继续医学教育的评价

EVALUATION IN CONTINUING MEDICAL EDUCATION

继续医学教育作为医学教育全过程的一部分,在国际范围内已经得到了很大的发展,然而,对继续医学教育效果和效益的评价尚未引起人们的重视。本文根据近年来继续医学教育测量技术的研究进展,就继续医学教育评价的目标、程序、个人和单位效果、效率和数益评价的方法学问题进行扼要的介绍。

MEI Renlang.Shang-hai Medical Uni- versity,Shanghai Continuining medical educa- tion (CME),as a part of the medical education continuum,has greatly developed in the world.In view of the needs for evaluating the effectiveness and efficiency of CME,medical educators and administrators have paid atten- tion to the study of CMF,evalua- tion. The goals of CME evaluation are to identify whether the par- ticipants have reached the expec- ted objectives so as to evaluate the quality of CME programme and process.Generally,the CME evaluation can be divided into two steps.Firstly,we can evalu- ate the immediate effectiveness of CME by measuring the changes in the participants behaviour afte completing the CME activities, including knowledge,skill and attitude.Secondly,we can assey the effectiveness and efficienc of CME by analysing the impact of professionals who have finished CME course on their own insti- tutions.Indeces used to evaluate the individuals should include attendance,satisfaction,know- ledge,competence,performance and patient outcome.Usually, the individuals can be assessed by examinatons,field observa- tion and peer review,etc. The evaluation of the effecti- veness of CME progamme consists of the professional activity of analysis,assessment of the cost effectiveness and efficiency.The evaluation of the later part can be conducted by medical audi- ting and medical records review- ing whatever method is adapted, the evaluation should take into account the reliability,validi- ty and objectivity of the measur- ing techniques.