Barriers and facilitators to SDL in CPD occur at five levels: individual, program, technological, environmental, and workplace/organizational¶

Claim · All claims
Evidence · 1 study · review r2 · q3
Currency · newest study 2018 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Conventional content analysis of 17 Canadian articles generated five categories of SDL barriers and facilitators, with individual barriers coded in most articles (82.3%) and program facilitators in most (70.6%). → Dahn J 2018

Evidence¶

Dahn J 2018¶

Dahn J, Presseau J, ElChamaa R, Naumann DN, Mascaro C, Luconi F, Smith KM, Kitto S. (2018). Barriers and Facilitators to Self-Directed Learning in Continuing Professional Development for Physicians in Canada: A Scoping Review. Academic Medicine. https://doi.org/10.1097/ACM.0000000000002237

q3 · i? · review · r2

Scoping review of 17 Canadian articles on SDL in CPD for physicians; inductive conventional content analysis generated the five level-based categories. The review reports "Individual barriers (n = 14; 82.3%) and program facilitators (n = 12; 70.6%) were coded in most articles."

"Five categories of barriers and facilitators were generated through a conventional content analysis,40 focusing on the levels at which the barriers/facilitators are perceived to occur: individual, program, technological, environmental, and workplace/organizational."

Discussion¶

Related Claims¶

• Teamwork, collaborative work, interactivity, and networking are the most frequently reported physician facilitators of SDL, while medicine's on-the-job learning culture is the most cited social-influences barrier
• Fear of appearing incompetent acts as both a barrier and a facilitator to physicians' engagement in feedback-related SDL — a narrower finding that bears on this claim
• Most SDL-in-CPD behavior-change factors fall in four TDF domains: environmental context and resources, social influences, beliefs about consequences, and behavioral regulation — related
• Time constraints are the most frequently cited physician barrier to SDL engagement, within the environmental context and resources domain — related
• Educators face challenges at the student level, teacher level, and institutional level — related
• Resource mismatch, missing incentives, and discontinuous post-training support constrain the sustainability of training transfer — related
• Organizational support, clear protocols, and ongoing reinforcement are associated with the most impactful CPD interventions — related