March 2012

Document Type


Degree Name



Dept. of Medical Informatics and Clinical Epidemiology


Oregon Health & Science University


The purpose of this study was to determine the acceptance by physicians of a continuing medical education (CME) system integrated into an electronic health record (EHR). Traditional approaches to CME have not shown improvement in patient health care outcomes. Hospital Italiano de Buenos Aires (HIBA) has implemented a system that embeds CME into the EHR, providing learning opportunities that are integrated into the patient care process. This study explored the acceptability of the system to physicians when they were in the consulting room in the hospital. We interviewed 12 physicians after one or two weeks of using this CME system and we performed a thematic analysis of these interviews. The themes that emerged were: (1) use and ease of use of the system; (2) value physicians gave to the system; (3) educational impact on physicians; (4) respect for the individual learning styles; (5) content available in the system; and (6) barriers that were present or absent for using the CME system. We found that the integrated CME system developed at HIBA was well accepted and perceived as useful and easy to use. Future work will involve modifications to the system interface, expansion of the content offered, and further evaluation.




School of Medicine



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.