Professor UT Southwestern Medical Center Dallas, TX, United States
Disclosure(s):
Matthew W. Ryan, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Problem-based learning (PBL) is an interactive, case-based educational forum. Studies have shown that didactic lectures, which are the most common type of continuing medical education, do not have an impact on health care providers' professional practices and do not change their behavior or patient outcomes. However, studies have shown that interactive programs (like PBL) change physician behavior and do produce measurable positive changes in professional practices leading to improved patient outcomes. PBL is an interactive case-based format that progressively discloses relevant clinical data while participants are encouraged to actively think through the case just as they would in their offices or clinics.
Led by a comprehensive otolaryngologist and an expert rhinologist, the participants will work through a case-based scenario of chronic rhinosinusitis with nasal polyposis in this PBL workshop. Elements of the patient's history, office endoscopy, CT sinus imaging, laboratory results, and surgical and pathology findings will be used to guide the participants in determining the etiology and/or endotype of the nasal polyps. Then the discussion will focus on treatment strategies and will be guided by the participants' input regarding use of nasal steroid rinses, exhalation delivery system with steroids, systemic steroids, aspirin desensitization (if appropriate), biologics/monoclonal antibodies, when to proceed with surgery, and the extent of surgery to be performed, etc. Potential cases include aspirin-exacerbated respiratory disease and nasal polyps in the atopic patient (with or without co-morbid asthma). Join us for this PBL session and we hope that you will agree that interactive educational activities such as PBL programs are far superior to traditional didactic lectures.
OUTCOME OBJECTIVE 1: Discuss clinically relevant pathophysiologic factors in the development and persistence of CRSwNP
OUTCOME OBJECTIVE 2: Assess patients with CRSwNP for disease phenotypes, endotypes, symptom control, and ongoing treatment responses
OUTCOME OBJECTIVE 3: Prescribe treatment regimens for patients with CRSwNP that reflect symptom burden, endotypes, comorbidities, and shared clinical decision making
BACKGROUND STATEMENT: Chronic rhinosinusitis is a broadly defined process that has previously been dichotomized into CRS with nasal polyps and CRS without nasal polyps. However, clinicians are learning more about the inflammatory subtypes of CRS, which can lead to improved delivery and effectiveness of treatment.
