Majority Of Practitioners Research Articles

The MusicStart Project: an evaluation of the impact of a training programme to enhance the role of music and singing in educational settings for children aged three to five years

This article evaluates the impact of an innovative early years music project developed on the Isle of Wight, UK, which aimed to enhance the role of music-making in educational settings for three- to five-year-old children. The MusicStart Project designed an original model for training practitioners working in such settings to increase their confidence and skills in making music with their pupils. A variety of instruments were used to collect feedback and all participating practitioners ( N = 120) were asked to complete a questionnaire following the training and a 53 percent response rate was achieved. The feedback indicated that the majority of practitioners found it useful and were inspired to put new ideas into practice. About a quarter of practitioners indicated that they were already making music with confidence and very few felt that the training had not influenced their future practice. The practitioners and MusicStart leaders identified some challenges to sustaining the levels of music-making that followed immediately after the training, most significantly: opportunities to cascade new ideas with colleagues; conflicts with other professional demands; and the time needed to enable practitioners to establish new skills and ideas.

Practitioners’ opinions on the presentation of ocular pathology and ametropia in patients wearing ready-made reading spectacles

This paper presents the findings of a study to determine optometrists’ opinions on the presentation of ocular pathology and ametropia in patients wearing ready-made reading spectacles. Ninety-seven optometrists completed a questionnaire pertaining to ametropia and ocular diseases among these patients. The questionnaire contained information regarding patient demographics, ocular pathology, ocular ametropia and the regulatory and public health aspects of ready-made readers.Ninety-five percent of respondents stated that they had seen patients with ready-made readers in their practice and 62% of these stated that they had found the presence of ocular pathology in these patients. The pathologies most commonly reported as seen by practitioners were dry eye (86% of practitioners), cataracts (80%) and diabetic retinopathy (54%). In addition, 39% of practitioners reported seeing patients with anisometropia. The majority of practitioners (71%) stated that they sold ready-made readers in their practice. Sixty-three percentof practitioners indicated that they would be prepared to offer a service whereby a reduced consultation fee and a pair of ready-made readers could be incorporated into an indigent “package”. An overwhelming 88% of the practitioners felt that the sale of ready-made readers should be more regulated and 74% of practitioners felt that the Professional Board for Optometry and Dispensing Opticians should be responsible for monitoring their sale. The research suggests that wearers of ready-made readers should be screened for ocular pathology, reduced visual acuity and amblyopia. Current regulations should be tightened and a public awareness education campaign should be initiated. The use of ready-made reading spectacles, in deference to an eye examination by an optometrist, appears to be largely as a result of the perceived costs of pri-vate practice combined with ignorance and apathy

CT use in pain management

Although the application of CT-guided fluoroscopy techniques for interventional radiology have become more popular, a majority of practitioners in health care remain unfamiliar with their possibilities. Accurate imaging accompanied by guided techniques increase the precision of analgetic procedures, improving results and reducing complications. Main focuses of CT fluoroscopy use in pain management are axial spinal procedures, including zygapophyseal (ZAJ) (facet) joint injection, medial branch rhizolysis, sacroiliac joint injection, transforaminal nerve root block and peri-radicular infiltration, dorsal interlaminar epidural injection, costotransverse and costovertebral joint injections, and blocks of the sympathetic nerve ganglia, splanchnic, and celiac plexus nerve blocks.

Rabies Preexposure Vaccination in Travelers

To the Editor: In their above‐mentioned paper, 1Ross and colleagues clearly demonstrated that travel health practitioners do not inform all categories of travelers equally about the risk of rabies in countries where the disease is enzootic. The vast majority of practitioners indicated that they are providing such information for both long‐term travelers and tourists who are planning to stay in rural areas but much less …

Is current UK management of oesophageal food bolus obstruction evidence based? An e-mail survey and literature review

There is a great deal of variation in individual management of non-sharp oesophageal food bolus obstruction in the United Kingdom. An e-mail survey of consultants and specialist registrars in ENT was carried out to establish current UK practice. A review of the published literature was under-taken to establish whether current practice is evidence based. The majority of practitioners (95%) do not proceed immediately to rigid oesophagoscopy but use antispasmodic drugs (83%), most commonly hyoscine butylbromide (Buscopan) and diazepam, to try to induce spontaneous passage of the obstruction. There is currently no evidence in the published literature to support the use of these drugs. The use of Buscopan seems to have been encouraged by a misquoted reference in a prominent ENT textbook. Better evidence is needed to establish the best form of treatment for this relatively common problem.

