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[Evidence-based back pain care--a pilot study of continuous medical education]
1Nevrologisk avdeling Medisinsk divisjon Ullevål universitetssykehus 0407 Oslo. fira@uus.no
Background:
Evidence-based practice guidelines on back pain give recommendations on appropriate care in order to improve patient outcomes. One strategy used to implement practice guidelines is continuous medical education (CME).
Material And Methods:
Junior doctors working in a primary care emergency reception attended a CME programme with a lecture on back pain, a booklet on evidence-based back pain care and one day traineeship with a specialist working at a back pain clinic. Three to six months later the participants answered a questionnaire evaluating the programme.
Results:
Ten out of the eleven participants answered the questionnaire. They felt that the CME programme had affected their professional practice; one in two thought that their practice still deviated from evidence-based recommendations, mostly because patients wanted faster interventions than the recommendations call for.
Interpretation:
Initiatives to implement evidence-based back pain care should focus on the important deviations from recommended care and specifically seek to affect barriers that maintain such practice.