scholarly journals Assessing the Stiffness Perception of Acupressure Massage Beginning Learners: A Pilot Study

Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2472
Author(s):  
Kouki Doi ◽  
Saito Sakaguchi ◽  
Takahiro Nishimura ◽  
Hiroshi Fujimoto ◽  
Shuichi Ino
Keyword(s):  
Correct Response ◽  
Visually Impaired ◽  
Quantitative Assessment ◽  
Response Rate ◽  
Thermoplastic Elastomers ◽  
New Students ◽  
Stages Of Learning ◽  
The Difference ◽  
Beginning Learners ◽  
Correct Response Rate

Visually impaired licensed therapists must have the ability to perceive stiffness through their fingertips in the school for the blind. The teachers strive to provide careful introductory education based on a quantitative assessment of new students’ basic stiffness perception. However, assessment materials to help teachers understand new students’ stiffness perception are lacking. This study aimed to develop suitable fundamental assessment materials that visually impaired licensed teachers could use to quantitatively assess the difference in the stiffness perception ability of beginning learners in the early stages of learning. They were asked to discriminate the presented materials one at a time, which consisted of thermoplastic elastomers with different degrees of stiffness. We used these materials to compare the beginning learners’ ability to perceive stiffness with that of teachers and found that teachers answered correctly at an overall significantly higher rate. Specifically, the teachers’ correct response rate (78.8%) for the stiffness perception of all presented stimuli was approximately 15% higher than the beginning learners’ correct response rate (64.2%). These results revealed areas of stiffness that are difficult for beginning learners to identify.

scholarly journals Awareness of the Basic Knowledge of Hand Hygiene in Chinese Medical Facilities: A Questionnaire-Based Survey

2020 ◽  
Author(s):  
Jing YANG ◽  
Li LONG ◽  
Shu FENG ◽  
Wei SUN ◽  
Lifang GAO ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Correct Response ◽  
Response Rate ◽  
Basic Knowledge ◽  
Healthcare Staff ◽  
Healthcare Associated Infection ◽  
Care Facilities ◽  
Healthcare Associated ◽  
Clinical Departments ◽  
Correct Response Rate

Abstract Background: Hand hygiene is a key measure for the prevention and control of healthcare-associated infection. We investigated the level of awareness of the basic concepts surrounding hand hygiene among healthcare staff in China in order to inform the development of future targeted hand hygiene promotion activities. Methods: A pre-tested questionnaire was used to obtain data from April to June 2018 in 30 provinces and municipalities in three regions of China. Ten single/multiple-choice questions investigated the level of awareness of the role of hands in germ transmission, the concept of hand hygiene, and the indications when it should be performed. Logistic analysis was performed to identify differences between regions, types of hospitals, healthcare staff categories, clinical departments and gender.Results: A total of 52,286 responses were received. Among these, 45,455 (86.94%) complete surveys were eligible to be included in the final analysis. The two highest correct response rates concerned the relationship between hand hygiene and healthcare-associated infection and the characteristics of microbiota and resident flora on hands (97.71% and 96.35%, respectively). These were followed by awareness of the World Health Organization’s “My 5 moments for hand hygiene” concept (91.61%), glove use (90.53%), hand hygiene materials (89.28%), characteristics of microbiota and transient flora on hands (84.60%), indications for hand hygiene and other aspects (71.00%), the basic concept of hand hygiene (65.20%), and the effectiveness of alcohol-based handrub on the hand microbiome (48.04%). The overall correct response rate was 26.53%. Eastern China demonstrated a better knowledge than other regions (adjusted odds ratio [aOR] 4.08; 95% CI 3.84–4.32). Respondents in primary care facilities had a higher correct response rate than other types of hospitals (aOR 2.33; 95% CI 2.05–2.66) and logistics staff had the highest correct response rate than other professional groups (aOR1.84; 95% CI 1.53–2.29). Among clinical departments, staff in the outpatient/emergency room had the highest rate of correct responses (aOR1.51; 95% 1.34-1.71).Conclusions: Large differences exist in the basic knowledge of hand hygiene across different regions in China. Knowledge levels need to be specifically strengthened among secondary care facilities, nurse professionals, gynaecology/obstetrics/paediatric departments and infection control units.

