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NaRCAD2020: Sharing a Vision of Sustainability - Shared screen with speaker view - Recording 1/2
Janet
42:18
Good morning this is Janet from Howard county Maryland
iPhone
43:28
GM from Michelle in SC. It has been an enjoyable meeting.
Alisen Guyet
44:19
Hello World from Virginia!
Lynn Suarezapecheche -MDH-
48:45
the text response I got is "your response can't be blank"
Winnie Ho, NaRCAD
49:14
Hi Lynn! Try submitting an answer again - it will sometimes say that if you were logged into the Poll Everywhere already!
Lynn Suarezapecheche -MDH-
49:23
ok, thank you!
Rachel Nault
52:44
Could we get a poll sometime today regarding everyone's background? I'd love to see how many are pharmacist, nurses, physicians, etc. etc.
Megan DeNubila (she/her/hers)
54:03
Woot woot! Go Jess!!!!
Winnie Ho, NaRCAD
54:08
hi Rachel! I’m not sure if we will have time to slot in another poll, but I’m happy to do a quick scan of our registration list and let you know a general layout of folks’ professional backgrounds
schusterb
59:59
What a lovely reflection!
Lauren Linder
01:01:59
Mary Liz trained me two years ago!
NaRCAD Technical Assistance
01:02:16
@Lauren: She's one of the best--lucky you!
AnayaBaroneM
01:02:46
Hello Jessica, I am new in this position. We did not star with the visits yet so Can you please tell me how are you doing in the doctor's offices? Are you talking with the medical assistants the most of the time? or directly with the physicians?
Jesus Gaeta
01:04:44
nice pivot!
Winnie Ho, NaRCAD
01:04:54
Hi all! Here’s a super, super rough scan of our registration list with over 240 participants. We have at least 100 folks with pharmacy backgrounds, at least 15 MDs, at least 12 folks with nursing backgrounds, 2 JDs, at least 56 MPHs, 13 MBAs, 11 PhDs. This is in addition to an assortment of masters and bachelors degrees in a wide array of backgrounds. Also of note, doing a cursory scan of how many folks wrote that they were ‘Detailers’ (48) or ‘Educators’ (19). 33 folks are managers, and at least 74 folks specifically are involved in program management/coordination. This is a simple key word search so it absolutely does not accurately capture the breadth and variety represented in the AD community, but hope it helps shine a light on some of the folks here with us today!
Rachel Nault
01:05:58
Thanks, Winnie!
Jerry Avorn, NaRCAD
01:06:09
Extremely helpful, Winnie. Many thanks.
Victor’s iPhone
01:06:09
if someone is defensive about a detailing visit, why did they request it? were they forced into it?
Jean Stilwell
01:06:15
Thank you Winnie. That's a great diversity of backgrounds.
Sarah J Popish
01:06:20
The power of a reflective statement!
Jacki Travers, Presenter (she/her)
01:06:24
@Jesus Thank you!!
Pamela Davis
01:06:31
Thank you, Winnie.
Elisabeth Fowlie Mock
01:06:38
thanks Winnie, very interesting
NaRCAD Technical Assistance
01:07:28
@Victor: A lot of times, clinicians are signed up by practice managers or others; they may not be sure exactly what they're signing up for; they may have thought it was a traditional CME situation and misunderstood it in the moment to be a punitive 'check-up' on their practice/prescribing...there are many reasons.
NaRCAD Technical Assistance
01:07:39
They may also be taking cold call visits.
Winnie Ho, NaRCAD
01:10:00
Another thing of note - the breadth of AD clinical topics that our folks are working on: we have everything from opioid and overdose prevention (substance use, MAT, buprenorphine, naloxone, pain management, etc.), antibiotic stewardship, diabetes, HIV/AIDS and STI prevention (PrEP, iART, etc.), hepatitis, hypertension, pediatric (ACE, trauma), mental health (suicide prevention, depression etc.), veterans health, tobacco cessation, COVID-19, focus on elderly folks, deprescribing, cholesterol, etc. etc. Tons of topics, tons of sub-topics!
