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Volume 17 (2)
Volume 17, Issue 2, Spring 1997 
J Contin Educ Health Prof 1997; 17(2):106-113
ORIGINAL ARTICLES
 JCEHP AWARD FOR EXCELLENCE IN RESEARCH
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A Model Continuing Medical Education Program on Congestive Heart Failure: An Analysis John Toews, MD, FRCPC Jocelyn Lockyer, MHA Wayne Warnica, MD, FRCPC John Morgan, MD, FRCPC Janet Dawson, MD, CCFP Terry Churchill-Smith, RN A b s t r a c t Clinical practice guidelines have become an important focus for clinical care. This article describes a process undertaken to disseminate and evaluate an educational project designed to ensure that all physicians in a large geographic area received information about the guidelines for congestive heart failure and had an opportunity to work through them and begin the adoption process to improve the care of their patients. The educational strategy was based on a combination of predisposing, enabling, and reinforcing methods. The predisposing methods included printed materials, lectures, and rounds. A computer disk that allowed the physician to test his or her cognitive knowledge as well as work through patient cases comprised the enabling method. The program was reinforced by regular newsletter reminders of the project. The program was evaluated through a combination of telephone interviews and printed questionnaires. Despite the contemporary nature of the educational thought on which the program was designed, the adoption of the guidelines fell short of expectations. The disease proved to be more complex to manage than anticipated. Physicians appeared unwilling to spend as much time as the program's design required. Physicians were less computer literate than expected and found the Windows-based computer-assisted instruction difficult to use. Additional studies are needed to identify how best to implement a community-wide strategy to promote guidelines. Keywords: Clinical Practice Guidelines; Clinical Recall Interviews; Computer-Assisted Instruction; Congestive Heart Failure (CHF); Needs Assessment |
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