Strengthening the Chain: A Continuing Medical Education Program for Test Results Follow-up.

Autor:	Normand É; Ms. Normand: Senior Education Specialist, Learning Development & Delivery, CMPA, Ottawa, ON, Canada. Dr. Ramsey: MD/PhD candidate, Queens University, Kingston, ON, Canada. Dr. Mimeault: Senior Physician Advisor, Learning Development & Delivery, CMPA, Ottawa, ON, Canada. Ms. Lemay: Team Lead, Data Capture, CMPA, Ottawa, ON, Canada. Ms. Heroux: Medical Analyst, Safe Medical Care Research, CMPA, Ottawa, ON, Canada. Dr. McDougall: Education & Knowledge Translation Specialist, Learning Analytics, CMPA, Ottawa, ON, Canada and Adjunct Professor, Faculty of Education, University of Ottawa, ON, Canada., Ramsey H, Mimeault R, Lemay K, Heroux D, McDougall A
Jazyk:	angličtina
Zdroj:	The Journal of continuing education in the health professions [J Contin Educ Health Prof] 2024 Aug 08. Date of Electronic Publication: 2024 Aug 08.
DOI:	10.1097/CEH.0000000000000568
Abstrakt:	Introduction: The Canadian Medical Protective Association (CMPA)'s Commitment to Change in Test-Results Follow-Up (CTC-TRFU) program aims to provide physicians with resources to enhance their test results follow-up systems for improved patient safety. Framed around the Transtheoretical Model, the program involves a 6-month multimodal educational intervention involving individual and group coaching sessions, action planning, and reflection surveys. Methods: This study evaluates the CTC-TRFU program's impact by analyzing survey responses and course documents, focusing on three main outcomes: physicians' perceived barriers and challenges, changes in their confidence and commitment, and implemented practice changes with perceived impact on patient safety. Participants were Canadian physicians who enrolled through the CMPA's open-access registration, with a particular emphasis on those facing challenges in test result follow-up. Results: One hundred two physicians have enrolled in the program. Of these physicians, 34 (33.3%) have successfully completed the program and 28 (27.5%) are actively enrolled. Among the 34 physicians who successfully completed the program, an overwhelming majority of 97.1% (n = 33) expressed their belief that the improvements made to their test follow-up system significantly enhance patient safety within their practice. We observed a significant increase in confidence in the robustness of the physician's follow-up system from program registration to completion (P < .001). Physicians reported catching specific missed test results (55.9%, n = 19), including various laboratory reports and diagnostic imaging like abnormal mammograms or missing MRI/CT results. Discussion: Physicians who participated in the CTC-TRFU program reported meaningful practice changes, which we believe underscores the value of comprehensive, longitudinal continuing patient safety CPD initiatives. These findings indicate the potential for future studies to explore the long-term impact of similar programs and their scalability. Competing Interests: Disclosures: The authors declare no conflict of interest. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The Alliance for Continuing Education in the Health Professions, the Association for Hospital Medical Education, and the Society for Academic Continuing Medical Education.)
Databáze:	MEDLINE
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