212 general & internal medicine
Cluster randomised controlled trial
Trial registration
Aged
Sweden
Primary Health Care
business.industry
Research
primary care physicians
case method learning
Health Care Service and Management, Health Policy and Services and Health Economy
General Medicine
Middle Aged
Medical Education and Training
medicine.disease
030228 respiratory system
Physical therapy
Education, Medical, Continuing
Female
business
Subjects
Details
- ISSN :
- 20446055
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- BMJ Open
- Accession number :
- edsair.doi.dedup.....9c5022f303bd6e6fd6570d8693982e24
- Full Text :
- https://doi.org/10.1136/bmjopen-2018-021982