Educating providers about coronary artery calcium scoring testing in atherosclerotic cardiovascular disease risk stratification and racial disparities

Abstract

Background/Synopsis

Coronary Artery Calcium (CAC) scoring is a valuable modality in evaluating Atherosclerotic Cardiovascular Disease (ASCVD) risk. Despite numerous benefits, many physicians lack familiarity with this modality. Additionally, racial disparities are observed in the utilization of CAC scoring which can potentially affect outcomes.

Objective/Purpose

We hypothesized that a focused educational intervention would significantly improve physicians' awareness, knowledge, and utilization of CAC scoring in clinical practice and help in reducing racial disparities. Our initiative through this study aims to improve physicians' understanding and application of CAC scoring and to address racial disparities in CAC scoring.

Methods

A pre- and post-intervention study (Image 1) was conducted through a short questionnaire on 49 physicians. The intervention included a 10-minute educational session on CAC scoring and incorporating information on racial disparities. Data was collected through a structured questionnaire both before and after the intervention, and the results were analyzed using descriptive and inferential statistics.

Results

We observed a significant increase in the percentage of correct responses from physicians, from an average of 64.35% before the intervention to 87% after the intervention (Image 2). 46 out of 49 physicians felt confident ordering CAC. There was a notable increase in the ordering of CAC post intervention. Additionally, correct responses regarding racial disparities rose significantly, from an average of 25% before the intervention to 88.24% afterward.

Conclusions

Our short targeted educational intervention improved physicians' knowledge and confidence in using CAC scoring for ASCVD risk assessment. In addition, it created awareness of racial disparities, leading to more equitable practices.