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Open Access Publications from the University of California

Evaluation of online training on the prevention of venous thromboembolism.

  • Author(s): Wolpin, Seth
  • Lee, Jung-Ah
  • Glenny, Robb W
  • Wittkowsky, Ann K
  • Wolf, Fredric M
  • Zierler, Brenda K
  • et al.

INTRODUCTION: The integration of new evidence into clinical practice can be a prolonged process, with delays of years or even decades. One approach to speed this integration is through the use of online provider education. PROBLEM: Venous thromboembolism (VTE) is a serious patient safety issue. Prevention requires coordinated care and adherence to evidence-based guidelines, supported by provider education. PURPOSE: This study reports how an interdisciplinary team developed and piloted an online provider training program for the prevention of VTE. HYPOTHESIS: If providers use the online educational training, they will demonstrate increased mastery of key content areas related to VTE prophylaxis. METHODS: We used a prospective test-retest study design in which medical residents and fellows served as their own controls. All participants were given a pretest followed by educational content and then a posttest. We also assessed 2 different types of learning content (ie, with and without case studies/questions) and randomized participants to each type prior to assessment. RESULTS: Using the McNemar test we found a trend for knowledge gains related to VTE guidelines on the posttest for clinicians (n = 67) with a 14.5% improvement in content mastery (P = .05, 2-tailed). We did not find any significant differences between training modalities. Clinicians overall reported high levels of satisfaction with the application. CONCLUSION: Our online education efforts indicate the potential for increasing mastery of VTE prophylaxis concepts. If resources are limited, we suggest a static approach to content delivery and an exploration of standardized methods for portability of online curriculums across learning management systems.

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