| Effect of an Educational Inpatient Diabetes Management Program on Medical Resident Knowledge and Measures of Glycemic Control A randomized controlled trial. | |
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MedLine Citation:
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PMID: 22440993 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objective: To investigate the effectiveness of an Inpatient Diabetes Management Program (IDMP) on physician knowledge and inpatient glycemic control.Methods: Residents assigned to general medicine services were randomized to receive the IDMP (IDMP Group) or education alone (non-IDMP Group). Both groups received an overview of inpatient diabetes management with reminders of existing order sets on the hospital website. The IDMP group received print copies of the program and access to electronic version for personal digital assistants (PDA). Diabetes Knowledge Tests (DKT) were administered at baseline and the end of the one month rotation. Frequency of hyperglycemia among patients followed by each group was compared using capillary blood glucose (CBG) and a dispersion index (DI) of glycemic variability. IDMP users completed questionnaires related to the program.Results: 22 residents participated (IDMP n=11, non-IDMP n=11). Overall DKT scores improved in both groups (IDMP 68 ± 1.7 vs. 83 ± 2.1%, p=0.003; non-IDMP 76 ± 1.1 vs. 84±1.4%, p=0.02). The % correct responses for management of steroid-associated hyperglycemia (p=0.004) and peri-operative glycemic management (p=0.006) improved only in the IDMP group. The frequency of hyperglycemia (BG>180 mg/dl) and the DI (5.3 ± 7.6 vs. 3.7 ± 5.6, p=0.2) was similar between groups.Conclusion: An IDMP was effective at improving physician knowledge for managing hyperglycemic in patients treated with steroids or in preparation for surgical procedures. Educational programs directed at improving overall provider knowledge for inpatient glycemic management may be beneficial; however, improvements in knowledge do not necessarily result in improved glycemic outcomes. |
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Authors:
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Marisa E Desimone; Gary Blank; Mohamed Virji; Amy Donihi; Monica Dinardo; Deborah Simak; Raquel Buranosky; Mary Korytkowski |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-2-20 |
Journal Detail:
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Title: Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists Volume: - ISSN: 1934-2403 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-3-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9607439 Medline TA: Endocr Pract Country: - |
Other Details:
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Languages: ENG Pagination: 1-22 Citation Subset: - |
Affiliation:
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Division of Endocrinology and Metabolism, University of Pittsburgh School of Medicine. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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