Linking learning to practice

Name:

CFPC Membership #:

Address:

City:

Province, state or country:

Upon what kind of learning activity is this Mainpro-C exercise based (check one only)?

A. Professional development or continuing medical education activities

Course, conference or workshop Hospital or other rounds Self-learning activity/program

Other:

B. Professional activities which can stimulate thinking about your practice and/or work

Committee work Development of clinical practice guidelines / practice standards Development of educational materials Teaching activities Conducting research Being an examiner Preparing a manuscript for publication Being a peer reviewer

Other:

Describe the nature of your practice and/or work to which this exercise applies.

If you are submitting more than one form for this program, which is this one?

1 2 3 4 5 6

Other:

Step 1: Formulate your practice question(s). What was your specific question and/or learning objective on which you based this exercise?

Step 2: Describe the information you reviewed. Describe the activity which stimulated this exercise (including where and when) and the kind of information obtained from it.

What other source(s) of information or evidence did you seek to understand better the question and/or learning objective?

Peer-reviewed articles Peer-reviewed text books Peers Non-peer reviewed articles Internet Experts Patient feedback

Other:

Step 3: Consider the information. What was your assessment of the quality of the information you reviewed? Describe its validity (i.e. Is it based on appropriate scientific evidence?) and relevance (i.e. Is it applicable to your patients in your community?).

What approach or tools did you use to come to this conclusion?

Step 4: Make a decision about your practice. Based on what you have learned, what decisions have you made about your practice and/or work?

What must you do to integrate these decisions into your practice and/or work? What kinds of barriers/difficulties do you foresee?

“Please complete Step 5 after sufficient time has elapsed to allow you to assess the impact of your decision...”

Step 5: Evaluate / reflect on the impact of your decisions. Please describe your reflections on the impact this process has had on your practice, and/or work. Consider questions such as: What impact has this process had on your practice generally? How do you feel now about the decision(s) you made? How successful have you been in implementing them into your practice? What kinds of barriers have you confronted? What are you doing now that you didn't do before? What has happened to your confidence in this area? What kind of feedback have you received from your patients, staff or colleagues? What new information have you seen? How has this further modified your approach? What further changes do you intend to make? What further areas of practice change, reassessment and/or intervention have you identified? What plans do you have to address these?

For further information, please contact the College of Family Physicians of Canada or visit www.cfpc.ca 2630 Skymark Ave., Mississauga, ON L4W 5A4; Phone: 905-629-0900/1-800-387-6197; Fax 905-629-0893; mainprocredit@cfpc.ca