Dermatologist and family practitioner practice patterns for occupational contact dermatitis

Medical practitioners have a role in the recognition of occupational contact dermatitis. The longer the duration of symptoms before diagnosis, the poorer the outcome. Our objective was to understand practice patterns, barriers and needs for early diagnosis of occupational contact dermatitis. A survey to obtain information on practice patterns was developed based on the literature and interviews with dermatologists and family practitioners. The survey was sent to all dermatologists and a random sample of 600 family practitioners in Ontario. Fifty-seven per cent of dermatologists and 9% of family practitioners report seeing more than 20 patients per year with occupational contact dermatitis. The majority of practitioners report taking a workplace exposure history. Barriers to taking a workplace exposure history include time constraints and lack of knowledge. Reasons for referral to specialists include a lack of expertise, testing facilities and knowledge about workers' compensation, time constraints and inadequate reimbursement, whereas lack of access to specialists is a barrier for referral. Although most practitioners identify a need for further education, a low volume of patients and time constraints are key barriers to continuing education. Opportunities are identified to improve educational initiatives and health services delivery for occupational contact dermatitis, tailored to each practitioner group.

Is there a preferred gestational age threshold of viability?: A survey of maternal-fetal medicine providers

Objective. To characterize variation and factors associated with the perceived gestational age for the threshold of viability among maternal-fetal medicine (MFM) providers.Methods. We performed a web-based online survey of 1375 MFM providers. For this secondary analysis, a subset of survey questions targeted toward perceptions of the limit of viability was analyzed to identify how the respondents viewed the optimal threshold of viability gestational age. Comparative statistics were performed to assess various characteristics that influence the perceived threshold of viability.Results. Five hundred and eight providers (37%), representing all 50 states and 13 countries, responded to the survey. The reported threshold of viability varied among survey respondents: 22 weeks, 2.0%; 23 weeks, 37.2%; 24 weeks, 55.3%; 25 weeks, 3.4%; and 26 weeks, 2.2%. No significant differences were noted in the reported threshold of viability with respect to practitioner age (<50 years old vs. ≥50 years old, p = 0.42), nursery availability (level III vs. other, p = 0.46), and years in practice (<10 years vs. ≥10 years, p = 0.86). Significant differences in the reported threshold of viability were noted with respect to practitioner gender with males tending to have a lower gestational age threshold than females (p = 0.005). Significant differences were also noted among practitioners from academic vs. community/private practice settings (p = 0.008). A logisitic regression model, adusting for both gender and practice setting, revealed that male gender was independently associated with selection of a threshold of viability less than 24 weeks of gestation: male gender OR 1.8 (95% CI 1.3–2.7, p = 0.002); academic practice setting OR 1.1 (95% CI 0.8–1.6, p = 0.50).Conclusions. Perceived threshold of viability among MFM providers varies with the majority of practitioners identifying 23–24 weeks of gestation. Significant difference, however, exists between practitioner genders.

A situational method engineering approach to requirements elicitation workshops in the software development process

AbstractThe elicitation of requirements for software systems is one of the most critical and complex activities within the development lifecycle. Although the subject has received some degree of attention in the research literature, there remains a need for situational methods and processes that can be easily utilized by the majority of practitioners in typical projects. In this paper we present a flexible yet systematic approach to the early stages of requirements elicitation in software development, based on collaborative workshops and the construction of a lightweight situational method, within a general process framework. The research provides practitioners with an approach to requirements elicitation that can be readily applied to real‐world projects in order to improve both the process and the results. The work also offers researchers an example of how lightweight situational method engineering can be applied to very practical activities and situations in the software process. Copyright © 2006 John Wiley &amp; Sons, Ltd.

