CHANGING PHYSICIAN PRESCRIBING BEHAVIOUR A CSCP LECTURE PRESENTED AT THE 2005 CANADIAN THERAPEUTICS CONGRESS (ABRIDGED VERSION)

Main Article Content

J Gray

Keywords

Evidence-based, education, prescribing

Abstract

Didactic approaches to educating physicians and/or other health professionals do not produce changes in learner behaviour. Similarly, printed materials and practice guidelines have not been shown to change prescribing behaviour. Evidence-based educational approaches that  do  have  an  impact  on  provider behaviour include: teaching aimed at identified learning needs; interactive educational activities; sequenced and multifaceted interventions; enabling tools such as patient education programs, flow charts, and reminders; educational outreach or academic detailing; and audit and feedback to prescribers. Dr. Jean Gray reflects over the past 25 years on how there has been a transformation in the types of activities employed to improve prescribing practices in Nova Scotia. The evolution of Continuing Medical Education (CME) has resulted in the creation of the Drug Evaluation Alliance of Nova Scotia (DEANS) program, which is one exemplar of an evidence-based educational approach to improving physician prescribing in that province.

Abstract 108 | PDF Downloads 38

References

1. Davis DA, Thomson MA, Oxman AD, Haynes
RB. Changing physician performance: a systemic review of the effect of continuing medical education strategies. JAMA. 1995;274:700-705.
2. Davis DA, O’Brian MAT, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: Do conferences, workshops, rounds and other traditional continuing medical education activities change physician behaviour or health care outcomes? JAMA. 1999;282:867-874.
3. Hall W, Violato C, Lewkonia R, Lockyer J, Fidler
H, Toews J. Assessment of physician performance in Alberta: the physician achievement review project. CMAJ. 1999;161:52-57.
4. Davis D, Evans M, Jadad A, Perrier L, Rath D, Ryan D, Sibbald G, Straus S, Rappolt S, Wowk M, Zwarenstein M. The case for knowledge translation: shortening the journey from evidence to effect. BMJ. 2003;327:33-35.