# Table 2 The CME effect on GPs’ attitude towards own role in cancer detection. The proportion of GPs responding most appropriately is shown for each of the items; one month before (Before) and seven months after (After) the CME. GPs are divided into two groups: CME-participating group and reference group. An effect within a group is shown as a risk ratio (RR0 for the Reference group; RR1 for the CME-participating group). Comparisons between groups are shown as ratio of risk ratios (RR1/RR0)

Reference group CME-Participating group Comparison between groups
N = 121 N = 81
Most appropriate answers Before After Before vs. after Before After Before vs. after RR1/RR0 (p*)
% (n) % (n) RR0 (p*) % (n) % (n) RR1 (p*)
If a patient referred by me to a cancer fast-track pathway turns out not to have cancer, it is overuse of health services. Strongly disagree - disagree 86.8 (105) 84.3 (102) 0.97 (0.419) 81.5 (66) 87.7 (71) 1.08 (0.163) 1.11 (0.241)
If a patient referred by me to a cancer fast-track pathway turns out not to have cancer, unnecessary strain has been placed on the patient. Strongly disagree - disagree 83.5 (101) 79.3 (96) 0.95 (0.221) 75.3 (61) 79.0 (64) 1.05 (0.275) 1.11 (<0.001)
The more of the patients referred by me to a cancer fast-track pathway turn out to have cancer, the better a doctor I am. Strongly disagree - disagree 57.9 (70) 62.0 (75) 1.07 (0.224) 59.3 (48) 79.0 (64) 1.33 (0.003) 1.24 (0.013)
I am a good doctor when I refer a patient to a cancer fast-track pathway based on a reasonable suspicion, as it quickly clarifies the suspicion. Strongly agree- agree 81.0 (98) 81.8 (99) 1.01 (0.823) 86.4 (70) 82.7 (67) 0.96 (0.397) 0.95 (0.537)
I am reluctant to order tests because of the risk of over-diagnosis. Strongly disagree - disagree 75.2 (91) 75.2 (91) 1.00 (1.000) 71.6 (58) 75.3 (61) 1.05 (0.308) 1.05 (0.314)
I find it hard to mention cancer suspicion to a patient with alarm symptoms of cancer. Strongly disagree - disagree 81.0 (98) 83.5 (101) 1.03 (0.402) 74.1 (60) 75.3 (61) 1.02 (0.704) 1.00 (0.813)
I feel well prepared to communicate with the cancer pathway coordinators. Strongly agree- agree 82.6 (100) 78.5 (95) 0.95 (0.224) 79.0 (64) 77.8 (63) 0.98 (0.806) 1.03 (0.697)
1. Bold = significance level of p ≤ 0.05. *corrected for clustering at the study-step-level