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[Diabetes immersion training as teaching method to medical practitioners]
Patrícia H Zanoni1, Maria Cândida Ribeiro Parisi, Sharon N Admoni
1Serviço de Diabetes, Disciplina de Endocrinologia e Metabologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brasil.
This study shows a two-day diabetes immersion course effectively improved medical residents' knowledge and sensitivity to patient challenges. The practical teaching method enhanced understanding of diabetes management, including blood glucose monitoring and carbohydrate counting.
Area of Science:
- Endocrinology
- Medical Education
Background:
- Intensive blood glucose control is crucial for managing diabetes mellitus.
- Understanding physicians' perspectives on the feasibility of intensive glycemic control is important.
- Effective diabetes education for healthcare professionals is essential for optimal patient care.
Purpose of the Study:
- To evaluate a theoretical and practical teaching method for diabetes education.
- To assess internal medicine and endocrinology residents' knowledge and practical skills in diabetes management.
- To understand doctors' positions on the feasibility of intensive blood glucose control before and after the course.
Main Methods:
- A two-day diabetes immersion course was conducted for 48 internal medicine or endocrinology residents.
- Participants received training on self-blood glucose monitoring, insulin administration, and carbohydrate counting.
- Residents adopted a patient role to experience diabetes management, followed by questionnaire-based assessments.
Main Results:
- Knowledge assessment showed a significant increase from 61.2% to 73.2% (p < 0.0001).
- Post-course, a high percentage reported difficulties with carbohydrate counting (82.9%) and self-monitoring (80.8%).
- Correct medication adherence was 40.4%, and correct blood glucose monitoring was 36.1% after the course.
Conclusions:
- The immersive course methodology effectively disseminates diabetes knowledge.
- The experience increased physicians' sensitivity to the daily challenges faced by diabetes patients.
- The course highlights the complexities of adhering to intensive blood glucose control recommendations.
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