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dc.contributor.authorDyrkorn, Roar
dc.contributor.authorLangaas, Harald Chr.
dc.contributor.authorGiverhaug, Trude
dc.contributor.authorEspnes, Ketil Arne
dc.contributor.authorRowett, Debra
dc.contributor.authorSpigset, Olav
dc.date.accessioned2020-01-21T07:07:28Z
dc.date.available2020-01-21T07:07:28Z
dc.date.issued2019
dc.description.abstract<i>Introduction</i>: Academic detailing is an interactive educational outreach to prescribers to present unbiased, non-commercial, evidence-based information, mostly about medications, with the goal of improving patient care. Academic detailing in Norway is an approach for providing continuing medical education to general practitioners (GPs). The basis of academic detailing is a one-to-one discussion between a trained health professional (the academic detailer) and the GP at the GP’s workplace.<p> <p><i>Method</i>: Our first campaign was named “Better use of non-steroidal anti-inflammatory drugs (NSAIDs)”, which aim was to reduce the use of diclofenac due to the risk of serious cardiovascular adverse events. At the same time we advised the GPs to use naproxen as the drug of choice if an NSAID was needed. We did a one-to-one intervention in two cities, where a trained academic detailer met the GP during office hours. A total of 247 GPs were invited to participate and 213 visits (86%) were completed. This article reviews the theoretical framework underlying the method and describes the development and implementation of academic detailing to GPs in Norway.<p> <p><i>Results</i>: More than 90% the participating GPs considered academic detailing a suitable method for providing up-to-date evidence-based, manufacturer-independent information, and nearly all would most likely or probably welcome another visit. After the intervention there was a reduction of diclofenac prescribing of 16% and 18%, respectively, in the two cities.<p> <p><i>Conclusion</i>: We consider that academic detailing is a suitable method to bring the best available evidence to the point at which care is delivered, to achieve the best for the patients. According to the Norwegian GPs’ evaluation, it is a key supplement to other methods of continuing medical education. To have maximum impact, it is important that academic detailing is practiced according to the consensus that has evolved in the USA and Australia.en_US
dc.identifier.citationDyrkorn R, Langaas HC, Giverhaug T, Espnes Ka, Rowett, Spigset O. Academic detailing as a method of continuing medical education. Advances in Medical Education and Practice. 2019;10:717-725en_US
dc.identifier.cristinIDFRIDAID 1775324
dc.identifier.doi10.2147/AMEP.S206073
dc.identifier.issn1179-7258
dc.identifier.urihttps://hdl.handle.net/10037/17152
dc.language.isoengen_US
dc.publisherDove Medical Pressen_US
dc.relation.journalAdvances in Medical Education and Practice
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2019 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleAcademic detailing as a method of continuing medical educationen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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