ENHANCING CARDIOVASCULAR RISK ASSESSMENT AND PREVENTION: IMPACT OF A CME PROGRAM ON CLINICIAN KNOWLEDGE AND COMPETENCE

IF 5.9 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Margaret Harris PhD, CHCP, Ann Carothers, Fred Stange DO
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引用次数: 0

Abstract

Therapeutic Area

ASCVD/CVD Risk Assessment

Background

Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality worldwide. A growing body of evidence supports the importance of proactive risk assessment along the cardiac continuum to optimize prevention strategies. Image-guided cardiovascular risk assessment techniques have emerged as valuable tools in detecting and stratifying risk in primary prevention settings. However, gaps remain in the knowledge and competence of healthcare providers regarding the effective integration of these approaches into clinical practice. This educational initiative aimed to enhance the knowledge and competence of cardiologists and primary care physicians (PCPs) in understanding the cardiac risk continuum and utilizing image-guided cardiovascular risk assessment techniques to improve patient outcomes.

Methods

based program with 3 expert faculty, originally broadcast live in-person and online at the 2024 American Heart Association (AHA) annual scientific session. The program included pre- and post- activity assessments to evaluate improvements in knowledge, competence, and confidence. Data were collected on participant performance across key learning objectives, including knowledge of the cardiac risk continuum, the role of image-guided risk assessment, and clinical application of these strategies in primary cardiovascular prevention. Four multiple-choice questions were used: 3 assessed knowledge and 1 determined confidence using a Likert-type scale. Endpoints were assessed using a repeated-pair design with pre-/post-assessment. A paired t-test was conducted on the overall average number of correct responses for physician knowledge, and a McNemar’s test was conducted at the question level (significance level, P< .05) for confidence rating. The program launched on 12/5/2024 and data were collected on 2/4/2025.

Results

The program demonstrated significant improvements in participant knowledge, competence, and confidence. Cardiologists and PCPs showed a 34% and 42% improvement, respectively, in understanding the cardiac risk continuum and role of image-guided risk assessment techniques for cardiovascular prevention (P < .001). Confidence in tailoring primary prevention strategies increased among 30% of cardiologists and 41% of PCPs.

Conclusions

This CME initiative successfully addressed key gaps in cardiovascular risk assessment knowledge and practice, leading to measurable improvements in clinician competence and confidence. The findings highlight the value of structured educational interventions in promoting evidence-based strategies for cardiovascular disease prevention.
加强心血管风险评估和预防:cme项目对临床医生知识和能力的影响
治疗领域CVD/CVD风险评估背景心血管疾病(CVD)仍然是世界范围内发病率和死亡率的主要原因。越来越多的证据支持沿着心脏连续体进行前瞻性风险评估以优化预防策略的重要性。图像引导心血管风险评估技术已成为初级预防环境中检测和分层风险的宝贵工具。然而,在将这些方法有效地整合到临床实践中,医疗保健提供者的知识和能力仍然存在差距。这项教育活动旨在提高心脏病专家和初级保健医生(pcp)在了解心脏风险连续体和利用图像引导心血管风险评估技术来改善患者预后方面的知识和能力。由3位专家组成的基于方法的节目,最初在2024年美国心脏协会(AHA)年度科学会议上现场直播和在线直播。该计划包括活动前和活动后的评估,以评估知识、能力和信心的改善。数据收集了参与者在关键学习目标上的表现,包括心脏风险连续体的知识,图像引导风险评估的作用,以及这些策略在初级心血管预防中的临床应用。使用4个选择题:3个评估知识,1个使用李克特量表确定信心。终点采用前后评估的重复配对设计进行评估。对医生知识的总体平均正确回答数进行配对t检验,对置信度评级在问题水平上进行McNemar检验(显著性水平,P< 0.05)。该项目于2024年12月5日启动,并于2025年2月4日收集数据。结果该项目在参与者的知识、能力和信心方面有了显著的提高。在了解心脏风险连续性和图像引导风险评估技术在心血管预防中的作用方面,心脏病专家和pcp分别提高了34%和42% (P < 0.001)。30%的心脏病专家和41%的pcp对定制一级预防策略的信心有所提高。结论:CME计划成功解决了心血管风险评估知识和实践方面的关键空白,显著提高了临床医生的能力和信心。研究结果强调了结构化教育干预在促进心血管疾病预防循证策略方面的价值。
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来源期刊
American journal of preventive cardiology
American journal of preventive cardiology Cardiology and Cardiovascular Medicine
CiteScore
6.60
自引率
0.00%
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0
审稿时长
76 days
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