title: [Educational strategies to modify physician behaviours and health care outcomes].
abstract: The current evolution of medicine requires a sustained effort in continuing medical education to maintain an evidence-based practice. To support this process, several educational strategies are available, including guideline diffusion. Their critical analysis reveals that the dissemination of passive information by conferences or by unsolicited materials is generally ineffective to modify the behaviours in practice or patient outcomes. More effective interventions are practice- and community-based rather than didactic, include an evaluation of learning needs, and enhance active participation in multiple activities. Before investing time and money into an educational activity, one should consider the evidence of its efficacy and make an oriented choice, according to the goals aimed and the available resources.
authors.affiliation: Service de médecine interne générale HUG, 1211 Geneve 14. Mathieu.nendaz@hcuge.ch
authors.forename: Mathieu
authors.initials: M
authors.lastname: Nendaz
mesh_terms: D004502:Education, Medical, Continuing; D019317:Evidence-Based Medicine; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017063:Outcome Assessment, Health Care