Impact of Academic Detailing on Shoulder Imaging in General Practice
Author Information
Author(s): Broadhurst Norm A, Barton Christopher A, Rowett Debra, Yelland Lisa, Matin David K, Gialamas Angela, Beilby Justin J
Primary Institution: Flinders University
Hypothesis
The study aims to assess the impact of Academic Detailing on General Practitioners' use of diagnostic imaging for shoulder complaints.
Conclusion
Academic Detailing can improve GPs' knowledge and confidence in managing shoulder problems and reduce the use of imaging in the short term.
Supporting Evidence
- GP knowledge scores improved significantly after Academic Detailing.
- Requests for ultrasound imaging decreased by approximately 43.8% after detailing.
- No significant change in the rate of requests for plain radiographs was observed.
Takeaway
The study shows that teaching doctors about shoulder pain can help them feel more confident and use fewer X-rays and ultrasounds.
Methodology
One-to-one Academic Detailing was delivered to 87 GPs, followed by questionnaires to assess knowledge and confidence.
Potential Biases
Self-selection of participants may indicate a special interest in musculoskeletal problems.
Limitations
Low participation rate and potential self-selection bias among GPs who volunteered.
Participant Demographics
{"gender":{"male":53,"female":34},"age":{"<35":4,"35-44":22,"45-54":36,"55-64":20,"65+":2},"years_in_practice":{"<=5":4,"6-15":19,"16-25":45,"26+":17}}
Statistical Information
P-Value
p<0.0001
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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