Jean Stilwell
01:11:20
Very interesting Winnie! Thanks
Bevin Shagoury, NaRCAD
01:12:36
@Winnie: You're so amazing to reflect on this so quickly! If any folks want to know more, let us know via e-mail!
Winnie Ho, NaRCAD
01:12:39
We have an incredible AD community, and we highly recommend connecting with peers! Happy to help connect folks who are looking to meet other AD professionals working on similar goals. Just like how our experts are sharing their insights, we truly believe that so much knowledge can be shared through these peer connections!
Victor’s iPhone
01:17:36
i think it’s important for whomever coordinates the detailing program that there is some sort of buy in from the practice and clinician before the detailer goes in. you don’t want to put the detailer in the middle of whatever conflict there is between the clinician and the practice manager
Bevin Shagoury, NaRCAD
01:18:02
@Victor--great point!
Teresa Grund
01:19:52
Sounds a lot like setting SMART goals.
Nerissa Caballes
01:25:51
Any tips to balance personal preference and comfortability to utilize "scripts" while also being conversational and adaptable? Certainly practice, practice. But some of us are introverts :)
Elisabeth Fowlie Mock
01:27:28
Bevin, you could have been Oprah's assistant-nice job all around
Bevin Shagoury, NaRCAD
01:28:52
@Elizabeth--thank you! :)
Jean Stilwell
01:29:03
Introverts often make great listeners.
Bevin Shagoury, NaRCAD
01:29:13
@Jean--SO true!
Sachin Patel
01:30:02
can you share some suggestion/tips on how detailers can make the topic of opioids in chronic pain, relevant to in-patient/hospitalist prescribers? what can hospitalist prescribers to do more to make a change?
Ketil Arne Espnes
01:31:20
Introverts are awesome. They just need planning to be impulsive.
Victor Ramirez
01:32:44
Introverts are also good at listening. You also need to listen where the other person is coming from and not look like that car salesman where you are just interested in making your pitch and not listening.
Paul Fanikos
01:32:45
No substitute for knocking on the door! Persistence matters.
Mike Fischer, NaRCAD
01:34:34
This is such an important point by Mary Liz. There is a balance - you need to know your material (which is do-able) but you don’t need to know everything.
Rachel Nault
01:35:35
I love the librarian analogy!
Nerissa Caballes
01:35:50
@Ketil lol. @Victor very true! I used to be a counselor back in the day
Harald Chr. Langaas
01:36:00
"If you're not conversing, it's not detailing" So true!
Bevin Shagoury, NaRCAD
01:39:02
Any other questions?
Bevin Shagoury, NaRCAD
01:39:13
If not, we'll wrap up early at 11:45 for an extended lunch.
Cheryl Radeloff
01:39:21
How many AD folks have a background as Disease Investigators or Public Health Investigators?
Bevin Shagoury, NaRCAD
01:39:56
@Cheryl: I think it depends on the topic; folks detailing/working in infectious disease are often likely to have those background!
Kelly Kretzer
01:40:00
My approach with hospitalists pertaining to opioids is suggesting they have a discussion with their patients about how many pills they think they will need. This typically will help to determine the number to prescribe, which usually ends up being much less than the typical 30 count.
Bevin Shagoury, NaRCAD
01:40:03
(E.g. HEP C, HIV )
Kelsey Bolton
01:40:42
Love the idea of detailing those "gatekeepers" first!
Jean Stilwell
01:40:46
We're not having great success so far getting in the door with email as a first contact. Do folks in general have better luck with a cold phone call?
Sachin Patel
01:41:29
Thank you Kelly Kretzer. Appreciate your input.
Brian Abascal (he/him)
01:42:24
I'm curious in hearing people's experience detailing BIPOC providers, especially when the detailer is white. Any different strategies at bringing both awareness of your privilege and humility when you're trying to educate BIPOC providers without insulting their experience (both as a physician and as a person of color).
