Department of Genomic Health, Geisinger, Danville, PA 17822, United States; Geisinger Commonwealth School of Medicine, Scranton, PA, 18510, United States.
Department of Public Health; Cardiology Division, Department of Medicine; University of Rochester Medical Center, NY, 14642, United States.
J Clin Lipidol. 2023 Sep-Oct;17(5):592-601. doi: 10.1016/j.jacl.2023.07.007. Epub 2023 Aug 2.
Atherosclerotic cardiovascular disease (ASCVD) remains the leading cause of death in the United States. Case-based learning using electronic delivery of the modules can educate clinicians and improve translation of evidence-based guidelines into practice for high-risk ASCVD patients.
To develop and optimize module design, content, and usability of e-learning modules to teach clinicians evidence-based management in accordance with multi-society guidelines for high-risk ASCVD patients that will be implemented and evaluated in U.S. health systems in the TEACH-ASCVD study.
Seven e-learning modules were created by a committee of lipid experts. Focus groups were conducted with lipid experts to elicit feedback on case content followed by interviews with a target audience of clinicians to assess usability of the online module platform. Responses from both groups were evaluated, and appropriate changes were made to improve the e-learning modules. Design of the TEACH-ASCVD study is presented.
Feedback regarding case content by lipid experts included providing more detailed patient histories, clarifying various diagnostic criteria, and emphasizing clinical best practices based on evidence-based guidelines. The target audience clinician group reported an agreeable experience with the e-learning modules but noted a discordance between the evidence-based guidelines and clinical decision-making in their own practices. Participants felt the modules would help educate clinicians in managing high-risk ASCVD patients.
Clinicians must be informed of best practices as the field of lipidology continues to evolve. E-learning modules provide a concise, valuable, and accessible mechanism for educating clinicians regarding changes in the field to deliver the best patient care.
动脉粥样硬化性心血管疾病（ASCVD）仍然是美国的主要死亡原因。使用电子方式提供模块的基于案例的学习可以教育临床医生，并将基于证据的指南更好地转化为高危 ASCVD 患者的实践。
开发和优化电子学习模块的设计、内容和可用性，以根据多学会指南教授临床医生对高危 ASCVD 患者的循证管理，这些模块将在 TEACH-ASCVD 研究中在美国卫生系统中实施和评估。
由一组脂质专家创建了七个电子学习模块。对脂质专家进行焦点小组讨论，以征求对案例内容的反馈，然后对临床医生目标受众进行访谈，以评估在线模块平台的可用性。评估了这两个组的反馈意见，并进行了适当的更改以改进电子学习模块。介绍了 TEACH-ASCVD 研究的设计。
脂质专家对案例内容的反馈包括提供更详细的病史、澄清各种诊断标准以及根据基于证据的指南强调临床最佳实践。目标受众临床医生组报告说，他们对电子学习模块的体验令人满意，但他们自己的实践中的临床决策与基于证据的指南之间存在不一致。参与者认为这些模块将有助于教育临床医生管理高危 ASCVD 患者。
随着脂质学领域的不断发展，必须告知临床医生最佳实践。电子学习模块为教育临床医生了解该领域的变化提供了一种简洁、有价值且易于访问的机制，以提供最佳的患者护理。
