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Can primary care physicians recognize type 1 diabetes in children on time?
Małgorzata Wójcik1, Barbara Wasyl-Nawrot2, Jerzy Starzyk1,2
1Department of Pediatric and Adolescent Endocrinology, Collegium Medicum Jagiellonian University, Krakow, Poland.
Primary care physicians need better education on diagnosing type 1 diabetes (DM1) in children. Both new and experienced doctors showed gaps in knowledge, highlighting the need for improved training to ensure timely DM1 diagnosis.
Area of Science:
- Pediatrics
- Endocrinology
- Medical Education
Background:
- Timely diagnosis of type 1 diabetes (DM1) in children and adolescents remains a challenge for healthcare professionals.
- Gaps in recognition lead to delayed diagnosis and management of DM1.
Purpose of the Study:
- To compare the diagnostic experiences and knowledge of type 1 diabetes (DM1) between young doctors in training and experienced primary care physicians in Poland.
- To identify areas for improvement in medical education regarding DM1 diagnosis.
Main Methods:
- A survey was conducted with 50 specialists (pediatrics/family medicine) and 50 doctors without specialization (up to 4 years post-graduation).
- Participants' knowledge of DM1 diagnostic criteria and management was assessed via questionnaires between November 2019 and November 2020.
Main Results:
- Most participants correctly identified diagnostic criteria, with specialists performing slightly better (96% vs. 72% correct answers).
- A notable finding was the relatively low number of diagnosed DM1 cases reported by both groups during their careers.
- Specialists reported more frequent glucometer use, though this difference was not significant after accounting for experience.
Conclusions:
- Continuous education for primary care physicians is crucial, regardless of their professional experience level.
- Practical, hands-on training is essential to enhance diagnostic skills for type 1 diabetes.
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