Abstract
Programs of continuing education in medicine are less than optimally effective. Why should this be? Teachers speak of "conditions for learning," and in adult education it has been suggested that the conditions necessary to encourage learning are the following1: the student must be adequately motivated to change his behavior; he must be aware of the inadequacy of his present behavior (and the superiority of the behavior he is required to adopt); he must have a clear picture of the new behavior; he must have opportunities to practice the new behavior with a sequence of appropriate materials; and he must . . .

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