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We sought to determine if an online, virtual patient simulation (VPS)-based continuing medical education (CME) intervention could improve performance of cardiologists and primary care physicians (PCPs) related to management of hyperlipidemia.
The intervention comprised two patients presenting in a VPS platform that allows learners to order lab tests, make diagnoses, and prescribe treatments in a manner matching the scope and depth of actual practice. Tailored clinical guidance (CG), based on current evidence and expert recommendation, was provided following each decision, followed by the opportunity for the learner to modify to their decisions. Decisions were collected post-CG and compared with each user’s baseline (pre-CG) decisions using a 2-tailed paired t-test to determine P values. The activity posted April 29, 2019; data were collected through July 25, 2019.
In total, 105 cardiologists and 375 PCPs were included. Significant improvements (reported as absolute differences) were observed after CG: Case 1 (LDL not at goal on atorvastatin and ezetimibe):
• Order TIMI risk score for secondary prevention: 15% improvement (33% pre-CG vs 48% post-CG; P<.001) among cardiologists; 15% improvement (41% pre-CG vs 56% post-CG; P<.001) among PCPs
• Initiate a PCSK9 inhibitors: 41% improvement (28% pre-CG vs 69% post-CG; P<.001) among cardiologists; 41% improvement (12% pre-CG vs 53% post-CG; P<.001) among PCPs Case 2 (LDL still not at goal despite recent statin dose escalation):
• Order fasting lipid panel: 5% improvement (70% pre-CG vs 75% post-CG; P=.04) among cardiologists; 5% improvement (79% pre-CG vs 84% post-CG; P<.001) among PCPs
• Initiate a PCSK9 inhibitors: 25% improvement (16% pre-CG vs 41% post-CG; P=.002) among cardiologists; 22% improvement (11% pre-CG vs 33% post-CG; P<.001) among PCPs
• Initiate ezetimibe: 12% improvement (33% pre-CG vs 45% post-CG; P=.002) among cardiologists; 23% improvement (21% pre-CG vs 44% post-CG; P<.001) among PCPs
VPS that immerses and engages specialists in an authentic and practical learning experience can improve evidence-based clinical decisions related to guideline-based management of hyperlipidemia.
Posters Hall_Hall A
Saturday, March 28, 2020, 12:30 p.m.-1:15 p.m.
Session Title: Spotlight on Special Topics: Education and Training 2
Abstract Category: 42. Spotlight on Special Topics: Education and Training
Presentation Number: 1174-276
- 2020 American College of Cardiology Foundation