Connie Nugent, MLS; Kenneth M. Nugent, MD
Potential Conflicts of Interest: None disclosed.
Nugent C, Nugent KM. Maintenance of Licensure. Ann Intern Med. 2013;158:220. doi: 10.7326/0003-4819-158-3-201302050-00021
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Published: Ann Intern Med. 2013;158(3):220.
TO THE EDITOR:
Chaudhry and colleagues (1) present a thoughtful analysis of the cognitive processes involved in CME. In brief, they identify 3 components—reflective self-assessment, assessment of knowledge and skills, and performance in practice. Their examples include participation in CME, completion of computer-based simulations, and patient or peer surveys. We suggest modifications that should clarify this process.
The first component requires critical self-assessment of clinical skills and knowledge necessary for the physician's current practice. This almost certainly involves more than participation in the usual CME activities and probably requires practice review and relevant testing (in effect, pretests). Based on this self-assessment, the second component involves identification of essential knowledge and skills that need improvement. Next is a structured learning process that focuses on these specific skills. This activity is fundamental to maintenance of clinical skills and is not discussed by Chaudhry and colleagues.
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