A practical illustration for implementing and evaluating chronic disease self-management (CDSM) workshop for GP registrars

Wong, Kam Cheong and Meacham, David (2010). A practical illustration for implementing and evaluating chronic disease self-management (CDSM) workshop for GP registrars. In: Shape Our Future. GP10, Cairns, Qld., Australia, (). 6--9 October 2010.

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Chronic_Disease_Self_Management.ppt Chronic Disease Self Management presentation slides. To watch the video clips embedded in the presentation, open the attached files below. Click to show the corresponding preview/stream application/vnd.ms-power... 19.82MB 36
Click to show the corresponding preview Embedded_Video_Clip_1.m4v Video Clip 1 Click to show the corresponding preview/stream video/mp4 3.43MB 38
Click to show the corresponding preview Embedded_Video_Clip_2.m4v Video Clip 2 Click to show the corresponding preview/stream video/mp4 6.46MB 16
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Explanatory_Notes.doc Explanatory Notes application/msword 43.5KB 26
Author Wong, Kam Cheong
Meacham, David
Title of paper A practical illustration for implementing and evaluating chronic disease self-management (CDSM) workshop for GP registrars
Conference name GP10
Conference location Cairns, Qld., Australia
Conference dates 6--9 October 2010
Convener Kathryn Kirkpatrick
Proceedings title Shape Our Future
Place of Publication South Melbourne, Australia
Publisher The Royal Australian College of General Practitioners
Publication Year 2010
Year available 2010
Sub-type Fully published paper
Language eng
Formatted Abstract/Summary
With the ageing population, chronic disease is becoming a critical issue. According to the Australian Institute of Health and Welfare, 70% of GP visits are for patients with chronic diseases. Hence, a paradigm shift is indicated. From the perspective of the GP, the paradigm shift means moving away from pure doctor autonomy to team work with other health professionals in looking after patients with chronic diseases. From the perspective of patients, the paradigm shift means moving away from pure doctor autonomy to patient empowerment to play a more proactive role in self management.

The objectives of the project are to provide practical illustrations to GP (general practice) Registrars about how to incorporate chronic disease self management (CDSM) in their practice and to produce CDSM teaching / learning resources to share with other training providers.

A derived instrument called CAPE assessment, which is adapted from the Flinders University’s Partners in Health scale, is applied to assess: a patient’s core knowledge of his/her chronic condition, actions taken by the patient to manage his/her condition, and the physical and emotional wellbeing of the patient. The roles of GP in CDSM are illustrated. A DVD containing a simulated case study about self management of chronic asthma was used in the second workshop. The DVD was paused at different segments to incorporate face-to-face discussion with the participants. Participants can access online CDSM materials and provide feedback (www.beyondmedical.com.au Users click on “Educational Material” and select “CDSM”).

The materials have been trialled and evaluated internally by two groups of GP registrars and externally by an independent assessor (please refer to the power-point slides and explanatory notes for more details).

The following are some points extracted from the assessment report written by the external independent assessor:

•A range of methodologies have been utilised to successfully embed CDSM in to the curriculum for GP registrars. (The methodologies include pre-reading materials, power-point slides, DVD, relevant web resources, and role-play involving the audiences.)

•The development of web based resources supports the sustainability and currency of the CDSM training modules.

•Sound foundational knowledge which can be further developed to meet the needs of a range of health professionals. (These CDSM materials can be further developed for other health professionals and for the indigenous community in the future.)

Note: All the three embedded video clips shall be saved in the same directory as the powerpoint slides. Please view the powerpoint slides in “Slide Show” mode in order to play the video clips. Hit the ‘page down’ key to move to next slide.
Subjects 320100 Medicine - General
Keyword Chronic disease self-management
General practice
Partners in Health Scale
Chronic condition self-management
References [1] Battersby, M., A. Ask, M. Reece, M. Markwick and J. Collins (2003). "The partners in health scale: The development and psychometric properties of a generic assessment scale for chronic condition self-management." Australian Journal of Primary Health 9(2&3): 41-52. [2] John Petkov, Peter Harvey and Malcolm Battersby (2010). ]The internal consistency and construct validity of the partners in health scale: validation of a patient rated chronic condition self-management measure. Quality of Life Research 19(7): 1079-1085. [3] P Gibson et. al. Self-management education and regular practitioner review for adults with asthma. Cochrane Database of Systematic Reviews 1998.
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes Dr Kam Wong is a former Research Associate in the Centre for Chronic Disease, School of Medicine, the University of Queensland. He graduated from the University of Queensland with a Bachelor of Medicine and Bachelor of Surgery. He is currently a GP Registrar Medical Educator in Beyond Medical Education (a Regional Training Provider in Australia); a GP Academic Registrar with the University of Sydney; and a Conjoint Lecturer with the University of Western Sydney.

Document type: Conference Paper
Collection: Former UQ Staff and Postgraduate Students' Publications
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Created: Sat, 09 Oct 2010, 18:08:31 EST by Dr Kam Wong on behalf of Library Corporate Services