Evidence map›Paper›PMID 19055789›Full record

ArticleBMC medicine2008

A controlled trial of the effectiveness of internet continuing medical education.

Linda Casebeer, Sally Engler, Nancy Bennett, Martin Irvine, Destry Sulkes, Marc DesLauriers, Sijian Zhang

Abstract readEvaluation Study
In one paragraph

Article in BMC medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Trial
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  11. Evaluating a Web-Based Educational Module on Oral Cancer Examination Based on a Behavioral Framework.Journal of cancer education : the official journal of the American Association for Cancer Education · 2016
    Article
  12. The effect of physician continuing medical education on patient-reported outcomes for identifying and optimally managing obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015
    Article
  13. Article
  14. Electronic biomedical literature search for budding researcher.Journal of clinical and diagnostic research : JCDR · 2013
    Article
  15. Expanding the reach of a cancer palliative care curriculum through Web-based dissemination: a public-private collaboration.Journal of cancer education : the official journal of the American Association for Cancer Education · 2010
    Article
  16. Article
  17. Online training in sports concussion for youth sports coaches.International journal of sports science & coaching · 2010
    Article
  18. Characteristics that predict physician participation in a Web-based CME activity: the MI-Plus study.The Journal of continuing education in the health professions · 2009
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Linda CasebeerOutcomes, Inc., 300 Riverchase Pkwy E, Birmingham, AL 35244, USA. linda.casebeer@ceoutcomes.com
Sally Engler
Nancy Bennett
Martin Irvine
Destry Sulkes
Marc DesLauriers
Sijian Zhang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe internet has had a strong impact on how physicians access information and on the development of continuing medical education activities. Evaluation of the effectiveness of these activities has lagged behind their development.

methodsTo determine the effectiveness of a group of 48 internet continuing medical education (CME) activities, case vignette surveys were administered to US physicians immediately following participation, and to a representative control group of non-participant physicians. Responses to case vignettes were analyzed based on evidence presented in the content of CME activities. An effect size for each activity was calculated using Cohen's d to determine the amount of difference between the two groups in the likelihood of making evidence-based clinical decisions, expressed as the percentage of non-overlap, between the two groups. Two formats were compared.

resultsIn a sample of 5621 US physicians, of the more than 100,000 physicians who participated in 48 internet CME activities, the average effect size was 0.75, an increased likelihood of 45% that participants were making choices in response to clinical case vignettes based on clinical evidence. This likelihood was higher in interactive case-based activities, 51% (effect size 0.89), than for text-based clinical updates, 40% (effect size 0.63). Effectiveness was also higher among primary care physicians than specialists.

conclusionPhysicians who participated in selected internet CME activities were more likely to make evidence-based clinical choices than non-participants in response to clinical case vignettes. Internet CME activities show promise in offering a searchable, credible, available on-demand, high-impact source of CME for physicians.

Indexed as

Health Knowledge, Attitudes, PracticeInternetPhysiciansAdultEducation, Medical, ContinuingFemaleHumansMaleMiddle Aged

Identifiers

PMID19055789
PMCPMC2612689

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.