title: Patient enrollment onto clinical trials: the role of physician knowledge.
abstract: Sixty-six attending physicians at academic medical centers completed a 43-question self-assessment evaluating communication skills, comfort with clinical trial enrollment, and knowledge of patient-related barriers to enrollment on clinical trials. Responses and demographic information were analyzed for trends and for association with estimated trial enrollment. Physician-described enrollment of patients onto trials varied widely, with estimated enrollment varying from less than 5 patients to well over 125 enrolled during the previous year. Participants perceived themselves to have excellent communication skills and were comfortable with the trial enrollment process, though did not consistently identify patient-related barriers to enrollment. Physician knowledge of clinical trials currently enrolling within their field was associated with increased patient enrollment on study (p = 0.03). Academic physicians expressed confidence in their skills related to clinical trial enrollment despite less than ideal reported enrollment. Knowledge of clinical trials currently enrolling within a physician's specialty was associated with estimated patient enrollment, and may represent a correctable barrier to trial enrollment.
authors.affiliation: Department of Urologic Surgery, Vanderbilt University Medical Center, A - 1302 Medical Center North, Nashville, TN, 37232-2765, USA, justin.r.gregg@vanderbilt.edu.
authors.forename: Justin R
authors.initials: JR
authors.lastname: Gregg
authors.forename: Leora
authors.initials: L
authors.lastname: Horn
authors.forename: Mario A
authors.initials: MA
authors.lastname: Davidson
authors.forename: Jill
authors.initials: J
authors.lastname: Gilbert
mesh_terms: D002986:Clinical Trials as Topic / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000517:prevention & control*; D018579:Patient Selection; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires