PBL CME “DIFFICULT-TO-MANAGE ALLERGIC RHINITIS AND THE ROLE OF SHARED DECISION MAKING

Abstract

Introduction THE Problem Based Learning Institute reports an Interactive CME experience covering Difficult to Manage Allergic Rhinitis and the Role of Shared Decision Making (SDM). This unique model of CME that combines the benefits of interactive case-based sessions utilizing problem-based learning (PBL) with follow-up didactic lectures “in context” to the case discussions in order to reinforce objectives from the PBL case. Objectives The objective of this study was to assess the effect of this unique interactive CME on primary care physician behavior and practice pattern change as well as satisfaction after participating in PBL sessions given by regional key opinion leaders. Methods A total of 7 Interactive PBL CME programs were given to 37 Primary Care Clinicians in different locations around the US. Participants completed pre-and post-meeting testing and satisfaction surveys. Pre and posttest surveys were done concerning behaviors. Results Pre-and post-meeting testing (4-6 weeks later) demonstrated significant changes in described behaviors. Of primary care physicians attending the PBL activity there was a 58% increase (from a baseline of 24%) who said they more frequently discussed Allergen Immunotherapy (AIT) using a SDM approach and 2/3 used the RCAT more frequently as well as altered their practice pattern. Conclusions We believe that this data supports that future CME should move toward this unique model of a “mixed” or “blended” format utilizing a PBL case prior to any lecture in context, due to its real-world appeal and its ability to change physician behavior, practice patterns and engage physicians in a positive educational experience.