Allied Professionals (Non-physician submissions only) -> Clinical Research D-PO01 - Featured Poster Session (ID 11) Poster

D-PO01-051 - A Virtual Case-based Educational Program Improves Provider Knowledge On Best Practices For Atrial Fibrillation (ID 898)


Background: Evolving AF guidelines and barriers to accessing specialty care make it challenging for community PCPs to deliver optimal AF treatment. The Atrial Fibrillation and EKG Interpretation TeleECHO Clinic is a virtual case-based program created at the University of North Carolina (UNC), adapted from Project ECHOTM, to enhance provider knowledge and adherence to guideline-directed AF care.
Objective: We evaluated the efficacy of a virtual AF learning program in improving provider knowledge and confidence in AF management
Methods: UNC PCPs who manage a large cohort of AF patients were recruited (n=36) and randomized into 2 cohorts for training. The intervention consisted of 24 weekly 1 hour videoconferencing sessions with case-based discussions and didactics. Providers completed a knowledge base (score 0-25) and confidence in management assessment (score 11-55) pre- and post- intervention.
Results: 12 providers (58% MDs, 75% females, 33% rural sites) completed the first training with pre- and post- assessments. Provider knowledge (pre-intervention 15.6 +/- 0.8 vs post-intervention 20.6 +/- 0.6, p<0.001, Figure) and provider confidence in AF management (pre-intervention 31.3 +/- 2.5 vs post-intervention 43.7 +/- 3.0, p<0.001) both increased with training.
Conclusion: These data provide preliminary support for the efficacy of a virtual case-based AF learning program delivering core principles of AF management in improving provider knowledge and confidence. Following the second training program, additional patient outcomes (AF-specific ED visits, hospitalizations, quality measures, comorbidity management goals) will be assessed.