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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