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Erschienen in: Journal of Cancer Education 2/2010

01.06.2010

Evaluating the Impact of Pain Management (PM) Education on Physician Practice Patterns—A Continuing Medical Education (CME) Outcomes Study

verfasst von: L. Leong, J. Ninnis, N. Slatkin, M. Rhiner, L. Schroeder, B. Pritt, J. Kagan, T. Ball, R. Morgan

Erschienen in: Journal of Cancer Education | Ausgabe 2/2010

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Abstract

California Assembly Bill AB487 mandates that all practicing physicians are required to obtain 12 h of Continuing Medical Education in Pain Management and End of Life Care before the year 2006 in order to renew their state license to practice medicine. In order to determine the effectiveness of this bill in influencing the practice of medicine, we conducted the first of five planned annual Pain Management seminars and utilized physician questionnaires to determine possible practice changes as a result of this seminar. Eighty-one physicians representing 17 multiple specialties of medicine enrolled in this seminar. The topics included: management of malignant and non-malignant pain, pharmacology and management of side effects of opiate and non-opiate analgesics, and adjunctive therapies including depression management and spirituality issues. Physicians were asked to respond to an immediate post-seminar questionnaire and were subsequently queried 4 months following the conference. Fifty-one out of 81 physician registrants responded to an immediate post-attendance questionnaire, and 31 responded to the 4-month follow-up questionnaire. Responses included:
 
Early
Late
I will change/have changed my practice
34
28
I see no need to change my practice
6
2
I will await further information
7
1
No response regarding practice change
4
 
Responses of those who changed their practices included:
 Increased use of known modalities for pain control
 
21
 Earlier referrals to specialists
 
14
 More attention to psychosocial aspects
 
14
 Use of new drugs/modalities of care
 
11
This audience represents the most motivated group of practitioners electing to receive Pain Management Education long before the mandated deadline. Sixty-seven percent expressed an interest in changing their practice following this intensive educational experience. Ninety percent responding to the follow-up evaluation indicated that their practices had changed, suggesting that this seminar series is effective in altering physician practice patterns (supported by Cancer Center Support Grant CA 33572 and Sarnat Foundation).
Literatur
1.
Zurück zum Zitat Jacox A, Carr DB et al (1994) Management of Cancer Pain: Adults. Clinical Practice Guideline 9: Agency for Health Care Policy Research US Dept of Health and Human Services 9:94–0592. Jacox A, Carr DB et al (1994) Management of Cancer Pain: Adults. Clinical Practice Guideline 9: Agency for Health Care Policy Research US Dept of Health and Human Services 9:94–0592.
2.
Zurück zum Zitat Field M, Cassel C (1998) Approaching Death: Improving Care at the End of Life. National Academy Press 33:1–3. Field M, Cassel C (1998) Approaching Death: Improving Care at the End of Life. National Academy Press 33:1–3.
3.
Zurück zum Zitat (1995) The SUPPORT Principal Investigators. A Controlled Trial to Improve Care for Seriously Ill Hosptialized Patients. JAMA 274:1591. (1995) The SUPPORT Principal Investigators. A Controlled Trial to Improve Care for Seriously Ill Hosptialized Patients. JAMA 274:1591.
4.
Zurück zum Zitat Pantel ES. Breaking down the barriers to effective pain management. Report to the Commissioner of Health, Barbara A De Buono, M D, M P H, from the New York State Public Health Council 1998. Pantel ES. Breaking down the barriers to effective pain management. Report to the Commissioner of Health, Barbara A De Buono, M D, M P H, from the New York State Public Health Council 1998.
5.
Zurück zum Zitat Foley KM (1995) Pain Relief into Practice: Rhetoric Without Reform. J Clin Oncol 13:2149–2151.PubMed Foley KM (1995) Pain Relief into Practice: Rhetoric Without Reform. J Clin Oncol 13:2149–2151.PubMed
Metadaten
Titel
Evaluating the Impact of Pain Management (PM) Education on Physician Practice Patterns—A Continuing Medical Education (CME) Outcomes Study
verfasst von
L. Leong
J. Ninnis
N. Slatkin
M. Rhiner
L. Schroeder
B. Pritt
J. Kagan
T. Ball
R. Morgan
Publikationsdatum
01.06.2010
Verlag
Springer-Verlag
Erschienen in
Journal of Cancer Education / Ausgabe 2/2010
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-010-0040-y

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