Over the past year as I have been building the 'Natural Learning Actions' model I have had the opportunity to speak with a whole host of medical educators and learners. One of the areas of medical education research that has consistently come up in these conversations is how a learner's
Background. The purpose of accredited CME has recently been enhanced to change competence, performance or patient outcomes. In addition, CME providers seeking accreditation with commendation are required to implement educational strategies to remove, overcome or address barriers to physician change. However, current methods to measure intended changes in practice and
This study investigates the use of a commitment to change (CTC) instrument as an integral approach to continuing medical education (CME) planning, implementation, and evaluation and as a means of facilitating physician behavior change.
Descriptive statistics and grounded theory methods were employed. Data were collected from 20 consecutive CME programs. Physicians
Statements of commitment to change are advocated both to promote and to assess continuing education interventions. However, most studies of commitment to change have used self-reported outcomes, and self-reports may significantly overestimate actual performance. As part of an educational randomized controlled trial, this study documented changes that family physicians committed
A commitment to practice change (CTC) approach may be used in educational program evaluation to document practice changes, examine the educational impact relative to the instructional focus, and improve understanding of the learning-to-change continuum. The authors reviewed various components and procedures of this approach and discussed some practical aspects of
The purpose of this study was to determine whether physicians who committed themselves to making changes in clinical practice following a continuing medical education (CME) course were more likely to change than those not asked to make such a commitment. Physicians participating in a short course in geriatrics were randomly
There is a lack of clarity in the conceptualization of commitment underlying the commitment to change (CTC) procedure used by organizers of continuing education in the health professions. This article highlights the two distinct conceptualizations of commitment that have emerged in the literature outside health care education and practice. The
Physicians frequently are asked to sign commitments to change practice, based upon their involvement in continuing medical education (CME) activities. Although use of the commitment-to-change model is increasingly widespread in CME, the effect of signing such commitments on rates of change is not well understood.
Immediately after a CME session, 110