Jillian Ondreyka
01:42:58
Does anyone have experience using Detailers that do not have the same background as the provider being detailed? In my project we will hire a Detailer with a public health background to detail doctors in a GI clinic, for example. I'm curious about the dynamic and perception here
Jillian Ondreyka
01:43:10
and how to connect/overcome that
Brenda Schuster
01:43:25
-give presentations
Brenda Schuster
01:43:32
-connect with residents
Jean Stilwell
01:43:53
Thank you for the helpful tips.
Kelsey Bolton
01:44:43
@Brian love that thought!! I have not had much experience in that area, detailing in mainly rural Wisconsin clinics
Jessica Johnson
01:45:00
Hoping to hear answers to @Brian Abascal's question above too!
Kelsey Bolton
01:45:05
@Jillian I am not a clinician so have lots of experience with that
Trish Rawn, CEP
01:45:59
How has COVID changed your strategies for gaining access?
Jillian Ondreyka
01:47:03
thanks for asking this question- very important
LaTonyua.Rice
01:49:55
You should address them the same as anyone else. The color or background should not make a difference.
Kelly Kretzer
01:50:41
Goggle search and reach out to Chief Medical Officers, CME directors, Ambulatory Directors. Also utilize LinkedIn to connect with these individuals as well as physicians in your area. I have found many respond to LinkedIn messages before an email. Introductions from other thought leaders that you can connect with on LinkedIn also helps.
LaTonyua.Rice
01:51:12
If you are detailing something that affects racial background ask them how
Kelsey Bolton
01:51:22
Great thoughts, Bevin. Thank you!
Mike Fischer, NaRCAD
01:51:35
Yes, definitely agree with LaTaonyua,, we should not make assumptions but should come to the visits with a spirit of openness and inquiry
Kelsey Bolton
01:53:06
I like the idea of acknowledging that you (the detailer) do not have as much experience/knowledge of the population the clinician is serving. This is true in many instances- for instance when I am detailing a rural clinic whose patients are largely farmers
Bevin Shagoury, NaRCAD
01:53:51
@Everyone & @BrianAbascal: Thank you SO much for this critical topic and being open to starting a dialogue about it. Our staff @ NaRCAD have been discussing more and more that we as a field need to incorporate diverse lenses across so many aspects of the work that we do.
Bevin Shagoury, NaRCAD
01:54:16
We certainly don't propose to be experts on this, but that shouldn't stop us from figuring out who is and how to more actively apply this lense to our work.
Jillian Ondreyka
01:55:04
Thanks for answering my non-clinical detailer question everyone!
Trish Rawn, CEP
01:55:15
Specifically around gaining access
LaTonyua.Rice
01:55:40
Definitely acknowledging you are not familiar with their background is warranted if you need additional knowledge.
Brian Abascal (he/him)
01:55:41
Thanks all. I appreciate everyone's perspective, and even if we don't have all the answers now, I think it's an important discussion.
Chelsie Dever
01:56:18
If a phone call would be preferred by a physician, what is the protocol for materials? It is effective to share them beforehand in that instance? I know its a topic that has differing opinions.
Bevin Shagoury, NaRCAD
01:56:31
Thanks to Zack Dumont for sending a private note about cultural competency training, I'd like to share with folks that looking at empathy across cultural differences and diversity is critical.
Bevin Shagoury, NaRCAD
01:57:10
Perhaps one way to approach this would be to have detailers be trained in cultural competency courses through the lens of healthcare/patient care and clinical work. Thoughts?
Ashley Allison
01:57:17
For those of you that had established in person detailing programs and then pivoted to virtual detailing - do you plan on keeping all or components of your virtual detailing program once covid is no longer an issue?
Bevin Shagoury, NaRCAD
01:57:37
@Chelsie: More often than not, it does depend on the clinicians' preferences, so asking in advance what they prefer is what we recommend here @NaRCAD.
Kelsey Bolton
01:57:47
@Beivin love that!