Academic Highway Buzzing, but Clinicians in Crisis

Nakagaki Clinic, Nagoya, Japan. doctor@nakagakiclinic.comProfessor Ikeda justly brings to light the immense contributions of Michinosuke Amano, M.D. (1916–; Professor Emeritus, Department of Anesthesiology, Keio University, Tokyo, Japan) and the little known Government Account for Relief in Occupied Area program to the progress of anesthesiology in Japan.1Because of the efforts of pioneers such as Dr. Amano and Hideo Yamamura, M.D. (1920–; Professor, Department of Anesthesiology, University of Tokyo, Tokyo, Japan), Japanese academic anesthesiology has attained remarkable levels as witnessed by the numerous scientific publications originating from these institutions. The state of clinical anesthesiology in Japan, however, is not as rosy. The specialty suffers from a chronic workforce shortage. The majority of practitioners are salaried hospital employees, forced to work long hours for relatively poor compensation—a clear reason the specialty has trouble attracting personnel. One of the fundamental problems is the inability of anesthesiologists to directly bill the social health insurance system for their services and become independent private practitioners. The Japanese Society of Anesthesiologists; academic centers; the Ministry of Health, Labor and Welfare; and other interested organizations, while acknowledging this problem, have thus far been unwilling or unable to implement the necessary changes. For unclear reasons, what would usually be considered significant bargaining power has not been used to improve the predicament of clinical anesthesiologists. The result is what can only be described as a crisis, with no relief in sight. Calls are mounting from the surgical (and even within the anesthesia) community for introduction of alternative anesthesia providers—a move that will further devalue the specialty. It is unclear what it will take to force change, because repeated reports of mishaps during surgeon-administered anesthesia are apparently not reason enough.In Japan, although academic anesthesia flourishes, things have not changed much in the operating room since 1955, being “understaffed, and (with many) anesthetics . . . still given by junior surgeons.”1Someone must step up to the plate soon, at the very least to honor the efforts of Dr. Amano and the pioneers, if not for the patients.Nakagaki Clinic, Nagoya, Japan. doctor@nakagakiclinic.com

Formal Service Practitioners' Views of Family Caregivers' Responsibilities and Difficulties

This article identifies home care practitioners' perceptions of the responsibilities, difficulties, and needs for support of caregivers. It is based on a study undertaken in Quebec with 55 practitioners and 10 administrators from 10 CLSCs located in rural, urban, and metropolitan areas. The study had a qualitative, multiple-case design and used logs recording all contact with caregivers in the space of a week, followed by semi-structured interviews. Analysis reveals that practitioners tend to perceive the work of caregivers as mainly instrumental and clinical, ignoring the family relations that tie them to their relative. Although aware of the difficulties facing caregivers and the negative impacts of caregiving, a majority of practitioners have high expectations of caregiver participation in treatment plans, albeit as quasi-nurse's aides. Our analysis offers an explanation for this apparent contradiction by examining practitioners' values with regard to family responsibility for care.

Factors influencing use of information technology by nurses and midwives

Information technology (IT) is becoming increasingly important as a source of information to guide practice and manage patient care. Nurses and midwives therefore need to be proficient in its use. This paper reports on a cross-sectional survey of factors influencing nurses' and midwives' use of IT in a large hospital in England. A self-completed questionnaire was distributed to 343 nurses and midwives. A response rate of 38% was achieved with 129 questionnaires returned. The majority of practitioners had access to and used computers at work. Practitioners' general IT skills (e.g. e-mail, Internet) were more developed than their skills in using work-related software. The major barriers to using IT in clinical practice related to a lack of time, difficulty accessing computers, and social and cultural considerations whereby there was a perceived lack of peer and managerial support for using IT in the workplace. Strategies need to be developed to ensure that obstacles to nurses and midwives using IT are addressed. In addition to extending the IT skills of nurses and midwives there is an urgent need to develop a culture in which the use of IT becomes the accepted norm in clinical practice. Copyright © 2006 John Wiley & Sons, Ltd.

A survey of local anaesthetic use among general dental practitioners in the UK attending postgraduate courses on pain control

The aim of this study was to identify which local anaesthetic solutions were used by general dental practitioners in the United Kingdom and to determine selection criteria. In addition, differences in anaesthetic choice between recent graduates (< or = 5 years) and more experienced practitioners were investigated. Five hundred and six general dental practitioners attending postgraduate courses on pain control in dentistry completed a questionnaire. Participants were asked to indicate year and place of qualification, anaesthetic solutions available in their surgeries and criteria used in the choice of anaesthetic. In addition, the respondents were asked to indicate choice of local anaesthetic in a number of common medical conditions. Questionnaires were distributed and collected immediately prior to the start of the course presentation and participants were not asked to indicate whether the selection decisions were teaching, experience or evidence based. Data were analysed by using the Chi-square test. Lidocaine with epinephrine was the most widely available solution among this group of practitioners (94%), the second most common solution was prilocaine with felypressin (74%). The majority of practitioners had two or more solutions available. Practitioners who qualified within the last five years (14%) were more likely to have articaine available, the most recently introduced local anaesthetic into the UK (p = 0.04, one degree of freedom). Common medical conditions lead to a modification in anaesthetic selection: the use of prilocaine/felypressin increases in the majority of circumstances, although it is avoided in pregnant females by recent graduates. Lidocaine/epinephrine continues to be the most common anaesthetic solution used by this group of UK general practitioners. The primary criterion for selection of an anaesthetic agent was perceived efficacy. Prilocaine/felypressin is commonly selected as an alternative solution in the presence of common medical conditions.

