Skip to main content

Advertisement

SpringerLink
Log in

Innovations in Professional Inpatient Diabetes Education

  • Hospital Management of Diabetes (A Wallia and JJ Seley, Section Editors)
  • Published:
Current Diabetes Reports Aims and scope Submit manuscript

Abstract

Purpose of review

In the rapidly evolving and complex field of inpatient diabetes, complex care teams of physicians, nurse practitioners, physician assistants, nurses, and pharmacists are challenged to remain well informed of the latest clinical treatments and health care trends. Traditional continuing medical education (CME) and continuing education unit (CEU) strategies that require travel and/or time away from work pose a major barrier. With advancements in technology, there are media and other electronic strategies for delivering CME/ CEU that may overcome these current challenges.

Recent Findings

Electronic and internet-based formats are growing due to their convenience, ease of use, lower cost, and ready access to large audiences. Some formats are already being used such as computer-based programs, simulations, and mobile CMEs and CEUs. Other strategies could be further explored including hospital credentialing, stewardship programs, and interdisciplinary health care professional education. However, there is little data on the utilization and efficacy of these newer formats.

Summary

While traditional CME/CEU meetings prevail, there is a need and an emerging trend using electronic and internet based strategies that are particularly suited for inpatient diabetes education. These methods show great potential and deserve further exploration and development.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. [Internet]. Nursingworld.org. 2018 [cited 23 July 2018]. Available from: https://www.nursingworld.org/~4abfd7/globalassets/certification/renewals/RenewalRequirements

  2. Continuing Education - AANPCP [Internet]. Aanpcert.org. 2018 [cited 23 July 2018]. Available from: http://www.aanpcert.org/recert/ce

  3. Continuing Medical Education (CME) for Physician Assistants - NCCPA [Internet]. Nccpa.net. 2018 [cited 23 July 2018]. Available from: http://www.nccpa.net/ContinuingMedicalEducation

  4. Continuing Education [Internet]. Pharmacist.com. 2018 [cited 23 July 2018]. Available from: https://www.pharmacist.com/education

  5. Curran V, Fleet L. A review of evaluation outcomes of web-based continuing medical education. Med Educ. 2005;39:561–7.

    Article  PubMed  Google Scholar 

  6. Zimitat C. Designing effective on-line continuing medical education. Medical Teacher. 2001;23:117–22.

    Article  PubMed  Google Scholar 

  7. Crenshaw K, Curry W, Salanitro A, Safford M, Houston T, Allison J, et al. Is physician engagement with web-based CME associated with patientsʼ baseline hemoglobin A1c levels? The rural diabetes online care study. Acad Med. 2010;85:1511–7.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Tatti P, Lehmann E. Utility of the AIDA diabetes simulator as an interactive educational teaching tool for general practitioners (primary care physicians). Diabetes Technol Ther. 2001;3:133–40.

    Article  CAS  PubMed  Google Scholar 

  9. Diehl LA, Souza RM, Gordan PA, Esteves RZ, Coelho ICM. InsuOnline, an electronic game for medical education on insulin therapy: a randomized controlled trial with primary care physicians. Journal of Medical Internet Research. 2017;19. This study provides recent data of the utilization of virtual stimulation as method for continue education among providers as compare to lecture format.

  10. Sullivan M, O'Brien C, Gitelman S, Shapiro S, Rushakoff R. Impact of an interactive online nursing educational module on insulin errors in hospitalized pediatric patients. Diabetes Care. 2010;33:1744–6.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Vaidya A, Hurwitz S, Yialamas M, Min L, Garg R. Improving the management of diabetes in hospitalized patients: the results of a computer-based house staff training program. Diabetes Technol Ther. 2012;14:610–8.

    Article  PubMed  PubMed Central  Google Scholar 

  12. 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. Journal of Diabetes. 2012;4:281–90.

    Article  PubMed  Google Scholar 

  13. Wakefield PL, Wilson MA. Enhancing nurses’ knowledge regarding the complex care of hospitalized patients on insulin. J Nurses Prof Dev. 2014;30:174–80.

    Article  PubMed  Google Scholar 

  14. Taylor CG, Morris C, Rayman G. An interactive 1-h educational programme for junior doctors, increases their confidence and improves inpatient diabetes care. Diabet Med. 2012;29:1574–8.

