What can we do to help physicians improve their practice? There is research that can help guide decisions and priorities. In a 1998 “review of reviews,” looks at methods that have improved practice. The educational message is pretty clear – didactic methods will not work, we need to include education that that helps physicians think about, and practice their new knowledge.
Consistently Effective Interventions
Reminders (manual or computerized)
Multifaceted interventions
Interactive educational meetings that include at least include discussion or practice
Interventions of Variable Effectiveness
Audit and feedback
Local opinion leaders
Local consensus processes
Patient mediated interventions
Interventions with little or no effect
Educational materials, including clinical practice guidelines, recommendations for clinical care, audiovisual materials, and electronic publications
Didactic educational meetings
Bero, L.A., Grilli,R., Grimshaw,J.R., Harvey, E., Oxman, A.D., and M Thomson (1998) Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. BMJ; 317 : 465.
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