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CME Guideline Commentary |

The American College of Chest Physicians Evidence-Based Educational Guidelines for Continuing Medical Education Interventions: A Critical Review of Evidence-Based Educational Guidelines

Geoff Norman, PhD
Author and Funding Information

*From Education Services, Program for Educational Research and Development, McMaster University, Hamilton, ON, Canada.

Correspondence to: Geoff Norman, PhD, Assistant Dean, Education Services, Program for Educational Research and Development, Michael G. DeGroote Centre for Learning, Rm 3519, 1200 Main St W, Hamilton, ON L8N 3Z5, Canada; e-mail: norman@mcmaster.ca


No conflict of interest exists for this author.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(3):834-837. doi:10.1378/chest.09-0036
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The American College of Chest Physicians comprehensive review of continuing medical education is an ambitious attempt to summarize a vast and heterogeneous literature. Nevertheless, there appear to be some consistencies; multiple media and instructional methods appear to be consistently better than single approaches, and multiple occasions work better than one-shot events. While this appears, at first glance, to be perfectly reasonable, one must be careful to treat media and method separately. Other research has shown that many media manipulations can reduce, not enhance, learning. In a similar vein, while the role of simulation in continuing medical education is largely unexplored, applications must be considered with clear understanding of what can and cannot be achieved with simulation.


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