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¶
Claim · All claims
Evidence · 1 study · reviewr2·q3
Currency · newest study 2018 · not yet checked against its sources · not reviewed by a person · overdue for a recheck since 2023: baselines and conditions change
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? In the social influences domain, collaborative work and networking facilitated physician SDL engagement, whereas medicine's on-the-job learning culture was the most cited barrier, reported in feedback studies. → 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
Review synthesis across the 17 articles; the discussion cites Watling's argument that "medicine's on-the-job learning culture creates barriers" to meaningful feedback, and Armson et al's finding that supportive colleagues enhance reflective opportunities.
"The most frequently reported facilitator of SDL for physicians in the social influences domain was teamwork, collaborative work, interactivity, and networking in the SDL program."
Discussion¶
Learner Variables¶
- Social Supports — predictor: learners who differ on it differ in outcomes
Related Claims¶
- Most SDL-in-CPD behavior-change factors fall in four TDF domains: environmental context and resources, social influences, beliefs about consequences, and behavioral regulation
- Barriers and facilitators to SDL in CPD occur at five levels: individual, program, technological, environmental, and workplace/organizational
- Fear of appearing incompetent acts as both a barrier and a facilitator to physicians' engagement in feedback-related SDL — related
- Supportive organizational cultures enhance self-directed learning practices among healthcare professionals, whereas restrictive policies hinder them — related
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