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Translating learning into practice

Lessons from the practice-based small group learning program

Sarah Kinzie, MD CCFP
Assistant Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont, and the Codirector of Residency Practice-Based Small Group Learning Program at the FMPE

Dawnelle Hawes, MEd
Medical Education Research Coordinator at the FMPE

Stefanie Roder, PhD
Research Coordinator at the FMPE

Jacqueline Wakefield, MD CCFP FCFP
Professor Emeritus in the Department of Family Medicine at McMaster University and is the Director of Module Development and Research at the FMPE

Tom Elmslie, MSc MD CCFP FRCP
Professor in the Department of Family Medicine at the University of Ottawa in Ontario, and is the Executive Director at the FMPE

Correspondence to: Dr Heather Armson, UCMC Sunridge, 3465 26th Ave NE, Calgary, AB T1Y 6L4; telephone 403 219-6100; fax 403 219-6120; e-mail armson{at}ucalgary.ca

PROBLEM ADDRESSED The need for effective and accessible educational approaches by which family physicians can maintain practice competence in the face of an overwhelming amount of medical information.

OBJECTIVE OF PROGRAM The practice-based small group (PBSG) learning program encourages practice changes through a process of small-group peer discussion—identifying practice gaps and reviewing clinical approaches in light of evidence.

PROGRAM DESCRIPTION The PBSG uses an interactive educational approach to continuing professional development. In small, self-formed groups within their local communities, family physicians discuss clinical topics using prepared modules that provide sample patient cases and accompanying information that distils the best evidence. Participants are guided by peer facilitators to reflect on the discussion and commit to appropriate practice changes.

CONCLUSION The PBSG has evolved over the past 15 years in response to feedback from members and reflections of the developers. The success of the program is evidenced in effect on clinical practice, a large and increasing number of members, and the growth of interest internationally.

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