scholarly journals Effectiveness of Interactive Case-Based Online Education in Improving Attp Diagnosis and Treatment Selection

Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 36-37
Author(s):  
Christy Rohani-Montez ◽  
Dayan Gunesekera ◽  
Paul Coppo
Keyword(s):  
Emergency Medicine ◽  
Medical Education ◽  
Correct Response ◽  
Research Funding ◽  
Response Rate ◽  
Diagnostic Features ◽  
Design For All ◽  
Post Assessment ◽  
Correct Response Rate ◽  
Case Based

INTRODUCTION The prompt recognition and treatment of acquired thrombotic thrombocytopenic purpura (aTTP) is critical to prevent life-threatening consequences; however, this condition continues to be under-diagnosed and associated with significant mortality. Reducing mortality rates and improving outcomes is dependent on clinician awareness of aTTP diagnostic features, and on prompt implementation of evidence-based treatment approaches. OBJECTIVES This study was conducted to determine whether online case-based independent medical education could improve hematologists' and emergency medicine specialists' competence in identifying key diagnostic features of aTTP and selecting an initial treatment approach; and knowledge regarding recent clinical data on aTTP treatment. METHODS Hematologists and emergency medicine physicians electively participated in a 15-minute, case-based interactive online independent medical education activity on aTTP (Coppo P. Fatigue, Bruises, and Thrombocytopenia: What's Your Next Step? Launched: 1/30/2020. Data as of 4/22/2020. Available at www.medscape.org/viewarticle/923316). The effects of the education on knowledge and competence were assessed using a 3-question, repeated pairs, pre-assessment/post-assessment study design. For all questions combined, the chi-square test assessed differences from pre- to post-assessment. P values <.05 are statistically significant. The activity launched on January 30, 2020 and data were collected through April 22, 2020. RESULTS Overall significant improvements were seen after participation for both hematologists (average correct response rate of 33% at pre-assessment vs 82% at post-assessment; P<.001, N=124), and emergency medicine physicians (average correct response rate of 18% at pre-assessment vs 73% at post-assessment; P<.001, N=45). Specifically, there were significant improvements in recognizing laboratory findings indicative of a TTP diagnosis; selecting a triplet regimen as initial therapy for aTTP, based on current data; and understanding possible treatment-related adverse event expectations (Figure). After participating in the activity, 44% of hematologists and 84% of emergency medicine physicians had measurable improved confidence related to their ability to manage patients presenting with signs and symptoms of aTTP. Despite the increases in knowledge and confidence observed, the baseline rates of correct responses were low; therefore, ongoing education will be needed to reinforce knowledge and competence. Reinforcement is an important outcome from education that keeps clinicians' practices up-to-date (Lucero KS, Dunn S. Available at: http://almanac.acehp.org/p/bl/et/blogid=2&blogaid=599. Accessed June 11, 2020). CONCLUSIONS This study demonstrates the success of online, interactive case-based education in improving hematologists' and emergency medicine specialists' knowledge and competence in diagnosing and managing aTTP. This could lead to earlier diagnosis and a more widespread adoption of a new standard of aTTP treatment to improve overall outcomes for these patients. Figure Disclosures Coppo: Octapharma: Consultancy; Roche: Consultancy, Research Funding, Speakers Bureau; Sanofi: Consultancy, Speakers Bureau; Takeda: Consultancy, Speakers Bureau; Alexion Pharmaceuticals, Inc.: Consultancy, Research Funding, Speakers Bureau.

scholarly journals Real-Time Extraction of Important Surgical Phases in Cataract Surgery Videos

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Shoji Morita ◽  
Hitoshi Tabuchi ◽  
Hiroki Masumoto ◽  
Tomofusa Yamauchi ◽  
Naotake Kamiura
Keyword(s):  
Neural Network ◽  
Cataract Surgery ◽  
Real Time ◽  
Network Model ◽  
Neural Network Model ◽  
Correct Response ◽  
Response Rate ◽  
The Neural Network ◽  
End Times ◽  
Correct Response Rate

