Commitment to Change Statements and Actual Practice Change After a Continuing Medical Education Intervention

Journal of Continuing Education in the Health Professions (03/16/21) Arnold Rehring, Sharisse M.; Steiner, John F.; Reifler, Liza M.; et al.

An intervention combining live continuing medical education (CME) with electronic health record changes to promote judicious antibiotic use for pediatric urinary tract infection (UTI) patients aimed to assess commitment to change (CTC) and prescribing behavior in Kaiser Permanente Colorado. There were 179 participants, including 80 (45%) who completed the postsession evaluations and treated one or more children with a UTI in the following 17 months. In closed-ended responses about learning objectives, 45 clinicians committed to changing practice for antibiotic choice and duration, and 37 committed to adopting new practice guidelines. When asked open-ended questions to identify specific practice changes, 32 clinicians committed to antibiotic choice change and committed to treatment duration change. Participants who made specific CTC statements showed more improvement in antibiotic choice and duration compared with those who made no specific commitments. The authors noted that connecting self-assessments to clinical data in integrated healthcare systems is valuable for CME evaluators.

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