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Table 2 Answers to questions relating to teaching of the content of clinical practice guidelines; a national survey, 2007

From: Curricula for teaching the content of clinical practice guidelines to family medicine and internal medicine residents in the US: a survey study

  Combined Family Medicine Internal Medicine
  N = 434 N = 239 N = 195
Goals and objectives    
Yes 61 (14) 32 (13) 29 (15)
Aspects of CPGs taught    
Identifying and locating CPGs 310 (71) 191 (80) 119 (61)
Critical appraisal of CPGs 222 (51) 130 (54) 92 (47)
Content of specific CPGs 329 (76) 185 (77) 144 (74)
Dealing with conflicting CPGs 127 (29) 82 (34) 45 (23)
None 37 (9) 12 (5) 25 (13)
Other 20 (4.6) 15 (6.2) 5 (2.6)
Educational activities to teach CPGs    
Making texts of CPGs available 229 (53) 126 (53) 103 (53)
Didactic sessions 331 (76) 196 (82) 135 (69)
Interactive sessions 154 (36) 83 (35) 71 (36)
Journal club 276 (64) 157 (67) 119 (61)
Audit and feedback to residents * 163 (38) 99 (41) 64 (33)
Self-audit by residents 90 (21) 50 (21) 40 (21)
Educational games 75 (17) 41 (17) 34 (17)
None 23 (5) 5 (2) 18 (9)
Other 25(5.8) 15 (6.3) 10 (5.1)
Evaluation of the teaching of CPGs    
Objective assessment of knowledge 151 (35) 79 (33) 72 (37)
Assessment of attitude 45 (10) 23 (10) 22 (11)
Auditing of resident adherence * 190 (44) 123 (51) 67 (34)
Assessment of satisfaction 40 (9) 23 (10) 17 (9)
None 157 (36) 78 (33) 79 (41)
Other 17 (3.9) 9 (3.7) 8 (4.1)
CPGs texts made available through    
The website of the program 142 (33) 79 (33) 63 (32)
Servers of affiliated hospital(s) 181 (42) 102 (43) 79 (41)
email distribution 76 (18) 44 (18) 32 (16)
Personal digital assistant (PDA) 107 (25) 85 (36) 22 (11)
Paper copies 236 (54) 136 (57) 100 (51)
None 20 (5) 7 (3) 13 (7)
Other 47 (10.8) 25 (10.46) 22 (11.3)
Barriers    
Limited access to CPGs 31 (7) 13 (5) 18 (9)
Insufficient interest among residents 72 (17) 35 (15) 37 (19)
Insufficient interest among faculty 96 (22) 41 (17) 55 (28)
Time constraints on residents 214 (49) 118 (49) 96 (49)
Time constraints on faculty 245 (56) 140 (59) 105 (54)
None 94 (22) 53 (22) 41 (21)
  35 (8.0) 22 (9.2) 13 (6.7)
  1. *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.
  2. CPGs = Clinical Practice Guidelines