SKOLAR MD: a model for self-directed, in-context Continuing Medical Education.

Unlabelled: SKOLAR has implemented a web-based CME program with which physicians can earn AMA Category 1 credit for self-directed learning.

Methods: Physicians researched their questions in SKOLAR and applied for CME. Physician auditors reviewed all requests across two phases of the project. A selection rule set was derived from phase one and used in phase two to flag a subset of requests for detailed review. The selection rule set is described.

Results: In phase one, SKOLAR received 1039 CME applications. Applicants frequently found their answer (94%) and would apply it clinically (93%). A linear regression analysis comparing time awarded to time requested (capped at actual time spent) had R2=0.79.

Discussion: We believe that that this self-directed approach to CME is effective and an important complement to traditional CME programs. However, selective audit of self-directed CME requests is necessary to ensure validity of credits awarded.