title: [Survey of professional practices within the framework of the Continuous professional development: an experience led on a national scale on the theme of macroenzymes].
abstract: The recent HPST law (reform of the hospital and relative to the patients, to the health and to the territories) states that the formation of the healthcare professionals is now "independent" and "compulsory". This law introduces the term of "Continuous professional development". The "Continuous professional development" groups together the former systems of both Evaluation of the professional practices and in-services training. Indeed, our practice gave us an opportunity to evaluate the practices of the professional of the specialists in laboratory medicine. We had to deal with very unsual cases of interference with a medicine (tenofovir) during the dosage of creatines kinases induced by the presence of a macroenzyme. To achieve this goal, a situation scenario was constructed and sent to a sample of practitioners. The first part deals with a clinical case with an analytic interference provoked by a macroenzyme. The second part refers to the usual techniques employed to reveal the presence of macroenzymes. The results were returned as a document suggesting a way to behave "in front of a suspicion of macroenzymes". This study is an illustration of what can be realized to answer the obligations of continuous professional development.
authors.affiliation: Laboratoire de biologie médicale, CH Emile Durkheim, Épinal, France.
authors.forename: Anthony
authors.initials: A
authors.lastname: Leon
authors.affiliation: Laboratoire de biochimie et biologie moléculaire, CHU Nancy, Vandoeuvre-les-Nancy, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Aimone-Gastin
mesh_terms: D000328:Adult; D002624:Chemistry, Clinical; D004796:Clinical Enzyme Tests; D004496:Education, Continuing; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D011364:Professional Practice; D011795:Surveys and Questionnaires
keywords: continuous professional development; macroenzymes