Vishal Kinkhabwala, Presenter
01:57:52
@Ashley for our program, we're planning to keep doing both in-person and virtual, based on provider need. Nice having the option I'd say! :)
Bevin Shagoury, NaRCAD
01:59:06
@Vishal: Thanks for sharing.
Cindy Biederman
01:59:13
This is my favorite session so far. I really appreciate the panelists, moderator, and commentary. Thank you!
Nerissa Caballes
01:59:44
@Bevin great idea re: cultural competency. To steal from NBC: the more you know!
Alisen Guyet
01:59:46
Shifting back and forth between virtual/phone/ and F2F visits has been a positive- keeps me on my toes.
Elisabeth Fowlie Mock
01:59:50
Driving to the outposts gives me joy and much better insight on the challenges of their every day, even though its not time efficient.
Ketil Arne Espnes
02:00:00
WE plan on going back to in-person visits as soon as possible, maybe keep Virtual detailing for the most long-distance rural providers.
Megan DeNubila (she/her/hers)
02:00:46
Yes, absolutely!
Jesus Gaeta
02:01:35
um where can I get these helicopter keys?
Jillian Ondreyka
02:01:46
great session, thanks everyone!
Vishal Kinkhabwala, Presenter
02:02:02
Fantastic panel - thanks everyone!
Bevin Shagoury, NaRCAD
02:02:04
Nuggets:
Bevin Shagoury, NaRCAD
02:02:08
-Remember your impact!
Bevin Shagoury, NaRCAD
02:02:20
-Persist!
Bevin Shagoury, NaRCAD
02:02:28
(Even on days that don't go so well.)
Bevin Shagoury, NaRCAD
02:02:35
-You're resilient.
Winnie Ho, NaRCAD
02:02:37
As we discuss clinician relationships, we also encourage folks to check out this blog post of an interview with a family physician who has been receiving AD for almost 15 years from our amazing Amanda Kennedy! Read a clinician’s POV about the detailer-provider relationship here: https://www.narcad.org/blog/a-team-effort-strong-provider-detailer-relationships-to-amplify-evidence-based-care-part-ii
Bevin Shagoury, NaRCAD
02:02:41
(Introverts, recharge!)
Bevin Shagoury, NaRCAD
02:02:49
Thanks for those nuggets, MLDT!
Winnie Ho, NaRCAD
02:02:57
Part I from Amanda Kennedy reflecting on this relationship can be read here: https://www.narcad.org/blog/trust-mutual-respect-and-transparency-building-a-strong-provider-detailer-relationship-part-i
AnayaBaroneM
02:03:05
Do not take anything personal is really important!
Bevin Shagoury, NaRCAD
02:03:52
NUGGETS:
Bevin Shagoury, NaRCAD
02:04:00
-celebrate your wins (all of them, even small ones)
Bevin Shagoury, NaRCAD
02:04:08
-don't beat yourself up about things that don't go well
Bevin Shagoury, NaRCAD
02:04:15
(be curious about what you could do differently next time
Bevin Shagoury, NaRCAD
02:04:21
-Practice practice practice!
Bevin Shagoury, NaRCAD
02:04:34
-Detail your pets!
Bevin Shagoury, NaRCAD
02:05:08
Thanks for those nuggets, Jess! :)
Wayne Smith
02:05:08
If you are detailing opioids you are saving lives, how much more motivation do you need
Bevin Shagoury, NaRCAD
02:05:12
Jackie's Nuggets:
Megan DeNubila (she/her/hers)
02:05:18
Our evaluator always talks about not accomplishing something in our plan is not a good or bad thing, its information that we can use going forward
Bevin Shagoury, NaRCAD
02:05:21
-Remember that every practice has its needs
Bevin Shagoury, NaRCAD
02:05:26
-You're good enough!
AnayaBaroneM
02:05:45
Awesome presenters!! Thanks!!
Christine (Chaoui) and Aaron Fishman
02:06:17
My favorite session so far. Great women doing great work!
