Low back pain assessment training of industry-based physicians.
We have developed an educational program to train industry-based physicians in a new low back pain assessment procedure based on the recommendation of The Clinical Practice Guidelines on Acute Low Back Pain Problems in Adults published by the Agency for Health Care Policy and Research, U.S. Department of Health and Human Services. The clinical classification system based on the findings from the Quebec Task Force was used to categorize the subjects. The educational program included group and individual sessions with an extensive period of active follow-up. Protocol compliance was measured through a computer-based surveillance system that monitored evaluation form completion. The results showed significant change (p < 0.001) in physician compliance in completing a standardized examination following an administrative mandate to change. Little change in clinical practice was recorded with an educational training program only. Further research into the factors responsible for the results is suggested.
Harwood
K J
KJ
Columbia University, Program in Physical Therapy, New York, NY 10032, USA. kh111@columbia.edu
Nordin
M
M
Heibert
R
R
Weiser
S
S
Brisson
P M
PM
Skovron
M L
ML
Lewis
S
S
D000328:Adult; D016009:Chi-Square Distribution; D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement; D006801:Humans; D007221:Industry; D017116:Low Back Pain / Q000209:etiology / Q000534:rehabilitation*; D009314:National Institute for Occupational Safety and Health, U.S.; D009519:New York City; D009787:Occupational Medicine / Q000193:education*; D017410:Practice Guidelines as Topic; D011795:Surveys and Questionnaires; D014481:United States