Key result
Compared with specialists, primary care providers expressed lower self-efficacy in managing advanced lipid disorders and higher self-efficacy in prescribing SGLT2 inhibitors and GLP-1 agonists.
Why the study?
The study was conducted to assess self-reported efficacy in cardiovascular prevention practice among internal medicine, family medicine, endocrinology, and cardiology clinicians.
Cross-Sectional (n=264)
Clinician self-efficacy in cardiovascular prevention varies significantly by specialty, highlighting targeted areas for continuing medical education such as advanced lipid management for primary care providers and novel cardiometabolic therapies for specialists.
Answers are grounded in this paper and cite their sources.
Supports tailored CME by specialty; leaves open whether addressing gaps improves prevention outcomes.
Aim: We assessed self-reported efficacy in cardiovascular prevention practice among internal medicine, family medicine, endocrinology and cardiology clinicians. Patients & methods: We emailed a 21-item questionnaire to 956 physicians, nurse practitioners, physician assistants and pharmacists. Results: 264 clinicians responded (median age: 39 years, 55% women, 47.9% specialists). Most expressed high self-efficacy in lifestyle counselling, prescribing statins, metformin, and aspirin in primary prevention, but low self-efficacy in managing specialized conditions like elevated lipoprotein(a). Compared with specialists, PCPs expressed lower self-efficacy in managing advanced lipid disorders and higher self-efficacy in prescribing sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists. Conclusion: Self-efficacy in cardiovascular prevention varied across specialties. Future research should explore relevant provider, clinic and system level factors to optimize cardiovascular prevention.
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Caldarera et al. (2023) conducted a cross-sectional in Cardiovascular prevention practice (n=264). Primary care specialty vs. Specialists was evaluated on Self-reported efficacy in cardiovascular prevention practice. Compared with specialists, primary care providers expressed lower self-efficacy in managing advanced lipid disorders and higher self-efficacy in prescribing SGLT2 inhibitors and GLP-1 agonists.
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