title: Factors influencing the implementation, adoption, use, sustainability and scalability of eLearning for family medicine specialty training: a systematic review protocol.
abstract: In 2013, there was a shortage of approximately 7.2 million health workers worldwide, which is larger among family physicians than among specialists. eLearning could provide a potential solution to some of these global workforce challenges. However, there is little evidence on factors facilitating or hindering implementation, adoption, use, scalability and sustainability of eLearning. This review aims to synthesise results from qualitative and mixed methods studies to provide insight on factors influencing implementation of eLearning for family medicine specialty education and training. Additionally, this review aims to identify the actions needed to increase effectiveness of eLearning and identify the strategies required to improve eLearning implementation, adoption, use, sustainability and scalability for family medicine speciality education and training.
  
  
  
  A systematic search will be conducted across a range of databases for qualitative studies focusing on experiences, barriers, facilitators, and other factors related to the implementation, adoption, use, sustainability and scalability of eLearning for family medicine specialty education and training. Studies will be synthesised by using the framework analysis approach.
  
  
  
  This study will contribute to the evaluation of eLearning implementation, adoption, use, sustainability and scalability for family medicine specialty training and education and the development of eLearning guidelines for postgraduate medical education.
  
  
  
  PROSPERO http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016036449.
authors.affiliation: Global eHealth Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstan's Road, London, W6 8RP, UK. z.cotic@imperial.ac.uk.
authors.forename: Živa
authors.initials: Ž
authors.lastname: Cotič
authors.affiliation: Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre), Social Science Research Unit, Department of Social Science, UCL Institute of Education, University College London, 18 Woburn Square, London, WC1H 0NR, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Rees
authors.affiliation: Global eHealth Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstan's Road, London, W6 8RP, UK.
authors.forename: Petra A
authors.initials: PA
authors.lastname: Wark
authors.affiliation: Global eHealth Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, Charing Cross Campus, Reynolds Building, St Dunstan's Road, London, W6 8RP, UK.|Lee Kong Chian School of Medicine, Imperial College and Nanyang Technological University, 3 Fusionopolis Link, #06-13, Nexus@One-North, South Tower, Singapore, 138543, Singapore.
authors.forename: Josip
authors.initials: J
authors.lastname: Car
mesh_terms: D003194:Computer-Assisted Instruction / Q000379:methods / Q000706:statistics & numerical data*; D020375:Education, Distance / Q000379:methods*; D004501:Education, Medical; D005194:Family Practice / Q000193:education*; D006801:Humans; D008511:Medicine; D063731:Mobile Applications / Q000706:statistics & numerical data*; D000078202:Systematic Reviews as Topic
keywords: Family medicine; Postgraduate medical education; Qualitative systematic review; eLearning