| Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia. | |
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MedLine Citation:
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PMID: 22268536 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background: Inpatient dysglycemia is associated with increased morbidity, mortality, and cost. Medical education must not only address knowledge gaps, but also improve clinical care. Methods: All 129 medicine residents at a large academic medical center were offered a case-based online curriculum on the management of inpatient dysglycemia in the fall of 2009. First-year residents took a 3 hour course with 10 modules. Second and third-year residents, who had been educated the prior year, underwent abbreviated training. All residents were offered a 20-minute refresher course in the spring of 2009. We assessed resident knowledge, resident confidence, and patient glycemia on two teaching wards before and after the initial intervention, as well as after the refresher course. Results: 117 residents (91%) completed initial training. 299 analyzed admissions generated 11,089 BG values and 4,799 eBGs. Admissions with target glycemia increased from 19.4% to 33.0% (P=0.035) by the end of the curriculum. There was a strong downward trend in hyperglycemia from 22.4% to 11.3% (P=0.055) without increased hypoglycemia. Confidence and knowledge increased significantly among first-time and repeat participants. Residents rated the intervention as highly relevant to their practice and technologically well implemented. Conclusion: Optimization of an online curriculum covering the management of inpatient glycemia over the course of two years led to significantly more admissions in the target glycemia range. Given its scalability, modularity, and applicability, this web-based educational intervention may become the standard curriculum for the management of inpatient glycemia. |
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Authors:
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Ronald Tamler; Dina E Green; Maria Skamagas; Tracy L Breen; Kevin Lu; Helen C Looker; Mark Babyatsky; Derek Leroith |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-24 |
Journal Detail:
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Title: Journal of diabetes Volume: - ISSN: 1753-0407 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101504326 Medline TA: J Diabetes Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 Ruijin Hospital and Blackwell Publishing Asia Pty Ltd. |
Affiliation:
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Division of Endocrinology, Mount Sinai School of Medicine, New York, NY Phoenixville Medical Associates, Phoenixville, PA Division of Clinical and Population Sciences and Education, University of Dundee, Scotland, UK Department of Medicine, Mount Sinai School of Medicine, New York, NY. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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