Summary
Pharmacotherapeutical continuing education sessions of general practitioners and pharmacists are considered to be crucial for changing prescribing strategies. Since 1996 they are valued as recertification activities.
At the request of 14 general practitioners two interactive continuing education sessions have been organised focusing on pharmacotherapeutical decisions. Starting point was to confront the general practitioners with their own management as recorded during an earlier registration. Peer review and the discussion about the relevant literature made them formulate agreed strategies for future care. A consultant-paediatrician and two local pharmacists attended the sessions to give feedback. The effect of the sessions has been analysed using a computerised database on prescribed and delivered medication put at our disposal by the pharmacists.
The results showed that a good starting point and reaching consensus about strategies for care are not sufficient to guarantee a positive educational effect.
Therefore, in the perspective of quality of care as well as the quality of retraining programmes this kind of pharmacotherapeutical continuing education sessions have to be looked at critically. They have to be valued realising that changes of management can only be implemented and continued successfully if their necessity has been perceived by the participants.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Grant J, Marsden P. Primary knowledge, medical education and consultant expertise. Medical Education 1988;22:173–179.
Rethans JJ, Sturmans F, Drop R, van der Vleuten C, Hobus P. Does competence of general practitioners predict their performance? Comparison between examination setting and actual practice. British Medical Journal 1991;30(303(6814)):1377–1380.
Jansen JJ, Tan LH, Vleuten CP van der, Luijk SJ van, Rethans JJ, Grol RP. Assessment of competence in technical clinical skills of general practitioners. Medical Education 1995;29(3):247–253.
Sanazaro P. Determining physicians performance. Continuing medical education and other interacting variables. Eval Health Prof 1983;2:197–210.
Norman GR. Problem-solving skills, solving problems and problem-based learning. Medical Education 1988;22:279–286.
Neufeld V, Barrows H. The ‘McMaster philosophy’: an approach to clinical education. Journal of Medical Education 1974;49:1040–1050.
Klein L, Charace P, Johannes R. Effects of physician tutorials on prescribing patterns of graduate physicians. Journal of Medical Education 1981;56:504–511.
Suijlekom-Smit LWA van, Crone-Kraaijeveld E. Illness in childhood, general practitioner’s and paediatrician’s concern [dissertation in Dutch; summary in English]. Rotterdam: Erasmus University Rotterdam, 1994.
Royal College of General Practitioners/Office of Population Censuses and Surveys/Department of Health and Social Security. Morbidity Statistics from General Practice; fourth national study 1991-1992. London: HMSO, 1995.
Harden RM, Laidlaw JM. Effective continuing education: the CRISIS criteria. Medical Education 1992;26:408–422.
Winkens RAG, Pop P, Grol RPTM, Kester ADM. Knottnerus JA. Effect of feedback on test ordering behaviour of general practitioners. British Medical Journal 1992;304:1093–1096.
Sackett DL. Bias in analytic research. Journal of Chronic Disease 1979;32:51–63.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1997 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Crone-Kraaijeveld, E., van Suijlekom-Smit, L.W.A., Dokter, H.J. (1997). Interactive Continuing-Education Sessions: An Effective Way to Change Strategies?. In: Scherpbier, A.J.J.A., van der Vleuten, C.P.M., Rethans, J.J., van der Steeg, A.F.W. (eds) Advances in Medical Education. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4886-3_16
Download citation
DOI: https://doi.org/10.1007/978-94-011-4886-3_16
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6048-6
Online ISBN: 978-94-011-4886-3
eBook Packages: Springer Book Archive