Table 2 |
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Answers to questions relating to teaching of the content of clinical practice guidelines; a national survey, 2007 |
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Combined |
Family Medicine |
Internal Medicine |
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N = 434 |
N = 239 |
N = 195 |
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Goals and objectives |
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Yes |
61 (14) |
32 (13) |
29 (15) |
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Aspects of CPGs taught |
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Identifying and locating CPGs |
310 (71) |
191 (80) |
119 (61) |
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Critical appraisal of CPGs |
222 (51) |
130 (54) |
92 (47) |
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Content of specific CPGs |
329 (76) |
185 (77) |
144 (74) |
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Dealing with conflicting CPGs |
127 (29) |
82 (34) |
45 (23) |
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None |
37 (9) |
12 (5) |
25 (13) |
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Other |
20 (4.6) |
15 (6.2) |
5 (2.6) |
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Educational activities to teach CPGs |
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Making texts of CPGs available |
229 (53) |
126 (53) |
103 (53) |
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Didactic sessions |
331 (76) |
196 (82) |
135 (69) |
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Interactive sessions |
154 (36) |
83 (35) |
71 (36) |
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Journal club |
276 (64) |
157 (67) |
119 (61) |
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Audit and feedback to residents * |
163 (38) |
99 (41) |
64 (33) |
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Self-audit by residents |
90 (21) |
50 (21) |
40 (21) |
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Educational games |
75 (17) |
41 (17) |
34 (17) |
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None |
23 (5) |
5 (2) |
18 (9) |
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Other |
25(5.8) |
15 (6.3) |
10 (5.1) |
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Evaluation of the teaching of CPGs |
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Objective assessment of knowledge |
151 (35) |
79 (33) |
72 (37) |
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Assessment of attitude |
45 (10) |
23 (10) |
22 (11) |
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Auditing of resident adherence * |
190 (44) |
123 (51) |
67 (34) |
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Assessment of satisfaction |
40 (9) |
23 (10) |
17 (9) |
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None |
157 (36) |
78 (33) |
79 (41) |
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Other |
17 (3.9) |
9 (3.7) |
8 (4.1) |
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CPGs texts made available through |
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The website of the program |
142 (33) |
79 (33) |
63 (32) |
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Servers of affiliated hospital(s) |
181 (42) |
102 (43) |
79 (41) |
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email distribution |
76 (18) |
44 (18) |
32 (16) |
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Personal digital assistant (PDA) |
107 (25) |
85 (36) |
22 (11) |
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Paper copies |
236 (54) |
136 (57) |
100 (51) |
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None |
20 (5) |
7 (3) |
13 (7) |
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Other |
47 (10.8) |
25 (10.46) |
22 (11.3) |
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Barriers |
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Limited access to CPGs |
31 (7) |
13 (5) |
18 (9) |
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Insufficient interest among residents |
72 (17) |
35 (15) |
37 (19) |
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Insufficient interest among faculty |
96 (22) |
41 (17) |
55 (28) |
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Time constraints on residents |
214 (49) |
118 (49) |
96 (49) |
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Time constraints on faculty |
245 (56) |
140 (59) |
105 (54) |
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None |
94 (22) |
53 (22) |
41 (21) |
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35 (8.0) |
22 (9.2) |
13 (6.7) |
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*Audit can be used as an evaluation strategy but also as an educational strategy if coupled with by feedback or conducted by the residents themselves. CPGs = Clinical Practice Guidelines |
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Akl et al. Implementation Science 2009 4:59 doi:10.1186/1748-5908-4-59 |
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