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eConsults and Learning Between Primary Care Providers and Specialists.
Clare Liddy1,2,3, Tala Abu-Hijleh4, Justin Joschko1
1C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Ontario, Canada.
Electronic consultations (eConsults) enhance collegiality and provide valuable education for primary care providers (PCPs). This service fosters stronger relationships and supports continuous learning beyond individual patient cases.
Area of Science:
- Medical Informatics
- Healthcare Access
- Continuing Medical Education
Background:
- Limited access to specialist care impacts patient outcomes globally.
- Electronic consultation (eConsult) platforms facilitate communication between primary care providers (PCPs) and specialists.
- There is increasing interest in utilizing eConsult services for educational purposes.
Purpose of the Study:
- To evaluate primary care providers' (PCPs) perceptions of eConsult's role in improving collegiality.
- To assess the educational value of eConsult for PCPs.
Main Methods:
- Qualitative content analysis of free-text comments from PCPs using the Champlain BASE eConsult service.
- Inclusion of responses mentioning 'education' or 'collegiality' between January 2015 and January 2017.
Main Results:
- Three key themes emerged: enhanced provider relationships, integrated teaching within eConsult responses, and stimulation of further learning.
- PCPs reported that eConsults strengthened connections with specialists.
- Responses often contained educational content applicable to broader practice areas.
Conclusions:
- eConsult services foster improved provider relationships and offer significant educational benefits.
- The Champlain BASE eConsult service demonstrates clear educational value for primary care providers.
- Future research will explore using eConsults for reflective learning and feedback mechanisms.
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