Abstract The present study aimed to conduct a real-time automatic analysis of two important surgical phases, which are continuous curvilinear capsulorrhexis (CCC), nuclear extraction, and three other surgical phases of cataract surgery using artificial intelligence technology. A total of 303 cases of cataract surgery registered in the clinical database of the Ophthalmology Department of Tsukazaki Hospital were used as a dataset. Surgical videos were downsampled to a resolution of 299 × 168 at 1 FPS to image each frame. Next, based on the start and end times of each surgical phase recorded by an ophthalmologist, the obtained images were labeled correctly. Using the data, a neural network model, known as InceptionV3, was developed to identify the given surgical phase for each image. Then, the obtained images were processed in chronological order using the neural network model, where the moving average of the output result of five consecutive images was derived. The class with the maximum output value was defined as the surgical phase. For each surgical phase, the time at which a phase was first identified was defined as the start time, and the time at which a phase was last identified was defined as the end time. The performance was evaluated by finding the mean absolute error between the start and end times of each important phase recorded by the ophthalmologist as well as the start and end times determined by the model. The correct response rate of the cataract surgical phase classification was 90.7% for CCC, 94.5% for nuclear extraction, and 97.9% for other phases, with a mean correct response rate of 96.5%. The errors between each phase’s start and end times recorded by the ophthalmologist and those determined by the neural network model were as follows: CCC’s start and end times, 3.34 seconds and 4.43 seconds, respectively and nuclear extraction’s start and end times, 7.21 seconds and 6.04 seconds, respectively, with a mean of 5.25 seconds. The neural network model used in this study was able to perform the classification of the surgical phase by only referring to the last 5 seconds of video images. Therefore, our method has performed like a real-time classification.

THU0584 CASE-BASED ONLINE EDUCATION SIGNIFICANTLY INCREASES CLINICIAN COMPETENCE IN ASSESSING SSC-ILD DISEASE PROGRESSION AND IMPLEMENTING APPROPRIATE THERAPY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 534.1-534
Author(s):  
C. Rohani-Montez ◽  
M. Calle ◽  
C. Allen ◽  
C. Denton
Keyword(s):  
Online Education ◽  
Disease Progression ◽  
Correct Response ◽  
Response Rate ◽  
Response To Therapy ◽  
Chi Square ◽  
Design For All ◽  
Post Assessment ◽  
Correct Response Rate ◽  
Case Based

Background:Due to the heterogeneity in both the initial manifestations of systemic sclerosis (SSc) and progression with SSc-associated interstitial lung disease (SSc-ILD), diagnosis and prognosis can be challenging in clinical practice. Clinicians need expert case-based guidance on how best to monitor patients with SSc and the treatment implications.Objectives:This study was conducted to determine whether online case-based independent medical education could improve rheumatologists’ and pulmonologists’ competence in evaluating and monitoring SSc-ILD progression and initiating the right treatments when progression is identified.Methods:Rheumatologists and pulmonologists participated in two comprehensive online case studies, using a ‘test then teach’ approach and completed all pre- and post-questions.1The effects of the education on knowledge and competence were assessed using a 3-question, repeated pairs, pre-assessment/post-assessment study design. For all questions combined, the chi-square test assessed differences from pre- to post-assessment. P values <.05 are statistically significant. The activity launched on September 24, 2019, and data were collected through December 9, 2019.Results:Overall significant improvements were seen after participation for both rheumatologists (average correct response rate of 65% at pre-assessment vs 97% at post-assessment; P<.001, N=89), and pulmonologists (average correct response rate of 64% at pre-assessment vs 95% at post-assessment; P<.001, N=71). Specifically, significant improvements were observed in clinicians’ competence in assessing response to therapy and monitoring for disease progression; and managing evidence of disease worsening (figure).Figure.After participating in the activity, 54% of rheumatologists and 51% of pulmonologists had measurable improved confidence related to communicating with patients with SSc-ILD about the possibility of disease progression.Given that only around half of clinicians provided correct responses at baseline, it will be important to continue to reinforce these learnings in ongoing education.Conclusion:This study demonstrates the success of online, case-based education in improving rheumatologists’ and pulmonologists’ competence in managing patients with SSc-ILD. This could lead to earlier changes in therapeutic approach for those with signs of progression and result in improved overall outcomes for these patients.References:[1]Denton C. When SSc-ILD Starts Progressing: Monitoring and Managing Those at Risk for Poor Prognosis. Launched: 9/24/2019. Data as of 12/9/2019. Available atwww.medscape.org/viewarticle/918465Disclosure of Interests:Christy Rohani-Montez: None declared, Marinella Calle: None declared, Chris Allen: None declared, Christopher Denton Grant/research support from: GlaxoSmithKline, CSL Behring, and Inventiva, Consultant of: Medscape, Roche-Genentech, Actelion, GlaxoSmithKline, Sanofi Aventis, Inventiva, CSL Behring, Boehringer Ingelheim, Corbus Pharmaceuticals, Acceleron, Curzion and Bayer

