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Related Experiment Videos

Questioning behaviour in general practice: a pragmatic study

A R Barrie1, A M Ward

  • 1Department of General Practice, University of Western Australia, Perth, Western Australia. rbarrie@pontilen.demon.co.uk

BMJ (Clinical Research Ed.)
|January 8, 1998
PubMed
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General practitioners ask about 2.4 clinical questions per 10 patients, finding answers for most. Promoting questioning may be key for adopting evidence-based medicine.

Area of Science:

  • Medical Education
  • General Practice Research

Background:

  • Evidence-based medicine (EBM) requires continuous learning and questioning.
  • General practitioners (GPs) are central to healthcare delivery and EBM adoption.

Purpose of the Study:

  • To assess the frequency of clinical questions generated by GPs during routine consultations.
  • To determine the extent to which these questions are answered.
  • To evaluate the potential of GP questioning behaviour to support EBM.

Main Methods:

  • Utilized self-recording of clinical questions by 27 GPs in urban Australian practices.
  • Followed consultations over a half-day period.
  • Employed semistructured interviews post-consultation to gather data.

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Main Results:

  • GPs generated 85 clinical questions (2.4 per 10 patients).
  • Satisfactory answers were found for 79% of questions.
  • GPs in smaller practices (1-2 doctors) asked significantly fewer questions (1.6/10 patients) than those in larger practices (3.0/10 patients).

Conclusions:

  • Findings do not support the notion that GPs routinely generate numerous unanswered clinical questions.
  • Encouraging questioning behaviour is likely essential for successful implementation of EBM and self-directed learning in general practice.