Local anaesthetic use among GDPs

Objective The aim of this study was to identify which local anaesthetic solutions were used by general dental practitioners in the United Kingdom and to determine selection criteria. In addition, differences in anaesthetic choice between recent graduates (≤5 years) and more experienced practitioners were investigated. Material and methods Five hundred and six general dental practitioners attending postgraduate courses on pain control in dentistry completed a questionnaire. Participants were asked to indicate year and place of qualification, anaesthetic solutions available in their surgeries and criteria used in the choice of anaesthetic. In addition, the respondents were asked to indicate choice of local anaesthetic in a number of common medical conditions. Questionnaires were distributed and collected immediately prior to the start of the course presentation and participants were not asked to indicate whether the selection decisions were teaching, experience or evidence based. Data were analysed by using the Chi-square test. Results Lidocaine with epinephrine was the most widely available solution among this group of practitioners (94%), the second most common solution was prilocaine with felypressin (74%). The majority of practitioners had two or more solutions available. Practitioners who qualified within the last five years (14%) were more likely to have articaine available, the most recently introduced local anaesthetic into the UK (p = 0.04, one degree of freedom). Common medical conditions lead to a modification in anaesthetic selection: the use of prilocaine/felypressin increases in the majority of circumstances, although it is avoided in pregnant females by recent graduates. Conclusions Lidocaine/epinephrine continues to be the most common anaesthetic solution used by this group of UK general practitioners. The primary criterion for selection of an anaesthetic agent was perceived efficacy. Prilocaine/felypressin is commonly selected as an alternative solution in the presence of common medical conditions.

Postterm Pregnancy: Practice Patterns of Contemporary Obstetricians and Gynecologists

The purpose of this study was to determine the management of postterm pregnancy by contemporary practicing obstetricians. A questionnaire investigating practice patterns pertaining to postterm pregnancy was mailed to 1000 randomly selected American College of Obstetricians and Gynecologists (ACOG) Fellows and Junior Fellows in March 2004. The response rate was 52.2% (522/1000). Statistical analysis included the answers from the 420 practicing obstetricians. Males comprised 55.7% (234/420) of the responding obstetricians. The majority of responding obstetricians (95.4%) rated their residency training regarding management of postterm pregnancy as adequate or comprehensive. Forty-eight percent define postterm pregnancy as 42 weeks gestation or greater, whereas 43.1% consider 41 weeks gestation or greater to be postterm. Seventy-three percent routinely induce low-risk patients with singletons at 41 weeks gestation. If patients decline induction at 41 weeks or if the practitioner does not induce patients until after 41 weeks gestation, the majority of respondents (64.8% and 65.0%, respectively) start postterm pregnancy fetal testing in singletons at 41 weeks and obtain testing twice weekly. Most (64.6%) use cervical ripening agents when inducing both nulliparous and multiparous patients with unfavorable cervices. The majority of practitioners (97.3%) do not use prostaglandins when inducing postterm patients with one previous cesarean delivery. Although most respondents manage postterm pregnancy according to recent ACOG educational materials with regard to antenatal fetal surveillance and methods of induction, the majority induce patients with singleton postterm pregnancies at 41 weeks gestation rather than at 42 weeks gestation.

Naturopaths practice behaviour: provision and access to information on complementary and alternative medicines