Jillian Ondreyka
02:06:21
yes Bevin! all topics have an impact :) the work we do is important!
Chelsie Dever
02:06:45
This has been great and so helpful!
Brenda Schuster
02:06:53
be real, be practical provide service that is relevant, timely and something they care about!
Jean Stilwell
02:07:00
Thank you so much! Very helpful.
Jessica Alward, Presenter
02:07:20
Happy to connect later. Thanks all
Winnie Ho, NaRCAD
02:42:19
Welcome back everyone!
Brian Abascal (he/him)
02:43:30
big fan of Dr. Smith's from my days doing HIV prevention and care at Boston Children's
Bevin Shagoury, NaRCAD
02:43:49
@Brian--SO love hearing about connections like this! :)
Cindy Biederman
02:48:32
Astounding data!
Teresa Grund
02:50:55
I serve in Native American communities. Where can I find reliable data in this population?
Jacki Travers, Presenter (she/her)
02:54:01
@Teresa, this might be a starting point https://www.ihs.gov/hivaids/hivaian/
Bevin Shagoury, NaRCAD
02:54:36
@JackiT: Thank you for this! @Teresa: We'll be sure we ask Dawn @ end of session.
Joanne Stekler (She/her)
02:58:25
@Dawn, I'm trying to move away from "sex with men, women, or both" because it ignores transgender patients and partners. I've moved to recommending "Who are your sex partners - are they men, women, transgender men or women, or someone else?" - and ask that question of everyone like we used to the "men, women, or both" question
Bevin Shagoury, NaRCAD
02:58:40
@Joanne: That was my question too!
Teresa Grund
02:58:42
Thank you! Data looks similar.
Brian Abascal (he/him)
02:58:47
Do we need to know if they are having sex with men, women or both? Isn't the key that they are having condomless sex?
Daniel Casillas-Villamizar
02:59:16
Brian - I was thinking the exact same thing.
Bevin Shagoury, NaRCAD
03:00:19
@All: I'll ask about transgender patients and identifying partners by asking questions that are nonbinary.
Joanne Stekler (She/her)
03:01:26
@Brian Abascal, men who have sex with men/trans* are at much higher risk of HIV acquisition compared to men who have sex with women.
Alisen Guyet
03:05:01
Love the analogy for other preventive measures!
Mike Fischer, NaRCAD
03:05:35
Yes, the data on number needed to treat from the earlier slide is so compelling
Winnie Ho, NaRCAD
03:07:05
A reminder that all these slides will be available after the conference!
Winnie Ho, NaRCAD
03:08:11
NaRCAD also maintains an HIV Prevention AD toolkit here - https://www.narcad.org/hiv-prevention-toolkit.html - sourced from our excellent AD community. If you have resources that you would like to recommend or resources that you’d like to add from your program, reach out to us at narcad@partners.org!
Rebecca Martinez (she/her)
03:08:27
@Brian- thanks for bringing this up. I think our semantics as providers are part of why we miss lots of opportunities to discuss PrEP. focusing less on how patients’ partners identify- since patients may not even know how their partners identify their gender for instance- and more on the type of sex or risk factors like STIs, drug use, is an alternative approach to risk stratification
Brian Abascal (he/him)
03:09:40
@Joanne, I'm aware, and I understand the need for the data. I'm just wondering if it's something we need to ask right off the bat, or if it's something we can ease into after beginning the conversation. My concerns are provider bias deciding someone doesn't need it if they are heterosexual, married, a woman, a transgender man, etc.
Teresa Grund
03:10:05
@Dawn- thanks for wrapping this in such a usable package!
Brian Abascal (he/him)
03:16:29
Love the idea of providing them with comparative data analysis of their clinic. I'm sure clinics are very happy to have that.
