Medscape

e23284 Background: Online medical information is important for oncologists to stay current in practice. A worldwide survey of oncologists (n = 57; 54% US) showed 92% look online to inform care for ≥30% of their patients. We hypothesized that oncologists who increase breast cancer continuing medical education (CME) consumption after exposure to our CME intervention would be more likely to change practice than those who did not. Methods: This secondary analysis leveraged oncologist data reflecting changes in real-world claims for evidence- and biology-based treatment selection for patients with early breast cancer 1-month post-participation in a CME intervention. The 9 CME activities posted from Oct to Dec 2023. 1,921 oncologists participated in at least 1 activity from Nov to Dec 2023 and had at least 1 patient eligible for biology-based treatment in the pre and post periods. Oncologists who changed practice were defined as those who had a higher proportion of patients receiving biology-based treatment in the 1-month post- versus pre-participation. Page views (PVs) in breast cancer on a large online educational news, reference, and CME platform were examined for the 6 months pre- and post-participation. Average PVs were calculated for both periods. Logistic regression assessed the hypothesis, with practice change as the dependent variable, and increase in CME with controls for increases in news and reference as independent variables. Results: CME learners who increased CME PVs had a 2.52 greater odds of changing treatment decisions in the real world 1 month post-intervention (Exp ( B ) = 0.926, CI [1.925, 3.111], P < .001). Increasing breast cancer reference PVs also was a positive predictor of practice change, but the effect size was smaller (Exp ( B ) = 0.355, CI [1.128, 1.802], P < .01, OR 1.43). Conclusions: Oncologists who update treatment decisions to be more evidence-based tend to exhibit increased CME and reference breast cancer content consumption. This correlation suggests increased CME engagement on a specific topic may indicate a shift in clinical practice, or that oncologists who alter approaches are more inclined to seek updated information. Limitations of the study include not taking into account other online sources of information and its associative nature, as increases in PVs were observed over 6 months, while practice changes were assessed within a 1-month pre/post period. Additionally, the study did not evaluate the depth of activity engagement. Future research should adopt a time series analysis approach and differentiate number of activities and depth within an activity. Average pageviews (PVs) pre and post breast cancer content type given initial intervention exposure date for oncologists who changed practice versus those who did not. Change Practice (n=358) Do Not Change Practice (n=1563) PVs pre PVs post PVs pre PVs post CME 8 15 8 9 News 7 9 7 10 Reference 5 6 4 4

Abstract Objectives/Purpose: We sought to determine if online continuing medical education (CME) could improve the knowledge, competence and confidence of pulmonologists and cardiologists related to the identification and management of pulmonary arterial hypertension (PAH). Methods: This CME intervention comprised of a 60-minute enduring online video-based program with 3 expert faculty, originally broadcast live in-person and online at the 2024 American Thoracic Society (ATS) International annual meeting. Educational effect was assessed using a repeated-pair design with pre-/post-assessment. Three multiple choice questions assessed knowledge and competence, and 1, 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, and a McNemar's test was conducted at the question level (significance level, P<.05). The enduring activity launched June 18, 2024 and data were collected through September 9, 2024. Results: In total, 38 pulmonologists and 81 cardiologists were included in the analysis. There were competence and confidence improvements seen among participants from pre- to post-assessment. Overall, 47% of pulmonologists (37% pre vs 61% post, P<.001) and cardiologists (26% pre vs 45% post, P<.001) improved their knowledge/competence related to the management of PAH, respectively. Further results showed: • Knowledge of evaluation and risk stratification: 32% of pulmonologists improved and 13% reinforced (16% pre vs 45% post, P<.01); 21% of cardiologists improved and 12% reinforced (12% pre vs 33% post, P<.01) • Knowledge of evidence-based PAH treatment: 29% of pulmonologists improved and 39% reinforced (39% pre vs 68% post, P<.001); 20% of cardiologists improved and 31% reinforced (32% pre vs 51% post, P<.001) • Competence in selection of PAH treatment based on risk: 18% of pulmonologists improved and 53% reinforced (55% vs 71%, P<.05); 20% of cardiologists improved and 32% reinforced (32% vs 52%, P<.001) • Confidence in ability to facilitate shared decision-making to improve disease management: 42% of pulmonologists and 47% of cardiologists had a measurable increase in confidence after education, resulting in 32% of pulmonologists (P<.001) and 23% of cardiologists who were mostly or very confident after education (P<.001) Conclusion: This study demonstrates the success of online case-based CME on knowledge, competence and confidence of physicians related to the identification and management of PAH. Continued gaps were identified for future educational targets.

Purpose: This study examined whether online CME could improve the knowledge and confidence of cardiologists regarding the use of echocardiography for HCM diagnosis and management. Methods: The CME intervention comprised of a series of 6 online interviews between 1 moderator and 2 expert faculty. Educational effect was assessed using a repeated-pair design with pre-/post-assessment. 3 multiple choice questions assessed knowledge, and 1, 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, and a McNemar’s test was conducted at the question level (significance level, P< .05). Data were collected August 8-September 8, 2023. Results: 165 cardiologists answered all assessment questions during the study period. Analysis of pre- vs. post-intervention responses demonstrated a significant improvement in overall knowledge; average correct responses increased from 48% pre-assessment to 74% post-assessment (P<.001). Specific areas of improvement include: Knowledge of the quantification of LVOT gradients, MR, and LVEF in the echocardiographic workup of HCM: 21% improved and 62% reinforced; the correct response increased (P<.001) from 65% (pre) to 84% (post). Knowledge of the utility of echocardiography for follow-up and monitoring response to HCM treatment: 48% improved and 35% reinforced; the correct response increase (P<.001) from 39% (pre) to 70% (post). Post-education, 48% of cardiologists had a measurable increase in their ability to diagnose HCM using echocardiographic parameters, resulting in 43% who were mostly or very confident after education (24% pre vs 43% post; P<.001). Conclusion: This study demonstrated the success of online CME at improving the knowledge and confidence of cardiologists related to the use of echocardiography to identify and manage HCM.

<bold>Background:</bold> Distinguishing interstitial lung abnormalities (ILAs) associated with progression and mortality risk due to interstitial lung disease (ILD) vs those of no clear significance and deciding on the best follow-up approach is challenging. <bold>Aims & Objectives</bold> We sought to improve physician knowledge of CT patterns consistent with risk for ILA progression, and competence in choosing the right follow-up approach. <bold>Methods:</bold> Physicians participated in an interactive case-based CME activity and completed all intra-activity and post-activity questions. The education effects were assessed via a 3-question, repeated pairs, pre-assessment/post-assessment study design and 1 confidence question. Differences from pre- to post-assessment were evaluated. The activity launched Nov 2023 and data were collected in Feb 2024. <bold>Results:</bold> Overall significant improvements were seen after participation for both radiologists (correct response rate of 64% at pre-assessment vs 92% at post-assessment; P<.001, Cohen’s d= 1.08, N=191), & pulmonologists (correct response rate of 70% at pre-assessment vs 94% at post-assessment; P<.001, Cohen’s d= 1.02, N=57). Specifically, significant improvements were observed in recognizing risk of progression to ILD based on clinical history and HRCT findings and ensuring appropriate referral and follow-up. After participating, 49% of radiologists and 40% of pulmonologists had measurable improved confidence related to identifying an appropriate follow-up protocol for patients with ILAs. <bold>Conclusions:</bold> This study demonstrates the success of online, interactive case-based education in improving physician knowledge and competence in appropriately triaging ILAs for follow-up care.