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The audit and feedback material consisted of a "Personalised Prescribing Profile" (see Figure 2).
In addition to the four principal outcomes, the MAAUI study has a number of prospectively-defined secondary outcomes: The study will re-evaluate the primary outcomes in the following two physician subgroups: physicians who received the audit and feedback material and attended the CME workshop; physicians who received the audit and feedback material and chose not to attend the CME workshop.
The overall MAAUI educational intervention, including both the audit and feedback material and the optional CME interactive workshop, was chosen by the MAAUI research team based on the success of similar interventions in the past.
Physicians allocated to the intervention arm of MAAUI were mailed a package that included an introduction to the study, audit and feedback material, and an invitation to participate in a CME workshop.
The advantage of the personalized feedback material for this particular study was that it was brief and could credibly be described as merely information to those in the waiting list control condition, while at the same time being a plausible intervention for those in the other study condition.
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In the IATROREF study, we used educational slide shows, printed educational material, and feedback meetings; and we focused on errors administering insulin, errors administering and prescribing anticoagulants, and accidental removal of endotracheal tubes and central venous catheters [19].
Other interventions incorporated into the primary care setting one of the following: community health educators, culturally sensitive videos, audit with feedback, materials from the "Put Prevention Into Practice" campaign, and vouchers for free screenings.
Respondents in the control group did not receive any feedback materials.
The personalized feedback materials start out with a brief statement of the purpose of the report ("help to give you a picture of your gambling and let you know how your gambling compares with other Canadians").
In this case, it is impossible to access the intrinsic properties of materials and to provide meaningful feedback for material design10,11,12,13.
Reviewers receive general guidelines but little specific training, feedback, or material reward they learn on the job, from the reviews they receive on their own submissions [1,7] Addressing this systematic deficit may indeed go further to improve peer review than changing the rules of author or reviewer anonymity.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com