Joanne Stekler (She/her)
03:16:41
@Brian Abascal, ah, I understand. Yes, totally. Providers are very likely to make assumptions that their patient population(s) are low risk, as reasons why they don't need to implement routine HIV testing and PrEP. What I try to teach medical students is that sexual history is a routine part of the medical history - they should be asking all inpts and new patients about sex and sex partners just like they ask about allergies. And they should learn to do it in a non-stigmatizing way. So it's not up front.I think if you have someone who asks you about PrEP, you can start off with a risk assessment (and Echoing Dawn's comment that someone who asks for PrEP should probably be prescribed PrEP).
Teresa Grund
03:16:48
What was the free report program they used?
Brian Abascal (he/him)
03:18:11
Thanks @Joanne! Yes, good point. We don't always need to know for PrEP. but we do for other sexual health topics. So glad you mentioned doing so in a non-stigmatizing way!
Bevin Shagoury, NaRCAD
03:25:43
@ALL: We'll make sure you still get a 15 minute solid break.
Bevin Shagoury, NaRCAD
03:25:59
We'll make up time before 2:45/2:50 and get ourselves right back on track, not to worry!
Bevin Shagoury, NaRCAD
03:47:44
@All: Please send questions for Julie Anne re: the I-Art Program, or Kristefer re: HIV PrEP AD Evaluation!
Winnie Ho, NaRCAD
03:49:52
https://www.canva.com/
Alisha Herrick
03:50:26
Canva Pro is free to non-profits!
Vindhya Kakarla
03:52:59
Thank you all! This was wonderful!
Kristefer Stojanovski, Presenter
03:53:52
I am glad to hear this Vindhya! If folx have questions my email is: kstojan@umich.edu
Kristefer Stojanovski, Presenter
03:58:57
I’m so jealous you had that data!
Paul Fanikos
04:01:07
Was there a limit on group size? Will impact be evaluated by group size?
Kristefer Stojanovski, Presenter
04:09:44
I think the group advantages findings about sharing learning among attendees is fascinating, especially with providers in SF wanting to create a sense of community.
Bevin Shagoury, NaRCAD
04:10:26
Great point, Kristefer!
Bevin Shagoury, NaRCAD
04:10:40
Any questions for Harald re: 1:1 vs. group!
Trish Rawn, CEP
04:11:19
What’s your personal feeling on whether 1 to 1 or group is better? What role if any do you see for group visits?
Lisa Bullard-Cawthorne
04:11:21
We have used group meetings for setting the stage for individual meetings.
Elisabeth Fowlie Mock (she/her)
04:11:57
benefit of group may be that one presirber has adopted change and wants partners to do the same but is not getting anywhere (i.e opioid tapering(
KELSEY GENOVESSE
04:12:06
I have always tried “selling” 1:1 by using words like “individualization”, the ability to ask specific questions- what other language do you use to “sell” 1:1 to providers?
jerry avorn
04:12:40
I have a quick question/point as well.
Kristefer Stojanovski, Presenter
04:12:57
@Elisabeth yes that definitely could help. Peer norms is a major leverage point for support clinical change. We found this in a previous project on PrEP prescribing.
Alisen Guyet
04:13:02
@Elisabeth: I agree that group setting meetings can reinforce behaviors/practices within the practice setting
Nerissa Caballes
04:14:02
Any thoughts on individual vs group AD for medical residents, who may not be as experienced?
Loren Regier
04:14:51
Hiring/recruiting detailers may look different if one is strictly intending predominantly group visits.
Elisabeth Fowlie Mock (she/her)
04:15:05
I toy with the term "coaching" because I think docs/prescribers can envision that, but they may not get the concept of AD
Bevin Shagoury, NaRCAD
04:15:58
@KelseyG: Individualizing the approach does, indeed, seem to work as a way to 'sell or 'close' the meeting. Are you wondering if selling individually is harder in a group?
Bevin Shagoury, NaRCAD
04:16:36
@Nerissa: I think a group setting for residents could be incredibly helpful as a learning environment--others have thoughts?
