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Using Clinical Questions Asked by Primary Care Providers Through eConsults to Inform Continuing Professional
Douglas Archibald1, Clare Liddy, Heather A Lochnan
1Dr. Archibald: Assistant Professor, CT Lamont Primary Health Care Research Centre, Department of Family Medicine, University of Ottawa; Bruyère Research Institute, Ottawa, Ontario, Canada. Dr. Liddy: Associate Professor, CT Lamont Primary Health Care Research Centre, Department of Family Medicine, University of Ottawa; Bruyère Research Institute, Ottawa, Ontario, Canada. Dr. Lochnan: Associate Professor, Department of Medicine, University of Ottawa; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada. Dr. Hendry: Professor, Department of Surgery, University of Ottawa; University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Dr. Keely: Professor, Department of Medicine, University of Ottawa; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Continuing professional development (CPD) offerings may not align with physician needs. Electronic consultations (eConsults) reveal practice-based challenges, highlighting a gap between physician questions and available educational content.
Area of Science:
- Medical Education
- Health Informatics
- Clinical Practice
Background:
- Continuing professional development (CPD) is crucial for healthcare providers.
- Electronic consultations (eConsults) offer innovative practice-based needs assessment opportunities.
- Assessing the alignment between CPD content and actual physician educational needs is essential.
Purpose of the Study:
- To evaluate the congruence between physician educational needs, identified through eConsult questions, and existing CPD offerings.
- To compare the content of clinical questions submitted via eConsults with the topics covered in CPD courses.
Main Methods:
- Analysis of primary care providers' clinical questions submitted through an eConsult service (July 2011-January 2015).
- Categorization of eConsult questions and CPD course content into specific clinical areas.
- Comparison of the proportion of questions asked in each area with the proportion of CPD minutes dedicated to those areas.
Main Results:
- Significant congruencies and discrepancies were observed between the distribution of physician questions and the allocation of CPD content.
- The study identified areas where CPD offerings may not adequately address the practical challenges faced by physicians.
Conclusions:
- eConsult questions represent a valuable, practice-based source for identifying physician professional development needs.
- Traditional needs assessment methods may overlook critical topics frequently addressed in eConsults.
- CPD planners should leverage eConsult data to better align educational offerings with physician requirements.
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