Increasing the use of intensified management of diabetes

An education program for physicians

David Marrero, Patricia Moore, Carl D. Langefeld, Nicky Moorman, Marianne Gergely, Naomi S. Fineberg, S. Edwin Fineberg, Frank Vinicor, Steven A. Mazzuca, Charles M. Clark

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Traditionally, continuing medical education (CME) programs do not address the changes in the organization of a practice necessary to implement new care strategies. We developed a continuing medical education program that included a structured method, termed environmental optimizing, to help primary care physicians implement intensified management strategies for insulin‐requiring patients with diabetes mellitus. To evaluate this approach, 88 physicians and 126 of their non‐obese, insulin‐requiring patients were surveyed and interviewed pre‐program and at six and twelve months post‐program. The results suggest that this approach to CME resulted in a significant number of physicians adopting the program recommendations. Specifically, there was a significant increase in the use of: 1) multiple daily insulin regimens (p=.01), 2) a program‐specific “tracer” insulin regimen (p=.001), 3) the use of HbAl assays to adjust insulin (p<.05), diet and exercise regimens (p<.05), and 4) patients' self monitoring behavior (p<.01). The results of this study suggest that incorporating environmental optimizing into CME curricula may enhance the adoption of program recommendations.

Original languageEnglish (US)
Pages (from-to)283-294
Number of pages12
JournalJournal of Continuing Education in the Health Professions
Volume11
Issue number4
DOIs
StatePublished - 1991

Fingerprint

Continuing Medical Education
chronic illness
physician
Physicians
Education
Insulin
management
education
education curriculum
Physiologic Monitoring
Primary Care Physicians
Curriculum
Diabetes Mellitus
Exercise
monitoring
Diet
organization

Keywords

  • Diabetes
  • education
  • office environment

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Increasing the use of intensified management of diabetes : An education program for physicians. / Marrero, David; Moore, Patricia; Langefeld, Carl D.; Moorman, Nicky; Gergely, Marianne; Fineberg, Naomi S.; Fineberg, S. Edwin; Vinicor, Frank; Mazzuca, Steven A.; Clark, Charles M.

In: Journal of Continuing Education in the Health Professions, Vol. 11, No. 4, 1991, p. 283-294.

Research output: Contribution to journalArticle

Marrero, D, Moore, P, Langefeld, CD, Moorman, N, Gergely, M, Fineberg, NS, Fineberg, SE, Vinicor, F, Mazzuca, SA & Clark, CM 1991, 'Increasing the use of intensified management of diabetes: An education program for physicians', Journal of Continuing Education in the Health Professions, vol. 11, no. 4, pp. 283-294. https://doi.org/10.1002/chp.4750110403
Marrero, David ; Moore, Patricia ; Langefeld, Carl D. ; Moorman, Nicky ; Gergely, Marianne ; Fineberg, Naomi S. ; Fineberg, S. Edwin ; Vinicor, Frank ; Mazzuca, Steven A. ; Clark, Charles M. / Increasing the use of intensified management of diabetes : An education program for physicians. In: Journal of Continuing Education in the Health Professions. 1991 ; Vol. 11, No. 4. pp. 283-294.
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