Culture that fosters commitment to excellence among medical providers may also cultivate certainty that that
care they are providing is already best practice
Providers have tight schedules in clinic, raising
concerns:
interfering in the clinic flow
finding time for training
time for prevention counseling within encounter
may displace other priorities
Providers have a variety of backgrounds, e.g.,
physicians, physician assistants, and nurse
practitioners, and have different expectations for and response to training