2026-09-18T23:14:16Zhttps://ecommons.cornell.edu/server/oai/requestoai:ecommons.cornell.edu:1813/649352026-05-15T19:50:04Zcom_1813_35col_1813_47
Della Porta, Thomas
Constas, Mark Alexander
Sipple, John W.
Pfeffer, Max John
2019-04-02T14:00:45Z
2021-01-02T07:00:54Z
2018-12-30
ProQuest Submission ID: 11196
ProQuest Publication ID: 10981588
https://hdl.handle.net/1813/64935
https://doi.org/10.7298/0jcd-8070
10758075
Physicians, medical educators, and health care systems all share responsibility for the effectiveness of continuing medical education (CME) activities. Because CME has been criticized as being incapable of supporting physician competency to provide good health care, the researcher uses Gramsci’s theory of “cultural hegemony” to explain why some medical educators and some critics of CME may not understand how cultural hegemony can obscure stakeholders’ responsibilities for effective CME. The researcher also sought to determine what evidence exists to support a claim of causality such that physicians’ participation in a CME activity on antiretroviral therapy (ART) will improve physicians’ practice when prescribing ART and will subsequently improve patients’ health outcomes. After conducting a scoping review of the literature, the researcher found no published peer-reviewed evidence that supports a claim of causality that physician participation in a CME activity on ART will improve the practice of physicians who prescribe ART and will subsequently improve health outcomes for the HIV-infected patients they treat. Lastly, the researcher sought to determine the origin of criteria for a credential offered by the American Academy of HIV Medicine (AAHIVM), determine the kinds of physician competencies the AAHIVM’s 16-module Core Curriculum supports, and the extent to which the AAHIVM’s Core Curriculum aligns with CME criteria for the credential.
en_US
audit culture
CME
Gramsci
Hegemony
HIV
stakeholders
Continuing education
Adult education
A Three-part Analysis of Continuing Medical Education
dissertation or thesis
application/pdf
Education
Cornell University
Doctor of Philosophy
Ph. D., Education
https://hdl.handle.net/1813/59810
Publication
Cornell Theses and Dissertations
Della Porta, Thomas
5893a6ea-7af3-41d7-abc6-04bcd26ab5df
open.access
open.access
<Publication xmlns="https://www.openaire.eu/cerif-profile/1.1/" id="074de6d7-2752-4c53-8c2e-8487d6226ff3">
<Type xmlns="https://www.openaire.eu/cerif-profile/vocab/COAR_Publication_Types">http://purl.org/coar/resource_type/c_1843</Type>
<Language>en_US</Language>
<Title>A Three-part Analysis of Continuing Medical Education</Title>
<PublishedIn>
<Publication>
</Publication>
</PublishedIn>
<PublicationDate>2018-12-30</PublicationDate>
<DOI>https://doi.org/10.7298/0jcd-8070</DOI>
<Authors>
<Author>
<DisplayName>Della Porta, Thomas</DisplayName>
<Affiliation>
<OrgUnit>
</OrgUnit>
</Affiliation>
</Author>
</Authors>
<Editors>
</Editors>
<Publishers>
<Publisher>
<OrgUnit />
</Publisher>
</Publishers>
<Keyword>audit culture</Keyword>
<Keyword>CME</Keyword>
<Keyword>Gramsci</Keyword>
<Keyword>Hegemony</Keyword>
<Keyword>HIV</Keyword>
<Keyword>stakeholders</Keyword>
<Keyword>Continuing education</Keyword>
<Keyword>Adult education</Keyword>
<Abstract>Physicians, medical educators, and health care systems all share responsibility for the effectiveness of continuing medical education (CME) activities. Because CME has been criticized as being incapable of supporting physician competency to provide good health care, the researcher uses Gramsci’s theory of “cultural hegemony” to explain why some medical educators and some critics of CME may not understand how cultural hegemony can obscure stakeholders’ responsibilities for effective CME. The researcher also sought to determine what evidence exists to support a claim of causality such that physicians’ participation in a CME activity on antiretroviral therapy (ART) will improve physicians’ practice when prescribing ART and will subsequently improve patients’ health outcomes. After conducting a scoping review of the literature, the researcher found no published peer-reviewed evidence that supports a claim of causality that physician participation in a CME activity on ART will improve the practice of physicians who prescribe ART and will subsequently improve health outcomes for the HIV-infected patients they treat. Lastly, the researcher sought to determine the origin of criteria for a credential offered by the American Academy of HIV Medicine (AAHIVM), determine the kinds of physician competencies the AAHIVM’s 16-module Core Curriculum supports, and the extent to which the AAHIVM’s Core Curriculum aligns with CME criteria for the credential.</Abstract>
<Access xmlns="http://purl.org/coar/access_right"
>
</Access>
</Publication>