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Impractical Cme Programs: Influential Parameters in Iran Publisher



Faghihi SA1 ; Khankeh HR2, 3, 8 ; Hosseini SJ4 ; Soltani Arabshahi SK5 ; Faghih Z6 ; Shirazi M3, 7, 8
Authors
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Authors Affiliations
  1. 1. Department of Medical Education, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Health in Emergency and Disaster, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  3. 3. Department of Clinical Sciences and Education, Karolinska Institute, Stockholm, Sweden
  4. 4. Infertility and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Department of Medical Education, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Shiraz Institute for Cancer Research, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  7. 7. Research Deputy of Medical Education Department, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Clinical Sciences and Education, Karolinska Institute, Stockholm, Sweden

Source: Medical Journal of the Islamic Republic of Iran Published:2017


Abstract

Background: Traditional approaches in Continuing Medical Education (CME) appear to be ineffective in any improvement of the patients' care, reducing the medical errors, and/or altering physicians' behaviors. However, they are still executed by the CME providers, and are popular among the majority of the physicians. In this study, we aimed to explore the parameters involved in the degree of effectiveness of CME program in Iran. Methods: In this study, 31 participants, consisting of general practitioners, CME experts and providers were recruited to participate in in-depth interviews and field observations concerning experiences with CME. Application was made of the qualitative paradigm along with the qualitative content analysis, using grounded theory data analysis methodology (constant comparative analysis). Results: Based on the participants' experiences, the insufficient consistency between the training program contents and the demands of GPs, in addition to the non-beneficiary programs for the physicians and the non-comprehensive educational designs, created a negative attitude to the continuing education among physicians. This could be defined by an unrealistic continuing education program, which is the main theme here. Conclusion: Impracticable continuing education has created a negative attitude toward the CME programs among physicians so much that they consider these programs less important, resulting in attending the said programs without any specific aim: they dodge absenteeism just to get the credit points. Evidently, promoting CME programs to improve the performance of the physicians requires factual needs assessment over and above adaptation of the contents to the physicians' performance. © Iran University of Medical Sciences.