#3204 CASE-BASED ONLINE MEDICAL EDUCATION ENHANCES PHYSICIANS’ KNOWLEDGE AND COMPETENCE IN THE MANAGEMENT OF PATIENTS WITH DIABETES WITH CARDIORENAL DISEASE

Abstract

Abstract Background and Aims Patients with type 2 diabetes (T2D) and chronic kidney disease (CKD) have a substantially impaired cardio-renal health prognosis and a reduced life expectancy highlighting the urgent need for early detection and comprehensive vascular risk control. The goal of this activity for primary care physicians (PCP) and diabetologists/endocrinologists (D/E) was to improve their understanding of and competence in managing patients with diabetes with cardiorenal disease in clinical practice. Method An interactive educational program including one detailed patient case challenges clinicians to apply most recent evidence-based guideline recommendations. Detailed scenarios prompt learners to determine the correct treatment and follow-up for the patient with expert commentaries providing in-depth advice at each stage and a conclusion at the end of the program. Educational effect was assessed using a repeated-pair design with pre-/post-assessment. 3 multiple choice questions assessed knowledge/competence, 1 question rated on a Likert-type scale assessed confidence. A paired samples t-test was conducted on overall average number of correct responses and for confidence rating, a McNemar's test was conducted at the question level (5% significance level). Cohen's d with correction for paired samples estimated the effect size of the education on number of correct responses. Data collection from 5/25/22 to 9/13/22. Results 74% of PCP (n = 74) improved their knowledge regarding the need for comprehensive vascular risk control in patients with T2D and CKD and their competence related to the practical implementation of the latest diabetes guidelines for the individualized management of these patients (p<.001; d = 0.56) • 56% of D/E (n = 32) advanced their knowledge regarding the need for comprehensive vascular risk control in patients with T2D and CKD (P<.01, d = 0.35) • 39% of PCP and 41% of D/E increased their confidence (p<.001 and p<.01 respectively) in proactively monitoring their patients with T2D for kidney disease Conclusion Participation of PCP and D/E in an interactive online case-based education program improved their understanding of the need for comprehensive vascular risk control and the competence of PCPs in managing patients with T2D and cardiorenal disease in clinical practice.