Bevin Shagoury, NaRCAD
04:16:56
@LisaBullardC: Great to share--we encourage that for folks
Bevin Shagoury, NaRCAD
04:18:19
@Loren: That's a good point--perhaps using slightly different skill sets and experience?
KELSEY GENOVESSE
04:18:21
@Bevin: When I speak to clinic managers or other folks that are helping me set up meetings I try and have a short phrasing for why 1:1 is a more successful visit- wondering if he has a go to line for selling the 1:1 over group.
Bevin Shagoury, NaRCAD
04:19:03
@Kelsey: Ah, now I gotcha!
Bevin Shagoury, NaRCAD
04:19:38
Great question. Anyone have any experience when cold calling/gaining access in how to convince folks to set up 1:1 sessions vs. being asked to do a staff meeting?
Bevin Shagoury, NaRCAD
04:19:44
Or do you all roll with what the clinic prefers/
Bevin Shagoury, NaRCAD
04:19:45
?
Jerry Avorn, NaRCAD
04:22:19
Re Kelsey’s Q and Harald’s presentation: an inherent advantage of 1-on-1 AD (and a limit of group visits) is that it’s vital to be able to interact with the clinician to lean where s/he is coming from, what they currently believe, existing practices, etc. ….. in order to tailor the presentation to address preciselt that knowledge, attitudes, practices, etc. It’s way harder to get that information in a group, and to then present multiple ‘tailored’ messages. So that’s losing a key element of what makes AD work. It probably could be done in a small group (2-3 people), but virtually impossible in a large group.
Bevin Shagoury, NaRCAD
04:22:29
@All: Anyone have experience with clinicians having conflicting priorities with your funder goals?
Bevin Shagoury, NaRCAD
04:23:02
@Jerry: great insights. Important to consider what number constitutes a "group" and what the limits are of potential effectiveness as size goes up.
Mike Fischer, NaRCAD
04:24:24
Building on Jerry’s last point on group detailing, our colleague from Vermont, Amanda Kennedy (who trained a number of the people at this conference) does a lot of small group visits with 2-4 clinicians but emphasizes that you should multiply the time by the number of clinicians in the session so that you can interact with each of them adequately during the session.
Jerry Avorn, NaRCAD
04:27:48
Here’s a link to the BMJ article I mentioned, written with our colleagues in the Netherlands: https://www.bmj.com/content/322/7287/654
Bevin Shagoury, NaRCAD
04:29:30
@Jerry: thanks! We'll make sure it's added to our conference resource list!
Winnie Ho, NaRCAD
04:29:58
We’ve had the amazing opportunity to talk with Lindsay ahead of the conference about CEP’s work of pivoting their program to serve family physicians in the midst of COVID-19. Come read more here! https://www.narcad.org/blog/overcoming-the-impossible-pivoting-to-meet-the-needs-of-family-physicians-during-covid-19
Bevin Shagoury, NaRCAD
04:30:27
Yes! Check out our DETAILS Blog--Winnie and Anna are constantly on the hunt to capture best practices, and Lindsay's interview is terrific!
Jerry Avorn, NaRCAD
04:30:35
More thoughts on group visits: Paradoxicaly, practices sometimes ask for a group visit because it’s “more efficient.” Actually, even tho 1-on-1 visits for X docs take more time for the academic detailer, the amount of time each doc needs to spend is no lower if they all go to a group meeting!
Winnie Ho, NaRCAD
04:31:31
Here it is: https://cep.health/toolkit/covid-19-resource-centre/
Harald Chr. Langaas, Presenter
04:31:32
@Jerry and @Mike: Thank you for your insights. I agree that group size is very important for the success of group meetings
schusterb
04:32:38
How much prodding was required to have a successful online physician led book system? Did you need to follow up many times to get the booking? does it save time in the end?
Nicole Seymour, CEP
04:34:20
@Brenda - we use TimeTap for online booking. It saves a TONNE of time in the "swapping availability" phase of booking.
