Effect of a tailor-made continuous medical education program for primary care physicians on self-perception of physicians' roles and quality of care

Gilad Twig, Amnon Lahad, Ilan Kochba, Vered Ezra, Dror Mandel, Avi Shina, Yitshak Kreiss, Eyal Zimlichman*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: A survey conducted among Israel Defense Force primary care physicians in 2001 revealed that they consider patients' needs more than they do organizational needs and that the education PCPs currently receive is inadequate. In 2003 the medical corps initiated a multi-format continuous medical education program aimed at improving skills in primary care medicine. Objectives: To measure and analyze the effect of the tailormade CME program on PCPs' self-perception 3 years after its implementation and correlate it to clinical performance. Methods: In 2006 a questionnaire was delivered to a representative sample of PCPs in the IDF. The questionnaire included items on demographic and professional background, statements on self-perception issues, and ranking of roles. We compared the follow-up survey (2006) to the results of the original study (2001) and correlated the survey results with clinical performance as measured through objective indicators. Results: In the 2006 follow-up survey PCPs scored higher on questions dealing with their perception of themselves as case managers (3.8 compared to 4.0 on the 2001 survey on a 5 point scale, P = 0.046), perceived quality of care and education (3.5 vs. 3.8, P = 0.06), and on questions dealing with organizational commitment (3.5 vs. 3.8, P = 0.01). PCPs received higher scores on clinical indicators in the later study (odds ratio 2.05, P < 0.001). Conclusions: PCPs in the IDF perceived themselves more as case managers as compared to the 2001 survey. A tailor-made CME program may have contributed to the improvement in skills and quality of care.

Original languageAmerican English
Pages (from-to)521-525
Number of pages5
JournalIsrael Medical Association Journal
Volume12
Issue number9
StatePublished - Sep 2010
Externally publishedYes

Keywords

  • Continuous medical education
  • Medical corps
  • Primary care
  • Quality indicators
  • Quality of care
  • Self-perception

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