Abstract
Context/Objective
Actionable Nuggets™ for spinal cord injury (SCI) are a knowledge translation tool facilitating evidence-based primary care practice, originally developed in 2010 and refined in 2013. Evaluation results from these two phases of development have informed the design of SkillScribe™, an innovative electronic platform intended to offer reflective continuing medical education (CME) programming through mobile devices in order to support the key features of the Actionable Nuggets™ approach. This brief article describes the ongoing development of Actionable Nuggets™ for SCI on SkillScribe™ by: (1) summarizing the work to date on Actionable Nuggets™; (2) describing evaluation results of Actionable Nuggets™; (3) placing SkillScribe™ in the context of adult education.
Design
Developmental Research Design.
Setting
Canadian primary care.
Participants
Primary care physicians; specialist physicians.
Interventions
Twenty educational modules on SCI.
Outcome measures
Pre- and post-test knowledge survey, feedback and use statistics, impact assessment survey, qualitative analysis of evaluation data.
Results
In both hard copy and electronic form, physicians report that Actionable Nuggets™ are an acceptable and useful approach to providing CME for low-prevalence, high-impact conditions like SCI. The key elements of this tool are that they: offer evidence-based information in small, focused “nuggets”; position information where physicians most frequently seek it; offer information in a format that permits direct translation into action in primary care; allow time for reflection; attach practice tools; and offer CME credit.
Conclusion
Actionable Nuggets™ for SCI, delivered using a convenient and portable electronic medium, with time-released content and interactive testing has the potential to improve the primary care of patients with SCI.
Acknowledgments
This work was supported by the Office of Continuing Professional Development and MedTech Unit, Queen's University and grant funding received from the Rick Hansen Institute and a Southeastern Academic Medical Organization (SEAMO) Educational Research Grant. The authors acknowledge the support of the Canadian Medical Association (CMA), including widespread dissemination of Actionable Nuggets™ Canadian physicians.