【目的】 探索医学期刊开展继续医学教育(Continuing Medical Education, CME)的模式,以提升医学期刊服务行业发展的能力。【方法】 通过期刊网站调查分析国外3种(Annals of Internal Medicine、JAMA、BMJ)和国内9种医学期刊(包括《中华医学杂志》《中华外科杂志》《中华儿科杂志》等)的CME模式,调查内容包括CME课程素材、主题、内容、结构及形式等。【结果】 3种国外期刊均在网站上创建了完善的CME平台/版块,包括多种主题和形式的CME课程,课程素材不仅局限于期刊文章;课程主题多样,包括医学专业知识和技能、医学伦理规范和医患沟通技巧等;均采用图文、音频和视频等多种媒体形式;测试内容兼顾实践能力评估,学分申领过程简便。相比之下,国内医学期刊网站缺乏完善的CME平台/版块,课程主题相对局限;素材仅来自期刊少数栏目的文章;形式相对单一,以纯文本为主;测试内容仅重视专业知识,且学分申领过程相对繁琐。【结论】 国内医学期刊应从课程素材、内容、形式及测试环节等方面改进以提高CME质量,从而推动医学知识向临床实践转化。
[Purposes] This paper investigated the continuing medical education (CME) modes in medical journals, which is expected to enhance the potential of medical journals to fill the gap between research and clinical practice. [Methods] A comprehensive survey was conducted on CME modes of 3 foreign medical journals (Annals of Internal Medicine, JAMA, and BMJ) and 9 Chinese medical journals (including National Medical Journal of China, Chinese Journal of Surgery, Chinese Journal of Pediatrics, and so on) based on their official websites. To be specific, the data such as the materials, topics, content, structures, and forms of CME courses were collected. The differences in CME modes between medical journals in China and abroad were analyzed. [Findings] The 3 foreign medical journals all developed sound platforms or modules for CME and offered CME courses with the following characteristics: materials not limited to journal articles, diversified topics such as medical professional knowledge and skills, medical ethics standards, and communication skills between doctors and patients, various forms such as image and text, video, and audio, tests evaluating both professional knowledge and practical abilities, and simple processes for the application of CME credits. In contrast, medical journals in China lacked the sound platforms or modules and the CME courses showed the following features: limited topics, materials from only a few types of journal articles (mainly reviews and expert commentaries), mainly one form available (text) and only few courses in image-text form, tests evaluating mainly professional knowledge, and complex procedure for the application of CME credits. [Conclusions] Chinese medical journals should improve CME quality in the terms of materials, forms, content, and test, in a bid to promote the transformation from medical knowledge to clinical practice.
Continuing medical education,