An overview of global CME/CPD systems

Engagement in CME/CPD has a positive impact on healthcare professionals’ (HCPs) knowledge, skills, and performance, and on patient outcomes, therefore it is critical to better understand the components of CME/CPD systems that foster engagement, high-quality education, and impact. An assessment of CME/CPD systems was conducted using a mixed-methods approach that included interviews with in-country subject matter experts and qualitative and quantitative data from practicing in-country physicians. Results demonstrate areas of consistency in CME/CPD systems across world regions that included: types of educational providers; types of credit; educational formats; self-tracking of participation; high-degree of compliance when education is mandatory; overall satisfaction with available education; strong support for interprofessional education; and lack of alignment or evaluation of engagement in education with population health outcomes. Areas of variation included: whether engagement in education is required as a condition to practice medicine; whether regulations are uniformly applied; if mechanisms to ensure independence existed; and physician perceptions of independence. Results of this assessment maybe used by a variety of different stakeholders to assess how well country-level CME/CPD systems are meeting the needs of practicing physicians and determine what, if any, changes might need to be implemented to improve outcomes.

持续医学教育/持续专业发展（Continuing Medical Education/Continuing Professional Development, CME/CPD）的参与度，对医疗保健专业人员（Healthcare Professionals, HCPs）的知识储备、执业技能与工作表现，以及患者结局均具有积极影响。因此，深入探究能够提升参与度、保障教育质量并产生实际影响的CME/CPD系统构成要素，具有重要的现实意义。
本研究采用混合研究方法对CME/CPD系统开展评估，具体包括对本土主题专家的访谈，以及针对在职执业医师的定性与定量数据采集。
研究结果显示，全球各地区的CME/CPD系统存在若干共性特征，涵盖教育提供主体类型、学分类别、教育形式、参与度自我追踪机制、强制教育场景下的高度合规性、对现有教育资源的整体满意度、对跨专业教育的广泛支持，以及教育参与度与人群健康结局之间缺乏协同匹配或评估机制。
不同地区的CME/CPD系统也存在诸多差异，具体包括：教育参与是否为执业行医的必备前提条件、监管要求是否统一落地、是否存在保障教育项目独立性的机制，以及医师对教育项目独立性的认知水平。
本次评估的结果可供各类利益相关方使用，用于研判各国CME/CPD系统满足在职执业医师需求的程度，并确定是否需要采取哪些改进措施以优化相关结局。