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other·family medicine, gastroenterology, internal medicine, clinical trial, preclinical research·PMC10077524

Development and implementation of a continuing medical education program on non-alcoholic fatty liver disease for primary care practitioners in Europe

Frontiers in Medicine · 10 authors, 8 centres

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A feasibility study among 28 Greek PCPs showed high satisfaction, statistically significant increases in confidence, and self-reported clinical practice changes.

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This study describes the development and feasibility evaluation of a continuing medical education (CME) program on NAFLD/NASH designed for primary care providers across Europe. An expert advisory group of European specialists and general practitioners developed four training modules incorporating problem-based learning with clinical case studies, delivered via the ESPCG e-learning platform in four languages. Results showed high satisfaction, with 96% of PCPs reporting extreme or very high satisfaction. Statistically significant increases in confidence for NAFLD/NASH-related clinical practices were documented between pre- and post-assessments. At 1-month follow-up, 62% of GPs reported the CME changed their clinical practices to a great extent. Knowledge gains were mixed, with modest scores on non-invasive testing topics at both timepoints. Limitations include the small sample size, single-country setting, significant loss to follow-up, and reliance on self-reported data.

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other

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family medicine

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ORIGINAL PAPER

PMC10077524

Development and implementation of a continuing medical education program on non-alcoholic fatty liver disease for primary care practitioners in Europe

Frontiers in Medicine

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ABSTRACT

Background Primary care has a crucial role to play in the prevention, early detection, referral, and risk factor management of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis (NAFLD/NASH). In 2021, a team of European collaborators developed a continuing medical education (CME) program on NAFLD/NASH that consolidates evidence and clinical best practices tailored to the primary care setting. This article reports on the methodology used to design and develop the CME and the results of a feasibility study. Methods An expert advisory group representing both European specialists and general practitioners supported the design of the CME to be implemented in three European settings (Greece, Spain, and Netherlands). The CME features four training modules and problem-based learning using clinical case studies. The CME was tested regarding feasibility and acceptability among a sample of primary care providers (PCPs) in Greece ( n = 28) with measurements occurring before, immediately after, and 1 month following the training. Outcome measures included satisfaction with the CME, changes in PCPs’ knowledge, attitudes, confidence, and self-reported clinical practices related to NAFLD/NASH. Results The CME is available as an open-access e-learning course on the European Society for Primary Care Gastroenterology education platform 1 in English, Greek, Spanish, and Dutch. The feasibility study documented high levels of satisfaction, with 96% of PCPs reporting they were extremely or very satisfied with the overall training. Statistically significant increases in PCPs’ confidence in NAFLD/NASH-related clinical practices were documented between the pre- and post-assessments. At the follow-up, 62% of GPs reported that the CME had changed their clinical practices related to NAFLD/NASH to a great extent. Conclusion This CME intervention developed by experts and tailored to PCPs in European settings may serve as an asset for increasing knowledge, confidence, and practice behaviors related to NAFLD/NASH.

CITATION EXPORT

Sophia Papadakis, Marilena Anastasaki, Irini Gergianaki et al.. Development and implementation of a continuing medical education program on non-alcoholic fatty liver disease for primary care practitioners in Europe. Frontiers in Medicine. (2023). https://doi.org/10.3389/fmed.2023.1034626

AUTHORS

10 · 8 CENTRES

Sophia Papadakis, Marilena Anastasaki, Irini Gergianaki, Ger Koek, Juan Mendive, Foteini Anastasiou, Leen Heyens, Montserrat Garcia-Retortillo, Jean Muris, Christos Lionis

1Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece
2Division of Gastroenterology and Hepatology, Department of Internal Medicine, Maastricht University Medical Center, Maastricht, Netherlands
3School of Nutrition and Translational Research in Metabolism-NUTRIMM, aastricht University, Maastricht, Netherlands
4La Mina Primary Health Care Centre - IDIAP Jordi Gol, Barcelona, Spain
5European Society for Primary Care Gastroenterology, London, United Kingdom
6Faculty of Medicine and Health Sciences, Hasselt University, Hasselt, Belgium
7Hepatology Unit, Hospital del Mar, Barcelona, Spain
8Department of Family Medicine, CAPHRI Research Institute, Maastricht University, Maastricht, Netherlands