scholarly journals POS1449 SEGMENTED SHORT-FORMAT ONLINE EDUCATION SIGNIFICANTLY INCREASES PREDICTION, PROGNOSIS, AND MANAGEMENT OF FIBROSING INTERSTITIAL LUNG DISEASE ASSOCIATED WITH CONNECTIVE TISSUE DISEASE

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1008.1-1009
Author(s):  
C. Rohani-Montez ◽  
M. Calle ◽  
C. Allen ◽  
T. Maher ◽  
V. Smith ◽  
...  
Keyword(s):  
Interstitial Lung Disease ◽  
Connective Tissue ◽  
Online Education ◽  
Lung Disease ◽  
Disease Progression ◽  
Correct Response ◽  
Response Rate ◽  
Research Support ◽  
Post Assessment ◽  
Correct Response Rate

Background:Identifying fibrosing interstitial lung disease (ILD) at the earliest opportunity remains one of the most urgent challenges for the effective management of this potentially rapidly progressive and burdensome condition, which is frequently associated with several connective tissue diseases (CTDs). However, knowledge on how to identify early hallmarks and predictors of fibrosing ILD, as well as knowing which steps to take next is frequently lacking in clinical practice.Objectives:This study was conducted to determine whether online independent medical education could improve rheumatologists’ and pulmonologists’ knowledge and competence in identifying and managing progressive fibrosing ILDs earlier in the disease course.Methods:Rheumatologists and pulmonologists participated in five ~10-min presentations about the early identification of fibrosing ILD in patients with or without CTDs and completed all pre- and post-questions.1 The effects of the education on knowledge and competence were assessed using a 3-question, repeated pairs, pre-assessment/post-assessment study design. For all questions combined, the chi-square test assessed differences from pre- to post-assessment. P values <.05 are statistically significant. The activity launched on October 9, 2020, and data were collected through December 18, 2020.Results:Overall significant improvements were seen after participation for both rheumatologists (average correct response rate of 28% at pre-assessment vs 74% at post-assessment; P<.001, representing a 165% relative percentage change [RPC]; N=39), and pulmonologists (average correct response rate of 39% at pre-assessment vs 67% at post-assessment; P<.001, representing a 72% RPC; N=102). Specifically, significant improvements were observed in clinicians’ knowledge of predictors of fibrosing ILD in patients with CTD, as well as competence in selecting the right HRCT parameters to assess prognosis and select a treatment approach to reduce the risk of disease progression (Figure 1).Figure 1.After participating in the activity, 59% of rheumatologists and 50% of pulmonologists had measurable improved confidence related to identifying early disease progression in patients with progressive fibrosing ILDs.Given the very low rates of correct responses at baseline regarding predictors of fibrosing ILD and assessing prognosis, it will be important to continue to reinforce these learnings in ongoing educational programs.Conclusion:This study demonstrates the success of segmented online education in improving rheumatologists’ and pulmonologists’ knowledge and competence in evaluating risk and prognosis of fibrosing ILD and managing patients with CTD-ILDs. This could lead to earlier changes in therapeutic approach for those with signs of progression and result in improved overall outcomes for these patients.References:[1]Kolb M, Maher T, Smith V, Jacob J, Rimekasten G. Catching and Managing Progressive Fibrosing Interstitial Lung Disease Progression Earlier. Launched: Oct 9, 2020. Data as of Dec 18, 2020. Available at www.medscape.org/viewarticle/938826Disclosure