ACR Meeting Abstracts

ACR Meeting Abstracts

  • Meetings
    • ACR Convergence 2024
    • ACR Convergence 2023
    • 2023 ACR/ARP PRSYM
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • ACR Meetings

Abstract Number: 909

Two-Year Impact of a Continuing Professional Education Program to Train Primary Care Providers to Perform Arthrocentesis

Michael J. Battistone1, Andrea Barker1, J. Peter Beck2, Phillip Lawrence3 and Grant Cannon4, 1Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 2Orthopaedics, Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 3Salt Lake City VA Medical Center and Roseman University of Health Sciences, Salt Lake City, UT, 4Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT

Meeting: 2017 ACR/ARHP Annual Meeting

Date of first publication: September 18, 2017

Keywords: Education, educational innovation, educational research, educator and primary care, medical

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print
Session Information

Date: Sunday, November 5, 2017

Title: Education

Session Type: ACR Concurrent Abstract Session

Session Time: 4:30PM-6:00PM

Background/Purpose: Initial reports of a local continuing professional education (CPE) program designed for primary care providers (PCPs) described an increase in in the number of joint injections performed by those who had participated in the training.(1) The aim of this study was to examine the magnitude and durability of this behavioral change in a larger, geographically diverse impact of cohort of primary care providers.   Methods: Thirty-eight primary care providers (PCPs) from 28 VA clinics representing 15 states participated in the week-long MSK “Mini-Residency” which was held at the Salt Lake City VA periodically between April 2012 and October 2013. The number of de-identified procedure codes performed by participants over the 24-months prior to their matriculation in the mini-residency (pre-training) were reviewed, and compared to those performed 24-months following their participation (post-training). Differences in the numbers of procedure codes that were documented post-training as compared to pre-training were evaluated using paired Student’s t-test (2-tailed).   Results: Thirty-four PCPs (25 MDs/Dos, 9 PAs/NPs—89% of the total number of trainees) were clinically active in primary care following the program. The mean number of injection codes per provider, as well as the ranges and standard deviations for the physician and non-physician provider groups at 2-years and 1-year prior to the training, as well as at 1- and 2-years post-training are presented in the Table below. Differences in these numbers, as well as the percent change from the preceding period of observation, are also shown:  

  Mean Injections/yr (% 1-year change; p) [Range, s.d]
  N 2 Years Pre-Training Mean Injections/yr [Range, s.d.] 1 Year Pre-Training 1 Year Post-Training 2 Years Post-Training
MD/DO 25 12 [0-75, 20] 12 (0%; 0.92) [0-75, 18] 34 (183%; 0.02) [0-248, 54] 43 (26%; 0.26) [0-309, 81]
   
ARNP/PA 9 3 [0-12, 4] 3 (0%; 0.86) [0-12; 4] 16 (464%; 0.07) [2-54, 16] 43 (40%; 0.18) [2-74, 35]
   
Overall 34 10 [0-75, 17] 10 (0%; 0.96) [0-75, 16] 29 (205%; 0.004) [0-248, 48] 37 (28%; 0.17) [0-309, 71]
   
  Conclusion: Results from the pilot program are confirmed at 2 years, showing sustained changes in clinical behavior, for both physician and non-physician provider groups. Substantial variance in the number of joint injections was observed across the participants, suggesting that after the training some providers expanded their clinical repertoire more than did others. These findings should inform decisions made by clinic managers and clinical leadership in selecting participants for a training opportunity designed to increase proficiency in joint injections. Additional investigation of the sources of variance in provider behavior following the mini-residency program is needed to better understand these results.

Reference List

 

1.            Battistone MJ, Barker AM, Lawrence P, Grotzke MP, Cannon GW. Mini-Residency in Musculoskeletal Care: An Interprofessional, Mixed-Methods Educational Initiative for Primary Care Providers. Arthritis Care Res (Hoboken). 2016;68(2):275-9.

 


Disclosure: M. J. Battistone, None; A. Barker, None; J. P. Beck, None; P. Lawrence, None; G. Cannon, Amgen, 2.

To cite this abstract in AMA style:

Battistone MJ, Barker A, Beck JP, Lawrence P, Cannon G. Two-Year Impact of a Continuing Professional Education Program to Train Primary Care Providers to Perform Arthrocentesis [abstract]. Arthritis Rheumatol. 2017; 69 (suppl 10). https://acrabstracts.org/abstract/two-year-impact-of-a-continuing-professional-education-program-to-train-primary-care-providers-to-perform-arthrocentesis/. Accessed .
  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

« Back to 2017 ACR/ARHP Annual Meeting

ACR Meeting Abstracts - https://acrabstracts.org/abstract/two-year-impact-of-a-continuing-professional-education-program-to-train-primary-care-providers-to-perform-arthrocentesis/

Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM ET on November 14, 2024. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

Wiley

  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences

© Copyright 2025 American College of Rheumatology