Keywords
coronary
heart disease
treatment
comorbidity
How to Cite
Abstract
Objective: to evaluate current approaches to the training of physicians on comorbidity and multimorbidity and to develop and implement a training module “Comorbidity in patients with coronary artery disease: current approaches to treatment” in the Training Center "Institute of Postgraduate Education" of the State Institution of Sciences “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department (SIS “RPC PCM” SAD).
Material and methods. We carried out an analysis and generalization of recent publications on the topic of the management challenges in patients with coronary artery disease and comorbidities and review the literature focusing on postgraduate training of medical doctors in the area of multimorbidity After the implementation of the training module we made a survey of 60 physicians on their assessment of the information provided.
Results and discussion: Current scientific research substantiates the feasibility of introducing both face-to-face trainings and master classes, as well as distance learning to optimize the training programmes for doctors in managing patients with multimorbidity and comorbidity. We developed and implemented a training module “Comorbidity in patients with coronary artery disease: current approaches to treatment” in the Training Center "Institute of Postgraduate Education" of SIS “RPC PCM” SAD. We identified major theoretical issues and practical skills that should be acquired by the physician, we worked out the methodology for presenting information during full-time and distance learning. The educational process includes lectures (including the use of distance learning), and a workshop format and master classes with the analysis of specific clinical cases.
Conclusions: 97.1% of respondents rated positively the implementation of continuing medical education on the topic of coronary artery disease management in patients with comorbidities with the use of distance learning and the appliance of master classes with the analysis of clinical cases. Optimal educational format is a significant issue which needs further research. Any training on the management of multimorbidity in practice must be outcome-oriented, in order to change practice and improve clinical outcomes for complex patients.
References
Lasytsia T.S., Moroz H.Z., Hidzynska I.M. (2020) Medyko-sotsiolohichne obhruntuvannia optymizatsii bezperervnoi profesiinoi osvity likariv z pytan likuvannia khvorykh na ishemichnu khvorobu sertsia z komorbidnoiu patolohiieiu. [Medico-sociological substantiation of optimization of continuous professional education of doctors on treatment of patients with coronary heart disease with comorbid pathology] Clinical and preventive medicine. 1(11), 10-17. https://doi.org/10.31612/2616-4868.1(11).2020.01
Diachuk D.D., Moroz H.Z., Hidzynska I.M., Lasytsia T.S. (2019) Multymorbidnist yak klinichna problema. [Multimorbidity in clinical practice (Review)] Ukrainian Journal of Cardiology. 1, 94-104. https://doi.org/10.31928/1608-635X-2019.1.94104
Nesen A.O., Chernyshov V.A., Shkapo V.L., Valentynova I.A. (2019) Khronichni neinfektsiini zakhvoriuvannia: aktsent na multymorbidni patolohichni stany ta kardiovaskuliarnyi ryzyk. [Chronic non-communicable diseases: emphasis on multimorbidity and cardiovascular risk] Ukrainian Therapeutic Journal, 1, 25-32. http://doi.org/10.30978/UTJ2019-1-25
Moroz G Z., Hidzynska I. M., Kravchenko A. M, Lasytsia T. S., Dzіzinska O.O. (2020) Сomorbidity in patients with chronic coronary syndromes: prevalence and assessment. Wiadomości Lekarskie tom LXXIII, nr 3, 462-465. https://wiadlek.pl › archive › WLek202003110
Andolsek K., Rosenberg M. T., Abdolrasulnia M., et. al. (2013) Complex cases in primary care: report of a CME-certified series addressing patients with multiple comorbidities. Int J Clin Pr. 67(9), 911–7. DOI: 10.1111/ijcp.12175
Knuuti J, Wijns W, Saraste A et al. (2020) 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes: The Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC) Eur Heart J. 41(3), 407-477. https://doi.org/10.1093/eurheartj/ehz425
Multimorbidity care model: Recommendations from the consensus meeting of the Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (JA-CHRODIS) (2018) Health Policy. 122(1), 4-11. DOI: 10.1016/j.healthpol.2017.09.006
Multimorbidity: clinical assessment and management. Institute for Health and Care Excellence: NG56. London, 2016. URL: https://www.nice.org.uk/guidance/ng56
Multimorbidity: Technical Series on Safer Primary Care. Geneva: World Health Organization, 2016. Licence: CC BY-NC-SA 3.0 IGO. URL: https://apps.who.int/iris/bitstream/handle/10665/252275/9789241511650-eng.pdf?sequence=1
Sarah Maguire, ,Karena Hanley, Kevin Quinn, John Sheeran, Paul Stewart (2015) Teaching multimorbidity management to GP trainees: a pilot workshop Educ Prim Care. 26(6), 410–15. https://doi.org/10.1080/14739879.2015.1101848
Cliona Lewis, Emma Wallace, Lorraine Kyne, Walter Cullen, Susan M. Smith (2016) Training Doctors to Manage Patients with Multimorbidity: A Systematic Review Journal of Comorbidity. 6(2), 85–94. https://doi.org/10.15256/joc.2016.6.87
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.