PURPOSE:There has been little radiation oncologist (RO)-specific research in continuing medical education (CME) or quality improvement (QI) program efficacy. Our aim was to evaluate a CME/QI program for changes in RO behavior, performance, and adherence to department protocols/studies over the first 12 months of the program. METHODS AND MATERIALS:The CME/QI program combined chart audit with feedback (C-AWF), simulation review AWF (SR-AWF), reminder checklists, and targeted CME tutorials. Between April 2003 and March 2004, management of 75 patients was evaluated by chart audit with feedback (C-AWF) and 178 patients via simulation review audit (SR-AWF) using a validated instrument. Scores were presented, and case management was discussed with individualized educational feedback. RO behavior and performance was compared over the first year of the program. RESULTS:Comparing the first and second 6 months, there was a significant improvement in mean behavior (12.7-13.6 of 14, p = 0.0005) and RO performance (7.6-7.9 of 8, p = 0.018) scores. Protocol/study adherence significantly improved from 90.3% to 96.6% (p = 0.005). A total of 50 actions were generated, including the identification of learning needs to direct CME tutorials, the systematic change of suboptimal RO practice, and the alteration of deficient management of 3% of patients audited during the program. CONCLUSION:An integrated CME/QI program combining C-AWF, SR-AWF, QI reminders, and targeted CME tutorials effectively improved targeted RO behavior and performance over a 12-month period. There was a corresponding increase in departmental protocol and study adherence.

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目的:在继续医学教育(CME)或质量改善(QI)计划功效方面,几乎没有针对放射肿瘤学家(RO)的研究。我们的目的是评估一个CME / QI计划,以了解该计划的前12个月RO行为,绩效以及对部门规约/研究的遵守情况的变化。
方法和材料:CME / QI程序将图表审核与反馈(C-AWF),模拟审阅AWF(SR-AWF),提醒清单和目标CME教程相结合。在2003年4月至2004年3月之间,使用经过验证的工具,通过带有反馈的图表审计(C-AWF)评估了75名患者的管理,通过模拟审查审计(SR-AWF)评估了178名患者的管理。提出分数,并通过个性化的教育反馈讨论案例管理。在该计划的第一年,对RO的行为和性能进行了比较。
结果:与前六个月和第二个六个月相比,平均行为(14.12.7-13.6,p = 0.0005)和反渗透表现(7.6-7.9,8,p = 0.018)有显着改善。方案/研究依从性从90.3%显着提高到96.6%(p = 0.005)。总共产生了50项行动,包括确定直接进行CME指导的学习需求,对次优RO实践的系统性改变以及在该计划中审核的3%的患者管理不善的变更。
结论:结合了C-AWF,SR-AWF,QI提示和目标CME教程的集成的CME / QI程序可以在12个月内有效改善目标RO的行为和性能。部门规程和研究依从性相应增加。

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