FAMILY  MEDICINE  PHYSICIANS  FACULTY  TRAINING:  Prac7ce  Inquiry  Model  for  Con7nuing  Medical  Educa7on      

Copyright The Permanente Medical Group, Inc. 2013!

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 •  Does  this  situa7on  feel  familiar?  

Can  you  think  of  a  pa7ent  right  now  that  you  are  worried  about  or  that  makes  you  feel  stuck?    

•  What  do  you  do  when  this  happens?  What  would  help  you  with  this  pa7ent?  

•  Where  do  you  go  to  get  help  on  how  to  approach  a  dilemma  pa7ent  or  situa7on?    

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Reflec7on  Exercise    

Two  Character  Dialog  

Click Start to begin the activity.

Dr Wellsly Case presenter

Dr Green Practice Inquiry

Facilitator

Welcome  to  the  Prac-ce  Inquiry  Session!  Listen  to  the  case  presenta7on  to  the  group.    

Can  you  iden7fy  how  the  facilitator  is  coaching  the  group  to  think  more  deeply  about  the  dilemma?  

Click  Start  to  begin  listening  to  their  conversa7on.  

Start

Faculty  roles  and  strategies:  Guiding  through  questions    

CME  -­‐  Prac7ce  Inquiry  

True  or  False  To  fulfill  the  requirements  and  stay  CME  compliant,  facilitators  must  document  outcomes  by  photographing  the  inputs  captured  on  the  prac7ce  inquiry  matrix.    

Dilemma?    

Patient  Context?    

Physician  Context?    

Clinical  Experience?        

Evidence?        

Clarify  Agreement      

Patient  and  physician  

Relationship      

True  

False  

¢  

¢  

Select an answer to continue.

CME  -­‐  Prac7ce  Inquiry  

True  or  False  To  fulfill  the  requirements  and  stay  CME  compliant,  facilitators  must  document  outcomes  by  photographing  the  inputs  captured  on  the  prac7ce  inquiry  matrix.    

True  -­‐    This  is  not  correct.  To  be  compliant  you  must  document  outcomes.  That  can  be  done  in  many  ways  which  could  include  also  summarizing  findings  through  notes  or  through  post-­‐session  ques;onnaire.    

False  

¢  

¢  

Click Next to continue.

Dilemma?    

Patient  Context?    

Physician  Context?    

Clinical  Experience?        

Evidence?        

Clarify  Agreement      

Patient  and  physician  

Relationship      

CME  -­‐  Prac7ce  Inquiry  

True  or  False  To  fulfill  the  requirements  and  stay  CME  compliant,  facilitators  must  document  outcomes  by  photographing  the  inputs  captured  on  the  prac7ce  inquiry  matrix.    

True  

False                      You  are  correct.  To  be  compliant  you  must  document  outcomes  which  can  be  done  in  many  ways,  including  photographing  the  matrix,  crea;ng  summary  notes,  or  through  post-­‐session  ques;onnaire.    

¢  

¢  

Click Next to continue.

Dilemma?    

Patient  Context?    

Physician  Context?    

Clinical  Experience?        

Evidence?        

Clarify  Agreement      

Patient  and  physician  

Relationship      

What’s  The  Right  Response?  

Dr Wellsly is struggling getting her group to contribute to case discussions. What should she do to get the group to add to the conversation? Which of the following strategies would you recommend and why? Click on the option below that represents the best answer.

Go around the room calling on members of the group until someone shares something

Now  it’s  your  turn  to  practice    

Don’t say anything, just wait for a group member to speak.

Tell the group she is stumped by this too and ask the group for suggestions on how they approach similar situations.

What’s  The  Right  Response?  

Go around the room calling on members of the group until someone shares something

Don’t say anything, just wait for a group member to speak.

Tell the group she is stumped by this too and ask the group for suggestions on how they approach similar situations.

This  is  not  the  best  approach.  Calling  on  group  members  can  make  people  uncomfortable  and  less  willing  to  share.  PuUng  people  on  the  spot  will  have  the  opposite  effect  than  what  

is  desired.  What  else  could  Dr  Wellsly  do  to  help  the  group?    

Now  it’s  your  turn  to  practice    

Dr Wellsly is struggling getting her group to contribute to case discussions. What should she do to get the group to add to the conversation? Which of the following strategies would you recommend and why? Click on the option below that represents the best answer.

What’s  The  Right  Response?  

Go around the room calling on members of the group until someone shares something

Don’t say anything, just wait for a group member to speak.

Tell the group she is stumped by this too and ask the group for suggestions on how they approach similar situations.

This  could  work  but  is  not  the  best  approach.  Wai7ng  for  group  members  to  speak  allows  par7cipants  7me  to  think  through  their  experiences,  but  the  group  also  would  benefit  from  their  

facilitator  helping  them  to  make  connec7ons  to  their  relevant  experiences.  

Now  it’s  your  turn  to  practice    

Dr Wellsly is struggling getting her group to contribute to case discussions. What should she do to get the group to add to the conversation? Which of the following strategies would you recommend and why? Click on the option below that represents the best answer.

What’s  The  Right  Response?  

Go around the room calling on members of the group until someone shares something

Don’t say anything, just wait for a group member to speak.

Tell the group she is stumped by this too and ask the group for suggestions on how they approach similar situations.

Great  Call!  In  this  way,  Dr  Wellsly  encourages  others  to  share  and  doesn’t  come  across  like  she  knows  all  the  answers.  Asking  about  approaches  in  similar  situa7ons  also  opens  up  the  conversa7on  to  other  relevant  experiences.  This  will  allow  

the  group  to  think  more  broadly  and  explore  other  op7ons.  

