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Lightning Round Sessions 

Lightning Round sessions are dynamic, quick, 15 minute interactive presentations enabling speakers to share key information and engage in discussions on implementation and hands-on learning experiences.

Group 2

Shared Decision-making: How to Engage Clinicians in Engaging Patients

Wendy Cerenzia, MS; Robert Meinzer

Shared decision-making is a process in which a patient and their healthcare provider make healthcare decisions together. It is an essential aspect of primary care. A study conducted by CE Outcomes, LLC in 2016 demonstrated that the vast majority of PCPs (84%) perceived that “shared decision-making” was helpful or very helpful in engaging patients in their care and was rated as the most helpful among other resources. 

Furthermore, almost 2/3 of PCPs reported that they would benefit from more information on how to engage patients in their care.

New Jersey Academy of Family Physicians (NJAFP) plays a critical role in providing education to family physicians and other primary care physicians. A key element of their educational focus has been conveying the importance of shared decision-making as well as demonstrating best approaches to employing shared decision-making practices into patient care. Outcomes studies associated with educational programs have demonstrated positive shifts in physician participating in the activity being more likely to employ shared decision-making approaches to treatment decision-making with patients as compared to physicians who did not engage in education. 

CE Outcomes and NJAFP will collaborate to present a workshop session that will focus on 1) the importance of including a shared decision –making component as a part of continuing medical educational programs 2) best practices in incorporating shared decision-making as part of therapeutic-based educational programs 3) the value of assessing shared decision-making as an outcome of educational interventions.

Investigating the Impact of Patient Education on Self-Efficacy and Health Communication

Wendy Turell, DrPH, CHCP, FACEHP; Anne Roc, PhD

A patient directed education program was launched live and online on June 20, 2017 that focused on living with Pseudobulbar Affect (PBA), a neurological condition that causes uncontrollable crying and/or laughing that happens suddenly and frequently. Program faculty included a physician moderator and a nurse practitioner, and featured interwoven patient and caregiver video vignettes. The program content focused on the characteristics and symptoms of PBA, management of the condition and self-care strategies. A mixed methods research study was undertaken to assess the impact of the educational initiative on patient-related domains. Twelve semi-structured in-depth interviews were conducted with patient participants regarding knowledge, health-related self-efficacy and health care provider/patient communication changes that have occurred since educational exposure. Patient learners were also administered online surveys targeting similar domains immediately prior to and following educational participation, as well as 8 weeks post education. Research findings and experiences regarding the qualitative and quantitative evaluation of the initiative, including hurdles related to patient education, will be shared.

Healthcare Crisis in Puerto Rico: Can Continuing Education Make a Difference?

Wendy Cerenzia, MS; Mary D. Faulkner

Puerto Rico is facing a shortage of physicians, particularly medical specialists. The shortage is mostly due to a failing economy and lack of federal financial support. As a territory of the US, Puerto Rico does not have the same reimbursement as physicians in the US. The College of Physicians and Surgeons of Puerto Rico has estimated that “two doctors leave the island every day, seeking higher pay and better conditions on the mainland.” Many of the physicians leaving are younger physicians while those that remain are aging; the average age of surgeons in Puerto Rico is 58.1 The number of physicians has diminished to approximately 9,000 for a population of about 3.5 million residents. The sharp loss of physicians brings the total number down to one-third fewer physicians from just a decade ago. , 
Given this healthcare crisis facing Puerto Rico, it is important to efficiently and effectively target continuing education to the remaining physicians. A research study was conducted by CE Outcomes, LLC, with support from Abbvie, to understand current barriers to optimal patient care and patterns of engagement with continuing education by physicians practicing in Puerto Rico. Further the study sought to identify pressing barriers to finding needed educational resources, general areas of continuing educational needs and preferences for participating in CME. The quantitative study was conducted during Jan-March 2017, with additional qualitative semi-structured interviews being conducted to further elucidate the findings from the quantitative data. Audiences of both PCPs and specialists were included in both the quantitative and qualitative components of the study. 
This session will present findings from the study to increase awareness of current healthcare challenges facing physicians in Puerto Rico, ultimately impacting the care of the patient population of Puerto Rico. The data presented will discuss the implications of continuing education and licensing requirements of Puerto Rico on physician patterns of educational engagement. Further, data will be presented on the general educational preferences and topics of educational need among physician populations in Puerto Rico. The session will include a discussion from an educational supporter’s stand-point of the implication of this data on independent medical education strategy.