PT  - JOURNAL ARTICLE
AU  - Lesley Charles
AU  - Jasneet Parmar
AU  - Suzette Brémault-Phillips
AU  - Bonnie Dobbs
AU  - Lori Sacrey
AU  - Bryan Sluggett
TI  - Physician education on decision-making capacity assessment
DP  - 2017 Jan 01
TA  - Canadian Family Physician
PG  - e21--e30
VI  - 63
IP  - 1
4099  - http://www.cfp.ca/content/63/1/e21.short
4100  - http://www.cfp.ca/content/63/1/e21.full
SO  - Can Fam Physician2017 Jan 01; 63
AB  - Objective To examine FPs’ training needs for conducting decision-making capacity assessments (DMCAs) and to determine how training materials, based on a DMCA model, can be adapted for use by FPs.Design A scoping review of the literature and qualitative research methodology (focus groups and structured interviews).Setting Edmonton, Alta.Participants Nine FPs, who practised in various settings, who chose to attend a focus group on DMCAs.Methods A scoping review of the literature to examine the current status of physician education regarding assessment of decision-making capacity, and a focus group and interviews with FPs to ascertain the educational needs of FPs in this area.Main findings Based on the scoping review of the literature, 4 main themes emerged: increasing saliency of DMCAs owing to an aging population, suboptimal DMCA training for physicians, inconsistent approaches to DMCA, and tension between autonomy and protection. The findings of the focus groups and interviews indicate that, while FPs working as independent practitioners or with interprofessional teams are motivated to engage in DMCAs and use the DMCA model for those assessments, several factors impede their conducting DMCAs. The most notable barriers were a lack of education, isolation from interprofessional teams, uneasiness around managing conflict with families, fear of liability, and concerns regarding remuneration.Conclusion This pilot study has helped to inform ways to better train and support FPs in conducting DMCAs. Family physicians are well positioned, with proper training, to effectively conduct DMCAs. To engage FPs in the process, however, the barriers should be addressed.