Exploring the online and offline standardized training and management model for acute myocardial infarction in primary care doctors

doi:10.3760/cma.j.cn115259-20210903-01121

Abstract

Abstract: Objective To investigate the learning outcomes of online to offline standardized training in the diagnosis and management of acute myocardial infarction (AMI). Methods A total of 60 primary care doctors (PCD) who received AMI diagnosis and thrombolytic-transport treatment strategy training in 20 network alliance medical institutions in Sichuan Province from February 1, 2021 to July 31, 2021 were selected as the research objects. The medical institutions were divided into 10 experimental group and 10 control group by random number table with 30 trainees in each group. The online to offline standardized training program was used in the experimental group while the classic offline training was used in the control group. The training acceptance and satisfaction of PCD were collected. The diagnosis, treatment and prognosis of 230 patients with AMI treated by PCD were also evaluated. Chi square test or Fisher exact probability method was used for statistical analysis. Results The comparison of acceptance of the training [100.0% (30/30) vs. 80.0% (24/30), P=0.021] and of satisfaction [96.7% (29/30) vs. 73.3%(22/30), P=0.030] between the two groups showed a significant difference. Compared with AMI patients treated by PCD in the control group, the proportion of standardized thrombolysis-transport in AMI patients treated by PCD in the experimental group was significantly higher [77.8%(70/90) vs. 33.3%(25/75), P<0.001].The standardized antiplatelet[100.0%(120/120) vs. 94.5%(104/110), P=0.031], and anti-ventricular remodeling therapy with β-blockers [83.3%(100/120) vs. 54.5% (60/110), P<0.001];angiotensin converting enzyme inhibitor / angiotensin II receptor blocker [75.0%(90/120) vs.45.5%(50/110), P<0.001] ratio from the two groups also showed significant difference. The incidence of clinical composite cardiovascular adverse events was less in experimental group during a 30-day follow-up [9.2 % (11/120) vs. 19.1 % (21/110), P=0.031]. Conclusions This study provided an individualized and target-oriented hybrid online / offline training method for primary care physicians and promoted the standardized treatment and management of AMI in primary care institutions.

Key words: Acute myocardial infarction, Online to offline, Grass-roots doctors, Training model, Effectiveness assessment

CLC Number:

Chen Zhongxiu, Zhang Junyan, Li Chen, Luo Fangbo, He Yong. Exploring the online and offline standardized training and management model for acute myocardial infarction in primary care doctors[J]. Chinese Journal of Medical Education, 2022, 42(4): 344-348.

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