533-P: Impact of Online CME on Clinical Knowledge of Emerging Strategies for Continuous Ketone Monitoring

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Introduction and Objective: We sought to determine if online continuing medical education (CME) could improve the clinical knowledge of primary care physicians (PCPs) and diabetologists/endocrinologists (D/Es) related to emerging strategies for continuous ketone monitoring (CKM). Methods: Intervention was a 15-min online video discussion with downloadable slides. Education effect assessed with matched pre-/post-study design. A paired samples t-test was conducted for significance testing and a McNemar test was conducted at the question level (5% significance level, P <.05). Confidence was assessed using a Likert scale. Data collection was August 27, 2024 to October 8, 2024. Results: 139 PCPs and 44 D/Es were included in the study, of which 40% of PCPs and 16% of D/Es improved their knowledge. On a question-level: 12% of PCPs and 9% of D/Es demonstrated improvements at recognizing benefit of CKM (P<.05 for both PCPs and D/Es). 22% of PCPs and 2% of D/Es demonstrated improvements at identifying diabetic ketoacidosis (DKA) risk (P<.01 for PCPs and P=NS for D/Es). 11% of PCPs and 5% of D/Es demonstrated improvements at recognizing benefit of earlier DKA detection (P<.05 for PCPs and P=NS D/Es). 47% of PCPs and 32% of D/Es had a measurable improvement in confidence (P<.01 for both PCPs and D/Es). Continued educational gaps include 71% of PCPs and 66% of D/Es need additional education on knowledge of benefit of CKM and 41% of PCPs need additional education on association of SGLT2 inhibitors with DKA. Conclusion: This study demonstrates the success of online CME consisting of discussions between 2 faculty experts on improving clinical knowledge of future implications of CKM in both PCPs and D/Es. Baseline knowledge was much lower in PCPs, which led to more significant knowledge gains after education. Continued knowledge gaps were identified in both groups. Disclosure A. Larkin: None. M. LaCouture: None. A. Le: None. Funding Independent educational grant from Abbott Diabetes Care

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