Now  it’s  your  turn  to  practice    

Dr Wellsly is struggling getting her group to contribute to case discussions. What should she do to get the group to add to the conversation? Which of the following strategies would you recommend and why? Click on the option below that represents the best answer.

Mul7ple  Choice  Ques7on  

Accredita-on  Guidelines  Prac7ce  Inquiry  sessions  will  be  eligible  for  CME  credit.  To  be  in  compliance  with  CME  accredita7on  guidelines,  the  learning  events  should  be  designed  to  do  what?    

 Inform  physicians  about  interes7ng  or  rare  clinical  problems  they  may  see  in  prac7ce.  

Help  physicians  be  aware  of  changes  or  advances  in  clinical  treatments.    

  Change  physician  behaviors  or  prac7ces  based  on  evidence  based  recommenda7ons.  

  Allow  physicians  to  share  opinions  on  how  to  best  address  clinical  issues.  

 

Click a response. Then click Next to continue .!

¢  

¢  

¢  

¢  

Assessing  and  documen-ng  outcomes:  CME  Knowledge  Check  

Mul7ple  Choice  Ques7on  

Accredita-on  Guidelines  Prac7ce  Inquiry  sessions  will  be  eligible  for  CME  credit.  To  be  in  compliance  with  CME  accredita7on  guidelines,  the  learning  events  should  be  designed  to  do  what?  

 Inform  physicians  about  interes7ng  or  rare  clinical  problems  they  may  see  in  prac7ce.  

Help  physicians  be  aware  of  changes  or  advances  in  clinical  treatments.    

  Change  physician  behaviors  or  prac7ces  based  on  evidence  based  recommenda7ons.  

  Allow  physicians  to  share  opinions  on  how  to  best  address  clinical  issues.  

 

Click a response. Then click Next to continue .!

¢  

¢  

¢  

¢  

Incorrect.  Learning  events  may  address  less  common  clinical  issues  but  the  purpose  is  not  solely  to  inform.  Accredita7on  guidelines  require  that  we  create  learning  events  that  are  needs  based  and  aimed  at  changing  physician  prac7ce.  

   

 

Assessing  and  documen-ng  outcomes:  CME  Knowledge  Check  

Mul7ple  Choice  Ques7on  

Accredita-on  Guidelines  Prac7ce  Inquiry  sessions  will  be  eligible  for  CME  credit.  To  be  in  compliance  with  CME  accredita7on  guidelines,  the  learning  events  should  be  designed  to  do  what?  

 Inform  physicians  about  interes7ng  or  rare  clinical  problems  they  may  see  in  prac7ce.  

Help  physicians  be  aware  of  changes  or  advances  in  clinical  treatments.    

  Change  physician  behaviors  or  prac7ces  based  on  evidence  based  recommenda7ons.  

  Allow  physicians  to  share  opinions  on  how  to  best  address  clinical  issues.  

 

Click a response. Then click Next to continue .!

¢  

¢  

¢  

¢  

Incorrect.  The  purpose  of  learning  events  is  not  solely  to  inform  of  changes  or  advances  in  clinical  treatments.  Accredita7on  guidelines  require  that  we  create  learning  events  that  are  needs  based  and  aimed  at  changing  physician  prac7ce.  

   

 

Assessing  and  documen-ng  outcomes:  CME  Knowledge  Check  

Mul7ple  Choice  Ques7on  

Accredita-on  Guidelines  Prac7ce  Inquiry  sessions  will  be  eligible  for  CME  credit.  To  be  in  compliance  with  CME  accredita7on  guidelines,  the  learning  events  should  be  designed  to  do  what?  

 Inform  physicians  about  interes7ng  or  rare  clinical  problems  they  may  see  in  prac7ce.  

Help  physicians  be  aware  of  changes  or  advances  in  clinical  treatments.    

  Change  physician  behaviors  or  prac7ces  based  on  evidence  based  recommenda7ons.  

  Allow  physicians  to  share  opinions  on  how  to  best  address  clinical  issues.  

 

Click a response. Then click Next to continue .!

¢  

¢  

¢  

¢  

Correct!  Accredita7on  guidelines  require  that  we  create  learning  events  that  are  needs  based  and  aimed  at  changing  physician  prac7ce.  

 

 

   

 

Assessing  and  documen-ng  outcomes:  CME  Knowledge  Check  

Mul7ple  Choice  Ques7on  

Accredita-on  Guidelines  Prac7ce  Inquiry  sessions  will  be  eligible  for  CME  credit.  To  be  in  compliance  with  CME  accredita7on  guidelines,  the  learning  events  should  be  designed  to  do  what?  

 Inform  physicians  about  interes7ng  or  rare  clinical  problems  they  may  see  in  prac7ce.  

Help  physicians  be  aware  of  changes  or  advances  in  clinical  treatments.    

  Change  physician  behaviors  or  prac7ces  based  on  evidence  based  recommenda7ons.  

  Allow  physicians  to  share  opinions  on  how  to  best  address  clinical  issues.  

 

Click a response. Then click Next to continue .!

¢  

¢  

¢  

¢  

Incorrect.  Learning  events  will  allow  for  discussion  of  experience  and  best  prac7ces,  but  accredita7on  guidelines  require  that  we  create  learning  events  that  are  needs  based  and  aimed  at  changing  physician  prac7ce.  

   

 

Assessing  and  documen-ng  outcomes:  CME  Knowledge  Check