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FRI0605 Effect of An Educational Intervention Based on Clinical Simulation in The Diagnosis of Spondyloarthritis (SPA) from General Practitioners, A Study before and after
  1. S.A. Mora Alfonso1,
  2. D.G. Fernández Άvila2,
  3. L.F. Sastre2
  1. 1Rheumatology
  2. 2Sociedad para la Investigaciόn, atenciόn y educaciόn en enfermedades reumáticas INVEDER SAS. Bogotá, Colombia, bogota, Colombia

Abstract

Background This paper wants to quantify the rate of improvement in the diagnosis of SPA among a group of general practitioners who receive an educational intervention based on clinical simulation in the rheumatology field

Methods Intervention study before and after

Results 102 general practitioners received an educational intervention based on clinical simulation. The topic of this educational intervention was Spondyloarthritis. A workshop that includes clinical simulation models of feet, fingers and a mannequin created for this purpose was created, based on the strategy of problem-based learning. The workshop lasted 5 hours, it was divided into two parts: the first was about the of the clinical approach of joint pain and lumbar pain diagnosis and relevant aspects of SPA. In this first part, besides the theoretical support for the diagnosis of SPA, participants viewed pictures of patients with spondylitis and peripheral involvement (enthesitis, dactylitis, arthritis) seeking to achieve awareness of their sense of sight with respect to the diagnostic approach to patients with suspected SPA and sought to strengthen the logical approach to be implemented when approaching this type of patients. The second part focused on clinical cases applied to clinical simulation models, applying the knowledge acquired during the theoretical phase. Participants made a several stations where they where they could appreciate for periods of 15 minutes each simulators of 3 feet, 6 simulators simulated fingers and a mannequin where they can identify entheses and psoriasis lesions, improving visual and tactile sensitivity in each semilogic findings for tehe diagnosis of SPA. The participants filled out an pre and post test, which included clinical cases with simulators and photographs of hands and feet of patients with suspected EAS. 102 participants (59% women), average age 32.3 years (SD 7.1). Improvement in the correct diagnosis of EAS of 47% (the correct diagnosis increased from 39% to 86%). Paraclinical application in the cases presented decreased significantly, from an average of 8–4 paraclinical requested by each clinical case presented. 98.5% of participants would recommend to other colleagues to make this workshop. 97.7% believe that this educational intervention will improve the diagnostic approach to patients with suspected SPA

Conclusions The usefulness of clinical simulation in the field of rheumatology has been shown, given by an improvement in the diagnostic sensitivity for the diagnosis of EAS demonstrated

Disclosure of Interest None declared

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