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The DETAILS BLOG

Capturing Stories from the Field: Reflections, Challenges, & Best Practices in Clinical Outreach Education

On The Road with NaRCAD: Strengthening Public Health in Idaho 

3/11/2016

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We travelled to Boise, Idaho on March 10th, 2016, joining forces with the Idaho Department of Health and Welfare (IDHW) on a new academic detailing initiative. On March 11th, we facilitated a 1-day workshop for 14 active academic detailers working on two public health priorities: promoting diabetes screening and management tools as part of their Diabetes, Heart Disease, & Stroke Program, and increasing colorectal cancer screening across the state as part of IDHW’s Comprehensive Cancer Control program.


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"I feel so much more confident about meeting with clinics and promoting our materials."
-IDHW Workshop Participant

​To support this group of academic detailers who are already out in the field, we adapted several components of our traditional Academic Detailing Techniques 2-day training to fit the specific needs of the IDHW’s programming. By drawing on the detailers’ prior experience, we identified the components of a visit that they most wanted to fine-tune and practice, providing specific techniques and exercises to strengthen their skills.
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The session emphasized the importance of determining strong, specific, and actionable key messages, and helped the academic detailers practice delivering those messages clearly. Exercises in small groups focused on preparing for the inevitable obstacles that arise during a visit, anticipating different types of pushback or questions, and developing strategies for effective responses. Using roleplay, workshop participants practiced conveying their program’s goals in a dynamic, clear, and interactive way while continuously assessing the clinician’s specific needs.


"This [workshop] changed my perspective on
working with providers."
-IDHW Workshop Participant

​Participants noted that they interact with a range of clinicians in their visits, including doctors, nurse practitioners, and practice managers. They shared challenges in adapting key messages  in order to advance programmatic goals with each different type of clinician. Our facilitators encouraged IDHW detailers to build relationships with practices and individuals over time, focusing on a few messages per visit, and targeting recommendations to each individual clinician’s needs and priorities.
We’re looking forward to reporting back on the successes and growth of the Idaho Department of Health and Welfare’s academic detailing programming to improve health outcomes by increasing colorectal cancer screening and effective diabetes diagnosis, prevention, and management throughout the state. Interested in learning more about our trainings or workshops? Learn more here, or contact us and tell us about your program's needs.
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Perfecting Our Craft: Fall 2015 Training Highlights

10/15/2015

 
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Bevin K. Shagoury, Communications & Ed. Director

The NaRCAD team is heading into October with an afterglow from our latest 2-day training session with a truly dynamic group of outreach educators. Each new group of trainees inspires our team with their plans to use their new skills for innovative clinical education programming.


​This fall’s training class will pursue a range of goals in their programs, including:
  • promoting provider awareness of diabetes management programs
  • increasing Hepatitis C screening and testing for veterans
  • increasing primary care referrals for mammography screening
  • reducing antibiotic overprescribing, and
  • increasing provider cultural competency when serving HIV+ patients who have been formerly incarcerated.

With attendees representing diverse geographic regions such as South Carolina, Norway, Washington State, and beyond, we were rewarded by this group’s eagerness to learn and to share fresh, new ideas on how to make our successful program even stronger.

Our program had a few new highlights to share, too—including an engaging presentation on theories of behavior change, led by Arielle Mather, MPH, NaRCAD’s Education & Training Manager. Setting the stage during Day 1 of our program, this foundational presentation reviewed behavior change models and theories that inform the practice of academic detailing, including Motivational Interviewing and the Theory of Planned Behavior. The presentation was met with enthusiasm and appreciation by trainees and facilitators alike, and many trainees requested more time to talk about these theories during breakout sessions.

Another new element of our program provided dedicated time on Day 2 for a lively group discussion on personalized support from NaRCAD. Trainees, staff, and facilitators brainstormed as a group the ways that NaRCAD could continue to bolster an active learning community through virtual resources, e-news, sharing of best practices, partner modeling, and 1:1 consultation.  As a final new feature of our program, we created time during the personalized support session for more role-play practice. Participants who wanted additional support prior to their final, recorded detailing session had the option to head to a breakout room and receive additional, personalized practice time with an expert facilitator.

As we start planning for our Spring 2016 AD Techniques Training program, we have many new ideas to implement, trainee-to-expert introductions to make, and best practices to feature. As NaRCAD enters our 5th year and prepares for our 3rd annual conference, we hope you’ll join our community of experts leading the way to improving health outcomes with engaging, clinical outreach education.

Taking New Action: Learning Techniques to Educate Front Line Clinicians

5/12/2015

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Bevin K. Shagoury, Communications & Education Director
Our most recent 2-day Academic Detailing Techniques Training was held here in Boston on May 4th and 5th, 2015, and it was a successful and exciting convening of 18 trainees from all over the country.  Clinical pharmacists, nurses, and program specialists gathered in Boston’s downtown to learn and practice social marketing techniques to use when educating front line clinicians about new evidence and important interventions.

Our trainees will take these valuable skills back to a wide range of programs, with goals including improving health for veterans with PTSD, increasing referrals to smoking cessation programs, and strengthening chronic disease lifestyle management programs.

Many of us have attended trainings and conferences heavy on Powerpoint presentations and light on practicing tangible skills. At NaRCAD, we use a dynamic curriculum wherein we integrate role-play, interactive large and small-group discussion, live demonstrations of a successful academic detailing visit, reflection through videography, ongoing networking, and the chance to learn from experts, clinicians, and colleagues through practice and skills sharing.

After their training sessions are done, trainees move forward to establish new academic detailing programs, strengthen and develop existing ones, or use our techniques in other clinical education settings. And as their work continues, so does ours—we maintain contact with our trainees, providing critical resources and featuring their work on our website and DETAILS blog. This fall, we’ll be featuring partner profiles of many of our trainees’ academic detailing programs, so that our community can learn about the critical role these programs play in improving health outcomes.

Join us at our next training this September—a program one recent trainee describes as “an excellent program, with fabulous faculty, and a well-run, valuable service to the healthcare community.”  We keep improving our curriculum to ensure that each of our trainees gets personalized support to make their work easier. Their appreciation and feedback helps us to refine our training, encouraging us to think about ways we can continue to provide the best resources available.  As the field continues to grow, so do we—and our trainees tell us that we’re making an impact by leveraging their work, sharing best practices, and running “the best training I’ve ever been to—seriously!”


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    Highlighting Best Practices

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​NaRCAD is a program of the Division of Pharmacoepidemiology & Pharmacoeconomics [DoPE], Department of Medicine at Brigham & Women's Hospital and Harvard Medical School, and is funded by  the Agency for Healthcare Research and Quality [AHRQ].

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