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Table 4 Perceived Barriers for Using Active Learning in Continuing Medical Education Units in the U.S. and Canada During 2019 Using Descriptive Statistics and Cronbach’s alpha from Survey Questions

From: Making it stick: use of active learning strategies in continuing medical education

Barriers to Active Learning Strongly Agree/Agree Neither Agree nor Disagree Disagree/ Strongly Disagree
Peers and colleagues are not familiar with AL teaching practices a 100.0% (1) 0.0% (0) 0.0% (0)
AL requires more preparation and planning as it is an unfamiliar teaching format for many presenters 93.9% (93) 1.0% (1) 5.1% (5)
Many lecturers / presenters are unfamiliar with AL teaching methods 82.9% (92) 12.6% (14) 4.5% (5)
Most presenters “grew-up” and studied in a predominately lecture-based system and it worked for them; so, they don’t see a need to change 63.6% (63) 20.2% (20) 16.2% (16)
Interaction with the audience may expose knowledge gaps of the lecturer/presenter 53.0% (53) 28.0% (28) 19.0% (19)
The culture of my institution is lecture-based 48.0% (48) 28.0% (28) 24.0% (24)
At my institution, there is a lack of administrative / secretarial support for AL 45.5% (50) 28.2% (31) 26.4% (29)
Course attendees are unfamiliar with AL 41.7% (5) 25.0% (3) 33.3% (4)
Learners dislike AL because it requires their participation 34.0% (35) 25.2% (26) 40.8% (42)
AL is incompatible with larger audiences 27.0% (30) 15.3% (17) 57.7% (64)
My institution does not offer faculty development opportunities for AL teaching methods 26.9% (29) 18.5% (20) 54.6% (59)
At my institution, AL is not considered a useful teaching tool in CME 15.9% (18) 22.1% (25) 61.9% (70)
AL is an inefficient way of teaching because increased interaction with the audience is time-consuming 12.7% (14) 14.5% (16) 72.7% (80)
Lectures require less preparation or planning by instructors a 0.0% (0) 100.0% (1) 0.0% (0)
Other barriers n = 7 Cronbach’s alpha 95% Confidence Interval
Lower Bound Upper Bound
0.82 0.76 0.87
  1. a items excluded from Cronbach’s alpha analysis
  2. mean (SD) 3.09 (0.66)
  3. CME Continuing Medical Education
  4. AL Active Learning
  5. U.S. United States
  6. 95% CI 95% Confidence Interval
  7. Data are represented as % (n) of respondents