- Page navigation anchor for RE: Aligning continuing professional development with quality improvementRE: Aligning continuing professional development with quality improvement
There has been a lot of interested in continuing professional development. I was glad to see the comments on how previous approaches have failed. There was a comment on data to measure performance could be generated by the electronic medical record but that systems capable of this may be absent. This is really sad considering the amount of money that has gone into these systems and that these are still largely documentation systems rather than systems that would be capable of assisting physicians.
In the reference paper by Don Berwick he mentions that "Real improvement comes from changing systems, not from changing within systems." The current article makes no mention of clinical decision support systems that have been considered as capable of making major shifts in guideline based information put in front of the physicians at the point of care. This has been discussed at various meetings and groups but over the past 10 years or so there has been no move towards this level of functionality. It would be really nice to have clinical practice guidelines published one week and a week later to see the recommendations distributed and embedded in EMRs so that when a physician is seeing a patient those guidelines are there on the computer screen with no need for trying to remember recommendations from some meeting six months earlier.
Competing Interests: None declared.References
- Wendy Levinson, Brian M. Wong. Aligning continuing professional development with quality improvement. CMAJ 2021;193:E647-E648.
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