BackgroundThe increasing use of complementary and alternative medicines in Australia has generated concern regarding the information on these products available to both healthcare providers and the public. The aim of this study was to examine the practice behaviours of naturopaths in relation to both the provision of and access to information on complementary and alternative medicines (CAM).MethodsA representative sample of 300 practicing naturopaths located nationally were sent a comprehensive survey which gathered data on self reported practice behaviour in relation to the provision of information on oral CAM to clients and the information needs of the practitioners themselvesResultsA response rate of 35% was achieved. Most practitioners (98%) have a dispensary within their clinic and the majority of practitioners perform the dispensing themselves. Practitioners reported they provided information to clients, usually in the form of verbal information (96%), handwritten notes (83%) and printed information (75%). The majority of practitioners (over 75%) reported always giving information on the full name of the product, reason for prescribing, expected response, possible interactions and contraindications and actions of the product. Information resources most often used by practitioners included professional newsletters, seminars run by manufacturers, patient feedback and personal observation of patients. Most practitioners were positive about the information they could access but felt that more information was required in areas such as adverse reactions and safe use of CAM in children, pregnancy and breastfeeding. Most naturopaths (over 96%) were informed about adverse events through manufacturer or distributor newsletters. The barriers in the provision of information to clients were misleading or incorrect information in the media, time constraints, information overload and complex language used in printed information. The main barrier to the practitioner in information access was seen as the perceived division between orthodox and complementary medicine practitioners.ConclusionOur data suggest most naturopaths were concerned about possible interaction between pharmaceuticals and CAM, and explore this area with their patients. There is scope to improve practitioners' access to information of adverse events including an increased awareness of sources of information such as the Australian Therapeutic Goods Administration (TGA) website.

Admiral nursing competency project: practice development and action research

Admiral Nurses are specialist dementia care nurses working in the community with carers of those who have a dementia. The aim of the competency project (2000-2003) was threefold. Firstly to work collaboratively with these specialist nurses to facilitate the development a competency framework that reflects the needs of the Admiral Nursing Service. Secondly, to provide a way to structure evidence demonstrating evolving competency. Thirdly, to specifically enable the nurses to demonstrate evidence of achieving the UK Nursing and Midwifery Council's Higher Level Practice standard. The two complementary approaches of emancipatory action research and systematic practice development were adopted. Methods were taken from action research and systematic practice development approaches with an emphasis on promoting and enabling enlightenment, critical reflection, ownership and creating the best conditions for long-term commitment to the competency framework. The main outcome from this project was the development of a specialist nursing competency framework. The Admiral Nurses' Competency Framework is made up of a set of eight core competencies with three levels of competency statements, loosely structured around the Higher Level Practice standard, and guidance documentation to illustrate how work-based evidence can be generated to demonstrate competence. There were also process-derived outcomes associated with combining systematic practice development with emancipatory action research that had an impact on the culture. The main outcomes here were that practitioners engaged in and experienced learning about how to research their own practice and the consequences of doing this. They also learnt about specialist nursing practice more widely than Admiral Nursing. Finally, there was some increase in awareness about the culture within their teams and organizations. The final competency framework reflects the needs of the service, is owned by the majority of practitioners and project commissioners and this has had a positive impact on implementation. In this paper, we report on combining systematic practice development with action research to achieve immediate project aims. In addition we show how a project of this nature can contribute to developing skills in practitioners necessary for cultural changes in practice and contributes to wider issues of modernization within nursing and health care. This competency framework will enable Admiral Nurses to demonstrate their level of specialist practice, as individuals and collectively as a service and it also promotes the principles of nurses as life long learners. This may have relevance to other groups of specialist nurses. The project has widespread relevance for two reasons. Firstly, it shows that nurses can be involved in designing and testing a competency framework as collaborators. Secondly, that to achieve this within the spirit of approaches, such as systematic practice development and action research, can be testing for all collaborators even were there is a shared or espoused aim.

Contemporary dental practice in the UK: demographic data and practising arrangements

To investigate, by questionnaire, various aspects of primary dental care provision in the North West of England and Scotland. A questionnaire containing 79 questions was sent to 1,000 practitioners, selected at random, in the North West of England and Scotland. Non-responders were sent another questionnaire after a period of 4 weeks had elapsed. Overall a response rate of 70% was achieved. The majority of practitioners were practice principals (65%), working in a group NHS practice (80%) located in a city or town centre (49%). On average 10-20 patients were treated each session with fewer patients treated per session under private arrangements. Many practitioners were found to lack hygienist support (44%) and to employ unqualified dental nurses (82%). Younger practitioners were more likely than senior colleagues to have access to up-to-date computers whilst 37% and 74% of respondents never used CAL programmes or magnification respectively. Contemporary cross-infection control standards were used by the majority of practitioners, although 3% of practitioners reported only autoclaving their handpiece once a day. The majority of practitioners, involved in this study, worked under National Health Service (NHS) regulations as principals in a group practice where the workload was greater than the private/independent sector. Contemporary cross-infection procedures were used routinely. In contrast computer-aided learning programmes and magnification were not used routinely. The practitioners in this study employed significant numbers of unqualified dental nurses.