of Interests:Christy Rohani-Montez: None declared, Marinella Calle: None declared, Chris Allen: None declared, Toby Maher Speakers bureau: Astra Zeneca, Bayer, Blade Therapeutics, Boehringer Ingelheim, Bristol-Myers Squibb, Galapagos, Galecto, GlaxoSmithKline R&D, Indalo, IQVIA, Pliant, Respivant, Roche and Theravance, Consultant of: Astra Zeneca, Bayer, Blade Therapeutics, Boehringer Ingelheim, Bristol-Myers Squibb, Galapagos, Galecto, GlaxoSmithKline R&D, Indalo, IQVIA, Pliant, Respivant, Roche and Theravance, Grant/research support from: Astra Zeneca and GlaxoSmithKline R&D, Vanessa Smith Speakers bureau: Boehringer-Ingelheim Pharma GmbH&Co and Janssen-Cilag NV, Consultant of: Boehringer-Ingelheim Pharma GmbH&Co, Grant/research support from: Research Foundation - Flanders (FWO), Belgian Fund for Scientific Research in Rheumatic diseases (FWRO), Boehringer-Ingelheim, Pharma GmbH&Co, and Janssen-Cilag NV, Joseph Jacob Speakers bureau: Boehringer-Ingelheim; Roche, Consultant of: Boehringer-Ingelheim, Grant/research support from: GlaxoSmithKline, Gabriela Riemekasten Speakers bureau: AbbVie; Actelion; Boehringer-Ingelheim, Consultant of: Actelion; CellTrend; Janssen, Grant/research support from: AbbVie; Actelion, Martin Kolb Speakers bureau: AstraZeneca; Boehringer-Ingelheim; Novartis; Roche, Consultant of: AbbVie Inc.; Algernon Pharma; AstraZeneca;, Boehringer-Ingelheim; Cipla; Covance; EPG Health; Galapagos NV; Gilead; GlaxoSmithKline; Indalo; MitoImmune Therapeutics Inc; Novartis; Pieris; Prometic (now Liminal Biosciences); Roche; Third Pole Inc.; TwoXAR Inc., Grant/research support from: Boehringer-Ingelheim; GlaxoSmithKline; Novartis; Prometic; Roche; Avalyn

scholarly journals The Evaluation of Responses and Abilities of 119 EMTs to Perform Pediatric Triage

2021 ◽  
Vol 35 (5) ◽  
pp. 66-73
Author(s):  
Kyung-Ha Chun ◽  
Hyo-Ju Lee
Keyword(s):  
Emergency Medicine ◽  
Problem Solving ◽  
Correct Response ◽  
Response Rate ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Average Score ◽  
Continuous Training ◽  
Fire Station ◽  
Correct Response Rate

This study aimed to evaluate the pediatric triage performance of 119 Emergency Medicine Technologists (EMTs) at a fire station, based on mass casualty incident scenarios of a pediatric disaster, and to evaluate effective measures of response. EMTs (N = 58) at a provincial fire station participated in this study and were asked to complete three questionnaires: one ‘general characteristics’ questionnaire, one problem solving questionnaire, consisting of questions based on mass casualty incident scenarios, and a post-questionnaire to explore the necessity of pediatric triage based on their responses. We used SPSS to analyze the data. The EMT-paramedics’ scores were high and statistically significant (p < .002). All 48 questions concerning the three scenarios were converted to a score ranging from 0 to 100 with an average score of 70.92 and an average correct response rate of 70%. We also found that the participants’ rate of recognition of the pediatric triage tool was significantly lower than that of the adult tool (p < .030). The usage rate was also low, at approximately 19.09%. After solving the questionnaire problems, the respondents reported a significantly higher score concerning the necessity of the pediatric triage tools than before (p < .006). Firefighting departments integrate pediatric triage tools into the E-triage system. However, EMTs should receive continuous training and practice to improve their pediatric triage tool classification capabilities.

scholarly journals Knowledge, attitude, and practices regarding COVID-19: A study on workers from a food industry in Bangladesh.

