Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Using Simulation Technology To Teach Diabetes Care Management Skills To Resident Physicians

J. Sperl-Hillen, P. O'Connor, H. Ekstrom, W. Rush, S. Asche, Omar D Fernandes, Deepika Appana, G. Amundson, P. Johnson
Published 2013 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Background: Simulation is widely used to teach medical procedures. Our goal was to develop and implement an innovative virtual model to teach resident physicians the cognitive skills of type 1 and type 2 diabetes management. Methods: A diabetes educational activity was developed consisting of (a) a curriculum using 18 explicit virtual cases, (b) a web-based interactive interface, (c) a simulation model to calculate physiologic outcomes of resident actions, and (d) a library of programmed feedback to critique and guide resident actions between virtual encounters. Primary care residents in 10 U.S. residency programs received the educational activity. Satisfaction and changes in knowledge and confidence in managing diabetes were analyzed with mixed quantitative and qualitative methods. Results: Pre- and post-education surveys were completed by 92/142 (65%) of residents. Likert scale (five-point) responses were favorably higher than neutral for general satisfaction (94%), recommending to colleagues (91%), training adequacy (91%), and navigation ease (92%). Finding time to complete cases was difficult for 50% of residents. Mean ratings of knowledge (on a five-point scale) posteducational activity improved by +0.5 (p < .01) for use of all available drug classes, +0.9 (p < .01) for how to start and adjust insulin, +0.8 (p < .01) for interpreting blood glucose values, +0.8 (p < .01) for individualizing treatment goals, and +0.7 (p < .01) for confidence in managing diabetes patients. Conclusions: A virtual diabetes educational activity to teach cognitive skills to manage diabetes to primary care residents was successfully developed, implemented, and well liked. It significantly improved self-assessed knowledge and confidence in diabetes management.
This paper references
Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based "detailing".
J. Avorn (1983)
Adult learning. In: Craig RL, ed. The ASTD training and development handbook
M. Knowles (1996)
Improving Drug-Therapy Decisions through Educational Outreach
J. Avorn (1983)
Computerized Virtual Patients in Health Professions Education: A Systematic Review and Meta-Analysis
D. Cook (2010)
The Effect of Oral Antidiabetic Agents on A1C Levels
D. Sherifali (2010)
Cognitive Task Analysis of Business Jet Pilots'' Weather Flying Behaviors: Preliminary Results
A. Kara (2001)
Initial cognitive performance predicts longitudinal aviator performance.
J. Yesavage (2011)
R. L. Craig (1967)
Clinical inertia.
J. Wofford (2002)
Chronic disease management: what will it take to improve care for chronic illness?
E. Wagner (1998)
Treating to target: implementing an effective diabetes care paradigm for managed care.
J. E. Berger (2010)
Simulation and the future of military medicine.
R. Leitch (2002)
Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes.
S. Saydah (2004)
The current role of medical simulation in american urological residency training programs: an assessment by program directors.
Carter Q. Le (2007)
Clinical Inertia Contributes to Poor Diabetes Control in a Primary Care Setting
D. Ziemer (2005)
Institute for Clinical Systems Improvement Health care guideline: diagnosis and management of type 2 diabetes mellitus in adults. Minneapolis: Institute for Clinical Systems Improvement
Oracle . Oracle Database
D Sherifali (2011)
Human simulators in nursing education.
Alsacia L. Pacsi (2008)
Standards of Medical Care in Diabetes—2012
Vittorio Basevi (2011)
Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.
A. Chobanian (2003)
Institute for Clinical Systems Improvement. Health Care guideline: lipid management in adults. Minneapolis: Institute for Clinical Systems Improvement
Revisiting “Discrepancy analysis in continuing medical education: A conceptual model”†
Robert D. Fox EdD (2011)
Effect of local medical opinion leaders on quality of care for acute myocardial infarction: a randomized controlled trial.
S. Soumerai (1998)
Simulated Physician Learning Intervention to Improve Safety and Quality of Diabetes Care: A Randomized Trial
P. O'Connor (2009)
Perspective: a practical approach to defining professional practice gaps for continuing medical education.
C. Wittich (2012)
Department of Health and Human Services Third report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III)
An endocrinologist-supported intervention aimed at providers improves diabetes management in a primary care site: improving primary care of African Americans with diabetes (IPCAAD) 7.
L. Phillips (2005)
More Training Needed in Chronic Care: A Survey of U.S. Physicians
Jonathan Darer (2004)
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.
A. Chobanian (2003)
Virtual Patient Simulation at U.S. and Canadian Medical Schools
G. Huang (2007)
Simulation in orthopaedic education: an overview of theory and practice.
J. Michelson (2006)
Interactive educational diabetes simulators: a look to the future.
E. D. Lehmann (2000)
Simulation-Based Training of Internal Medicine Residents in Advanced Cardiac Life Support Protocols: A Randomized Trial
D. B. Wayne (2005)
Management of Type 2 Diabetes in the Primary Care Setting: A Practice-Based Research Network Study
S. Spann (2006)
Systematic Review: Comparative Effectiveness and Safety of Oral Medications for Type 2 Diabetes Mellitus
Shari D Bolen (2007)
The Effects of Restricted Work Hours on Clinical Training
R. Karamanoukian (2006)
Value of low dose combination treatment with blood pressure lowering drugs: analysis of 354 randomised trials
M. Law (2003)
[Adult learning].
Anja Matthees (2015)
The Effect of Oral Antidiabetic Agents on Glycated Hemoglobin Levels: A Systematic Review and Meta-Analysis
D. Sherifali (2010)
Revisiting "Discrepancy analysis in continuing medical education: a conceptual model" 1983.
R. D. Fox (2011)
Using Simulation Technology to Teach Diabetes Care Management Skills to Resident Physicians Sperl-Hillen
Systematic review: comparative effectiveness and harms of combinations of lipid-modifying agents and high-dose statin monotherapy
Manu-priya Sharma (2009)
Simulated Physician Learning Program Improves Glucose Control in Adults With Diabetes
J. Sperl-Hillen (2010)
Resistance to Insulin Therapy Among Patients and Providers Results of the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) study
M. Peyrot (2005)
The future vision of simulation in health care
D. Gaba (2004)
Resistance to insulin therapy among patients and providers: results of the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) study.
M. Peyrot (2005)
Systematic Review: Comparative Effectiveness and Harms of Combination Therapy and Monotherapy for Dyslipidemia
M. Sharma (2009)
Value of low dose combination treatment with blood pressure lowering drugs: analysis of 354 randomised trials
M. Bortolini (2003)
Current Practice Patterns and Identified Educational Needs of Health Care Providers in Managing Patients With Type 2 Diabetes
J. Williamson (2013)
Why Don’t Diabetes Patients Achieve Recommended Risk Factor Targets? Poor Adherence versus Lack of Treatment Intensification
J. Schmittdiel (2008)
Oracle Database
Cognitive task analysis of business jet pilots’ weather flying behaviors: preliminary results. NASA/ TM-2001-211034
K Latorella (2001)
Discrepancy analysis in continuing medical education: A conceptual model
R. D. Fox (1983)

This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar