Re: Should Continuing Education for Nurses be mandatory in all states?
I agree completely with llg (as usual! (Hey there, girlfriend!))
I remember many decades ago, when I was in high school (long before I ever thought about going into healthcare), my home state implemented a rule requiring a specific number of CMEs annually for physicians to maintain licensure. My father, a physician, disagreed strongly with the idea and I remember asking him why (since it seemed like a pretty simple concept to me -- more education = better doctors, right??)
My dad said that the problem with this was that it wouldn't really accomplish anything. The physicians who were interested in and committed to remaining current in their fields and learning new material were already doing plenty of continuing education and would continue to do so whether they were required to or not. The physicians who
weren't interested and only wanted to do the minimum to get by would find some way to meet the requirement that required the least effort possible on their parts, and they would still not stay current or grow in their practices. You can't
make people be interested in that sort of thing if they're not.
I filed that conversation away in the back of my head and didn't think about it again for many years. Then, several years ago, I moved from my home state (which did not require annual CEUs for RNs) to another state. The new state did require annual CEUs, so I recalled my father's comments and was interested in seeing how this worked in the new state. Sure enough, just as my father had said, those of us who were active and interested in continuing to develop our practices did more continuing education than what was required. For the others, all the hospitals had set up programs where they offered a one-hour inservice each month (
coincidentally, the exact number of hours required for license renewal every two years). Most all the nurses at "my" hospital went to the free monthly inservices each month (while they were at work anyway, so they even got paid for the hour they sat there

), regardless of whether the topic was related to their specific area of practice, and, on the occasions I attended the inservices (or presented them -- doing occasional staff inservices was part of my job), I often observed many of them talking with friends or reading a magazine during the presentation -- obviously not even
pretending to be paying attention to the content. But, hey! -- they got the certificate for the hour CEU, and that's all that mattered ... SO, those of us who were interested in our own professional development did more than was required, and those who weren't interested were enabled to meet the "letter" of the requirement, at no expense and minimal/no effort, without coming close to meeting the "spirit" of the requirement.
I've since returned to my home state and my state has now implemented a continuing ed requirement. IMHO, the BON has done a better job than many other states; instead of just requiring a certain number of hours per year, you are required to develop a professional development plan that relates to your specific specialty, and there are several different ways you can meet the requirement besides simply attending CEU presentations. I think that's a lot better than just requiring an arbitrary # of random CEU hours, but I'm still dubious about the entire concept -- "you can lead a horse to water, but you can't make it drink."
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