2021 ◽  
Author(s):  
Md. Fahad Jubayer ◽  
Md. Shahidullah Kayshar ◽  
Md. Faizul Kabir ◽  
Md. Tariqul Islam Limon ◽  
Md. Al-Emran ◽  
...  
Keyword(s):  
Correct Response ◽  
Food Industry ◽  
Response Rate ◽  
Safety Measures ◽  
Food Industries ◽  
Good Level ◽  
Global Pandemic ◽  
The World ◽  
Correct Response Rate

While people around the world are terrified of the global pandemic coronavirus disease 2019 (COVID-19) and no registered vaccine is out yet, undertaking preventive safety measures are said to be the only way to stay away from it. Peoples adherence to these measures is broadly dependent on their knowledge, attitude, and practices (KAP). The present study was designed to evaluate workers knowledge, attitude, and practices from a food industry in Dhaka, Bangladesh, towards COVID-19. A number of 155 respondents took part in this online-based study. The information was acquired online from the participants through a questionnaire prepared in Google form. With a correct response rate of about 90% on average (knowledge 89.7%, attitude 93%, practices 88.2%), the participants showed a good level of KAP regarding COVID-19. However, education and working experiences had a significant association with the total KAP scores (p < 0.05). Further KAP studies in different generic food industries in Bangladesh should be carried out to bring a more precise picture for ensuring the level of workplace and workers safety.

Knowledge Base of Doctors and Nurses Participating in a Trauma Workshop

2000 ◽  
Vol 7 (2) ◽  
pp. 81-84
Author(s):  
Tw Wong ◽  
Cc Lau ◽  
Bh Yong ◽  
Iks Tan ◽  
Jhb Kong
Keyword(s):  
Emergency Medicine ◽  
Knowledge Base ◽  
Correct Response ◽  
Response Rate ◽  
Patient Assessment ◽  
Group 13 ◽  
Surgical Trainees ◽  
The Mean ◽  
Correct Response Rate ◽  
Doctors And Nurses

Objective To identify the knowledge base of doctors and nurses attending a trauma workshop. Methods: All participants of a trauma workshop were distributed a pre-test questionnaire with 30 type A questions. Questions on patient assessment and the management of airway, breathing and circulation were included. Scores were analysed with regard to the specialty and years since graduation. The difficulty and discrimination indices of individual question were analysed. Results 95 participants (33 were doctors) took the test. The participants were from the departments of surgery (41%), orthopaedics (24%), anaesthesia (20%) and emergency medicine (9%). The mean years from graduation of the participants were 3.22 (SD 3.77) for doctors and 3.56 (SD 6.06) for nurses. The mean score was 54% (SD 17%) for the whole group. The mean score of doctors was 68%, which was significantly higher than the nurses' score of 46%. (P<0.001) The mean score of Emergency Department doctors (82%) was highest among the four groups but the differences were not statistically significant. Non-surgical trainees (anaesthesia, emergency medicine) had statistically significant better scores than surgical trainees (surgery, orthopaedics, neurosurgery) in airway (p = 0.02) and breathing (p = 0.03) There were no statistically significant differences among the four doctor groups in the other sub-scores. For the doctors, only 3 questions had a correct response rate of less than 40%. On the contrary, for the nurse group, 13 questions attracted a correct response rate of less than 40%. Conclusions A pre-test was useful in helping us understand more about the knowledge base of different groups of participants.

