Abstract Title

Residents/Fellows’ Perception on Primary Prevention of Premature Cardiovascular Disease

Presenter Name

Jennifer Trinh

RAD Assignment Number

1010

Abstract

Purpose: Cardiovascular disease is the leading cause of death globally with 6.3 million premature deaths annually. Minimal research has been done on the perception of physicians on primary prevention that may or may not lead to improved disease outcomes. The purpose of this study was to evaluate the perceptions of residents/fellows from different specialities and levels of training. Our hypothesis is that perception of family medicine (FM) and internal medicine (IM) residents on the role of primary prevention in premature cardiovascular disease is greater than surgery and medicine subspecialty (MS).

Methods: Residents/fellows (30 FM, 30 IM, 12 surgery, 6 gastroenterology, & 10 cardiology) from Medical City Fort Worth (MCFW) Hospital were recruited to complete a voluntary, anonymous survey including health care opinions. Inclusion criteria were new/returning residents & fellows at MCFW who consented to participation. Exclusion criteria included those who opted to not participate. Chi square test and logistic regression yielded odds ratio (OR), confidence intervals, and p-values.

Results: There were 56 participants (39% FM, 32% IM, 11% surgery, & 18% MS). The remaining 32 met the exclusion criteria, resulting in a smaller sample size that may affect statistical significance. A confounding factor was the predominance of osteopathic physicians; allopathic residents included: FM (1 PGY2, 1 PGY3) and IM (1 PGY2, 7 PGY1). IM (OR .97), surgery (OR .50), and MS (OR .69) were less likely to identify primary prevention as the best way to eradicate premature cardiovascular disease than FM (p < 0.05). FM was more likely to recognize that more can be done to reduce premature cardiovascular disease through primary prevention than other methods compared to IM (OR 0.81), surgery (OR 0.41), and MS (OR .57) (p < 0.05). FM significantly perceived that patients must be willing to share the responsibility of health with the physician if premature cardiovascular disease is to be prevented versus IM (OR .94), surgery (OR .32), and MS (OR .55) (p < 0.01).

Conclusion: FM residents practice primary & disease (premature cardiovascular disease) prevention and patient involvement than other specialties. Further research is needed to investigate how perceptions of physicians-in-training, regardless of specialty, directly affect patient lifestyle management & preventive counseling; and whether implementing a lifestyle curriculum can influence perceptive outcomes & primary care.

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Research Area

General Medicine

Presentation Type

Poster

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Residents/Fellows’ Perception on Primary Prevention of Premature Cardiovascular Disease

Purpose: Cardiovascular disease is the leading cause of death globally with 6.3 million premature deaths annually. Minimal research has been done on the perception of physicians on primary prevention that may or may not lead to improved disease outcomes. The purpose of this study was to evaluate the perceptions of residents/fellows from different specialities and levels of training. Our hypothesis is that perception of family medicine (FM) and internal medicine (IM) residents on the role of primary prevention in premature cardiovascular disease is greater than surgery and medicine subspecialty (MS).

Methods: Residents/fellows (30 FM, 30 IM, 12 surgery, 6 gastroenterology, & 10 cardiology) from Medical City Fort Worth (MCFW) Hospital were recruited to complete a voluntary, anonymous survey including health care opinions. Inclusion criteria were new/returning residents & fellows at MCFW who consented to participation. Exclusion criteria included those who opted to not participate. Chi square test and logistic regression yielded odds ratio (OR), confidence intervals, and p-values.

Results: There were 56 participants (39% FM, 32% IM, 11% surgery, & 18% MS). The remaining 32 met the exclusion criteria, resulting in a smaller sample size that may affect statistical significance. A confounding factor was the predominance of osteopathic physicians; allopathic residents included: FM (1 PGY2, 1 PGY3) and IM (1 PGY2, 7 PGY1). IM (OR .97), surgery (OR .50), and MS (OR .69) were less likely to identify primary prevention as the best way to eradicate premature cardiovascular disease than FM (p < 0.05). FM was more likely to recognize that more can be done to reduce premature cardiovascular disease through primary prevention than other methods compared to IM (OR 0.81), surgery (OR 0.41), and MS (OR .57) (p < 0.05). FM significantly perceived that patients must be willing to share the responsibility of health with the physician if premature cardiovascular disease is to be prevented versus IM (OR .94), surgery (OR .32), and MS (OR .55) (p < 0.01).

Conclusion: FM residents practice primary & disease (premature cardiovascular disease) prevention and patient involvement than other specialties. Further research is needed to investigate how perceptions of physicians-in-training, regardless of specialty, directly affect patient lifestyle management & preventive counseling; and whether implementing a lifestyle curriculum can influence perceptive outcomes & primary care.