12 th World Congress on Public Health Research Education and Practice April 27- May 1, 2009 Istanbul, Turkey Education Research Findings from Physicians in Canada - Implications for Practice and Public Health Outcomes Brenda Lovell Raymond Lee Why Demand for Educational Reforms?
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Education Research Findings from Physicians in Canada - Implications for Practice and Public Health Outcomes
Brenda Lovell Raymond Lee
Increased accountability, complexity, and demand for quality service delivery
Effectiveness of educational programs has been questioned, passive-teacher centered learning methodologies not leading to enhanced practice or improved health outcomes
Pressure to engage in self-assessment of knowledge and skill
Transfer of knowledge and skills to practice
• Integration of psychological, social, physiological
aspects of illness
• Physician self-awareness, self-knowledge
• Emotional attunement
• Understanding of the whole person – context, life story
• Finding common ground with patient i.e. role of patient
and physician ( level of patient involvement in care)
• Development of trust and rapport to encourage
adherence, health promotion and healing
Mixed method survey study of 278 physicians from the
province of Manitoba, Canada, data collected in 2006.
Male participants - 60% Average years in practice – 16
family medicine 110 internal medicine 61
paediatric 30 surgical disciplines 29
residents 20 psychiatry 19
Section D of The Cross-Cultural Doctor-Patient Communication
Needs Assessment. Used a five response scale, 1- Not at all, 2- Not Very, 3- Somewhat, 4- Fairly, 5- Extremely
Participants were asked how useful they thought learning the
following topics would be in improving communication skills with
patients of different cultural and/or socioeconomic backgrounds.
a. Your own attitudes toward different cultural and/or socio-economic backgrounds
b. Your past experiences with people of different cultural and/or socio-economic backgrounds
c. Health beliefs of people of different cultural and/or socio-economic backgrounds
d. Expectations held by persons from different cultural and/or socio-economic backgrounds about what a physician should do and how a physician should behave
e. Skills for working efficiently and effectively with interpreters
Specialties with highest mean
1. Psychiatry 4.22
2. Paediatrics (Primary care) 3.78
3. Internal Med (Primary care) 3.78
4. Family Med (Primary care) 3.56
f. Patient communication and interaction skills
Correlation between years of experience and items
Health beliefs of people of different cultural and/or socio-economic backgrounds. -.13
Expectations held by persons from different cultural and/or socio-economic backgrounds about what a physician should do and how a physician should behave. -.14
Physician gender differences
Health beliefs of people of different cultural and/or socio-economic backgrounds. ( Females more valuable )
Expectations held about what a physician should do and how a physician should behave. ( Females more valuable)
• Development of personalized learning by generating baseline information, address identified needs, measuring outcomes, apply to practice
• Overcome barriers that impede effective learning
• Developing oneself, both professional and personal
• Patient expectations - patients desire:
respect (86%) knowledge and skills (64%) patient involvement in care (63%)
• Need for public health education & decision aids
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