About the Fellows Project:
The Teaching Fellows in Lupus Project enlists fellows in rheumatology to deliver seminars to frontline providers on the diagnosis and treatment of lupus. The goal of the Fellows Project is to change the behavior of the providers in connection with suspecting lupus and making appropriate referrals. Upon completion of this activity, learners are able to:
- Identify the presenting signs and symptoms of lupus.
- Refer a suspected case of lupus to a rheumatologist.
- Initiate a work-up for lupus.
- Understand lupus epidemiology, health disparities, disease characteristics and genetics.
Data presented at the 2015 ACR/ARHP Annual Meeting indicated rheumatology fellows are highly effective educators in improving the recognition of lupus by frontline healthcare providers. The 2015 trends reflected below continued in 2016 and 2017.
- Broad reach (4 key cities)
- 660 healthcare providers attended a seminar
- 31 seminars were held
- 24 rheumatology fellows participated
Significant Knowledge Gained by Participating Providers
- Average knowledge assessment score increased from 6.1 to 7.6 (out of 10) measured by a voluntary assessment taken before and after the seminar
Increased Confidence in Lupus Competencies Gained by Participating Providers
- 92% gained confidence in recognizing the signs and symptoms of lupus
- 89% gained confidence in appropriately referring patients to the right specialist
Success of Rheumatology Fellows as Lupus Educators
- 96% of participating providers were satisfied with the seminar content
- 88% of participating providers are likely to attend future seminars led by fellows
- 100% of participating fellows had a positive experience
In addition, participating fellows gained required competencies under the Accreditation Council for Graduate Medical Education, and local providers that attended a seminar were able to build stronger linkages to specialty care.
How You Can Implement the Project
Step 2: Review the assessment tools. The project uses a pre/post seminar assessment to measure changes in knowledge and confidence. These questions can be adapted to the needs of your community or can be used to take an initial knowledge assessment before implementing the project.
- Pre-Assessment (PDF)
- Post-Assessment (PDF)
- Assessment Key (please contact the Lupus Initiative to receive the answer key.)
Step 3: Communicate with the ACR. Please let us know if you intend to implement the project. We would like to support your efforts and to gather data at the end. Contact us here.
Step 4: Recruit your educators. Project participation can help your fellows develop core competencies required by the Accreditation Council for Graduate Medical Education (ACGME). Not a program director? Junior faculty, attendings and general internists can also serve as lupus educators.
Step 5: Give an orientation. Once you’ve selected your educators, get them oriented to the project, logistics and goals by having them review the orientation, presentation and assessment tools.
Step 6: Promote and schedule seminars. Contact department heads, community health centers in your area or local medical societies to schedule the seminar. Reach out to providers that currently refer to your clinic or those in your catchment area. If you work in a hospital, contact your provider relations office to help.
Step 7: Deliver seminars and collect assessments. Create attendee packets with the assessments. The pilot project used a unique identifier to make sure the pre- and post-assessments were matched for data entry, but if you see fit, you can ask for participant names and other contact information.
Step 8: Enter and analyze data. See how knowledge and confidence changed from the pre- to post-test.
- Local foundations or other organizations may offer relevant grant opportunities to implement the projects.
- If collecting data, you may need to contact your local Institutional Review Board to review the project early in the process.
- If your organization is a Continuing Medical Education provider, contact them early to get CME accreditation to boost participation.
- If you plan on sending the online version of the assessment 4-6 weeks later to assess knowledge retention, consider how you can continue to engage with participants during that period — consider sending an email with quick lupus facts.
Ready to implement?
This is a low-cost, low-effort project to help improve lupus knowledge and confidence among frontline providers in your community. It is an opportunity to improve the speed and accuracy of referrals to rheumatology for lupus assessment. This can help improve patient care while improving communication between providers.
Since its inception in 2015, over 900 non-rheumatologist providers have attended seminars led by rheumatology fellows from 11 rheumatology programs in the United States and Canada.