Impact of continuing medical education for physicians on the quality of cancer pain treatment in China

Author(s):  
Wangjun Qin ◽  
Yang Yang ◽  
Lei Zhang ◽  
Qing Yang ◽  
Pengmei Li ◽  
...  
1988 ◽  
Vol 63 (10) ◽  
pp. 775-84 ◽  
Author(s):  
E V Dunn ◽  
M J Bass ◽  
J I Williams ◽  
A E Borgiel ◽  
P MacDonald ◽  
...  

Author(s):  
Farhan Vakani, MCPS-HPE, MSc, BDS ◽  
W. Daniel Cogan, EdD, FAODME

Existing gaps in the quality of healthcare have led to calls for change by Continuing Medical Education (CME) providers around the world to plan and implement continuing medical education activities based on improving physician competence and performance. This article offers the use of the commitment to practice change (CTC) tool at mid-levels of the expanded outcomes framework using post-only design, for inquiring and promoting physicians’ commitment to practice change, and for assessing the impact of the educational activity.


2020 ◽  
Author(s):  
Casey A. Murphy ◽  
Randolph Roig ◽  
John Faciane Jr. ◽  
Harry J. Gould, III

Chronic pain is a major factor that impairs functionality and compromises quality of life.  Unfortunately, this type of pain is often under-treated due to lack of education about the use and range of effective non-pharmacologic modalities, about how to use and monitor pharmacologic modalities, and the fear about real and imagined adverse effects that are associated with its management.  Cancer is diagnosed in approximately 40% of the population with up to 89% experiencing some form of pain in the later stages of the disease. Unfortunately, a significant portion of this population receives inadequate treatment for their pain.  Here we provide a review of the evidence-base for determining the best approach for managing the pain of malignancy in the hope of providing a basic framework for the physician to better utilize the pharmacological options that comprise an important component of comprehensive pain care for the cancer patient.   This review contains 2 figures, 7 tables, and 106 references. Keywords: Cancer pain, malignant pain, opioids, chronic pain, analgesic options, adjuvant options, cancer pharmacology, evidence-based pain treatment


PEDIATRICS ◽  
1973 ◽  
Vol 52 (1) ◽  
pp. 140-140
Author(s):  
William Gene Klingberg ◽  
John Bailey ◽  
William Reed Bell ◽  
McLemore Birdsong ◽  
Arthur C. Cherry ◽  
...  

Recognizing the paramout importance of optimal health care for all children as a legitimate concern of pediatricians and of all society, the American Academy of Pediatrics reiterates its long-standing commitment to pediatric education in its broadest sense including undergraduate, graduate, and continuing medical education. Several approaches to assure the quality of such care, such as peer review, evidence of participation in continuing education activities, and recertification have been suggested by a variety of governmental and other nonprofessional agencies. The Academy believes strongly that such undertakings must remain the responsibility of appropriate medical organizations and that the appropriate organization in all affairs related to the health of children is the American Academy of Pediatrics. The Academy desires, therefore, to assist its members in maintaining and improving their expertise and in preparing them to demonstrate their ability to respond to the demands of a changing society. Recognizing that society will require demonstration of expertise and ability to maintain quality of health care, the Academy has assumed the initiative in developing methods for the determination of competency. Vital to the maintenance of such competency is the level of continuing education. The Academy reaffirms its determination to assist the pediatrician in maintaining and demonstrating his competence.


2020 ◽  
Author(s):  
Casey A. Murphy ◽  
Randolph Roig ◽  
John Faciane Jr. ◽  
Harry J. Gould, III

Chronic pain is a major factor that impairs functionality and compromises quality of life.  Unfortunately, this type of pain is often under-treated due to lack of education about the use and range of effective non-pharmacologic modalities, about how to use and monitor pharmacologic modalities, and the fear about real and imagined adverse effects that are associated with its management.  Cancer is diagnosed in approximately 40% of the population with up to 89% experiencing some form of pain in the later stages of the disease. Unfortunately, a significant portion of this population receives inadequate treatment for their pain.  Here we provide a review of the evidence-base for determining the best approach for managing the pain of malignancy in the hope of providing a basic framework for the physician to better utilize the pharmacological options that comprise an important component of comprehensive pain care for the cancer patient.   This review contains 2 figures, 7 tables, and 106 references. Keywords: Cancer pain, malignant pain, opioids, chronic pain, analgesic options, adjuvant options, cancer pharmacology, evidence-based pain treatment


Ból ◽  
2017 ◽  
Vol 18 (4) ◽  
pp. 43-46
Author(s):  
Justyna Bochenek-Cibor

Cancer pain treatment stays an important part of multidisciplinary oncologic care. Opioids remain the most effective and the most widely used analgesics for the treatment of moderate-to-severe pain. However, they may cause side effects, such as constipation that significantly decrease patients’ quality of life. The combination of oxycodone and naloxone is an innovation in preventing the gastrointestinal disorders. Authors describe two cases of cancer patients for whom oxycodone/naloxe prove effective analgesic.


1987 ◽  
Vol 11 (2) ◽  
pp. 38-42 ◽  
Author(s):  
Peter Brook ◽  
Richard Wakeford

Despite some general interest in the development and evaluation of continuing education for health professionals, the voluminous research literature on the subject is unfortunately equivocal as to exactly what approaches work and in which situations. In 1977, Bertram and Brookes-Bertram reviewed 113 studies of continuing medical education (CME): they found that three out of the eight studies which they judged as acceptably designed showed persistent positive effects. More recently, of six studies which examined the effect of CME upon the quality of care, half reported positive effects and half reported no effect, although all the studies demonstrated cognitive improvements.


2014 ◽  
Vol 32 (16) ◽  
pp. 1727-1733 ◽  
Author(s):  
Jung Hye Kwon

Pain is a devastating symptom of cancer that affects the quality of life of patients, families, and caregivers. It is a multidimensional symptom that includes physical, psychosocial, emotional, and spiritual components. Despite the development of novel analgesics and updated pain guidelines, cancer pain remains undermanaged, and some patients with moderate to severe pain do not receive adequate pain treatment. Inadequate pain management can be attributed to barriers related to health care professionals, patients, and the health care system. Common professional-related barriers include poor pain assessment, lack of knowledge and skill, and the reluctance of physicians to prescribe opioids. Patient-related barriers include cognitive factors, affective factors, and adherence to analgesic regimens. System-related barriers such as limits on access to opioids and the availability of pain and palliative care specialists present additional challenges, particularly in resource-poor regions. Given the multidimensional nature of cancer pain and the multifaceted barriers involved, effective pain control mandates multidisciplinary interventions from interprofessional teams. Educational interventions for patients and health care professionals may improve the success of pain management.


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