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NHMRC Glaucoma Guidelines - ANZGIG

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<strong>NHMRC</strong> GUIDELINES FOR THE SCREENING, PROGNOSIS, DIAGNOSIS, MANAGEMENT AND PREVENTION OF GLAUCOMA<br />

Chapter 3 – Implementation strategies<br />

Continuing medical education<br />

There are a number of different mechanisms for incorporating guidelines into continuing medical<br />

education. Consideration may be given to online learning, quick quiz formats and workshops or a<br />

more traditional face-to-face approach. Health care providers should receive professional practice<br />

credits for engaging in formal learning about these guidelines.<br />

Education sessions could be provided widely across Australia using a ‘road show’ approach to<br />

disseminate the key guideline recommendations to health care providers as appropriate. The sessions<br />

should be formal, professionally presented, and endorsed by the relevant peak industry bodies and<br />

professional associations. These sessions should be conducted by respected peer leaders and clinical<br />

champions, and provided in a multidisciplinary forum so that guideline-uptake discussions can<br />

enhance multi-disciplinary team decision-making and treatment.<br />

Discussions during the education sessions should provide opportunities to consider controversial<br />

recommendations relevant to clinical practice.<br />

Incentives to adopt more radical guideline recommendations should be considered, particularly<br />

where these run contrary to common practice and/or indicate that guideline uptake will result in<br />

significant cost savings and significant health improvements for individuals with glaucoma.<br />

Multimedia and interactive learning<br />

Formal health care provider meetings and education sessions should incorporate interactive<br />

educational activities where possible. These should include 1:1, small groups, or multi-disciplinary<br />

team presentations using multimedia, or discussion boards/chat rooms on the internet to sustain<br />

interest after the presentation.<br />

Didactic lectures on guideline recommendations should be avoided.<br />

Educational outreach<br />

Academic detailing is a strategy that assists health care providers to improve the quality and safety<br />

of their care by fitting guideline recommendations to their practice. Academic detailing is usually<br />

assisted by dedicated educators who may also be respected health care providers. Reminders and<br />

decision support systems may be useful strategies to assist in guideline implementation.<br />

Web site<br />

A Frequently Asked Questions section will be hosted on the <strong>NHMRC</strong> website, and/or relevant<br />

professional association websites to support ongoing interest in guideline uptake. The answers<br />

should be provided by respected peer leaders. Moderated discussion boards could also be used<br />

to stimulate debate.<br />

National Health and Medical Research Council 35

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