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Volume 17 (3)
Volume 17, Issue 3, Summer 1997
J Contin Educ Health Prof 1997; 17(3):173-186
ORIGINAL ARTICLES
Learning and the Adoption of Innovations among Canadian Radiologists
Robert D. Fox, EdD
Richard Rankin, MB, ChB, FRCPC
Karen A. Costie, RN
John Parboosingh, MB, ChB, FRCSC
Everett Smith, PhD
A b s t r a c t
Although learning and change have been connected in theoretical models of innovation
diffusion and change theory, evidence has been limited to qualitative data. Moreover,
guidance to practitioners as to how these concepts relate to practice has been limited. In order
to evaluate its applications to understanding how learning is related to innovations in radiological
practices, a survey based on theories of learning and change was distributed to Canadian
radiologists. The study evaluated the relationships described in models presented as explanations
of how and why changes are made in medical practices. It focused on the nature of
the relationship among types of innovations, images of change as described by learners, and
use of learning resources in self-directed curricula. Of the 1005 members of the Canadian
Association of Radiology who received the survey, 352 responses were described. Responses
indicated that a variety of resources for learning were used in order to learn about innovations
into practice. Type of change was significantly associated with specific types of resources
for learning and attributes of the image of change. Continuing education for health professionals
should be based on a variety of strategies to facilitate learning rather than a single
approach. Continuing medical education (CME) providers should support the self-directed
learning needs of physicians as well as provide courses, workshops, and other traditional
forms of CME.
Keywords: Change; Continuing Medical Education; Innovations; Learning; Radiology
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