Continuing Medical Education and the Physician as a Learner

Mazmanian, Paul E.; Davis, David A.

doi:10.1001/jama.288.9.1057

Cited by 425 publications

(321 citation statements)

References 23 publications

Supporting

Mentioning

309

Contrasting

Unclassified

Order By: Relevance

“…To address the need for clinician education and systems improvement, we developed an innovative multicomponent implementation strategy 21 in the form of a cancer genetics toolkit designed to improve familial risk assessment and appropriate referrals for HBOC and Lynch syndrome. The toolkit components were grouped as informational, clinical, and behavioral, mirroring a definition of continued medical education interventions, 22 because most experts agree that multifaceted interventions are preferable and necessary to change clinician behavior and improve patient outcomes. [22][23][24][25] We developed and evaluated the feasibility and effectiveness of this toolkit in the women's primary-care clinics at a large Veterans Administration (VA) medical center.…”

Section: Without a Family History Of Endometrialmentioning

confidence: 99%

A cancer genetics toolkit improves access to genetic services through documentation and use of the family history by primary-care clinicians

Scheuner

Hamilton

Peredo

et al. 2014

Genetics in Medicine

View full text Add to dashboard Cite

Purpose:We developed, implemented, and evaluated a multicomponent cancer genetics toolkit designed to improve recognition and appropriate referral of individuals at risk for hereditary cancer syndromes. Methods:We evaluated toolkit implementation in the women's clinics at a large Veterans Administration medical center using mixed methods, including pre-post semistructured interviews, clinician surveys, and chart reviews, and during implementation, monthly tracking of genetic consultation requests and use of a reminder in the electronic health record. We randomly sampled 10% of progress notes 6 months before (n = 139) and 18 months during implementation (n = 677). Results:The toolkit increased cancer family history documentation by almost 10% (26.6% pre-and 36.3% postimplementation). The reminder was a key component of the toolkit; when used, it was associated with a twofold increase in cancer family history documentation (odds ratio = 2.09; 95% confidence interval: 1.39-3.15), and the history was more complete. Patients whose clinicians completed the reminder were twice as likely to be referred for genetic consultation (4.1-9.6%, P < 0.0001). Conclusion:A multicomponent approach to the systematic collection and use of family history by primary-care clinicians increased access to genetic services.

show abstract

Section: Without a Family History Of Endometrialmentioning

confidence: 99%

A cancer genetics toolkit improves access to genetic services through documentation and use of the family history by primary-care clinicians

Scheuner

Hamilton

Peredo

et al. 2014

Genetics in Medicine

View full text Add to dashboard Cite

show abstract

“…Sequenced, or ''learn-work-learn'' opportunities allow education to be translated to practice and reinforced. 8,27,30,32 We believe that the PAGE Model is transportable to other hospitalist programs due to its cost and flexible nature. In economically-lean times, hospitalist divisions can create a program similar to the PAGE Model essentially at no cost, except for donated faculty preparation time.…”

Section: Discussionmentioning

confidence: 99%

Advancing geriatrics education: An efficient faculty development program for academic hospitalists increases geriatric teaching

Mazotti

Moylan

Murphy

et al. 2010

Journal of Hospital Medicine

View full text Add to dashboard Cite

BACKGROUND:Hospitalists care for an increasing number of older patients. As teachers, they are uniquely positioned to teach geriatric skills to residents. Faculty development programs focused on geriatrics teaching skills are often expensive and time‐intensive, and may not enhance trainee learning.OBJECTIVES:To evaluate a train‐the‐trainer (TTT) model designed to equip hospitalists with knowledge and skills to teach geriatric topics to residents in a time‐constrained, resource‐limited environment.DESIGN:Cross‐sectional survey.SETTING:Academic tertiary hospital.INTERVENTION:A 10‐hour geriatric curriculum, the Reynolds Program for Advancing Geriatrics Education (PAGE), cotaught by geriatricians and hospitalists at preexisting noon conferences over 1 year that consisted of exportable teaching modules.MEASUREMENTS:Session leaders' and faculty participants' satisfaction, hospitalist geriatrics teaching self‐efficacy, residents' self‐report of frequency of geriatric teaching received, and frequency of geriatric skill use.RESULTS:The curriculum was highly rated by session leaders and hospitalist faculty. Hospitalists perceived improvement in geriatric teaching skills, indicating (1: “unlikely” to 5: “highly likely”) that they are likely to use these teaching tools in the future (M = 4.61, standard deviation [SD] = 0.53). Residents reported both significantly more geriatrics teaching by hospitalists (P < 0.05) and a borderline significant increase in their practice of geriatric clinical skills (P = 0.05).CONCLUSIONS:A time‐efficient geriatric faculty development program for hospitalists suggests improvement in the amount and quality of geriatrics teaching and skill practice among faculty and residents at an academic medical center. Concise faculty development programs within preexisting faculty meetings may be a feasible, successful method to increase geriatric skill development in the hospital setting. Journal of Hospital Medicine 2010; © 2010 Society of Hospital Medicine.

show abstract

“…1 A key determinant for care quality is the training and updating of the health personnel, 2 based on learning needs. 3 In low and middle-income countries, one major problem in primary care services is the allocation of health work force mainly in urban areas; in addition, available health personnel has mixed skills, as well as scarce opportunities for continuing education to provide quality health care. 4 In some Latin America countries, this situation has a multifactorial origin influenced by the rigidity and imperfections of the health system in identifying the needs for continuous improvement.…”

Section: Strategy For Strengthening Primary Health Carementioning

confidence: 99%

Feasibility of a multifaceted educational strategy for strengthening rural primary health care

Reyes-Morales

Gómez-Bernal²,

Gutiérrez-Alba

et al. 2017

Salud Publica Mex

View full text Add to dashboard Cite

Objective. To evaluate the feasibility and acceptability of a comprehensive educational strategy designed to improve care quality in rural areas of Mexico. Materials and methods. A demonstration study was performed in 18 public rural health centers in Mexico, including an educational intervention that consists of the following steps: Development of the strategy; Selection and training of instructors (specialist physicians from the referral hospital and multidisciplinary field teams); Implementation of the strategy among health care teams for six priority causes of visit, through workshops, individual tutorials, and round-table case-review sessions. Feasibility and acceptability were evaluated using checklists, direct observation, questionnaires and in-depth interviews with key players. Results. Despite some organizational barriers, the strategy was perceived as worthy by the participants because of the personalized tutorials and the improved integration of health teams within their usual professional practice. Conclusion. The educational strategy proved to be acceptable; its feasibility for usual care conditions will depend on the improvement of organizational processes at rural facilities.

show abstract

Continuing Medical Education and the Physician as a Learner

Abstract: CorrectionContact me if this article is corrected. CitationsContact me when this article is cited. This article has been cited 112 times. Topic collectionsContact me when new articles are published in these topic areas.

Cited by 425 publications

References 23 publications

A cancer genetics toolkit improves access to genetic services through documentation and use of the family history by primary-care clinicians

A cancer genetics toolkit improves access to genetic services through documentation and use of the family history by primary-care clinicians

Advancing geriatrics education: An efficient faculty development program for academic hospitalists increases geriatric teaching

Feasibility of a multifaceted educational strategy for strengthening rural primary health care

Contact Info

Product

Resources

About