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Biomedical subjects

T E Adamson

Publications and source records attributed to T E Adamson.

27 records · Page 2Linked to original sources
PubMed1983

The effect of an individualized practice-based CME program on physician performance and patient outcomes.

The Professional Competence Assurance Program (PROCAP) is an individualized educational program that examines physicians' performance in ambulatory practice. It uses medical record review to identify deficiencies in the care process that guides development of the educational intervention. Medical care is reassessed one year later. This program was used with 51 private practitioners to assess the care of 1,229 hypertensive patients. The educational program included a computer printout comparing one physician's performance with that of peers, readings targeted to management problems, and a conference call or group seminar with an expert stressing issues relevant to each physician's performance. Postintervention assessment showed that physicians prescribed beta-blockers (P<.01) and vasodilators (P<.01) more often. Improvement (P<.05) occurred in the control of diastolic blood pressure (</=90 mm of mercury) and in several other criteria. These results show that well-designed, individualized continuing medical education addressing specific deficiencies can change physicians' performance and patients' intermediate outcome.

Ambulatory Care↗
PubMed1982

Small group teaching via telephone in continuing medical education.

Small (three to five members) group teleconferences led by consultants were used as one part of educational follow-up to individual medical audit studies in hypertension. The original studies were carried out in the offices of 51 private practice physicians. A number of techniques were used to improve physician acceptance of the teleconference method. Before the teleconference, participants received biographical information about the consultant as well as an outline describing how the call was to be structured. In practice, a varied format was used, beginning with questions from the physicians, followed by the consultant's discussion of study results, and ending with a period during which the physicians had an opportunity to raise additional questions. Evaluation of the calls showed that most physicians thought their study results had been kept anonymous by the consultant. Most thought the length of time (usually one hour) was satisfactory, and most agreed that they learned both from the consultant and other group members. Of all the educational components in the audit study (record review results, articles, or patient education materials), the telephone conference by far received the highest acceptance score.

Education, Medical, Continuing↗
PubMedDate not supplied

Assessment of diabetes continuing medical education.

A diabetes professional education program was conducted and evaluated with 31 physicians from a rural/suburban community. Treatment guidelines were established by diabetes experts and community practitioners. To document effectiveness, medical record and survey data on 397 patients of the physicians were collected before and after the program. Each participant received a profile of their baseline performance as compared with peers as part of the educational program. A syllabus was designed to complement both the treatment guidelines and the findings from the baseline data. A telephone conference call with a diabetes consultant also occurred. A comparison between data collected before and after the program showed no significant differences in blood glucose levels or hospitalization rates. Physicians were more likely to recommend self-monitoring of blood glucose (SMBG) (7% versus 20%, P less than 0.05) and to examine their patients' feet (47% versus 73%, P less than 0.05) after the program. More patient education was available in the office (53% versus 73%). Patients using insulin were more likely to test urine for ketones (48% versus 61%, P less than 0.05) and know that decreased sensation in the feet could lead to injury (42% versus 53%, P less than 0.05). However, no improvements were noted in monitoring other complications, regulating diet, or in most aspects of patient education after the program. The results indicated the need for increased emphasis on the value of brief appropriate examinations for monitoring complications of diabetes and the need for physicians to learn techniques for counseling patients in self-management as well as to refer their patients to educational resources.

Blood Glucose↗