Understanding the Development of a Physician Practice Reflection Tool – A Case Study

Abstract

This study investigated the development of a physician practice reflection tool by Continuing Professional Development (CPD) educators at the University of Calgary, focusing on the operationalization of the Physician Practice Improvement (PPI) system. The problem addressed was the evolving expectations of physician CPD in Canada, emphasizing the need for tools that support reflective practice and meet specific learning needs. Using an instrumental case study methodology within an interpretive paradigm, this study explored the design process of the My Practice Improvement (MyPI) tool from November 2020 to November 2021. Data were collected through field observations, document reviews, and interviews, providing insights into tool conceptualization, educators' collaborative efforts in tool design, and the challenges faced in the project process. These findings revealed considerable advancements in the translation of the PPI system into CPD programming. The MyPI tool was designed to facilitate physicians' self-assessment and reflection, thus aligning their learning with individual practice improvements. The key strategies developed included structured guidance for reflective practice and linking learning with quality improvement metrics. This study illustrates how CPD tools can be designed to empower physicians to direct their learning and improve their patient care. This research contributes to the field by detailing a practical approach to developing CPD tools that support PPI systems. It offers insights into collaborative educational practices and the potential for broader application across CPD programs aimed at addressing physician practice improvement.