Continuing MedicaJ Education There is increasing recognition of the need for health workers to continue their education through-out their careers. Not only do health workers themselves wish to improve their own skills and compe-tence. but the introduction of new techniques and equipment and the changes taking place in health needs and health care policies necessitate continued training. The phrase "health care" is intended to mean not just curative treatment for the sick but the whole range of provision for promoting health and preventing disease. In virtually every situation some response to this need has been made, so continuing education does take place-even though it may in many instances be ineffective or insufficient. Continuing educa- tion may be initiated by the health workers themselves, by their supervisors, by the managers of the health system, or by other agencies such as professional associations, publishers, and drug compa- nies. The form. of the continuing education may be written materials (journals, books, ad'vertise- ments) , meetings, courses,supervisory visits, or a variety of other methods. With this diversity of approach it is not surprising that the effectiveness of the continuing educa- tion should be variable. So it is natural that in many countries there is a concern that more continuing education should be provided and that it should be more effective. The approach suggested that to achieve this aim is to develop a "system" of continuing education. This term needs some explanation as it is capable, of being interpreted in many ways. A system is not the same thing as an organization that provides continuing education. It is much more than that. It is the sum o~ the educational activities, the organizational structure that supports and manages those ac- tivities, the management, and the external agencies involved in the provision of health care. The sys- tem should comprise a nationwide coordinated program in which technology and resources are optimal- ly used. Health workers themselves are aware of the importance of continued training