Qualitative assessment of a virtual cardiovascular medical education program in Haiti: local physicians in-training

Marwa Ilali1, Virginie Clavel2, Veronika Panagiotou3

  • 1Department of Family medicine, McGill University, Montreal, Quebec, Canada.

BMC Medical Education
|June 29, 2026
PubMed

Insights

The International Cardiology Curriculum Accessible by Remote Distance Learning (ICARDs) program effectively meets participants' needs for cardiovascular education in Haiti. Addressing content concerns and infrastructure limitations will further enhance this vital remote learning initiative.

Area of Science:

  • Medical Education
  • Cardiology
  • Global Health

Background:

  • Haiti experiences significant healthcare and medical education access challenges, compounded by a high burden of cardiovascular disease.
  • A well-trained cardiovascular workforce is crucial for addressing this disease burden.
  • The International Cardiology Curriculum Accessible by Remote Distance Learning (ICARDs) program was established in 2019 to provide virtual cardiovascular education.

Purpose of the Study:

  • To explore the perceptions and experiences of Haitian internal medicine residents and physicians in the ICARDs program.
  • To identify participant expectations, facilitators, barriers, and recommendations for program improvement.
  • To assess the impact of remote cardiovascular education on medical practice in Haiti.

Main Methods:

  • Qualitative research approach using three focus groups across different Haitian hospitals.
  • Application of the Unified Theoretical Framework of Learning Theories.
  • Deductive content analysis to identify themes, barriers, and facilitators.

Main Results:

  • Participants reported high expectations and positive experiences with the ICARDs program.
  • The program was recognized for its positive impact on patient care and skill development.
  • Concerns were noted regarding course content and program irregularities.

Conclusions:

  • The ICARDs program successfully meets participant expectations for cardiovascular education and builds a supportive community.
  • Addressing content concerns and infrastructure limitations is key to enhancing program effectiveness.
  • Findings offer insights for tailoring the ICARDs program to better meet participant needs in resource-limited settings.
Abstract

Related Concept Videos

Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Assessment of the Cardiovascular System IV: Auscultation01:25

Assessment of the Cardiovascular System IV: Auscultation

Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
Assessment of the Cardiovascular System II: Inspection01:29

Assessment of the Cardiovascular System II: Inspection

Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...