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Summary Objectives: Effective knowledge translation in medicine is an essential element of a modern health care system. Evidence-based clinical practice guidelines (CPGs) are considered relevant instruments for the transfer of knowledge into clinical practice. To improve this transfer we have created Internet-based continuing medical education (CME) modules and online case-based learning objects. Methods: Building upon existing CPGs, an e-learning platform including a multi-step review process was developed to generate CME modules. These CME modules were presented through a modified content management system (CMS) that fulfils specific requirements of CME. An online questionnaire using a four-point Likert scale was designed to receive mandatory feedback from participating physicians. In the second step of development, case-based learning objects were added to the CMS. Results: Existing clinical practice guidelines allowed a rapid development of CME modules specific to individual clinical indications. The modified CMS proved to be technically stable but also resource-intensive. 3105 physicians registered and used the platform between June 2003 and April 2005. 95% of the physicians expressed positive feedback in an evaluation questionnaire; only 35% of physicians actually used the corresponding CPGs in practice. Suggestions from the CME users led to the development of interactive medical case-based learning objects related to the main topics of the CPGs. Conclusions: To support the implementation of CPGs, an Internet platform for CME including case-based learning objects and examination tests was developed. An interactive online CME platform can support active learning and may establish an additional stimulus for knowledge translation into daily medical practice.

Fragestellung: Die Publikation auch hochwertiger und anerkannter Leitlinien allein führte nicht unmittelbar zu deren Anwendung; eine Veränderung im Praxisalltag fand deutlich verzögert oder gar nicht statt. National und international wurden seither verschiedene Implementierungsstrategien[for full text, please go to the a.m. URL], 14. Workshop der gmds-Arbeitsgruppe "Computerunterstützte Lehr- und Lernsysteme in der Medizin (CBT)" und des GMA-Ausschusses "Neue Medien"

Introduction: This survey aimed to investigate German ambulatory physicians' opinions about mandatory continuing medical education (CME) and CME resources shortly before the introduction of mandatory CME in 2004. Methods: A structured national telephone survey of general practitioners and specialists was conducted. Main outcome measures were opinions about mandatory CME, preferred CME media, and financial aspects of CME. Data analysis applied Pearson's correlation coefficient for explorative analysis of correlations, analysis of variance for group comparison, and 2-test for investigation of distribution of 2 or more categorical variables. Results: Of the 511 participants, 73% felt that CME supported them in keeping up to date with new medical knowledge, yet only half believed in its ability to minimize medical errors or increase quality of patient care. Traditional ways of learning were preferred. Significant differences in CME behavior were found between primary-care physicians and specialists, the latter using more communicative media. Also, a small group of very skeptical physicians who do not agree with the need for CME in general was identified. Average expenditure for CME was estimated between 500 and 1000 Euros per year. A majority of physicians called for other parties, eg, health insurances or government, to share the financial responsibility for CME. Discussion: Mandatory CME was accepted as a necessity already before the new legislation took effect, with prevailing skepticism at the same time. Future research is needed on how to motivate physicians and especially certain subgroups of physicians to use CME methods shown to be effective in changing clinical behavior.

Hintergrund Die L.I.S.A.-Studie [ref:1] untersucht den Effekt von Präsenzveranstaltungen zur Präsentation von Inhalten der Nationalen Versorgungsleitlinie (NVL) Asthma [ref:2] und vergleicht ihn mit den zusätzlichen Interventionen E-Learning und Schulung der Praxisteams.[for full text, please go to the a.m. URL], Evidenz und Entscheidung: System unter Druck; 10. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin

Hintergrund Die alleinige Erstellung und Publikation von Leitlinien reicht nicht aus, um evidenzbasierte Empfehlungen in die ärztliche Praxis zu bringen und die Patientenversorgung zu beeinflussen [ref:1]. Am Beispiel des Indikationsgebietes Asthma soll überprüft werden, [for full text, please go to the a.m. URL], Evidenz und Entscheidung: System unter Druck; 10. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin