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Developing a curriculum to improve cardiology fellows' training in pregnancy and cardiovascular disease.
Maxner, Benjamin; Hansra, Barinder; Sibai, Diana; Moinul, Sheikh; Panella, Leslie; Jeha, Jeannine; Fiore, Catherine; Dumont, Tina; Lauring, Julianne; Aurigemma, Gerard; Harrington, Colleen M; Kovell, Lara C.
Afiliación
  • Maxner B; University of Massachusetts Medical School, Worcester, MA, USA.
  • Hansra B; Department of Critical Care Medicine, University of Pittsburgh Medical Center, PA, Pittsburgh, USA.
  • Sibai D; University of Massachusetts Medical School, Worcester, MA, USA.
  • Moinul S; University of Massachusetts Medical School, Worcester, MA, USA.
  • Panella L; University of Massachusetts Medical School, Worcester, MA, USA.
  • Jeha J; Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
  • Fiore C; Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
  • Dumont T; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA, USA.
  • Lauring J; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester, MA, USA.
  • Aurigemma G; Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
  • Harrington CM; Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA.
  • Kovell LC; Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA. lara.kovell@umassmemorial.org.
BMC Med Educ ; 22(1): 166, 2022 Mar 10.
Article en En | MEDLINE | ID: mdl-35272659
ABSTRACT

BACKGROUND:

Exposure to pregnant women with cardiovascular disease (CVD) during cardiology fellowship training is limited and without a standard curriculum in the United States. The authors sought to evaluate a dedicated curriculum to teach management of CVD in pregnancy to improve general cardiology fellowship training.

METHODS:

The authors developed a dedicated CVD in pregnancy curriculum for the general cardiology fellows at a large academic medical center in the fall of 2019. Fellows' knowledge was assessed via a board-style examination and exposure and attitudes related to the care of pregnant women with CVD were evaluated with a needs assessment questionnaire before and after the curriculum.

RESULTS:

Of the 17 fellows who participated in the curriculum, 12 completed the needs assessment pre-curriculum and 9 post-curriculum. The mean (SD) number of pregnant women with CVD cared for by each fellow in the inpatient and outpatient settings were 0.75 (1.29) and 0.56 (0.73), respectively. After the curriculum, all fellows reported awareness of available resources to treat pregnant women with CVD, while a majority disagreed that they receive regular exposure to pregnant patients with CVD in their training. The authors observed significant increases in fellows' confidence in their knowledge of normal cardiovascular physiology of pregnancy, physical exam skills, and ability to care for pregnant women with valvular disease and arrhythmias from pre to post-curriculum. A total of 15 fellows completed the board-style exam pre-curriculum and 15 post-curriculum. Fellows' performance on the board-style examination improved slightly from before to after the curriculum (64.0 to 75.3% correct, p = 0.02).

CONCLUSIONS:

A dedicated curriculum improved cardiology fellows' knowledge to recognize and treat CVD in pregnancy and improved confidence in caring for this unique patient population.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Cardiología / Enfermedades Cardiovasculares Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Cardiología / Enfermedades Cardiovasculares Límite: Female / Humans / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos