Education, Research, and Quality Improvement: Education, Research, and Quality Improvement |

The Challenge of PAH Management: Effect of Online CME FREE TO VIEW

Jelena Spyropoulos, PhD; Kelly Hanley
Author and Funding Information

Medscape Education, New York, NY

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):610A. doi:10.1016/j.chest.2016.08.702
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SESSION TITLE: Education, Research, and Quality Improvement

SESSION TYPE: Original Investigation Poster Discussion

PRESENTED ON: Monday, October 24, 2016 at 12:00 PM - 01:30 PM

PURPOSE: Pulmonary arterial hypertension (PAH) is a complex condition that is often challenging to treat. This study’s objective was to determine if a video-based online continuing medical education (CME) activity improved the knowledge and competence of cardiologists and pulmonologists regarding treatment of PAH.

METHODS: An online CME activity was developed as a 25-minute roundtable discussion with 4 leading experts on the current evidence base for treatment of PAH. The activity included a transcript of the discussion and a downloadable slide deck to highlight and reinforce key data. The effects of education were assessed using a linked pre-assessment/post-assessment study design for the same group of participants. For all questions combined, the McNemar’s chi-square test was used to assess differences from pre- to post-assessment. P values are shown as a measure of significance; P values <.05 are statistically significant.

RESULTS: For both cardiologists (n=139) and pulmonologists (n=35), comparison of individually linked pre-assessment question responses to the respective post-assessment question responses demonstrates statistically significant improvements (P <.05). Average correct responses before the education were 45% for cardiologists and 54% for pulmonologists, compared to 66% and 72%, respectively, post-education. Significant improvements were observed pre- compared to post-education (all P<.05): - 47% absolute improvement for cardiologists (29% vs 76%) and a 40% improvement for pulmonologists (49% vs 89%) in ability to switch a patient on sildenafil with worsening PAH to tadalafil and macitentan combination therapy - 28% absolute improvement for cardiologists (33% vs 61%) in appropriate selection of combination therapy with tadalafil and ambrisentan for a treatment-naïve patient with WHO class II PAH

CONCLUSIONS: The statistically significant improvements observed in this online CME roundtable discussion demonstrate the benefits of educating the large target audience base with aptly designed educational activities using adult-learning principles.

CLINICAL IMPLICATIONS: This assessment of cardiologists’ and pulmonologists’ knowledge identified education gaps that support the need to develop additional CME activities on PAH management in order to translate improvements in clinician’s knowledge into clinical care and patient outcomes.

DISCLOSURE: The following authors have nothing to disclose: Jelena Spyropoulos, Kelly Hanley

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