Development of eConsult reflective learning tools for healthcare providers: a pragmatic mixed methods approach Article Swipe
Douglas Archibald
,
Rachel Grant
,
Delphine S. Tuot
,
Clare Liddy
,
Justin L. Sewell
,
David W. Price
,
Roland Grad
,
Scott A. Shipman
,
Craig Campbell
,
Sheena Guglani
,
Timothy J. Wood
,
Erin Keely
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12875-022-01948-9
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1186/s12875-022-01948-9
Background Electronic consultation (eConsult) programs are crucial components of modern healthcare that facilitate communication between primary care providers (PCPs) and specialists. eConsults between PCPs and specialists. They also provide a unique opportunity to use real-world patient scenarios for reflective learning as part of professional development. However, tools that guide and document learning from eConsults are limited. The purpose of this study was to develop and pilot two eConsult reflective learning tools (RLTs), one for PCPs and one for specialists, for those participating in eConsults. Methods We performed a four-phase pragmatic mixed methods study recruiting PCPs and specialists from two public health systems located in two countries: eConsult BASE in Canada and San Francisco Health Network eConsult in the United States. In phase 1, subject matter experts developed preliminary RLTs for PCPs and specialists. During phase 2, a Delphi survey among 20 PCPs and 16 specialists led to consensus on items for each RLT. In phase 3, we conducted cognitive interviews with three PCPs and five specialists as they applied the RLTs on previously completed consults. In phase 4, we piloted the RLTs with eConsult users. Results The RLTs were perceived to elicit critical reflection among participants regarding their knowledge and practice habits and could be used for quality improvement and continuing professional development. Conclusion PCPs and specialists alike perceived that eConsult systems provided opportunities for self-directed learning wherein they were motivated to investigate topics further through the course of eConsult exchanges. We recommend the RLTs be subject to further evaluation through implementation studies at other sites.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12875-022-01948-9
- https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-022-01948-9
- OA Status
- gold
- Cited By
- 7
- References
- 45
- Related Works
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- OpenAlex ID
- https://openalex.org/W4316363174
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4316363174Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s12875-022-01948-9Digital Object Identifier
- Title
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Development of eConsult reflective learning tools for healthcare providers: a pragmatic mixed methods approachWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-01-16Full publication date if available
- Authors
-
Douglas Archibald, Rachel Grant, Delphine S. Tuot, Clare Liddy, Justin L. Sewell, David W. Price, Roland Grad, Scott A. Shipman, Craig Campbell, Sheena Guglani, Timothy J. Wood, Erin KeelyList of authors in order
- Landing page
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https://doi.org/10.1186/s12875-022-01948-9Publisher landing page
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https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-022-01948-9Direct link to full text PDF
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-022-01948-9Direct OA link when available
- Concepts
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Delphi method, Reflective practice, Medical education, Health care, Primary care, Phase (matter), Medicine, Nursing, Psychology, Family medicine, Pedagogy, Computer science, Organic chemistry, Economics, Artificial intelligence, Chemistry, Economic growthTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 2, 2024: 2, 2023: 3Per-year citation counts (last 5 years)
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45Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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