Please use this identifier to cite or link to this item: https://hdl.handle.net/1/2090
Title: Evaluation of an audit with feedback continuing medical education program for radiation oncologists
Authors: Back, Michael ;Shakespeare, T.;Mukherjee, R.K.;Lu, J.D.;Lee, K.M.S.
Issue Date: 2005
Source: Volume 20, Issue 4, pp. 216 - 221
Journal title: Journal of Cancer Education
Abstract: Background: Meta-analyses demonstrate audit with feedback (AWF) is effective continuing medical education (CME). However, efficacy varies between specialties, with little published radiation oncologist (RO)-specific evidence. We evaluated an AWF CME intervention for ROs determining efficacy, cost-effectiveness, and participant satisfaction. Methods: CME program: The CME incorporated fortnightly random patient chart audit, scoring management adequacy via a checklist. Scores were presented at a same-day institutional meeting, and case management discussed. Senior peers provided individualized, educational feedback. Evaluation: Changes in behavior and performance were evaluated by chart review of new patients seen by ROs in the 2 months before commencement of AWF (T0), and at months 13-14 of the program (T1). Behavior and performance were evaluated with a validated, reproducible, 19-item instrument. Criteria for each case audited included 10 targeted and 3 nontargeted behavior items and 6 performance items; each scored 1 point if deemed adequate (maximum score 19). Cost-effectiveness was reported as cost to the institution per item point gained. The mean score (out of 5) of a 14-item questionnaire evaluated program perception. Results: A total of 113 and 118 charts were evaluated at T0 and T1, respectively. Mean score of targeted behavior improved between T0 and T1 (from 8.7 to 9.2 out of 10, P = .0001), with no significant improvement of nontargeted behavior/performance items. Annual costs and cost-per-point gained were US 7,897 dollars and 15 dollars. Participant satisfaction was positive, increasing after efficacy result distribution (P = .0001). Conclusion: Audit with comparative, individualized, educational feedback is cost-effective and positively perceived CME, significantly improving targeted RO behavior. Oncologists' CME design and evaluation require further research.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/2090
DOI: 10.1207/s15430154jce2004_9
Pubmed: https://pubmed.ncbi.nlm.nih.gov/16497133/
Publicaton type: Journal Article
Keywords: Cancer
Radiotherapy
Radiology
Appears in Collections:Oncology / Cancer
Radiology

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