scholarly journals AB1272 ONLINE EDUCATION BOOSTS CLINICIAN KNOWLEDGE ABOUT EMERGING THERAPIES FOR PATIENTS WITH SYSTEMIC SCLEROSIS-ASSOCIATED INTERSTITIAL LUNG DISEASE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1927.2-1927
Author(s):  
C. Rohani-Montez ◽  
M. Calle ◽  
C. Allen ◽  
A. M. Hoffmann-Vold ◽  
O. Distler
Keyword(s):  
Systemic Sclerosis ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Correct Response ◽  
Response Rate ◽  
Treatment Needs ◽  
Research Support ◽  
Emerging Therapies ◽  
Post Assessment ◽  
Correct Response Rate

Background:Systemic sclerosis-associated interstitial lung disease (SSc-ILD) has traditionally been treated with therapies such as cyclophosphamide, mycophenolate mofetil, and hematopoietic stem cell transplantation. However, these therapies are limited by potential toxicity, as well as duration and magnitude of effect. Clinicians need awareness of emerging therapies in late-stage clinical trials that may address these limitations.Objectives:This study was conducted to determine whether online independent medical education could improve rheumatologists’ and pulmonologists’ knowledge of emerging therapies for the management of SSc-ILD.Methods:Physicians (N = 2,076) participated in a 30-minute, 2-faculty, video-based, online CME with synchronized slides.1The majority of participants were rheumatologists (n = 522) or pulmonologists (n = 557), but the cohort also included clinical immunologists (n = 132) and other physicians with an interest in the topic (n = 865). This study focuses on the 120 rheumatologists and 111 pulmonologists who completed all pre- and post-questions. The effects of the education on knowledge was assessed using a 3-question, repeated pairs, pre-assessment/post-assessment study design. For all questions combined, the chi-square test assessed differences from pre- to post-assessment. P values <.05 are statistically significant. The activity launched on September 17, 2019, and data were collected through November 5, 2019.Results:Overall significant improvements were seen after participation for both rheumatologists (average correct response rate of 55% at pre-assessment vs 75% at post-assessment; P<.001, N=120), and pulmonologists (average correct response rate of 60% at pre-assessment vs 77% at post-assessment; P<.001, N=111). Specifically, significant improvements were observed in clinicians’ knowledge of clinical trial data for emerging SSc-ILD therapies (figure).Figure.Clinicians from APAC (n = 67) and Europe (n = 79) made up the majority of the cohort, and had similar rates of correct responses without significant differences, indicating consistent effects, independent of the region of origin. After participating in the activity, 48% of pulmonologists and rheumatologists had measurable improved confidence related to their knowledge of emerging therapies for patients with SSc-ILD.Despite the increases in knowledge and confidence observed, the rates of correct responses suggest there is still room for improvement; therefore, ongoing education will be needed to reinforce knowledge of the latest data evaluating new therapies for SSc-ILD and what they will mean for future practice.Conclusion:This study demonstrates the success of online, video-based education in improving rheumatologists’ and pulmonologists’ knowledge of the latest clinical data on emerging therapies for SSc-ILD. This could lead to earlier adoption of new, efficacious therapies that may slow disease progression and improve overall outcomes for these patients.References:[1]Distler O, Hoffmann-Vold A-M. How Can We Meet the Treatment Needs of Patients With Systemic Sclerosis-Interstitial Lung Disease? Launched: 9/17/2019. Data as of 11/5/2019. Available atwww.medscape.org/viewarticle/917034Disclosure of Interests:Christy Rohani-Montez: None declared, Marinella Calle: None declared, Chris Allen: None declared, Anna-Maria Hoffmann-Vold Grant/research support from: Boehringer Ingelheim, Consultant of: Boehringer Ingelheim, Actelion, Bayer, GlaxoSmithKline, Speakers bureau: Boehringer Ingelheim, Actelion, Roche, Oliver Distler Grant/research support from: Grants/Research support from Actelion, Bayer, Boehringer Ingelheim, Competitive Drug Development International Ltd. and Mitsubishi Tanabe; he also holds the issued Patent on mir-29 for the treatment of systemic sclerosis (US8247389, EP2331143)., Consultant of: Consultancy fees from Actelion, Acceleron Pharma, AnaMar, Bayer, Baecon Discovery, Blade Therapeutics, Boehringer, CSL Behring, Catenion, ChemomAb, Curzion Pharmaceuticals, Ergonex, Galapagos NV, GSK, Glenmark Pharmaceuticals, Inventiva, Italfarmaco, iQvia, medac, Medscape, Mitsubishi Tanabe Pharma, MSD, Roche, Sanofi and UCB, Speakers bureau: Speaker fees from Actelion, Bayer, Boehringer Ingelheim, Medscape, Pfizer and Roche

