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Academic detailing among psychiatrists – feasibility and acceptability

Kamini Vasudev (Department of Psychiatry, Schulich School of Medicine and Dentistry, London, Canada)
Joel Lamoure (Department of Continuing Professional Development, Schulich School of Medicine and Dentistry, London, Canada)
Michael Beyaert (Department of Continuing Professional Development, Schulich School of Medicine and Dentistry, London, Canada)
Varinder Dua (Department of Psychiatry, Schulich School of Medicine and Dentistry, London, Canada)
David Dixon (Department of Continuing Professional Development, Schulich School of Medicine and Dentistry, London, Canada)
Jason Eadie (Department of Continuing Professional Development, Schulich School of Medicine and Dentistry, London, Canada)
Larissa Husarewych (Department of Continuing Professional Development, Schulich School of Medicine and Dentistry, London, Canada)
Ragu Dhir (Department of Continuing Professional Development, Schulich School of Medicine and Dentistry, London, Canada)
Jatinder Takhar (Department of Continuing Professional Development, Schulich School of Medicine and Dentistry, London, Canada)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 13 February 2017

145

Abstract

Purpose

Research has shown that academic detailing (AD), which includes repeated in-person educational messages in an interactive format in a physician’s office, is among the most effective continuing medical education (CME) forms for improving prescribing practices and reducing drug costs. The purpose of this paper is to investigate AD’s feasibility and acceptability as an educational tool among psychiatrists and its ability to facilitate positive changes in antipsychotic prescribing.

Design/methodology/approach

All psychiatrists practicing in Southwestern Ontario, Canada were invited to participate. Participants (32/299(10.7 percent)) were provided with two educational sessions by a healthcare professional. Participants evaluated their AD visits and completed a pre- and post-AD questionnaire measuring various prescribing practice aspects.

Findings

A total of 26 out of 32 (81.3 percent) participants completed the post-AD evaluation; most of them (61.5 percent, n=16) felt that AD gave noteworthy information on tools for monitoring side-effects and 50.0 percent (n=13) endorsed using these in practice. In total, 13 participants (50.0 percent) felt that the AD sessions gave them helpful information on tools for documenting polypharmacy use, which 46.2 percent (n=12) indicated they would implement in their practice. No significant differences were found between participants’ pre- and post-assessment prescribing behaviors.

Practical implications

There is great need for raising AD program’s awareness and improving physician engagement in this process locally, provincially and nationally.

Originality/value

To the authors’ knowledge, this is the first AD program in Canada to target specialists solely. Participant psychiatrists accepted the AD intervention and perceived it as a feasible CME method.

Keywords

Acknowledgements

This work was supported by the Innovation Fund within the Alternative Funding Plan for the Academic Health Sciences Centres, Ontario. The authors acknowledge Research Insights, a peer-reviewed journal, for providing a forum for the research.

Citation

Vasudev, K., Lamoure, J., Beyaert, M., Dua, V., Dixon, D., Eadie, J., Husarewych, L., Dhir, R. and Takhar, J. (2017), "Academic detailing among psychiatrists – feasibility and acceptability", International Journal of Health Care Quality Assurance, Vol. 30 No. 1, pp. 79-88. https://doi.org/10.1108/IJHCQA-04-2016-0047

Publisher

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Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited

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