Involving general practice trainees in clinical practice guideline adaptation

Area of Science:

• Medical Education
• Evidence-Based Practice
• General Practice Training

Background:

• Feasibility of resident involvement in guideline development remains unclear.
• A multifaceted training program was designed for general practice (GP)-trainees to adapt clinical practice guidelines (CPGs).
• The program combined training sessions, a handbook, and a documentation tool.

Purpose of the Study:

• To adapt a database of CPGs by involving GP-trainees.
• To build evidence-based practice (EBP) learning capacity among GP-trainees.

Main Methods:

• Assessed the adaptation process of CPGs.
• Surveyed GP-trainees on their views of the training program.
• Rated overall training quality and satisfaction with individual components (sessions, handbook, tool).

Main Results:

• 122 GP-trainees adapted 60 CPGs, with most work rated as good or moderate quality.
• High user satisfaction reported: 98% found the training of good overall quality.
• Satisfaction varied for components: handbook (86%) and documentation tool (47%).

Conclusions:

• GP-trainees can be successfully engaged in CPG adaptation through a formal process.
• Training, feedback, and documentation tools are crucial for effective CPG adaptation by trainees.
• The study demonstrates the potential for enhancing EBP learning capacity in general practice.