Table 1 Interviewee characteristics and their examples of unlearning
From: The physician’s experience of changing clinical practice: a struggle to unlearn
Respondent | Gender | Years post-residency | Practice breakdown | Unlearning example 1 | Unlearning example 2 | Unlearning example 3 |
|---|---|---|---|---|---|---|
1 | F | 13 | 30% clinical, 40–50% administration, 20–30% teaching | Paper records vs electronic health record | Lovenox treatment | |
2 | F | 10 | 50% clinical, 50% administration, teaching | Multidrug-resistant strep. aureus (MRSA) treatment | Hyperlipidemia treatment | |
3 | M | 3 | 100% clinical, teaching | Chronic obstructive pulmonary disease (COPD) exacerbation and steroid use | Diabetes treatment | Septic shock treatment |
4 | F | 20 | 80–90% clinical, 10–20% administration, teaching | Monitoring liver function tests with statin treatment | Hyperlipidemia treatment | |
5 | F | 16 | 50% clinical, 50% administration, teaching | Hormone replacement | Hyperlipidemia treatment | |
6 | F | 11 | 50% clinical, 50% administration, teaching | Neurologic physical examination | Prostate cancer screening | Pain medication |
7 | M | 29 | 100% clinical | Prostate cancer screening | Medical home model | |
8 | M | 6 | 50% clinical, 50% administration/teaching | TPA protocol for stroke | Red blood cell transfusion guidelines | |
9 | F | 20 | 10–20% clinical, 80–90% administration, teaching | Hormone replacement | Physical examination | |
10 | M | 3 | 75% clinical, teaching, 25% administration | Hypertension guidelines | Paracentesis guidelines | |
11 | F | 9 | 50% clinical, 50% administration, teaching | Pap smear guidelines | Breast cancer screening | |
12 | F | 11 | 60% clinical, 20% teaching, 20% administration, research | Breast cancer screening | Gynecological physical examination | |
13 | F | 10 | 450% clinical, 55% research, administration | Prostate cancer screening | Hyperlipidemia treatment | |
14 | F | 1 | 100% clinical, teaching | Breast cancer screening | Prostate cancer screening | COPD exacerbation and steroid use |
15 | M | 23 | 50% clinical, 40% teaching, 10% administration | Cardiovascular stress testing | Cardiovascular physical examination | Prostate cancer screening |