Bmj Usa Commentary

Reinventing continuing medical education

BMJ 2004; 328 doi: (Published 15 April 2004) Cite this as: BMJ 2004;328:E291
  1. Carolyn Clancy (, director1
  1. 1Agency for Healthcare Research and Quality US Department of Health and Human Services Rockville, MD

    In 2003, two significant reports confirmed large gaps in the quality of American health care. McGlynn found that Americans receive recommended services only 54.9% of the time, and the first National Healthcare Quality Report demonstrated a similar “chasm” between evidence-based and actual care.1,2 Both reports confirmed that the gaps in delivery of evidence-based preventive services are comparable in size to those in delivery of other services. Sadly enough, this is old news. Questions prompted by these and other …

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