McKeirnan Kimberly C, Colorafi Karen, Panther Shannon G, Potyk Darryl, McCarthy John
Sr Care Pharm. 2019 Jul 1;34(7):432-438. doi: 10.4140/TCP.n.2019.432.
To describe an interdisciplinary academic detailing project implemented to address low pneumococcal immunization rates. Two medical clinics and four community pharmacies in rural Washington state. The two medical clinics and four community pharmacies were all located in two rural counties and serve geographically large rural areas. Academic detailing is an evidence-based approach designed to change clinical practice and improve decision-making. Our team utilized the academic detailing model to provide educational outreach to local rural health care providers. The detailing team visited each clinic and pharmacy on a defined schedule and provided information to physicians, clinic administrators, nurses, pharmacists, pharmacy technicians, medical assistants, and clinic front-end staff. The project team maintained detailed field notes from each academic detailing the visit and met to debrief about each encounter. From the field notes, through the process of thematic analysis and analytic memoing, the project team produced a list of "lessons learned" that could be used to guide other interprofessional teams wishing to embark on an academic detailing project. We have identified four key "lessons learned": Interprofessional team members bring different strengths to the project; using same-discipline team members paved the way for success; involving students aids in educating future practitioners in interprofessional practice; and scheduling meetings in advance is important. We described an approach to enhanced academic detailing using interprofessional team delivery, bringing interprofessional practice into the real-world practice setting.
描述为解决肺炎球菌低免疫率问题而实施的一个跨学科专业学术推广项目。华盛顿州农村地区的两家医疗诊所和四家社区药房。这两家医疗诊所和四家社区药房均位于两个农村县，服务于地域广阔的农村地区。学术推广是一种旨在改变临床实践并改善决策制定的循证方法。我们的团队利用学术推广模式向当地农村医疗保健提供者提供教育推广服务。推广团队按照既定时间表走访了每家诊所和药房，并向医生、诊所管理人员、护士、药剂师、药房技术员、医疗助理和诊所前台工作人员提供了信息。项目团队对每次学术推广访问都记录了详细的实地笔记，并开会汇报每次接触的情况。通过实地笔记，经过主题分析和分析备忘录的过程，项目团队列出了一份“经验教训”清单，可用于指导其他希望开展学术推广项目的跨专业团队。我们确定了四个关键的“经验教训”：跨专业团队成员为项目带来了不同的优势；使用同专业的团队成员为成功铺平了道路；让学生参与有助于在跨专业实践中培养未来的从业者；提前安排会议很重要。我们描述了一种使用跨专业团队进行强化学术推广的方法，将跨专业实践引入现实世界的实践环境。