A survey of various aspects of primary dental care

Objectives To investigate, by questionnaire, various aspects of primary dental care provision in the North West of England and Scotland. Method A questionnaire containing 79 questions was sent to 1,000 practitioners, selected at random, in the North West of England and Scotland. Non-responders were sent another questionnaire after a period of 4 weeks had elapsed. Results Overall a response rate of 70% was achieved. The majority of practitioners were practice principals (65%), working in a group NHS practice (80%) located in a city or town centre (49%). On average 10-20 patients were treated each session with fewer patients treated per session under private arrangements. Many practitioners were found to lack hygienist support (44%) and to employ unqualified dental nurses (82%). Younger practitioners were more likely than senior colleagues to have access to up-to-date computers whilst 37% and 74% of respondents never used CAL programmes or magnification respectively. Contemporary cross-infection control standards were used by the majority of practitioners, although 3% of practitioners reported only autoclaving their handpiece once a day. Conclusions The majority of practitioners, involved in this study, worked under National Health Service (NHS) regulations as principals in a group practice where the workload was greater than the private/independent sector. Contemporary cross-infection procedures were used routinely. In contrast, computer-aided learning programmes and magnification were not used routinely. The practitioners in this study employed significant numbers of unqualified dental nurses.

Basic infection control procedures in dental practice in Khartoum — Sudan

To survey the infection control procedures used by dental practitioners in Khartoum, Sudan. Questionnaires were distributed to150 randomly sampled dentists practising in Khartoum state. Each questionnaire comprised 17 questions about basic infection control procedures. A 100% response rate to the questionnaire showed that 92% of dentists routinely wore gloves when treating patients, 50% face masks, 61% a gown and 14.7% protective eye wear. Furthermore 52% of the practitioners had been immunised against Hepatitis B. The majority of practitioners (72%) used dry heat as their method of instrument sterilisation, 22% used an autoclave, 2% used boiling water and the remainder used chemical sterilisation. Safe disposal of clinical waste was undertaken by only 23% of dentists although 47% of practitioners stored sharp items in closed containers. All respondents used disposable dental needles, but only a few used other disposable items. There was a significant difference in the implementation of cross infection control procedures between salaried and private dental practitioners, especially with regard to handpiece sterilisation, use of disposables, the wearing of face masks and the availability of additional sets of instruments. There is a clear need to improve the existing situation particularly with regard to immunisation of dentists against Hepatitis B, the safe disposal of clinical waste and instrument sterilisation in Khartoum.

Practitioner feedback on clinical practice guidelines developed by Cancer Care Ontario's Lung Disease Site Group: Extending the circle of involvement

6031 Background: Clinical practice guidelines (CPGs) are developed in Ontario through the disease site groups of Cancer Care Ontario's Program in Evidence-based Care. The Lung DSG consists of medical, radiation and surgical oncologists, methodologists, nurses and two consumer representatives. Guideline topics are selected by the DSG members and researched by specially trained research coordinators, who collate the evidence from the medical literature for review by the DSG. Since 1995, 10 CPGs have been published and 4 others have been completed in draft form. Methods: Completed CPGs are sent to practitioners for their feedback (PF) as part of the CPG development cycle. The CPG is accompanied by a survey instrument that asks about the acceptability and usefulness of the CPG to the practitioner. Results: 1198 questionnaires have been sent with the 14 CPGs to medical oncologists (52.3% of total questionnaires), radiation oncologists (16.3%), surgeons (15.9%), respirologists (13.7%) and other specialists (1.8%). The majority of questionnaires went to community-based practitioners (60%) and most practitioners surveyed were not members of the DSG (83.1%). Surveys were completed by 62.8% of those surveyed and 80% of those responding indicated that the CPG was relevant to their practice. Respondents indicated that they agreed or strongly agreed with the need for the CPG topic in 86.9% of cases, with the acceptability of the evidence summary (91.9%) and with the guideline recommendation as stated (86.1%). Overall, 77.1% indicated that they were likely to use the CPG in their practice. Practitioners frequently commented on issues of guideline clarity and adoption, or suggested wording edits. Explicit responses to these comments are included in the final CPG. Conclusions: PF enables a greater number of practitioners to participate in CPG development and review, obtains important feedback on the quality of the CPG document and the feasibility of CPG use in practice. By self-report, the majority of practitioners indicate that they would adopt CPG recommendations from the provincial Lung DSG. No significant financial relationships to disclose.