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Medical Teacher Volume 33, 2011 - Issue 9
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Research Article

The impact on medical practice of commitments to change following CME lectures: A randomized controlled trial

Frank J. DominoUniversity of Massachusetts Medical School, USA; FRANK J. DOMINO, MD, received his medical degree from the University of Texas Health Science Center, and completed his residency at the Hunterdon Medical Center. He has worked as a clinical instructor in the Mid-Hudson Family Practice Residency program and led a private practice in Poughkeepsie. He is the Family Medicine Clerkship director, the chair of the Curriculum Committee and has special interests in Medical Ethic and Evidence-Based Medicine.Correspondence[email protected]
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Sanjiv ChopraHarvard Medical School, USA; SANJIV CHOPRA, MBBS, MACP, is a professor of medicine and faculty dean for continuing medical education at Harvard Medical School, and senior consultant in hepatology at the Beth Israel Deaconess Medical Center in Boston. He is editor-in-chief of the hepatology section of UpToDate.
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Marissa SeligmanpmiCME, USA; MARISSA SELIGMAN, PharmD, is a chief clinical and regulatory affairs and compliance officer for the Pri-Med Institute and manages M|C Communications compliance programs and activities. Dr Seligman served as executive director of the Beam Institute for Continuing Education and Institutional Review Board. She is also secretary of the National Commission on Certification of CME Professionals (NC-CME).
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Kate SullivanUniversity of Massachusetts Medical School, USA; KATE M. SULLIVAN, BA, received her bachelor's degree from the University of Massachusetts at Dartmouth in 2002. Since then, she has been working in the field of research at the University of Massachusetts Medical School. She has been a contributing author for several peer-reviewed journal articles as well as posters presented at national conferences.
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Mark E. QuirkUniversity of Massachusetts Medical School, USA; MARK E. QUIRK, EdD, has published 65 articles related to behavioral and social science research and medical education. He has delivered invited keynote addresses and panel presentations on doctor–patient communication and medical education at numerous national and international conferences. He has published two books, the latest entitled: Intuition and Metacognition in Medical Education: Keys to Developing Expertise published by the Springer Publishing Company (2006).
Pages e495-e500 | Published online: 19 Aug 2011

References

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  • Lewin K. Group decision and social change. Readings in Social Psychology, E Maccoby, T Newcomb, E Hartley. Methuen & Co, London 1966; 39–44
  • Lockyer JM, Fidler H, Ward R, Basson RJ, Elliot S, Toews J. Commitment to change statements: A way of understanding how participants use information and skills taught in an educational session. J Contin Educ Health Prof 2001; 21: 82–89
  • Mazmanian PE, Daffron SR, Johnson RE, Davis DA, Kantrowitz MP. Information about barriers to planned change: A randomized control trial involving continuing medical education lectures and commitment to change. Acad Med 1998; 73(8)882–886
  • Mazmanian PE, Johnson RE, Zhang A, Boothby J, Yeatts EJ. Effects of a signature on rates of change: A randomized controlled trial involving continuing education and the commitment-to-change model. Acad Med 2001; 76(6)642–646
  • Miller RG, Ashar BH, Getz KJ. Evaluation of an audience response system for the continuing education of health professionals. J Contin Educ Health Prof 2003; 23: 109–115
  • Overton GK, MacVicar R. Requesting a commitment to change: Conditions that produce behavioral or attitudinal commitment. J Cont Educ Health Prof 2008; 28(2)60–66
  • Pereles L, Lockyer J, Hogan D, Gondocz T. Effectiveness of commitment contracts in facilitating change in continuing medical education interventions. J Contin Educ Health Prof 1997; 17(1)27–31
  • Purkis IE. Commitment to change: An instrument for evaluating CME course. J Med Educ 1982; 57: 61–63
  • Wakefield J, Herbert CP, Maclure M, Dormuth C, Wrig JM, Legare J. Commitment to change statements can predict actual change in practice. J Contin Educ Health Prof 2003; 23: 81–93
  • White MI, Gryzbowski S, Broudo M. Commitment to change instrument enhances program planning, implementation, and evaluation. J Contin Educ Health Prof 2004; 24: 153–162

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