To the Editor Even though we appreciate Dr Nissen’s comments about CME,1 we think it is important to acknowledge the evolution of the CME system in recent years in response to the changing health care environment. He expressed concerns over whether CME is effective and called for more research on this topic.
Cervero and Gaines2 recently reported on multiple systematic reviews, concluding that CME can improve physician performance and patient outcomes (more the former than the latter). Our own experiences suggest that CME done effectively requires complex educational interventions that take into account the learner, the health care team, and systems of care.
Djuricich AM, Turco MG, Sachdeva AK. Changing Continuing Medical Education. JAMA. 2015;314(10):1072–1073. doi:10.1001/jama.2015.10223
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