title: Characteristics that predict physician participation in a Web-based CME activity: the MI-Plus study.
abstract: BACKGROUND
  Physician use of the Internet for practice improvement has increased dramatically over the last decade, but research shows that many physicians choose not to participate. The current study investigated the association of specific physician characteristics with enrollment rates and intensity of participation in a specific Internet-delivered educational intervention to improve care to post-myocardial infarction (MI) patients.
  
  
  METHODS
  Primary-care physicians were recruited for participation in a randomized controlled trial designed to compare effectiveness of an intervention Web site versus a control Web site in the management of adult chronic disease. Physicians were informed that the intervention focused on ambulatory post-myocardial infarction patients. Physician characteristics were obtained from a commercial vendor with data merged from the American Medical Association and Alabama State Licensing Board. Enrollment and Web use were tracked electronically.
  
  
  RESULTS
  Out of a sample of 1337 eligible physicians, 177 (13.2%) enrolled in the study. Enrollment was higher for physicians with more post-MI patients (> or = 20 vs < 20 patients, 15.3% vs 9.3%, P = .002) and for those practicing in rural compared to urban areas (16.3% vs 12.1%, P = .046). Intensity of use of the Internet courses after initial enrollment was not predicted by physician characteristics in the current sample.
  
  
  CONCLUSIONS
  Physicians with more post-MI patients and rural practice location were found to predict enrollment in an Internet-delivered continuing medical education (CME) intervention designed to improve care for post-MI patients. These factors predicted program interest but not program use. More research is needed to replicate these findings to investigate variables that determine physician engagement in Internet CME.
authors.affiliation: Division of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, AL 35294-0019, USA. mschoen@uab.edu
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Schoen
authors.forename: Edmond F
authors.initials: EF
authors.lastname: Tipton
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Houston
authors.forename: Ellen
authors.initials: E
authors.lastname: Funkhouser
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Levine
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Estrada
authors.forename: Jeroan J
authors.initials: JJ
authors.lastname: Allison
authors.forename: O Dale
authors.initials: OD
authors.lastname: Williams
authors.forename: Catarina I
authors.initials: CI
authors.lastname: Kiefe
mesh_terms: D001291:Attitude of Health Personnel; D020375:Education, Distance; D004502:Education, Medical, Continuing; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D009203:Myocardial Infarction / Q000534:rehabilitation*; D058007:Physicians, Primary Care / Q000193:education*; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies; D012424:Rural Population; D014481:United States