Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study
Background: Referrals to cardiac rehabilitation (CR) remain low despite evidence showing reduction in cardiovascular mortality and hospital readmissions. Resident education and awareness may be an opportunity to address barriers to CR referrals. Methods: This pilot study involves 20 internal medicin...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | American Journal of Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666667722000332 |
| _version_ | 1818209925156831232 |
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| author | Maggie Wang Nare Torosyan C. Noel Bairey-Merz Janet Wei Chrisandra L. Shufelt |
| author_facet | Maggie Wang Nare Torosyan C. Noel Bairey-Merz Janet Wei Chrisandra L. Shufelt |
| author_sort | Maggie Wang |
| collection | DOAJ |
| description | Background: Referrals to cardiac rehabilitation (CR) remain low despite evidence showing reduction in cardiovascular mortality and hospital readmissions. Resident education and awareness may be an opportunity to address barriers to CR referrals. Methods: This pilot study involves 20 internal medicine residents rotating at an ambulatory primary care clinic. Voluntary surveys were sent through an online-based survey platform. Following survey completion, residents received a 10-minute scripted lecture and an educational handout outlining CR components, availability, indications, insurance eligibility criteria, and referral process. Surveys were redistributed 2 months post-education to assess changes in mean aggregate knowledge scores and attitude ratings on a 5-point Likert scale. CR referral rates of eligible patients pre- and post-education were obtained through review of electronic medical records. Results: Sixteen (80%) residents completed both pre and post surveys, and 13 (81%) reported no education on CR in the prior year. There was a significant increase in mean aggregate knowledge scores on CR components (5.1 versus 7.0, P = 0.001), insurance coverage (2.4 versus 5.6, P< 0.001), and eligible diagnoses (7.1 versus 9.9, P = 0.03) following education. Attitudes towards CR also improved following education, particularly in self-reported comfort level with explaining CR to patients (3.69 versus 2.06, P<0.001) and perceived familiarity with CR referral process (4.00 versus 2.18, P<0.001). CR referrals increased from 0% (0 out of 10 eligible patients) to 33% (3 out of 9 eligible patients) over a 2-month period before and after education, respectively (P = 0.09). Conclusions: Internal medicine resident knowledge and attitudes towards CR significantly improved after formal education. Although there was a modest increase in the rates of CR referrals following resident education, this pilot study was not powered to detect statistical significance. |
| first_indexed | 2024-12-12T05:08:27Z |
| format | Article |
| id | doaj.art-388fcbbe1be547d0bb7b009433648cb5 |
| institution | Directory Open Access Journal |
| issn | 2666-6677 |
| language | English |
| last_indexed | 2024-12-12T05:08:27Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Preventive Cardiology |
| spelling | doaj.art-388fcbbe1be547d0bb7b009433648cb52022-12-22T00:37:00ZengElsevierAmerican Journal of Preventive Cardiology2666-66772022-06-0110100349Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot studyMaggie Wang0Nare Torosyan1C. Noel Bairey-Merz2Janet Wei3Chrisandra L. Shufelt4Department of Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USADepartment of Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USABarbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USA; Preventive and Rehabilitative Cardiac Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USABarbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USA; Preventive and Rehabilitative Cardiac Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USABarbra Streisand Women's Heart Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USA; Preventive and Rehabilitative Cardiac Center, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USA; Corresponding author..Background: Referrals to cardiac rehabilitation (CR) remain low despite evidence showing reduction in cardiovascular mortality and hospital readmissions. Resident education and awareness may be an opportunity to address barriers to CR referrals. Methods: This pilot study involves 20 internal medicine residents rotating at an ambulatory primary care clinic. Voluntary surveys were sent through an online-based survey platform. Following survey completion, residents received a 10-minute scripted lecture and an educational handout outlining CR components, availability, indications, insurance eligibility criteria, and referral process. Surveys were redistributed 2 months post-education to assess changes in mean aggregate knowledge scores and attitude ratings on a 5-point Likert scale. CR referral rates of eligible patients pre- and post-education were obtained through review of electronic medical records. Results: Sixteen (80%) residents completed both pre and post surveys, and 13 (81%) reported no education on CR in the prior year. There was a significant increase in mean aggregate knowledge scores on CR components (5.1 versus 7.0, P = 0.001), insurance coverage (2.4 versus 5.6, P< 0.001), and eligible diagnoses (7.1 versus 9.9, P = 0.03) following education. Attitudes towards CR also improved following education, particularly in self-reported comfort level with explaining CR to patients (3.69 versus 2.06, P<0.001) and perceived familiarity with CR referral process (4.00 versus 2.18, P<0.001). CR referrals increased from 0% (0 out of 10 eligible patients) to 33% (3 out of 9 eligible patients) over a 2-month period before and after education, respectively (P = 0.09). Conclusions: Internal medicine resident knowledge and attitudes towards CR significantly improved after formal education. Although there was a modest increase in the rates of CR referrals following resident education, this pilot study was not powered to detect statistical significance.http://www.sciencedirect.com/science/article/pii/S2666667722000332Cardiac rehabilitationMedical educationCardiac rehabilitation knowledge |
| spellingShingle | Maggie Wang Nare Torosyan C. Noel Bairey-Merz Janet Wei Chrisandra L. Shufelt Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study American Journal of Preventive Cardiology Cardiac rehabilitation Medical education Cardiac rehabilitation knowledge |
| title | Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study |
| title_full | Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study |
| title_fullStr | Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study |
| title_full_unstemmed | Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study |
| title_short | Internal medicine resident education improves cardiac rehabilitation knowledge, attitudes, and referral rates: A pilot study |
| title_sort | internal medicine resident education improves cardiac rehabilitation knowledge attitudes and referral rates a pilot study |
| topic | Cardiac rehabilitation Medical education Cardiac rehabilitation knowledge |
| url | http://www.sciencedirect.com/science/article/pii/S2666667722000332 |
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