Family physicians' knowledge of commonly overused treatments and tests

Douglas Maurer, Mark Stephens, Brian Reamy, Brian Crownover, Paul Crawford, Tammy Chang

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: In 2010, several primary care physician organizations drafted the "Promoting Good Stewardship in Clinical Practice" list for family medicine to advance the appropriate use of 5 commonly ordered treatments and tests. The goal was to achieve excellent patient care while appropriately conserving health care resources. The purpose of this study was to assess knowledge regarding the appropriate use of these treatments and tests among the memberships of the Uniformed Services Academy of Family Physicians (USAFP) and the Council of Academic Family Medicine (CAFM).

Methods: An online, cross-sectional survey of all family physician members of the USAFP and the CAFM was conducted. The survey consisted of 5 clinical cases administered as part of a larger omnibus CAFM Educational Research Alliance survey and a separate USAFP membership survey. The primary outcome was correct answers to clinical scenarios.

Results: The response rate was 11% (n 236 of 2165) for members of USAFP and 47% (n 519 of 1099) for CAFM members, with an overall response rate of 23% (n 755 of 3264). Overall, respondents answered 78% of cases correctly (USAFP 79%, CAFM 78%; no significant difference). In rank order, respondents were most likely to answer the Papanicolaou test question correctly (90.1%), followed by the low-back pain (86.7%), the dual-energy X-ray absorptiometry screening (85.4%), the sinusitis (66.5%), and the cardiac screening questions (61.4%).

Conclusion: Among the family physicians surveyed, knowledge about the appropriate use of commonly overused tests and treatments was high. Two clinical scenarios (sinusitis and cardiac screening) demonstrate areas where further education could improve care and reduce costs. (J Am Board Fam Med 2014;27:699-703.).

Original languageEnglish (US)
Pages (from-to)699-703
Number of pages5
JournalJournal of the American Board of Family Medicine
Volume27
Issue number5
DOIs
StatePublished - Sep 1 2014

Fingerprint

Family Physicians
Medicine
Sinusitis
Therapeutics
Papanicolaou Test
Family Practice
Health Resources
Photon Absorptiometry
Primary Care Physicians
Low Back Pain
Patient Care
Cross-Sectional Studies
Surveys and Questionnaires
Organizations
Delivery of Health Care
Education
Costs and Cost Analysis
Research

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Family Practice

Cite this

Maurer, Douglas ; Stephens, Mark ; Reamy, Brian ; Crownover, Brian ; Crawford, Paul ; Chang, Tammy. / Family physicians' knowledge of commonly overused treatments and tests. In: Journal of the American Board of Family Medicine. 2014 ; Vol. 27, No. 5. pp. 699-703.
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Family physicians' knowledge of commonly overused treatments and tests. / Maurer, Douglas; Stephens, Mark; Reamy, Brian; Crownover, Brian; Crawford, Paul; Chang, Tammy.

In: Journal of the American Board of Family Medicine, Vol. 27, No. 5, 01.09.2014, p. 699-703.

Research output: Contribution to journalArticle

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N2 - Purpose: In 2010, several primary care physician organizations drafted the "Promoting Good Stewardship in Clinical Practice" list for family medicine to advance the appropriate use of 5 commonly ordered treatments and tests. The goal was to achieve excellent patient care while appropriately conserving health care resources. The purpose of this study was to assess knowledge regarding the appropriate use of these treatments and tests among the memberships of the Uniformed Services Academy of Family Physicians (USAFP) and the Council of Academic Family Medicine (CAFM).Methods: An online, cross-sectional survey of all family physician members of the USAFP and the CAFM was conducted. The survey consisted of 5 clinical cases administered as part of a larger omnibus CAFM Educational Research Alliance survey and a separate USAFP membership survey. The primary outcome was correct answers to clinical scenarios.Results: The response rate was 11% (n 236 of 2165) for members of USAFP and 47% (n 519 of 1099) for CAFM members, with an overall response rate of 23% (n 755 of 3264). Overall, respondents answered 78% of cases correctly (USAFP 79%, CAFM 78%; no significant difference). In rank order, respondents were most likely to answer the Papanicolaou test question correctly (90.1%), followed by the low-back pain (86.7%), the dual-energy X-ray absorptiometry screening (85.4%), the sinusitis (66.5%), and the cardiac screening questions (61.4%).Conclusion: Among the family physicians surveyed, knowledge about the appropriate use of commonly overused tests and treatments was high. Two clinical scenarios (sinusitis and cardiac screening) demonstrate areas where further education could improve care and reduce costs. (J Am Board Fam Med 2014;27:699-703.).

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