indexProgram Description

The objective of this sub-grant is to assist DDOE by providing healthcare professionals with information about the DC lead screening laws, the importance of screening, and information about the 2012 CDC updated blood lead reference value. In addition, the Mid-Atlantic Center will provide information to participants on taking an environmental health history, counseling patients on reducing their exposure to lead as well as how to refer patients to the DDOE DC Healthy Homes Partnership program.

Target Population

The target population for this sub-grant will be healthcare providers in the District of Columbia, with particular emphasis on targeting: primary care pediatricians, obstetrician-gynecologists, family medicine providers, nurse practitioners, nurse midwives and physician assistants.

Program Activities

The Mid-Atlantic Center will provide educational programming to practices, as well as professional societies, offering continuing education on lead poisoning prevention, surveillance laws, and referral to community resources in DC. The Mid-Atlantic Center plans to also use “academic detailing” as a method of delivering continuing medical education (CME)/(CEU) to physicians/nurses in their offices. This intervention will be offered by the physician consultant.

Academic detailing is an educational method, similar to the process used by pharmaceutical representatives when they visit a physician office, to promote a clinical practice change. Academic detailing starts by determining the current practices of the clinicians, then assessing the potential barriers to changing their practice, and finally, providing educational sessions using unbiased information.[1] A study by Allen and colleagues[2] found that handout materials and an evidence based approach encouraged physicians to utilize academic detailing. Studies of academic detailing have been found to have highest success when they are provided during lunch hours, or before or after office hours.[3]

Physician Consultant Role

The role of the physician consultant will be to provide outreach and education as a member of the Mid-Atlantic Center for Children’s Health and the Environment team, to clinicians about lead screening, in particular the Twice by Two DC law that requires every child to be screened for lead twice by the age of two. The physician consultant will provide the “academic detailing” intervention that includes educational sessions. The physician consultant will be provided educational materials developed in partnership with and endorsed by the DDOE. In addition to providing outreach and education, the physician consultant will collect and report data on the number of clinicians reached/educated.

The position pays $115/hour.  It is for 7 weeks and is about 10 hours/week.  It could be split between two people.

[1] Soumerai, S., & Avorn, J. (1990). Principles of educational outreach (‘academic detailing’) to improve clinical decision making. Jama, 263(4), 549-556.

[2] Allen, M., Ferrier, S., O’Connor, N., & Fleming, I. (2007). Family physicians’ perceptions of academic detailing: a quantitative and qualitative study. BMC Medical Education, 736.

[3] May, F., Simpson, D., Hart, L., Rowett, D., & Perrier, D. (2009). Experience with academic detailing services for quality improvement in primary care practice. Quality & Safety In Health Care, 18(3), 225-231. doi:10.1136/qshc.2006.021956