Changing provider behaviour: provider education and training

摘要: This conference will not only help us to under stand better how implement the AHCPR smoking cessation guideline, but also other preventive interventions as well. Healthcare provider education and train ing, well its effect on providers' interven tion practices is our principal concern here. We must consider this within context of activities required make training opportunities succeed in helping providers change their behaviours. As Michael Fiore stated, guidelines are very important for changing practices. They neces sary physicians do right thing, they sufficient themselves Let first review framework these some data that demonstrate behaviours subsequently behav iours patients (in case, smokers). The includes three major tions affect practice (figure). conduct interventions. second use office-based systems procedures remind provide them with necessary materials. third organisational policies such performance measures covered benefits. These appear pro vider literature, facilitat ing intervention, encour aging provider-delivered have been demonstrated be steps behaviour. know there factors what eventually prac tices, including bring those settings, namely pre-set ideas priori ties or community norms. attended if activi any significant impact. identify challenges healthcare setting '90s beyond. need discuss pri ority takes we mentioned. When talk about training, generally mean continuing medical (CME) all providers. more traditional avenues include grand-rounds type presentations, conferences, workshops, semi nars, mini-courses. attend education, become much creative where it can take place. responsive needs various settings working. But talking exclusively. clearly students school, part teaching smok guideline has directed at them. For example, University Massa chusetts Medical School, a four-hour component month school term teaches importance intervention different skills changes.1 While may later practice, cer tainly aware possible approaches so then own decisions which want regularly. With regard workshops seminars, find interventions, role plays, patient simulators, discussions. Even grand rounds presentations one-hour discussions actual experiential learning, likely physicians, nurses, nutritionists, actually develop go home existing supports yet informs alone enough. National Cancer Institute funded five