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Effectiveness of case-based on-line learning of evidence-based practice guidelines.

Publication ,  Journal Article
Stewart, M; Marshall, JN; Østbye, T; Feightner, JW; Brown, JB; Harris, S; Galajda, J
Published in: Fam Med
February 2005

BACKGROUND: Traditional continuing medical education (CME) has not been successful in improving physicians'practice. This project evaluated the use of e-mail to deliver evidence-based moderated case discussions to family physicians. METHODS: In a randomized controlled trial, 58 southwestern Ontario physicians were recruited and randomly assigned to receive two evidence-based cases (type 2 diabetes, prevention) or were put on a waiting list to receive the same. On-line discussions took place about each case. Data were collected using two knowledge questionnaires, charts audits, and standardized patient visits for each of the two cases. RESULTS: The two groups were similar except for rural/urban and solo versus group practice. The latter was related to outcomes, and analyses were controlled for this variable. The intervention group showed statistically significant improvements compared to the control group for knowledge and chart-audit scores for one of the two cases. CONCLUSIONS: Using a randomized control design, this e-mail CME method demonstrated mixed effectiveness.

Duke Scholars

Published In

Fam Med

ISSN

0742-3225

Publication Date

February 2005

Volume

37

Issue

2

Start / End Page

131 / 138

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Regression Analysis
  • Practice Guidelines as Topic
  • Physicians, Family
  • Online Systems
  • Male
  • Humans
  • General & Internal Medicine
  • Female
  • Evidence-Based Medicine
 

Citation

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Stewart, M., Marshall, J. N., Østbye, T., Feightner, J. W., Brown, J. B., Harris, S., & Galajda, J. (2005). Effectiveness of case-based on-line learning of evidence-based practice guidelines. Fam Med, 37(2), 131–138.
Stewart, Moira, J Neil Marshall, Truls Østbye, J. W. Feightner, Judith Belle Brown, Stewart Harris, and Joanne Galajda. “Effectiveness of case-based on-line learning of evidence-based practice guidelines.Fam Med 37, no. 2 (February 2005): 131–38.
Stewart M, Marshall JN, Østbye T, Feightner JW, Brown JB, Harris S, et al. Effectiveness of case-based on-line learning of evidence-based practice guidelines. Fam Med. 2005 Feb;37(2):131–8.
Stewart, Moira, et al. “Effectiveness of case-based on-line learning of evidence-based practice guidelines.Fam Med, vol. 37, no. 2, Feb. 2005, pp. 131–38.
Stewart M, Marshall JN, Østbye T, Feightner JW, Brown JB, Harris S, Galajda J. Effectiveness of case-based on-line learning of evidence-based practice guidelines. Fam Med. 2005 Feb;37(2):131–138.

Published In

Fam Med

ISSN

0742-3225

Publication Date

February 2005

Volume

37

Issue

2

Start / End Page

131 / 138

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Regression Analysis
  • Practice Guidelines as Topic
  • Physicians, Family
  • Online Systems
  • Male
  • Humans
  • General & Internal Medicine
  • Female
  • Evidence-Based Medicine