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Society for Academic Continuing Medical Education Intervention Guideline Series: Guideline 2, Practice Facilitation

Van Hoof, Thomas J. MD, EdD; Grant, Rachel E. RN, BScN, MN; Campbell, Craig MD; Colburn, Lois; Davis, David MD; Dorman, Todd MD; Fischer, Michael MD, MS; Horsley, Tanya PhD; Jacobs-Halsey, Virginia MEd, MLS; Kane, Gabrielle MB, EdD; LeBlanc, Constance MD, MAEd; Moore, Donald E. Jr PhD; Morrow, Robert MD; Olson, Curtis A. PhD; Silver, Ivan MD, MEd; Thomas, David C. MD, MHPE; Turco, Mary EdD, MALS; Kitto, Simon PhD

Journal of Continuing Education in the Health Professions: October 2015 - Volume 35 - Issue - p S55–S59
doi: 10.1097/CEH.0000000000000012

Abstract: The Society for Academic Continuing Medical Education commissioned a study to clarify and, if possible, standardize the terminology for a set of important educational interventions. In the form of a guideline, this article describes one such intervention, practice facilitation, which is a common strategy in primary care to help practices develop capacity and infrastructure to support their ability to improve patient care. Based on a review of recent evidence and a facilitated discussion with US and Canadian experts, we describe practice facilitation, its terminology, and other important information about the intervention. We encourage leaders and researchers to consider and build on this guideline as they plan, implement, evaluate, and report practice facilitation efforts. Clear and consistent use of terminology is imperative, along with complete and accurate descriptions of interventions, to improve the use and study of practice facilitation.

Dr. Van Hoof: Associate Professor, University of Connecticut School of Nursing, Storrs, and Associate Professor and Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT. Ms. Grant: Research Associate, Continuing Professional Development, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Dr. Campbell: Associate Professor of Medicine, University of Ottawa, and Director, Continuing Professional Development, Royal College of Physicians and Surgeons of Canada, Ottawa, Canada. Ms. Colburn: Executive Director, Center for Continuing Education, University of Nebraska Medical Center, Omaha, NB. Dr. Davis: Senior Director, Continuing Education and Performance, Association of American Medical Colleges, Washington, DC. Dr. Dorman: Professor, Johns Hopkins University School of Medicine, Baltimore, MD. Dr. Fischer: Director, National Resource Center for Academic Detailing, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA and Associate Professor, Harvard Medical School, Boston, MA. Dr. Horsley: Associate Director, Research Unit, Royal College of Physicians and Surgeons of Canada and Adjunct Faculty, Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada. Dr. Jacobs-Halsey: Director, Office of Continuing Professional Development, Medical School, University of Minnesota, Minneapolis, MN. Dr. Kane: Associate Professor, Department of Biomedical Informatics and Medical Education and Associate Professor, Department of Radiation Oncology, University of Washington, Seattle, WA. Dr. LeBlanc: Associate Dean for Continuing Medical Education, and Professor, Department of Emergency Medicine, Dalhousie University, Halifax, NS. Dr. Moore: Professor of Medical Education and Administration, Director, Office for Continuing Professional Development, and Director of Evaluation, Medical Student Curriculum, Vanderbilt University School of Medicine, Nashville, TN. Dr. Morrow: Associate Clinical Professor, Department of Family and Social Medicine and Associate Director of Interventional CME, Center for CME, Albert Einstein College of Medicine, Bronx, NY. Dr. Olson: Assistant Professor, Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH. Dr. Silver: Professor, Department of Psychiatry, Vice-President Education, Centre for Addiction and Mental Health, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Dr. Thomas: Professor, Icahn School of Medicine at Mount Sinai, New York, NY. Dr. Turco: Assistant Professor of Medicine, Geisel School of Medicine at Dartmouth and Director, Center for Continuing Education in the Health Sciences and Continuing Medical Education, Dartmouth-Hitchcock, Hanover, NH. Dr. Kitto: Director of Research, Continuing Professional Development and Assistant Professor, Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, and Scientist, Wilson Centre, University Health Network, Toronto, Ontario, Canada.

Correspondence: Thomas J. Van Hoof, MD, EdD, University of Connecticut, 231 Glenbrook Road, Unit 4026, Storrs, CT 06269-4026; e-mail:

Disclosures: The authors report the Society for Academic Continuing Medical Education (SACME) commissioned the project with funding from Pfizer, Inc. The views expressed in this article are those of the authors and not necessarily those of SACME or Pfizer, Inc. Dr. Olson is the Editor-in-Chief of The Journal of Continuing Education in the Health Professions, of which the SACME is part owner. The remaining authors declare no conflict of interest.

Received October 17, 2015

Accepted October 17, 2015

© 2015 Lippincott Williams & Wilkins, Inc.
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