Effect of a Multidisciplinary-assisted Resident Diabetes Clinic on Resident Knowledge and Patient Outcomes

Overview

Journal J Grad Med Educ

Date 2014 Jan 10

PMID 24404243

Citations 2

Authors

Margaret C Lo

Morganna Freeman

M Cecilia Lansang

Affiliations

Soon will be listed here.

Abstract

Background: Despite the rising prevalence of diabetes, there is a paucity of diabetes curricula in residency training. The multidisciplinary diabetes team approach is underused in residency education.

Objective: To assess the feasibility of an innovative multidisciplinary resident diabetes clinic (MRDC) in enhancing (1) resident diabetes knowledge via a Diabetes Awareness Questionnaire, and (2) subsequent process and patient outcomes in patients with diabetes via a Diabetes Practice Behavior Checklist.

Methods: From October 2008 to February 2010, 14 internal medicine residents managed patients with uncontrolled diabetes in a weekly half-day MRDC for 1 month (total 4-5 half-day sessions/resident), with a collaborative team of internists, diabetes educators, an endocrinologist, and a pharmacist. The curriculum included didactic sessions, required readings, and patient-specific case discussions. A 20-question Diabetes Awareness Questionnaire was administered to each resident prerotation and postrotation. Records of 47 patients with diabetes in the residents' own continuity clinics (not the MRDC) were audited 6 months before and after the MRDC for Diabetes Practice Behavior Checklist measures (glycated hemoglobin, blood pressure, low-density lipoprotein cholesterol, retinal referral, foot exam, microalbumin screen). Pre-MRDC and post-MRDC data were compared via paired t test.

Results: The MRDC residents exhibited a modest increase in mean (SD) scores on the Diabetes Awareness Questionnaire (before, 8.2 [2.8]; after, 10.9 [2.8]; P = .02) and a modest mean (SD) performance increase in overall process outcomes from the Diabetes Practice Behavior Checklist (before, 74% [18%]; after, 84% [18%]; P = .004). No improvements occurred in patient outcomes.

Conclusions: Multidisciplinary diabetes teaching may be useful in fostering certain resident knowledge and performance measures but may not alter clinical outcomes. Further large-scale, longitudinal studies are needed to understand the effect of our curriculum on residents' diabetes knowledge and future practice behavior.

Citing Articles

Long-term training in diabetes-related knowledge, attitudes, and self-reported practice among diabetes liaison nurses.

Zhou W, Huang J, Yang L, Qiu T, Zhang Y, Liu F J Int Med Res. 2019; 48(2):300060519882838.

PMID: 31662018 PMC: 7873921. DOI: 10.1177/0300060519882838.

The Utility and Efficiency of a Resident Hand Clinic for the Management of Acute Hand Trauma at the University of Alberta.

Robertson E, Budden C, Ball B, Ladak A Plast Surg (Oakv). 2019; 27(2):195-199.

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