S3135 Online CME on Eosinophilic Esophagitis Improves Knowledge and Competence Among Gastroenterologists

Abstract

INTRODUCTION: Eosinophilic esophagitis (EoE) is a chronic immune-mediated esophageal disease characterized clinically by esophageal dysfunction and food impactions, and pathologically by eosinophilic infiltration of the esophageal mucosa. The goal of this study was to examine the effect of online CME on improving knowledge, competence, and confidence in evidence-based management of patients with EoE. METHODS: Gastroenterologists (N = 206) participated in an online audio and slide-based CME activity that highlighted key educational points from a live symposium.1 Effectiveness was analyzed using 3 multiple-choice and 1 self-efficacy question, presented as pre-/post-CME repeated pairs. The online CME activity launched on November 22, 2019 and participant results were collected through January 21, 2020. Chi-square test assessed changes in responses to questions from pre- to post-CME. Cramer’s V effect size was calculated using the change in proportion of learners who answered questions correctly from pre- to post-CME. RESULTS: In pre to post-CME assessments, there was an overall 11% relative improvement in correct responses from 62% to 69% pre/post (P < .01; Cramers V =0 .08). There was a 12% relative increase in knowledge regarding the most common trigger of EoE (67% to 75% pre/post; P = .08). Despite high baseline knowledge regarding the clinical presentation of EoE in adults, learners still demonstrated a 5% relative increase following participation in online education (85% to 89% pre/post; P = .24). In a case-based scenario there was a 33% relative improvement in competence regarding selection of guideline-based treatment (33% to 44% pre/post; P < .05). Learners also had a 7% average increase in confidence in their ability to manage patients with EoE based on clinical guidelines and best available evidence, with 24% and 71% having increased and maintained confidence, respectively, following participation. CONCLUSION: An online CME audio module with synchronized slides on evidence-based management of EoE resulted in increased knowledge, competence, and confidence among gastroenterologists. Further case-based education would be beneficial in closing remaining gaps in competence.