Examining Associations Between Physician Data Utilization for Practice Improvement and Lifelong Learning.

Sanjeev Sockalingam Walter Tavares Rebecca Charow Alaa Youssef Craig Campbell Dave Davis Meredith Giuliani Allan Okrainec Janet Papadakos Ivan Silver David Wiljer

J Contin Educ Health Prof

Dr. Sockalingam: Vice President of Education, Center for Addiction and Mental Health, Associate Professor, Department of Psychiatry, University of Toronto, and Staff Psychiatrist, Center of Mental Health & Wilson Center Researcher, University Health Network, Toronto, Ontario Canada. Dr. Tavares: Scientist, Wilson Center, University Health Network, Paramedic Services, Community and Health Services, Regional Municipality of York, and Assistant Professor, Post MD Education, Faculty of Medicine, Institute of Health Policy, Management and Evaluation and Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. Ms. Charow: Research Associate, Education Technology and Innovation, and Cancer Health Literacy Research Center, University Health Network, Toronto, Ontario, Canada. Ms. Youssef: PhD Candidate, Institute of Medical Sciences and Department of Psychiatry, University of Toronto, and Research Fellow, Wilson Center, University Health Network, Toronto, Ontario, Canada. Dr. Campbell: Principal Senior Advisor, Competency-based Continuing Professional Development, Office of Specialty Education, Royal College of Physicians and Surgeons of Canada, and Associate Professor, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. Dr. Davis: Professor Emeritus, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada, and Senior Director-CORE & Visiting Professor, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, United Arab Emirates. Dr. Giuliani: Director, Cancer Education Program, Co-Director, Cancer Health Literacy Research Center and Staff Radiation Oncologist, Princess Margaret Cancer Center, and Assistant Professor, Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Dr. Okrainec: Head, Division of General Survey, Peter A. Crossgrove Chair in General Surgery and Director, Temerty/Chang Telesimulation Center, University Health Network, and Associate Professor, Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Dr. Papadakos: Senior Manager, Cancer Education Program, Co-Director, Cancer Health Literacy Research Center and Associate Director, ELLICSR: Health, Wellness & Cancer Survivorship Center, Princess Margaret Cancer Center, University Health Network; Provincial Head, Patient Education, Cancer Care Ontario, Toronto, Ontario, Canada. Dr. Silver: Staff Psychiatrist, Center for Addiction and Mental Health, and Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario Canada. Dr. Wiljer: Executive Director, Education Technology and Innovation, University Health Network, Associate Professor, Institute of Health Policy, Management and Evaluation and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.

Published: June 2020

Introduction: Practice data can inform the selection of educational strategies; however, it is not widely used, even when available. This study's purpose was to determine factors that influence physician engagement with practice data to advance competence and drive practice change.

Methods: A practice-based, pan-Canadian survey was administered to three physician subspecialties: psychiatrists (Psy), radiation oncologists (RO), and general surgeons (GS). The survey was distributed through national specialty society membership lists. The survey assessed factors that influence the use of data for practice improvement and orientation to lifelong learning, using the Jefferson Scale of Physician Lifelong Learning (JeffSPLL). Linear regression was used to model the relationship between the outcome variable frequency of data use and independent predictors of continuous learning to improving practice.

Results: A total of 305 practicing physicians (Psy = 203, RO = 53, GS = 49) participated in this study. Most respondents used data for practice improvement (n = 177, 61.7%; Psy = 115, 40.1%; RO = 35; 12.2%; GS = 27, 9.4%) and had high orientation to lifelong learning (JeffSPLL mean scores: Psy = 47.4; RO = 43.5; GS = 45.1; Max = 56). Linear regression analysis identified significant predictors of data use in practice being: frequency of assessing learning needs, helpfulness of data to improve practice, and frequency to develop learning plans. Together, these predictors explained 42.9% of the variance in physicians' orientation toward integrating accessible data into practice (R = 0.426, P < .001).

Discussion: This study demonstrates an association between practice data use and perceived data utility, reflection on learning needs and learning plan development. Implications for this work include process development for data-informed action planning for practice improvement for physicians.

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http://dx.doi.org/10.1097/CEH.0000000000000268	DOI Listing

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