Academic detailing

Academic detailing

Academic detailing is “university-based educational outreach.” [ Soumerai SB, Avorn J. Principles of educational outreach ('academic detailing') to improve clinical decision making. JAMA.1990;263(4):549-56.] The process involves face-to-face education of prescribers by trained health care professionals, typically pharmacists, physicians, or nurses. The goal of academic detailing is to change prescribing of targeted drugs to be consistent with medical evidence, support patient safety, and to be cost-effective medication choices. A key component of university-based academic detailing programs is that they (academic detailers, management, staff, program developers, etc.) do not have any financial links to the pharmaceutical industry. Academic detailing has been studied for over 25 years [Avorn J, Soumerai SB. Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based "detailing". N Engl J Med. 1983;308(24):1457-63.] and is effective at improving prescribing of targeted medications about 5% from baseline. [O'Brien MA, Rogers S, Jamtvedt G, et al. Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2007;4:CD000409.]

Many academic detailing programs exist around the world. In the United States, university-based state programs exist in Vermont [http://www.med.uvm.edu/ahec/TB1+BL.asp?SiteAreaID=290] , Pennsylvania [http://www.rxfacts.org] , and South Carolina [http://www.sccp.sc.edu/SCORxE] . Programs also exist in Canada [http://www.rxfiles.ca/CADC.htm] and Australia through the Drug and Therapeutics Information Service (DATIS).

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