Abstract 12074: Rhythm Control Strategy in Recent Atrial Fibrillation: An Online Educational Intervention Improved Physician Knowledge, Competence, and Confidence

Abstract

Background: In clinical practice, rhythm control strategies, including antiarrhythmic drugs (AAD), are currently used for the management of patients with arrhythmias. Despite latest guideline updates and randomized trials on early rhythm control strategies, physicians remain uncertain on the selection of a good strategy for these patients. Purpose: To determine if an online continuing medical education intervention could improve knowledge, competence, and confidence of cardiologists and surgeons related to latest data on rhythm control strategies and the use of AAD in patients with recent AF. Methods: Cardiologists and surgeons electively participated in a video-based, 3-faculty educational panel discussion on earlier rhythm control strategies in recent AF. A repeated pairs pre-/post-assessment study design was used and a paired samples t-test for overall and McNemar’s test at the question level ( P <.05 is considered significant) assessed statistical significance. Data were collected March 3, 2021 through June 1, 2021. Results: Overall significant improvements were seen after education for both cardiologists (N = 525) and surgeons (N = 2180). Pre-assessment, the average correct response rate was 55% for cardiologists and 51% for surgeons, while post-assessment average correct response rates increased to 66% and 64%, respectively. Significant improvements were observed in cardiologists’ and surgeons’ knowledge and competence related to the use of rhythm control strategies in recent AF (Table). As a result of the education, 39% of cardiologists and 48% of surgeons had a measurable improvement in their confidence on rhythm control strategies choice in recent AF. Conclusion: The statistically significant improvements observed in this intervention demonstrate that participation in a video-based panel discussion to increase knowledge, competence, and confidence of cardiologists regarding the selection of rhythm control strategies in recent AF.