Nicole Seymour, CEP
04:35:03
75-80% of physicians successfully use it
Brian Abascal (he/him)
04:35:46
I have to jump off in a bit. Thank you to all the presenters and organizers!
Winnie Ho, NaRCAD
04:35:53
Thanks for joining us Brian!
schusterb
04:36:19
impressive thanks Nicole. Great work CEP, pivoting like that …hats off!
Team CaDeN
04:36:52
What a stat Debbie - getting up that early is an amazing commitment and highlights your dedication to AD
Loren Regier
04:36:54
Yes - Academic D
Loren Regier
04:37:10
Detailing can change one’s life.
Lindsay Bevan, Presenter
04:37:33
Thanks Brenda! @schusterb
Winnie Ho, NaRCAD
04:37:40
The NaRCAD team loves Debra just as much! We had an AWESOME opportunity to interview her for a two-part DETAILS blog series about her 30-year long AD career. Part 1 (https://www.narcad.org/blog/at-the-heart-of-our-program-is-service-reflections-on-30-years-of-ad-in-south-australia-part-one) and Part 2 (https://www.narcad.org/blog/evidence-into-value-and-action-reflections-on-30-years-of-ad-in-south-australia-part-two) available here!
Bevin Shagoury, NaRCAD
04:38:01
Way to ROCK, @Victoria & @Lindsay!
Bevin Shagoury, NaRCAD
04:38:24
@All: Yes, please do check out the DETAILS Blog interview with Winnie Ho & Deb Rowett--so much to learn! :)
Zack Dumont
04:47:31
Great results!
Winnie Ho, NaRCAD
04:47:32
If anyone is interested, this is the paper that Debra is referring to: https://www.onlinecjc.ca/article/S0828-282X(19)30221-1/abstract
Bevin Shagoury, NaRCAD
04:47:57
Winnie--thanks for sharing! :)
Jessica Johnson
04:47:58
@Winnie - You read my (google) mind! :)
Winnie Ho, NaRCAD
04:48:34
I was curious too!
Team CaDeN
04:49:19
I love the “limited number of evidence-based key messages” concept - less can be more!
Harald Chr. Langaas, Presenter
04:51:43
Lovely presentation Debra, and impressive results!
schusterb
04:52:28
Very very cool.
Mark Bounthavong
04:52:47
Fantastic work! Excited to read this.
Bevin Shagoury, NaRCAD
04:52:50
THANK YOU to our amazing Global Perspectives Panel!
Winnie Ho, NaRCAD
04:53:22
Another one of Deb Rowett’s papers on patient-centered education exchange for those of you interested: https://pubmed.ncbi.nlm.nih.gov/30166304/
Vishal Kinkhabwala, Presenter
04:54:19
Fantastic Panel!! Thanks everyone!
Loren Regier
04:54:42
Very good work Debra!!!
Winnie Ho, NaRCAD
04:58:27
If anyone has any questions, let me know and I can unmute you or tee your written question to Debra!
Jacki Travers, Presenter (she/her)
04:58:56
Great work, Debra! I see some similarities with pharmacist-led Medication Therapy Management. Curious where you see patient-focused AD and MTM overlapping and/or working together.
Winnie Ho, NaRCAD
04:58:58
We also have some of our other Global Panel presenters still on line so feel free to keep asking questions or letting us know if you have any comments!
Jessica Johnson
05:00:28
Debra's presentation has me thinking about how to use this strategy with Jerry's challenge yesterday on the COVID-19 vaccine and the need for wide adoption. :)
Teresa Grund
05:03:17
@Lindsay- Did CEP produce AN/NA specific materials ?
Lindsay Bevan, Presenter
05:04:34
Hi Teresa - could you let us know what AN/NA is?
Teresa Grund
05:05:11
Sorry! Alaska Native and Native American populations
Debra Rowett, Presenter
05:06:55
Thankyou Zack great comment and have valued the conversations
Zack Dumont
05:08:06
Right back at you, @Debra! And now I'm even more star-struck as I see the results of your latest research. Impressive and noble!