Accepted Type
Facilitated and Dedicated Poster
Code
P2 - 02
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Other
Presenter Other
Researcher
Affiliation
Considered for Poster
yes
Title
Working towards practice improvement: An examination of context, mechanisms and outcomes impacting QI action plans
Length of Presentation
Background/Purpose
The Medical Council of Canada national multisource feedback (MSF) program is an assessment for quality improvement (QI) that focuses on collaborator, communicator, and professional roles. Interpreting MSF data, translating it into QI plans, and enacting change depends on multiple factors (Sargeant et al., 2015). This study used realist inquiry methods (Dalkin et al., 2015; Pawson & Tilley, 2001) to assess the context, mechanism, and outputs of MSF data when coupled with a facilitated feedback discussion for QI plan creation and enactment.
Methods
Data included linked demographics, MSF ratings and comments, reports summarizing a phone conversation between the physician and facilitator, two to three physician generated action plans, and 6-month follow-up status of plan implementation for 50 family medicine physicians. A realist inquiry methodology was used to iteratively review, identify, and code factors related to context, mechanisms, and outcome configurations of MSF data use.
Results
Physicians who completed all of their plans had plans that tended to be co-constructed, drew on data with repeated messages, and had messaging about where the physician could 'do better' in the narrative data component. For those who completed at least one plan, it didn't seem to matter whether the changes were simple or difficult. For those who didn't implement any plans, action plan difficulty was an important factor.
Conclusion
MSF data acceptance, use, and QI implementation is moderated by multiple contextual factors. However, having consistent messaging from different perspectives coupled with a discussion with a peer reinforces the formulation of realistic and actionable plans.
Keyword 1
Feedback
Keyword 2
CPD
Keyword 3
Methods
Level of Training
CPD (faculty development, CME)
Abstract Themes
Continuing Medical Education
Additional Theme (First choice)
Assessment
Additional Theme (Second Choice)
Continuing Medical Education
Additional Theme (Third Choice)
Professionalism
Authors
Presenter
Marguerite Roy
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
