Literature DB >> 28139836

Personalized, assessment-based, and tiered medical education curriculum integrating treatment guidelines for atrial fibrillation.

Brian C Lee1, Karyn D Ruiz-Cordell2, Steven M Haimowitz2, Cara Williams1, Bruce S Stambler3, Anthia Mandarakas4.   

Abstract

BACKGROUND: This continuing medical education (CME) curriculum utilizes the Learner Assessment Platform (LAP), providing learners with personalized educational pathways related to atrial fibrillation treatment. HYPOTHESIS: There are improvements in knowledge among physician learners after CME, especially among LAP learners.
METHODS: In this LAP-based curriculum, an evaluation of learner deficits on designated learning objectives was conducted in tier 1 and used to direct learners to individualized tier 2 activities. Performance was assessed across learner tracks from baseline to learners' final intervention. Retention data were measured by the postcurriculum assessment, completed 8 weeks after the learners last intervention. Additionally, each activity included a unique matched set of pretest and post-test questions assessing the 4 learner domains: knowledge, competence, confidence, and practice patterns.
RESULTS: Significant learner improvement was measured across the curriculum over all 4 learner-domains: 48% (P < 0.0005), 78% (P < 0.0005), 21% (P < 0.0005), and 20% (P < 0.0005) improvements for knowledge, competence, confidence, and practice, respectively. Significant gains in participant performance scores (28% increase, P < 0.0005) by the final activity was observed. Learners who participated in the LAP (N = 989) demonstrated greater improvement in performance from baseline compared to non-LAP learners (41% increase for LAP vs 23% and 26% increase for non-LAP learners who completed 1 (N = 1899) or ≥2 (N = 533) activities, respectively, P = 0.003).
CONCLUSIONS: The participant population (N = 3421) achieved statistically significant improvement across the curriculum, with LAP learners showing greater performance gains compared to non-LAP learners. These findings support the value of the LAP methodology in providing a cumulative and individualized CME experience.
© 2017 Wiley Periodicals, Inc.

Entities:  

Keywords:  atrial fibrillation; continuing medical education; personalized education

Mesh:

Year:  2017        PMID: 28139836      PMCID: PMC6490569          DOI: 10.1002/clc.22676

Source DB:  PubMed          Journal:  Clin Cardiol        ISSN: 0160-9289            Impact factor:   2.882


  6 in total

1.  2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (Updating the 2006 Guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.

Authors:  L Samuel Wann; Anne B Curtis; Craig T January; Kenneth A Ellenbogen; James E Lowe; N A Mark Estes; Richard L Page; Michael D Ezekowitz; David J Slotwiner; Warren M Jackman; William G Stevenson; Cynthia M Tracy; Valentin Fuster; Lars E Rydén; David S Cannom; Jean-Yves Le Heuzey; Harry J Crijns; James E Lowe; Anne B Curtis; S Bertil Olsson; Kenneth A Ellenbogen; Eric N Prystowsky; Jonathan L Halperin; Juan Luis Tamargo; G Neal Kay; L Samuel Wann; Alice K Jacobs; Jeffrey L Anderson; Nancy Albert; Judith S Hochman; Christopher E Buller; Frederick G Kushner; Mark A Creager; Erik Magnus Ohman; Steven M Ettinger; William G Stevenson; Robert A Guyton; Lynn G Tarkington; Jonathan L Halperin; Clyde W Yancy
Journal:  J Am Coll Cardiol       Date:  2010-12-21       Impact factor: 24.094

2.  Methods and definition of terms: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines.

Authors:  Spyridon S Marinopoulos; Michael H Baumann
Journal:  Chest       Date:  2009-03       Impact factor: 9.410

Review 3.  Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines.

Authors:  Dave Davis; Robert Galbraith
Journal:  Chest       Date:  2009-03       Impact factor: 9.410

Review 4.  2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society.

Authors:  Craig T January; L Samuel Wann; Joseph S Alpert; Hugh Calkins; Joaquin E Cigarroa; Joseph C Cleveland; Jamie B Conti; Patrick T Ellinor; Michael D Ezekowitz; Michael E Field; Katherine T Murray; Ralph L Sacco; William G Stevenson; Patrick J Tchou; Cynthia M Tracy; Clyde W Yancy
Journal:  J Am Coll Cardiol       Date:  2014-03-28       Impact factor: 24.094

5.  Estimates of current and future incidence and prevalence of atrial fibrillation in the U.S. adult population.

Authors:  Susan Colilla; Ann Crow; William Petkun; Daniel E Singer; Teresa Simon; Xianchen Liu
Journal:  Am J Cardiol       Date:  2013-07-04       Impact factor: 2.778

6.  Achieving desired results and improved outcomes: integrating planning and assessment throughout learning activities.

Authors:  Donald E Moore; Joseph S Green; Harry A Gallis
Journal:  J Contin Educ Health Prof       Date:  2009       Impact factor: 1.355

  6 in total
  1 in total

1.  Efficacy of adaptive e-learning for health professionals and students: a systematic review and meta-analysis.

Authors:  Guillaume Fontaine; Sylvie Cossette; Marc-André Maheu-Cadotte; Tanya Mailhot; Marie-France Deschênes; Gabrielle Mathieu-Dupuis; José Côté; Marie-Pierre Gagnon; Veronique Dubé
Journal:  BMJ Open       Date:  2019-08-28       Impact factor: 2.692

  1 in total

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