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Abstract Details

Online Case Challenges Demonstrate the Need for Continued Âé¶¹´«Ã½Ó³»­ Relating to the Assessment and Management of Chronic Pain Among Neurologists
Pain
P11 - Poster Session 11 (8:00 AM-9:00 AM)
6-010
The current study was undertaken to determine if an online case-based medical education activity could improve the knowledge and competence of neurologists as it relates to the diagnosis and management of arthritis-related chronic pain.

Chronic pain, especially arthritis-related and low back pain, is among the most commonly occurring health conditions. It is crucial that clinicians can appropriately care for patients with chronic pain conditions, utilizing guidelines and reducing the use of opioid medications, when possible. 


The educational intervention comprised 2 patient case scenarios in an online, interactive, text-based CME activity. Using a “test and teach” methodology, clinicians were presented with multiple-choice questions to test their application of evidence-based recommendations. Each response was followed by education in the form of detailed, referenced, feedback. Âé¶¹´«Ã½Ó³»­al effect was evaluated through a repeated pairs pre- vs post-assessment of responses linked to individual learners, allowing each learner to act as his/her own control. A Pearson's χ2 test measured changes in paired responses to individual questions. Cramer’s V was used to calculate the effect size of the intervention. Data from the educational intervention were collected between August 17, 2018 and October 4, 2018.

Comparison of pre vs. post education demonstrated a considerable educational effect (n=117; V =.207; P <.001). Increases were observed in several areas (P <.05 for all comparisons): identifying the need for knee arthrocentesis, initial analgesic therapy, and analgesic selection in a patient who failed NSAIDs (16%, 33%, and 13% relative improvements, respectively). 50% of neurologists had a measurable improvement in confidence in their understanding of nerve growth factor involvement in the pathophysiology of pain.

This intervention demonstrated success of a targeted, online, interactive, case-based activity at improving the knowledge of neurologists regarding managing common chronic pain conditions. Findings indicated that future education should continue to address these topics.

 

Authors/Disclosures

PRESENTER
No disclosure on file
Thomas Finnegan, Jr., PhD (Medscape Âé¶¹´«Ã½Ó³»­) Dr. Finnegan has nothing to disclose.
No disclosure on file
No disclosure on file