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Education, Teaching, and Quality Improvement |

Success of Online Educational Interventions on the Evaluation and Management of Chronic Thromboembolic Pulmonary Hypertension FREE TO VIEW

Nimish Mehta, MBA; Jayashri Desai; Sarah Williams
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Medscape, LLC, New York, NY


Chest. 2014;146(4_MeetingAbstracts):510A. doi:10.1378/chest.1994777
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Abstract

SESSION TITLE: Education and Teaching in Pulmonary Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PM

PURPOSE: A study was conducted to determine if online educational interventions could improve competence and performance of pulmonologists, cardiologists, and surgeons with respect to chronic thromboembolic pulmonary hypertension (CTEPH).

METHODS: The effect of two educational interventions on CTEPH was analyzed to determine efficacy of online education presented in the form of video discussions among multidisciplinary experts in CTEPH. An online survey instrument, previously validated to measure performance using knowledge- and case-based, multiple-choice questions, was administered to compare the same participants’ responses to identical questions before and after the activity. McNemar’s chi-squared test was used to determine statistical significance. Cramer’s V was used to calculate the effect size of the intervention, based on the strength of association between the pre-assessment and post-assessment responses.

RESULTS: In total, 547 pulmonologists, cardiologists, and surgeons participated. Compared with the baseline assessment, significant improvements were found as a result of participation in the two educational interventions, with effect sizes of 0.45 (relatively strong impact, P < .0001) and 0.29 (moderate impact, P < .0001). Specific areas of improvements include: -- In a patient with confirmed pulmonary hypertension, more physicians appropriately selected ventilation-perfusion scan to identify CTEPH (11% pulmonologists, P < .0001; 19% cardiologists, P = .0011; 23% surgeons, P < .0275) -- Compared with baseline, 22% more pulmonologists (P < .0001), 41% cardiologists (P < .0001), and 48% surgeons (P < .0001) correctly identified pulmonary endarterectomy (PEA) as the treatment of choice in a patient with CTEPH and suitable for surgery -- Compared with baseline, 35% more pulmonologists (P < .0001), 52% cardiologists (P < .0001), and 47% surgeons (P < .0001) correctly selected riociguat as an appropriate treatment in a patient with persistent pulmonary hypertension after PEA

CONCLUSIONS: This study demonstrated the success of targeted educational interventions on improving the practice patterns of pulmonologists, cardiologists, and surgeons in their approach to CTEPH.

CLINICAL IMPLICATIONS: Statistically significant improvements in management of CTEPH are expected to result in improvements in patient care and outcomes.

DISCLOSURE: The following authors have nothing to disclose: Nimish Mehta, Jayashri Desai, Sarah Williams

No Product/Research Disclosure Information


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