Evaluating a process of academic detailing in primary care: an educational programme for acute kidney injury

Noble, Rebecca A.; McKinnell, Joanna C.; Shaw, Sue; Bassett, Sally; Woods, Lynn; Asrar, Mufaza; Kolhe, Nitin V.; Selby, Nicholas M.

Abstract

Background
Primary care has a significant role in AKI management: two-thirds of AKI originates in the community. Through academic detailing (an evidence-based educational approach) we aimed to implement and measure the effect of a primary care-based education programme based around academic detailing and peer-reviewed audit.

Methods
The education programme took place across a large clinical commissioning group (CCG) consisting of 55 primary care practices. All 55 practices participated in large group teaching sessions, 25 practices participated in academic detailing and 28 of the remaining 30 practices performed internal AKI audit. Over a 12 month period, an educational programme was delivered consisting of large group teaching sessions followed by either academic detailing sessions or self-directed AKI audit activity. Academic detailing sessions consisted of a short presentation by a consultant nephrologist followed by discussion of cases. Qualitative feedback was collected from all participants at peer review sessions. Web-based, CCG-wide questionnaires assessed baseline and post-intervention knowledge levels.

Results
Nine hundred ninety-six individuals completed the questionnaires (556 at baseline, 440 at 1 yr., 288 participated in both). Exposure to AKI teaching, self-reported awareness and confidence levels were higher in the second questionnaire. There was a significant increase in the percentage of correct answers before and after the intervention (55.6 ± 21% versus 87.5 ± 20%, p

Citation

Noble, R. A., McKinnell, J. C., Shaw, S., Bassett, S., Woods, L., Asrar, M., …Selby, N. M. (2019). Evaluating a process of academic detailing in primary care: an educational programme for acute kidney injury. BMC Medical Education, 19, Article 253. https://doi.org/10.1186/s12909-019-1659-y

• Journal Article Type: Article
• Acceptance Date: Jun 6, 2019
• Online Publication Date: Jul 9, 2019
• Publication Date: Jul 9, 2019
• Deposit Date: Jul 10, 2019
• Publicly Available Date: Jul 10, 2019
• Journal: BMC Medical Education
• Electronic ISSN: 1472-6920
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 19
• Article Number: 253
• DOI: https://doi.org/10.1186/s12909-019-1659-y
• Keywords: AKI; Primary care; Academic detailing; Peer-review; Nephrology
• Public URL: https://nottingham-repository.worktribe.com/output/2293391
• Publisher URL: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-019-1659-y
• Additional Information: Received: 25 June 2018; Accepted: 6 June 2019; First Online: 9 July 2019; The authors declare that they have no competing interests.