Time constraints are the most frequently cited physician barrier to SDL engagement, within the environmental context and resources domain¶
Claim · All claims
Evidence · 1 study · reviewr2·q3
Currency · newest study 2018 · checked against its sources 2026-11-01 (automated, 1 of 1 entry) · 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? The highest number of physician barriers was reported in the environmental context and resources domain, led by time constraints, alongside limited access to tools/programs, competing demands, cost, technological problems, and lack of faculty expertise in team training. → 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 of the 17 articles (Table 3 frequencies); the discussion adds that physicians' time constraints "seemed to be the top factor hindering their engagement in SDL" and that the most frequent facilitator in the same domain was tools and resources provided by SDL programs.
"the highest number of barriers was reported in the environmental context and resources domain; these included time constraints, limited access to tools/programs, competing demands/interests, cost, technological problems, and lack of faculty with expertise and experience in team training."
Discussion¶
Related Claims¶
- Barriers and facilitators to SDL in CPD occur at five levels: individual, program, technological, environmental, and workplace/organizational — related
- Most SDL-in-CPD behavior-change factors fall in four TDF domains: environmental context and resources, social influences, beliefs about consequences, and behavioral regulation — a broader claim this one bears on
- Resource mismatch, missing incentives, and discontinuous post-training support constrain the sustainability of training transfer — related
- Competing priorities for instructional time (environmental context) was the most salient barrier to teachers' implementation of a supplemental language curriculum — related
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