Purpose. A common reflective continuing medical education (CME) approach has been promoted by the French National CME Association (UNAFORMEC) and French Radiologic Organizations to improve imaging prescriptions performed by general practitioners (GP) as well as their relationships with radiologists to fit the best decision resources for an optimal patient care. This new practice-based CME is a multidisciplinary learning model.

Materials and methods. A learning model that could satisfy GP and favor improved communication between them and radiologists was elaborated. Two organization groups worked simultaneously during one year before the first CME session could be achieved.

This kind of CME involves a small group (30 participants, 3/4 of general practitioners and 1/4 of radiologists), and includes 3 sessions; on the basis of fictive medical situations, the first one addresses to the formulation of a pertinent imaging prescription, including data that are useful to the radiologist; the second one involves a critical point-of-view of the imaging interpretation by the radiologist; the last one emphasizes the communication between the patient, the GP and the radiologist.

Results. At the present time two CMEs have been performed. Immediate participant appreciation was enthusiastic and only some minor revisions were needed. Further evaluation upon changes of practices has now to be made.

Conclusion. This CME deserves to provide not only a new practice learning model, but also a humanistic perspective.

But. Une réflexion conjointe de l'Union Nationale des Associations de Formation Médicale Continue (UNAFORMEC) et des différentes instances de l'imagerie médicale destinée à améliorer les demandes d'examens d'imagerie en médecine générale, et la communication entre omnipraticiens et radiologistes pour mieux recentrer la décision médicale sur le patient a abouti à l'élaboration d'une formation médicale continue (FMC) multidisciplinaire originale.

Matériel et méthodes. Après l'établissement d'un cahier des charges et une formation pilote de 2 h au cours du MEDEC 1998, un cycle de 3 soirées de FMC regroupant 75 % de généralistes et 25 % de radiologistes a eu lieu à Nantes et à Paris.

Résultats. La satisfaction des participants a conduit à élaborer un « kit pédagogique » prêt à l'emploi pour être opérationnel sur la France entière.

Conclusion. S'il reste à évaluer à distance la modification éventuelle des pratiques, cette formation a su associer à l'enseignement du bien-faire la notion du bien se conduire.