The self-directed learning model represents a form of continuing education that aligns with both physicians′ individual learning needs and the developmental demands of the healthcare sector. It demonstrates significant potential in enhancing the relevance and effectiveness of continuing medical education (CME) in China, reducing unnecessary burdens on frontline practitioners, fostering lifelong learning competencies among health professionals, and promoting innovation in continuing education.This study employs a documentary analysis approach to examine and synthesize practices related to self-directed learning models in CME from Australia, the United Kingdom, and Canada. By identifying transferable elements, this research aims to provide insights for the further development and standardization of a ″planned self-directed learning″ model within China′s CME context.
Zhao Li
,
Gao Xiaohui
. Implications of foreign self-directed learning models for China′s planned self-study in continuing medical education[J]. Chinese Journal of Medical Education, 2026
, 46(5)
: 363
-369
.
DOI: 10.3760/cma.j.cn115259-20250612-00663
[1] 管华. 中外继续医学教育比较研究[J].继续教育研究, 2005(4):12-13.
[2] 王婉颖, 李晓烨, 周正荣. 国外继续教育模式对我国继续医学教育的启示[J].中国医院管理, 2014, 34(10):65-67.
[3] 冀晓俊,邵颖. 美国继续医学教育模式转变对我国继续医学教育的启示[J].医学教育管理,2017,3(z1):13-16. DOI:10.3969/j.issn.2096-045X.2017.S1.005.
[4] 马真,佟赤,朱滨海,等. 金砖国家继续医学教育制度比较研究[J].中华医学教育杂志,2019,39(2):140-146. DOI:10.3760/cma.j.issn.1673-677X.2019.02.010.
[5] 马真. 继续职业发展全球标准对我国继续医学教育工作的启示[J].中国继续医学教育,2009(1):12-15.
[6] 安徽省卫生健康委员会关于申报继续医学教育“可验证自学模式”实践研究课题的通知[EB/OL].[2025-8-27].https://www.ay2fy.com/xwdt/xwdt-kyjx/content.jsp?id=21194.
[7] 国家卫生健康委办公厅关于印发继续医学教育学分管理办法(试行)的通知[EB/OL].[2024-11-11].https://www.gov.cn/zhengce/zhengceku/202411/content_6985846.htm.
[8] World Federation for Medical Education. WFME Global Standards for Quality Improvement: Continuing Professional Development of Medical Doctors (2024)[EB/OL].[2025-08-27].https://wfme.org/standards/cpd/.
[9] World Federation for Medical Education. WFME Global Standards for Quality Improvement: Continuing Professional Development of Medical Doctors (2015)[EB/OL].[2025-08-27].https://wfme.org/standards/cpd/.
[10] Geffen L. A brief history of medical education and training in Australia[J].Med J Aust, 2014,201(1 Suppl):S19-22. DOI:10.5694/mja14.00118.
[11] Medical Board of Australia. Registration standard: continuing professional development (2016)[EB/OL].[2024-11-11].https://www.mdanational.com.au/advice-and-support/library/concise-advice/revised-cpd-registration-standard.
[12] Medical Board of Australia. Registration standard: continuing professional development (2023)[EB/OL].[2024-11-11].https://www.mdanational.com.au/advice-and-support/library/concise-advice/revised-cpd-registration-standard.
[13] Australian Medical Association. CPD compliance:meeting the annual registration standard requirements[EB/OL].[2024-11-11].https://www.cpdhome.org.au/cpd-compliance.
[14] Royal Australian College of General Practitioners. CPD handbook RACGP-your CPD home:a guide to the new CPD requirements for the 2023-25 triennium[EB/OL].[2024-11-11].https://www.racgp.org.au/getmedia/e153456f-5de8-486f-9033-842fcd567bde/Handbook.pdf.aspx.
[15] 李展宗,江黎黎,杨辉. 澳大利亚全科医学持续职业发展教育项目及其对我国深圳市全科医学发展的启示[J].中国全科医学,2019,22(4):451-456. DOI:10.12114/j.issn.1007-9572.2019.04.017.
