This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Mazzuca, S. A. Articles by Kalasinski, L. A. Search for Related Content Social Bookmarking                         What's this?

Effects of the Clinical Environment on Physicians’ Response to Postgraduate Medical Education

Indiana University School of Medicine

This study examined the effects of a medical education program on diabetes mellitus as a function of the extent to which participants’ clinical environments were made to facilitate recommended practices. One hundred fourteen internal medicine faculty and residents (four clinics) were offered a 3.5-hour diabetes seminar. One clinic served as a seminar-only condition; three clinics received an accumulation of environmental interventions: patient-specific seminar reminders, clinical materials, and easy access to a diabetes patient educator. Relative to control, any degree of environmental support significantly increased prescriptions for home-monitored blood glucose testing. Also, the group of physicians receiving reminders and clinical materials exhibited significantly more frequent utilization of glycosylated hemoglobin as a laboratory measure of metabolic status compared to other groups. No significant differences were obtained for utilization of three other laboratory tests and therapeutic modalities. Developers of postgraduate professional education should consider whether their programs can be strengthened by anticipating how the practice environment facilitates and hinders new professional practices.

American Educational Research Journal, Vol. 27, No. 3, 473-488 (1990)
DOI: 10.3102/00028312027003473


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				A. X. Garg, N. K. J. Adhikari, H. McDonald, M. P. Rosas-Arellano, P. J. Devereaux, J. Beyene, J. Sam, and R. B. Haynes Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes: A Systematic Review JAMA, March 9, 2005; 293(10): 1223 - 1238. [Abstract] [Full Text] [PDF]

				R. Gross, H. Tabenkin, A. Porath, A. Heymann, M. Greenstein, B. Porter, and R. Matzliach The relationship between primary care physicians' adherence to guidelines for the treatment of diabetes and patient satisfaction: findings from a pilot study Fam. Pract., October 1, 2003; 20(5): 563 - 569. [Abstract] [Full Text] [PDF]

				C. M. Clark Jr., M. H. Chin, S. N. Davis, E. Fisher, R. G. Hiss, D. G. Marrero, E. A. Walker, and J. Wylie-Rosett Incorporating the Results of Diabetes Research Into Clinical Practice: Celebrating 25 years of Diabetes Research and Training Center translation research Diabetes Care, December 1, 2001; 24(12): 2134 - 2142. [Full Text] [PDF]

				C. M. Renders, G. D. Valk, S. J. Griffin, E. H. Wagner, J. ThM. Eijk van, and W. J.J. Assendelft Interventions to Improve the Management of Diabetes in Primary Care, Outpatient, and Community Settings: A systematic review Diabetes Care, October 1, 2001; 24(10): 1821 - 1833. [Abstract] [Full Text] [PDF]

				D. L. Hunt, R. B. Haynes, S. E. Hanna, and K. Smith Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes: A Systematic Review JAMA, October 21, 1998; 280(15): 1339 - 1346. [Abstract] [Full Text] [PDF]

				D. A. Davis, M. A. Thomson, A. D. Oxman, and R. B. Haynes Changing Physician Performance: A Systematic Review of the Effect of Continuing Medical Education Strategies JAMA, September 6, 1995; 274(9): 700 - 705. [Abstract] [PDF]