Toward Practice-Based Continuing Education Protocols: Using Testing to Help Physicians Update Their Knowledge.

Introduction: Using assessment to facilitate learning is a well-established priority in education but has been associated with variable effectiveness for continuing professional development. What factors modulate the impact of testing in practitioners are unclear. We aimed to improve capacity to sup...

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Publicado en:Journal of Continuing Education in the Health Professions Vol. 40; no. 4; pp. 248 - 257
Autores principales: Armson, Heather, Roder, Stefanie, Wakefield, Jacqueline, Eva, Kevin W.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Fall2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Fall2020
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Toward Practice-Based Continuing Education Protocols: Using Testing to Help Physicians Update Their Knowledge.
      aug:
        au:
          Armson, Heather
          Roder, Stefanie
          Wakefield, Jacqueline
          Eva, Kevin W.
        affil: Professor, Department of Family Medicine; Assistant Dean, Office of Continuing Medical Education and Professional Development, Cumming School of Medicine, University of Calgary, Calgary, AB
      sug:
        subj:
          Education, Continuing
          Protocols
          Support, Psychosocial
          Learning
          Physician Attitudes
          Physicians, Family
          Family Practice
          Needs Assessment
          Pretest-Posttest Design
          Canada
          Feedback
          Professional Development
          Professional Knowledge
          Multi-Stage Cluster
          Analysis of Variance
          Descriptive Statistics
          Male
          Female
          Psychometrics
          Odds Ratio
          Confidence Intervals
          Human
          Male
          Female
      ab: Introduction: Using assessment to facilitate learning is a well-established priority in education but has been associated with variable effectiveness for continuing professional development. What factors modulate the impact of testing in practitioners are unclear. We aimed to improve capacity to support maintenance of competence by exploring variables that influence the value of web-based pretesting. Methods: Family physicians belonging to a practice-based learning program studied two educational modules independently or in small groups. Before learning sessions they completed a needs assessment and were assigned to either sit a pretest intervention or read a relevant review article. After the learning session, they completed an outcome test, indicated plans to change practice, and subsequently documented changes made. Results: One hundred twelve physicians completed the study, 92 in small groups. The average lag between tests was 6.3 weeks. Relative to those given a review article, physicians given a pretest intervention: (1) reported spending less time completing the assigned task (16.7 versus 25.7 minutes); (2) performed better on outcome test questions that were repeated from the pretest (65.9% versus 58.7%); and (3) when the learning module was completed independently, reported making a greater proportion of practice changes to which they committed (80.0% versus 45.0%). Knowledge gain was unrelated to physicians' stated needs. Discussion: Low-stakes formative quizzes, delivered with feedback, can influence the amount of material practicing physicians remember from an educational intervention independent of perceptions regarding the need to engage in continuing professional development on the particular topic.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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