DOI: 10.1161/circ.148.suppl_1.11647 ISSN: 0009-7322

Abstract 11647: Effectiveness of Micro Continuing Medical Education at Improving Clinician Knowledge Related to the Management of Degenerative Mitral Regurgitation

Margaret Harris, Julie Schrand, Joy Marko
  • Physiology (medical)
  • Cardiology and Cardiovascular Medicine

Introduction: We sought to determine the impact of online CME consisting of micro-chapters on clinician knowledge related to the diagnosis and treatment of DMR.

Methods: The educational initiative consisted of a collection of six online video-based micro-CME chapters, presented by 3 experts, allowing learners to choose the chapters for participation. The education effects were assessed using a repeated pairs pre-assessment/post-assessment study design, where individual participants served as their own control. McNemar’s tests (P<.05) determined statistical significance overall in level of mastery of the content (made at least 1 more decision correctly or improved confidence in their correct decisions from pre- to post-education). At the question level, a paired-analysis confidence-based assessment (CBA) measured changes in competence and confidence in learners’ pre/post responses to identify learners who are correct and confidence (mastery), correct but not confident (doubt), incorrect or confident (uninformed), and incorrect but confident (misinformed). 1 question was asked per micro chapter.

Results: Data from 115 cardiologists and 51 primary care physicians (PCPs) who completed the pre/post questions were included in the analysis. Improvements in percentage of correct decisions answered confidently were seen from pre- to post. Overall, 77% of cardiologists and 75% of PCPs improved their knowledge ( P < .001). Further results highlight the percentage of correct decisions answered confidently before and after education, percent improvement from pre- to post-education, and percent increase in mastery/decrease uninformed for cardiologists and PCPs, respectively, organized by learning objective (Table).

Conclusion: This study demonstrates the success of an online CME activity with micro chapters on improving knowledge of related to the diagnosis and management of DMR. Additional gaps were identified for future educational targets.

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