scholarly journals Improving Competence in Diagnosis, Referral and Initial Management of Acquired Hemophilia a through Online Interactive Case-Based Education

Blood ◽  
2021 ◽  
Vol 138 (Supplement 1) ◽  
pp. 2990-2990
Author(s):  
Christy Rohani-Montez ◽  
Deborah Middleton ◽  
Karen Reid ◽  
Alice Ma
Keyword(s):  
Correct Response ◽  
Response Rate ◽  
Initial Management ◽  
Paired Samples ◽  
Cohen’S D ◽  
Increased Risk ◽  
Cohen's D ◽  
Post Assessment ◽  
Correct Response Rate ◽  
Case Based

Abstract INTRODUCTION Diagnosing acquired haemophilia A (AHA) can be challenging due to a) it's rarity (~1.5 cases per million), and b) the range of nonspecific bleeding patterns that may present. Therefore, there is a substantial diagnostic delay and rate of misdiagnosis, leading to an increased risk of morbidity and mortality. This study was conducted to determine whether online interactive case-based independent medical education could improve clinicians' competence in identifying possible AHA, in appropriate referral to specialist centers and in initial management. METHODS Hematologists and emergency medicine (EM) physicians participated in a text, case-based activity and completed pre- and post-questions (Ma A. Active Bleeding in the ER and a Prolonged aPTT: What's Your Next Step? www.medscape.org/viewarticle/944112). Educational effect was assessed using a 3-question repeated-pair design with pre-/post-assessment. A paired samples t-test was conducted for significance testing on overall average number of correct responses and for confidence rating, and a McNemar's test was conducted at the learning objective level (5% significance level, P &lt;.05). Cohen's d with correction for paired samples estimated the effect size of the education on number of correct responses (&lt;.20 modest, .20-.49 small, .59-.79 moderate, ≥.80 large). Data were collected from 03/15/2021 to 06/14/2021. RESULTS Overall significant improvements at the aggregate level were seen after participation for hematologists (33% average correct response rate at pre-assessment vs 94% at post-assessment; P&lt;.001, Cohen's d= 2.27, N=86), and EM physicians (24% average correct response rate at pre-assessment vs 80% at post-assessment; P&lt;.001, Cohen's d= 1.30, N=102). Highly significant improvements were achieved with regards to recognizing symptoms of AHA, appropriate referral, and initial therapeutic management (figure). After participating, 37% of hematologists and 40% of pulmonologists had measurable improved confidence (both P&lt;.001), resulting in 63% of hematologists and 46% of EM physicians who were mostly or very confident in identifying features consistent with a possible AHA diagnosis post-CME (vs 44% and 26% pre-CME respectively). CONCLUSIONS This study demonstrates the success of online, interactive case-based education in improving clinicians' competence in identifying patients with possible AHA, appropriate referral and initial treatment. Both improvement and reinforcement in the context of a linked learning assessment have been shown to positively correlate with increases in confidence as well as intention to make clinical practice changes (Lucero KS, Chen P. J Eur CME. 2020 Oct 12;9(1):1834759), suggesting that most clinicians who participated in this activity are likely to make improvements in their practice. This could lead to earlier appropriate treatment and improved overall outcomes for these patients. Figure 1 Figure 1. Disclosures Ma: Takeda: Honoraria, Research Funding; Accordant: Consultancy.

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