[16] Australian Medical Association. How we support CPD Home Subscribers: audit policy[EB/OL].[2024-11-11].https://www.cpdhome.org.au/docs/cpd-home-audit-policy-v1.2.pdf.
[17] Australian Medical Association. CPD Home Program Guide 2024: CPD made simple[EB/OL].[2024-11-11].https://www.cpdhome.org.au/docs/cpd-home-program-guide-2024.pdf.
[18] General Medical Council. Guidance on supporting information for appraisal and revalidation[EB/OL].[2024-11-11].https://www.gmc-uk.org/-/media/documents/guidance-on-supporting-info-for-appraisal-and-revalidation_pdf-84642033.pdf.
[19] 侯建林,王维民. 国外医学教育[M].北京: 北京大学医学出版社, 2023:325.
[20] General Medical Council. About our leadership and management guidance[EB/OL].[2024-11-16].https://www.gmc-uk.org/professional-standards/professional-standards-for-doctors/leadership-and-management-for-all-doctors/about-this-guidance.
[21] General Medical Council. Continuing professional development:guidance for all doctors[EB/OL].[2024-11-16].https://www.gmc-uk.org/-/media/documents/cpd-guidance-for-all-doctors-0316_pdf-56438625.pdf.
[22] 万磊,董琨,陈岳生. 关于中国、加拿大医学教育模式的比较分析[J].中国医药科学,2017,7(18):251-253. DOI:10.3969/j.issn.2095-0616.2017.18.078.
[23] College of Family Physicians of Canada. Mainpro+® overeview[EB/OL].[2024-11-11].https://www.cfpc.ca/en/education-professional-development/mainpro/mainpro-overview_.
[24] Royal College of Phisicians and Surgeons of Canada. CPD activities you can record[EB/OL].[2024-11-11].https://news.royalcollege.ca/en/cpd/maintenance-of-certification-program/cpd-activities-can-record.html.
[25] Knowles M. Self-directed learning: a guide for learners and teachers[EB/OL].[2025-08-28].https://figshare.le.ac.uk/articles/thesis/Independent_Adult_Learning/10107698/1/files/18220556.pdf.
[26] 全国继续医学教育委员会.关于印发《国家级继续医学教育项目申报、认可办法》和《继续医学教育学分授予与管理办法》的通知[EB/OL].[2024-04-06].http://ynswsjkw.yn.gov.cn/html/2008/gongshigonggao_0624/152.html.
[27] 中华人民共和国医师法[Z].2021-08-20.
[28] 国家卫生和计划生育委员.医师执业注册管理办法[Z].2017-02-28.
[29] 中华人民共和国卫生部.医师定期考核管理办法[Z].2007-02-09.
[30] Schostak J, Davis M, Hanson J, et al. ′Effectiveness of continuing professional development′ project: a summary of findings[J].Med Teach, 2010,32(7):586-592. DOI:10.3109/0142159X.2010.489129.
[31] Pyatt RS, Caldwell SC, Moore DE. Improving outcomes through an innovative continuing medical education partnership[J].J Contin Educ Health Prof, 1997,17(4):239-244. DOI:10.1002/chp.4750170407.
[32] 黄进,赵宇亮,余钰,等. 医学教育改革中的循证医学[J].中国循证医学杂志,2010,10(4):437-440. DOI:10.3969/j.issn.1672-2531.2010.04.012.
[33] 林新宏,上官辉,黎莉.循证医学与医学教育改革[J].医学与哲学,2002(4):19-22. DOI:10.3969/j.issn.1002-0772.2002.04.007.
[34] 李翠薇,杨林. 创新继续医学教育学习模式激发自主学习主动性[J].中国继续医学教育, 2021, 13 (31):141-144. DOI:10.3969/j.issn.1674-9308.2021.31.036.
