140: A Study of the Impact of Continuing Professional Development (CPD) Activities on Physicians' Knowledge, Motivation and Ability to Address Challenges with Exclusive Breastfeeding Practices
Notice bibliographique
Résumé
Physicians' attitudes and recommendations directly impact breastfeeding duration. Yet, Canadian primary care physicians are ill-equipped to support breastfeeding mothers as their confidence, attitudes and knowledge are known to be suboptimal. This study aimed to develop, deliver, evaluate and refine a combination of continuing professional development (CPD) activities targeting specific gaps uncovered on a recent breastfeeding needs assessment of Canadian physicians, with the ultimate goal of encouraging study participants to integrate new skills and knowledge in their clinical practice. We developed and delivered an interactive 90-minute workshop to facilitate physicians' ability to support patients' breastfeeding practices. The workshops were held at the Canadian Pediatric Society Annual Meeting in June 2012 in London, Ontario, at a continuing medical education event at the Children's Hospital of Eastern Ontario in November 2012, and at the Montfort Hospital in February 2013. Communication tools were distributed to improve information retention. Phone outreach was performed four to eight weeks post workshop to reinforce take-home messages from the workshop, gather information on the obstacles and challenges to implementing the various breastfeeding support practices provided at the workshop and to gather information regarding physicians' current perceptions and practices. Participation, participants' satisfaction with each element of the CPD activities and participants' learning were also tracked through the use of questionnaires and the follow-up phone outreach. We aimed to recruit 30 to 40 physicians. In total, seven physicians agreed to participate in the study. Workshop participation increased these participants' confidence levels in breastfeeding counseling skills (ie, latch evaluation, sore nipple complaints, milk transfer evaluation), improved their knowledge, and was associated with a desire to change their clinical practice. The workshop was overall rated as relevant, interesting, effective, and helpful. Physician recruitment was found to be much more difficult than anticipated, and a large selection bias was inevitable as only physicians with a keen interest in learning about breastfeeding participated in the study. However, our participants rated the intervention very positively. Given the difficulty in recruitment, a more feasible approach needs to be adapted and evaluated. In future, the intervention will be targeted at residency level.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,005 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».