Diuretic of Choice in ABFM Hypertension Self-assessment Module Simulations - American Board of Medical Specialties

Chlorthalidone is recommended as the diuretic of choice in hypertension management. Usage of the diuretics chlorthalidone and hydrochlorothiazide in hypertension management was evaluated in an American Board of Family Medicine (ABFM) Maintenance of Certification (MOC) self-assessment module (SAM) hypertension simulation. Participation in the simulation was evaluated for the period 2004-2011. In the simulation participants increased use of the recommended chlorothalidone each year and decreased usage of hydrochlorothiazide. This article points out that typically new findings can take a decade to enter clinical practice, however the simulation results presented indicate that diplomates are more readily adhering to recommendations. The SAMs can allow introduction of new concepts that are rehearsed during the simulations faster than traditional continuing education.

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