Topic Development Process

1. Topic Suggestions Suggestions for PAD topics are accepted from physicians, pharmacists, nurses, other health care professionals, Pharmaceutical, Laboratory & Blood Services Division (PLBSD) staff and others.
2. Topic Selection
The following factors are considered in selecting a topic:
  • Relevance to most primary care clinicians
  • Perceived or known medication use issue
  • Credible drug-therapy evidence that would support a practice change
  • Disease burden and severity
  • Drug utilization
  • Barriers to practice change
  • Amenable to academic detailing
  • Ability to discuss in 30-60 minutes
  • Potential synergy/duplication with other optimal use initiatives
  • Potential budget impact
3. Topic Scoping Topic scoping includes literature review for best available evidence for the drug therapy topic in question. Clinical experts in the area are consulted as needed.
4. Topic Research Detailed literature searches and critical appraisals of relevant evidence are completed for each drug therapy topic and the results compiled in summary documents. Additional searches and critical appraisals are completed for important issues identified during initial searches.
5. Key Messages Three to five key messages are developed based on literature review findings.
6. Detailing Materials Detailing materials, such as information sheets, newsletters, and/or drug tables are created to support the PAD pharmacists in discussing the key messages and sharing the details of the best-available evidence.
7. Upskilling Information relevant to the topic is provided to the PAD pharmacists through a combination of self-directed learning, assigned readings, telephone/video conferencing, in-person training workshops, and attendance at relevant conferences.
8. External Review Draft versions of the key messages, summary documents and detailing materials are reviewed externally by family physicians, clinical experts, experts in critical appraisal, professional organizations and academic detailing programs in other provinces.
9. Detailing Materials Key messages, summary documents and detailing materials are revised as needed based on feedback received from external reviewers. Reviewers may be contacted to clarify comments and/or to provide additional input. A complete list of references is available from the PAD pharmacists.
10. CME Accreditation MainPro+ accreditation is obtained from College of Family Physicians of Canada. Each topic is accredited for up to 1.0 Mainpro+ credits.
11. Launch PAD pharmacists begin scheduling academic detailing sessions with family physicians, nurse practitioners and pharmacists. Other health professionals may be included depending on the topic and if time permits. PAD pharmacists also provide educational sessions to family medicine residents as requested.