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Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia

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Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia. / Tamler, Ronald; Green, Dina E.; Skamagas, Maria; Breen, Tracy L.; Lu, Kevin; Looker, Helen C.; Babyatsky, Mark; Leroith, Derek.

In: British Journal of Diabetes and Vascular Disease, Vol. 4, No. 3, 09.2012, p. 281-290.

Research output: Contribution to journalArticle

Harvard

Tamler, R, Green, DE, Skamagas, M, Breen, TL, Lu, K, Looker, HC, Babyatsky, M & Leroith, D 2012, 'Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia' British Journal of Diabetes and Vascular Disease, vol 4, no. 3, pp. 281-290., 10.1111/j.1753-0407.2012.00189.x

APA

Tamler, R., Green, D. E., Skamagas, M., Breen, T. L., Lu, K., Looker, H. C., ... Leroith, D. (2012). Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia. British Journal of Diabetes and Vascular Disease, 4(3), 281-290. 10.1111/j.1753-0407.2012.00189.x

Vancouver

Tamler R, Green DE, Skamagas M, Breen TL, Lu K, Looker HC et al. Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia. British Journal of Diabetes and Vascular Disease. 2012 Sep;4(3):281-290. Available from: 10.1111/j.1753-0407.2012.00189.x

Author

Tamler, Ronald; Green, Dina E.; Skamagas, Maria; Breen, Tracy L.; Lu, Kevin; Looker, Helen C.; Babyatsky, Mark; Leroith, Derek / Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia.

In: British Journal of Diabetes and Vascular Disease, Vol. 4, No. 3, 09.2012, p. 281-290.

Research output: Contribution to journalArticle

Bibtex - Download

@article{ed8ea46e80bd41b8835f700d1f43b8b6,
title = "Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia",
author = "Ronald Tamler and Green, {Dina E.} and Maria Skamagas and Breen, {Tracy L.} and Kevin Lu and Looker, {Helen C.} and Mark Babyatsky and Derek Leroith",
year = "2012",
doi = "10.1111/j.1753-0407.2012.00189.x",
volume = "4",
number = "3",
pages = "281--290",
journal = "British Journal of Diabetes and Vascular Disease",
issn = "1753-0393",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Durability of the effect of online diabetes training for medical residents on knowledge, confidence, and inpatient glycemia

A1 - Tamler,Ronald

A1 - Green,Dina E.

A1 - Skamagas,Maria

A1 - Breen,Tracy L.

A1 - Lu,Kevin

A1 - Looker,Helen C.

A1 - Babyatsky,Mark

A1 - Leroith,Derek

AU - Tamler,Ronald

AU - Green,Dina E.

AU - Skamagas,Maria

AU - Breen,Tracy L.

AU - Lu,Kevin

AU - Looker,Helen C.

AU - Babyatsky,Mark

AU - Leroith,Derek

PY - 2012/9

Y1 - 2012/9

N2 - <p>Background: Inpatient dysglycemia is associated with increased morbidity, mortality and cost. Medical education must not only address knowledge gaps, but also improve clinical care. Methods: All 129 medicine residents at a large academic medical center were offered a case-based online curriculum on the management of inpatient dysglycemia in the fall of 2009. First-year residents took a 3-h course with 10 modules. Second and third-year residents, who had been educated the prior year, underwent abbreviated training. All residents were offered a 20-min refresher course in the spring of 2009. We assessed resident knowledge, resident confidence, and patient glycemia on two teaching wards before and after the initial intervention, as well as after the refresher course. Results: A total of 117 residents (91%) completed the initial training; 299 analyzed admissions generated 11 089 blood glucose values and 4799 event blood glucose values. Admissions with target glycemia increased from 19.4% to 33.0% (P = 0.035) by the end of the curriculum. There was a strong downward trend in hyperglycemia from 22.4% to 11.3% (P = 0.055) without increased hypoglycemia. Confidence and knowledge increased significantly among first-time and repeat participants. Residents rated the intervention as highly relevant to their practice and technologically well implemented. Conclusion: Optimization of an online curriculum covering the management of inpatient glycemia over the course of 2 years led to significantly more admissions in the target glycemia range. Given its scalability, modularity and applicability, this web-based educational intervention may become the standard curriculum for the management of inpatient glycemia.</p>

AB - <p>Background: Inpatient dysglycemia is associated with increased morbidity, mortality and cost. Medical education must not only address knowledge gaps, but also improve clinical care. Methods: All 129 medicine residents at a large academic medical center were offered a case-based online curriculum on the management of inpatient dysglycemia in the fall of 2009. First-year residents took a 3-h course with 10 modules. Second and third-year residents, who had been educated the prior year, underwent abbreviated training. All residents were offered a 20-min refresher course in the spring of 2009. We assessed resident knowledge, resident confidence, and patient glycemia on two teaching wards before and after the initial intervention, as well as after the refresher course. Results: A total of 117 residents (91%) completed the initial training; 299 analyzed admissions generated 11 089 blood glucose values and 4799 event blood glucose values. Admissions with target glycemia increased from 19.4% to 33.0% (P = 0.035) by the end of the curriculum. There was a strong downward trend in hyperglycemia from 22.4% to 11.3% (P = 0.055) without increased hypoglycemia. Confidence and knowledge increased significantly among first-time and repeat participants. Residents rated the intervention as highly relevant to their practice and technologically well implemented. Conclusion: Optimization of an online curriculum covering the management of inpatient glycemia over the course of 2 years led to significantly more admissions in the target glycemia range. Given its scalability, modularity and applicability, this web-based educational intervention may become the standard curriculum for the management of inpatient glycemia.</p>

U2 - 10.1111/j.1753-0407.2012.00189.x

DO - 10.1111/j.1753-0407.2012.00189.x

M1 - Article

JO - British Journal of Diabetes and Vascular Disease

JF - British Journal of Diabetes and Vascular Disease

SN - 1753-0393

IS - 3

VL - 4

SP - 281

EP - 290

ER -

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