Continuing medical education for AIDS: an organizational response.
The Management of the Southern California Kaiser-Permanente Medical Group mandated a day-long program of continuing medical education on AIDS for all staff physicians at one facility. Presentations dealt with cognitive (transmission/diagnosis), skills (risk factors, history taking), and affective (discomfort/attitudes) domains. All physicians participated in 2 small-group workshops on sexual history taking and ethical issues. An evaluation compared primary care physicians' attitudes and practices before and after the program at the experimental site (Medical Center), a comparison site (written materials only), and a "no-treatment" facility. A sample of new patients (N = 2,689) seen by study physicians (N = 253) before and after the educational intervention were telephoned to determine if sexual history questions were asked by their physicians. There was a significant increase in the frequency of sexual history questions asked by internists at the experimental site. Over 95% of all patients were accepting of sexual history questions. This program has since been repeated at 11 medical centers involving over 3,500 Kaiser-Permanente physicians throughout Southern California.
Lewis
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CE
Division of Preventive and Occupational Medicine, UCLA School of Medicine 90024-1772.
Bursch
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B
Klau
M
M
Konitsney
D
D
Conrow
S
S
D000163:Acquired Immunodeficiency Syndrome; D000328:Adult; D001291:Attitude of Health Personnel; D002140:California; D003479:Curriculum; D004501:Education, Medical; D004502:Education, Medical, Continuing; D005260:Female; D006040:Goals; D006801:Humans; D007318:Inservice Training; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education*; D013038:Specialization