P-1897. Employing Interactive Case-Based Continuing Education to Improve HIV Decision-Making

TL;DR

An interactive continuing education program improved HIV clinicians' knowledge and confidence in managing complex treatment decisions.

Contribution

Interactive case-based education significantly improved decision-making and knowledge gaps in HIV care.

Findings

Overall knowledge increased by 42% after the symposium.

Post-education, 99% of participants planned to use strategies to improve PrEP implementation.

Confidence in ART initiation decisions increased by 44%.

Abstract

As HIV management grows increasingly complex, infectious disease (ID) clinicians continue to face challenges and must make nuanced decisions to improve patient outcomes.Knowledge Gains Across Topics

Knowledge Gains Across Topics

Vindico Medical Education provided a live continuing education (CE) symposium featuring interactive cases at IDWeek 2024. Through real-time polling and expert-guided discussions, clinicians made decisions in realistic clinical scenarios related to antiretroviral therapy (ART) initiation, switching ART, weight management, and use of pre-exposure prophylaxis (PrEP). Baseline and post-education knowledge and confidence were measured via pre- and post-test data.

A total of 206 clinicians involved in the management of patients with HIV attended the symposium. At baseline, 61% of participants did not identify the appropriate timing for initiating ART in a patient with advanced HIV, 37% were unfamiliar with outcomes associated with switching ART, and 64% did not recognize the US FDA/CDC-recommended screening for PrEP (Figure 1). Overall, knowledge increased 42%. Improvements in behaviors were also noted. For instance, while 48% of participants at baseline could not appropriately manage a patient with ART-associated weight gain, following discussion of a related case scenario, 60% recommended a GLP-1 receptor agonist, indicating alignment of knowledge with evidence-based decision-making. Similarly, at baseline, half of the participants noted that lack of awareness about PrEP was the biggest challenge in implementation; post-education, however, 99% plan to use strategies to improve the use of PrEP. Additionally, post-learning, there was a 44% increase in competence regarding when to initiate ART in a patient with a co-infection. At the end of the education, 83% were confident in making decisions related to switching ART.

Staying current on the latest evidence-based care regarding HIV PrEP and treatment is a persistent challenge for clinicians. This CE activity promoted significant improvements in knowledge, confidence, and decision making among clinicians who treat patients with and at risk for HIV. Such interactive, case-based CE is an important tool that can be used to address practice gaps as the HIV landscape continues to evolve.

All Authors: No reported disclosures

Figures