Self-directed learning needs, patterns, and outcomes among general surgeons

Gagliardi, Anna R.; Wright, Frances C.; Victor, J. Charles; Brouwers, Melissa; Silver, Ivan

doi:10.1002/chp.20046

Cited by 11 publications

(6 citation statements)

References 28 publications

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“…27 Previous research has suggested that providing general surgeons with a simple framework to complete these steps can have a favourable impact on clinical practice. 28 However, widespread implementation and regulation of such a program presents significant challenges given the broad scope of diseases treated by general surgeons and the lack of infrastructure to assess both physician knowledge and patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

Self-reported practice patterns and knowledge of rectal cancer care among Canadian general surgeons

2014

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Section: Discussionmentioning

confidence: 99%

Self-reported practice patterns and knowledge of rectal cancer care among Canadian general surgeons

2014

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“…Evaluation refers to tools based on performance measures to assess baseline and postintervention compliance with guidelines. Our research found that self-assessment tools based on guidelines are lacking [35]; physicians said they lacked tools to monitor their own performance [36], and providing physicians with self-assessment tools and instructions resulted in identification of learning needs in 66.7% of patient cases they reviewed and modifications in intended care plans for 34.2% of those cases [37]. …”

Section: Methodsmentioning

confidence: 99%

The guideline implementability research and application network (GIRAnet): an international collaborative to support knowledge exchange: study protocol

2012

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BackgroundModifying the format and content of guidelines may facilitate their use and lead to improved quality of care. We reviewed the medical literature to identify features desired by different users and associated with guideline use to develop a framework of implementability and found that most guidelines do not contain these elements. Further research is needed to develop and evaluate implementability tools.MethodsWe are launching the Guideline Implementability Research and Application Network (GIRAnet) to enable the development and testing of implementability tools in three domains: Resource Implications, Implementation, and Evaluation. Partners include the Guidelines International Network (G-I-N) and its member guideline developers, implementers, and researchers. In phase one, international guidelines will be examined to identify and describe exemplar tools. Indication-specific and generic tools will populate a searchable repository. In phase two, qualitative analysis of cognitive interviews will be used to understand how developers can best integrate implementability tools in guidelines and how health professionals use them for interpreting and applying guidelines. In phase three, a small-scale pilot test will assess the impact of implementability tools based on quantitative analysis of chart-based behavioural outcomes and qualitative analysis of interviews with participants. The findings will be used to plan a more comprehensive future evaluation of implementability tools.DiscussionInfrastructure funding to establish GIRAnet will be leveraged with the in-kind contributions of collaborating national and international guideline developers to advance our knowledge of implementation practice and science. Needs assessment and evaluation of GIRAnet will provide a greater understanding of how to develop and sustain such knowledge-exchange networks. Ultimately, by facilitating use of guidelines, this research may lead to improved delivery and outcomes of patient care.

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“…40,41 We, too, demonstrated that selfassessment tools could prompt changes in behavior by providing general surgeons with self-assessment instructions and tools. 42 They identified learning needs in 66.7% of reviewed cases, leading to modifications in intended care plans for 34.2% of those cases. 32 With respect to performance data, research suggests that the impact of public reporting could be improved by optimizing the content, format, and delivery of this information.…”

Section: Discussionmentioning

confidence: 98%

Tailoring Interventions: Examining the Evidence and Identifying Gaps

Gagliardi¹

2011

Journal of Continuing Education in the Health Professions

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This exploratory review revealed few ways to potentially improve the effectiveness of interventions among the plethora of available trials. Nontraditional systematic reviews that consider research from different disciplines and featuring a variety of designs are recommended. More immediately, educators, professional associations, and health care managers could use this information to structure, implement, and support interventions that improve health care delivery and outcomes.

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Self-directed learning needs, patterns, and outcomes among general surgeons

Cited by 11 publications

References 28 publications

Self-reported practice patterns and knowledge of rectal cancer care among Canadian general surgeons

Self-reported practice patterns and knowledge of rectal cancer care among Canadian general surgeons

The guideline implementability research and application network (GIRAnet): an international collaborative to support knowledge exchange: study protocol

Tailoring Interventions: Examining the Evidence and Identifying Gaps

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