Effectiveness of traditional lectures and case methods in Swedish general practitioners’ continuing medical education about COPD: a cluster randomised controlled trial

ObjectivesTo study the effects of continuing medical education (CME) about chronic obstructive pulmonary disease (COPD) for general practitioners (GPs) by comparing two commonly used CME methods with each other and no CME (reference group).DesignA pragmatic cluster randomised controlled trial with p...

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Bibliographic Details
Published in:BMJ open 2018-08, Vol.8 (8), p.e021982-e021982
Main Authors: Sandelowsky, Hanna, Krakau, Ingvar, Modin, Sonja, Ställberg, Björn, Johansson, Sven-Erik, Nager, Anna
Format: Article
Language:English
Subjects:
Asthma
case method learning
chronic diseases
Chronic obstructive pulmonary disease
cluster randomized controlled trial
continuing medical education
COPD
Evidence-based nursing
Family physicians
Health education
Intervention
Leadership
Medical education
Medical Education and Training
Medicin och hälsovetenskap
Methods
Primary care
primary care physicians
professional training
Public speaking
Smoking cessation
traditional lectures
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Summary:ObjectivesTo study the effects of continuing medical education (CME) about chronic obstructive pulmonary disease (COPD) for general practitioners (GPs) by comparing two commonly used CME methods with each other and no CME (reference group).DesignA pragmatic cluster randomised controlled trial with primary healthcare centres (PHCCs) as units of randomisation.Setting, participants and interventions24 PHCCs in Stockholm County, Sweden, were randomised into two CME intervention arms: case method learning (CM) (n=12) and traditional lectures (TL) (n=12). A reference group without CME (n=11) was recruited separately. GPs (n=255) participated in the study arm to which their PHCC was allocated: CM, n=87; TL, n=93; and reference, n=75. Two 2-hour CME seminars were given in a period of 3 months.Primary outcome measuresChanges in scores between baseline and 12 months on a 13-item questionnaire about evidence-based COPD management (0–2 points/question, maximum total score 26 points).Results133 (52%) GPs completed the questionnaire both at baseline and 12 months. Both CM and TL resulted in small yet significantly higher total scores at 12 months than at baseline (CM, 10.34 vs 11.44; TL, 10.21 vs 10.91; p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2018-021982