Managing benign prostatic hyperplasia in primary care. Patient-centred approach.

Area of Science:

• Urology
• Primary Care Medicine
• Medical Education

Background:

• Benign prostatic hyperplasia (BPH) management is shifting towards medical approaches, increasing the role of primary care physicians.
• There is a need for enhanced primary care physician (PCP) training in patient-centered BPH management.

Purpose of the Study:

• To implement a patient-centered approach for managing benign prostatic hyperplasia (BPH) within primary care settings.
• To assess the effectiveness of a continuing medical education (CME) program designed for PCPs managing BPH.

Main Methods:

• A practice-based, small group, peer-led CME program was developed.
• The program utilized case studies focusing on the International Prostate Symptom Score and Quality of Life Assessment for prostatism, including BPH.
• Workshops across Canada involved 658 physicians, utilizing videos and a handbook, with pre- and post-questionnaires assessing intent to change practice behavior.

Main Results:

• Physicians demonstrated a strong willingness to acquire new skills for patient-centered BPH management.
• The CME program successfully engaged physicians in learning practical application of assessment tools.
• Evaluation indicated a positive intent to change practice behaviors following the educational intervention.

Conclusions:

• Peer-led, small group CME is an effective method for encouraging the adoption of new practice guidelines in primary care.
• This educational format can equip physicians with practical skills for establishing therapeutic alliances with patients.
• The study supports the use of CME to enhance PCPs' ability to manage BPH using patient-centered strategies.