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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Men's sexual health: evaluating the effectiveness of print- and PDA-based CME
Gregory A Broderick1, Maziar Abdolrasulnia
1Mayo Clinic-Department of Urology, Jacksonville, FL 32224, USA. brodenck.gregory@mayo.edu
Introduction:
Personal digital assistant (PDA)-based continuing medical education (CME) activities have become widely available.
Aims:
To evaluate the effectiveness of print- and PDA-based CME materials in erectile dysfunction (ED).
Methods:
CME materials describing links between ED and comorbid medical conditions, effects of certain lifestyle modifications on ED, and treatment of ED with phosphodiesterase 5 (PDE5) inhibitors were distributed as a print supplement and as electronic modules, viewed with PDAs. We evaluated how effectively these materials improved evidence-based clinical choices, using survey questions about case vignettes and comparing responses of CME participants (N = 85) and matched nonparticipants (N = 94).
Main Outcome Measures:
Effect size, measuring the difference in evidence-based clinical scores between participants and nonparticipants.
Results:
CME certificates were awarded to 3,557 participants (459 print, 3,098 PDA). Among survey respondents, significantly more CME participants recognized that ED was associated with greater risk for myocardial infarction (61% participants; 34% nonparticipants; P
Conclusions:
Given patient reluctance to discuss sexual concerns, future CME activities should focus on educating health-care providers and patients that ED is a risk factor for cardiovascular disease and diabetes. Both print- and PDA-based CME on ED were effective; the large number of lesson completers suggests a trend toward on-demand, self-selected CME is positive.
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