The emergency physician and knowledge transfer: continuing medical education, continuing professional development, and self-improvement.
A workshop session from the 2007 Academic Emergency Medicine Consensus Conference, Knowledge Translation in Emergency Medicine: Establishing a Research Agenda and Guide Map for Evidence Uptake, focused on developing a research agenda for continuing medical education (CME) in knowledge transfer. Based on quasi-Delphi methodology at the conference session, and subsequent electronic discussion and refinement, the following recommendations are made: 1) Adaptable tools should be developed, validated, and psychometrically tested for needs assessment. 2) "Point of care" learning within a clinical context should be evaluated as a tool for practice changes and improved knowledge transfer. 3) The addition of a CME component to technological platforms, such as search engines and databases, simulation technology, and clinical decision-support systems, may help knowledge transfer for clinicians or increase utilization of these tools and should, therefore, be evaluated. 4) Further research should focus on identifying the appropriate outcomes for physician CME. Emergency medicine researchers should transition from previous media-comparison research agendas to a more rigorous qualitative focus that takes into account needs assessment, instructional design, implementation, provider change, and care change. 5) In the setting of continued physician learning, barriers to the subsequent implementation of knowledge transfer and behavioral changes of physicians should be elicited through research.
Kilian
Barbara J
BJ
Department of Emergency Medicine, St. Luke's Roosevelt Hospital Center, New York, NY, UAS. bkilian@chpnet.org
Binder
Louis S
LS
Marsden
Julian
J
D003697:Delphi Technique; D004059:Diffusion of Innovation; D004502:Education, Medical, Continuing; D004635:Emergency Medicine / Q000193:education*; D019317:Evidence-Based Medicine; D006801:Humans; D019359:Knowledge; D017063:Outcome Assessment, Health Care; D010820:Physicians