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Piloting online self-audit of methadone treatment in Irish general practice: results, reflections and educational outcomes

Overview of attention for article published in BMC Medical Education, June 2018
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Title
Piloting online self-audit of methadone treatment in Irish general practice: results, reflections and educational outcomes
Published in
BMC Medical Education, June 2018
DOI 10.1186/s12909-018-1259-2
Pubmed ID
Authors

Marie Claire Van Hout, Des Crowley, Aoife McBride, Ide Delargy

Abstract

Work based learning underpins the training and CPD of medical practitioners. Medical audit operates on two levels; individual self-assessment and professional/practice development. In Ireland, annual practice improvement audit is an essential requirement for the successful completion of continuous professional development (CPD) as determined by the regulatory body, the Irish Medical Council. All general practice (GP) doctors providing methadone maintenance treatment (MMT) in Ireland have a contractual obligation to partake in a yearly methadone practice audit. The Irish College of General Practitioners (ICGP) as national training provider is tasked to facilitate this annual audit process. The purpose of this audit is to assess the quality of care provided to patients against an agreed set of national standards, enhance learning, and promote practice improvement and reflective practice. The aim was to present an online MTP self-audit and evaluate results from a 12-month pilot among GPs providing MMT in Ireland. A mixed method study describing three phases (design and development, pilot/implementation and evaluation) of a new online self -audit tool was conducted. Descriptive and thematic analysis of audit and evaluation data was conducted. Survey Monkey is a suitable software package for the development and hosting of an easy to use online audit for MMT providing doctors. Analysis of the audit results found that the majority of GPs scored 80% or over for the 25 identified essential criteria for MMT provision. The evaluation of the GP audit experience underscores the positive outcomes of the online self-audit in terms of improving practice systems, encouraging reflective practice, enhanced patient care and doctor commitment to continued provision of MMT in addiction clinics and in primary care. Results from this audit demonstrate a high level of compliance with best practise MMT guidelines by Irish GPs providing MMT. The online self-audit process was well received and encouraged reflective practice. The audit process hinged on the individual GP's ability to review and critically analyse their professional practice, and manage change. This model of audit could be adapted and used to monitor the management of other chronic illnesses in general practice.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 82 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 82 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 16%
Other 8 10%
Student > Ph. D. Student 7 9%
Student > Postgraduate 6 7%
Librarian 5 6%
Other 15 18%
Unknown 28 34%
Readers by discipline Count As %
Medicine and Dentistry 19 23%
Nursing and Health Professions 9 11%
Social Sciences 5 6%
Psychology 4 5%
Business, Management and Accounting 4 5%
Other 12 15%
Unknown 29 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 July 2018.
All research outputs
#15,538,060
of 23,092,602 outputs
Outputs from BMC Medical Education
#2,298
of 3,384 outputs
Outputs of similar age
#210,022
of 329,163 outputs
Outputs of similar age from BMC Medical Education
#63
of 86 outputs
Altmetric has tracked 23,092,602 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,384 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.4. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,163 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 86 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.