    Article  CAS  PubMed  Google Scholar 

  15. Podcasting Historical Timeline|International Podcast Day [Internet]. International Podcast Day. 2018 [cited 23 July 2018]. Available from: https://internationalpodcastday.com/podcasting-history/

  16. Ruiz J, Mintzer M, Leipzig R. The impact of E-learning in medical education. Acad Med. 2006;81:207–112.

    Article  PubMed  Google Scholar 

  17. Sanaiey N. The comparative study of the effectiveness of using E-learning, blended learning and presence learning in continuous medical education. World Journal of Medical Sciences. 2014;10:488–93.

    Google Scholar 

  18. Al-Azri H, Ratnapalan S. Problem-based learning in continuing medical education: review of randomized controlled trials. Can Fam Physician. 2014;60:157–65.

    PubMed  PubMed Central  Google Scholar 

  19. Cheston C, Flickinger T, Chisolm M. Social media use in medical education. Acad Med. 2013;88:893–901.

    Article  PubMed  Google Scholar 

  20. Ventola CL. Social media and health care professionals: benefits, risks, and best practices. Pharmacy and Therapeutics. 2014;39:491–520.

    PubMed  PubMed Central  Google Scholar 

  21. Professionalism in the Use of Social Media | American Medical Association [Internet]. Ama-assn.org. 2018 [cited 23 July 2018]. Available from: https://www.ama-assn.org/delivering-care/professionalism-use-social-media

  22. [Internet]. Fsmb.org. 2018 [cited 23 July 2018]. Available from: https://www.fsmb.org/globalassets/advocacy/policies/model-guidelines-for-the-appropriate-use-of-social-media-and-social-networking.pdf

  23. [Internet]. Ncsbn.org. 2018 [cited 10 October 2018]. Available from: https://www.ncsbn.org/NCSBN_SocialMedia.pdf

  24. Umpierrez GE. Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes. Journal of Clinical Endocrinology & Metabolism. 2002;87:978–82.

    Article  CAS  Google Scholar 

  25. High-Alert Medications in Acute Care Settings [Internet]. Institute for Safe Medication Practices. [cited 2018Sep3]. Available from: https://www.ismp.org/recommendations/high-alert-medications-acute-list

  26. •• Calligaro KD, Amankwah KS, D’ Ayala M, et al. Guidelines for hospital privileges in vascular surgery and endovascular interventions: recommendations for the Society for Vascular Surgery. J Vasc Surg. 2018;67(5):1337–44. The Vascular Surgery Society has put forward a recommendation in their guidelines that ensure that hospital privileges are granted to physicians with recognized training, certification, and demonstration of clinical experience for any vascular surgery and endovascular interventions.

  27. NQF: Prioritization of High-Impact Conditions [Internet]. Qualityforum.org. 2018 [cited 21 July 2018]. Available from: http://www.qualityforum.org/projects/prioritization.aspx?section= MeasurePrioritizatinAdvisoryCommitteeReport2010-05-24.

  28. [Internet]. Cms.gov. 2018 [cited 21 July 2018]. Available from: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Downloads/FMQAI-Glycemic-Control-Measures-Public-Comment.pdf

  29. APIC | Antimicrobial stewardship [Internet]. Apic.org. 2018 [cited 20 July 2018]. Available from: https://apic.org/Professional-Practice/Practice-Resources/Antimicrobial-Stewardship

  30. Doron S, Davidson L. Antimicrobial stewardship. Mayo Clin Proc. 2011;86:1113–23.

    Article  PubMed  PubMed Central  Google Scholar 

  31. • Rushakoff J, Kornberg Z, Shah A, Rushakoff R. Virtual glucose management service: a novel resident educational tool. Medical Education. 2017;51:1174–5. This study shows the creation of a virtual glucose management service in which an endocrinology provider reviews charts while providing recommendation through the institution electronic medical record. This service is similar to the antibiotic stewardships that are currently being implemented in other institutions.

  32. Implementation and Evaluation of an Inpatient Diabetes Superuser Education Program - Full Text View - ClinicalTrials.gov [Internet]. Clinicaltrials.gov. 2018 [cited 23 July 2018]. Available from: https://clinicaltrials.gov/ct2/show/NCT02847390?term=NCT02847390&rank=1

  33. Desalvo DJ, Greenberg LW, Henderson CL, Cogen FR. A learner-centered diabetes management curriculum: reducing resident errors on an inpatient diabetes pathway. Diabetes Care. 2012;35:2188–93.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Endocrinology, Diabetes & Metabolism, The Houston Methodist Hospital, 6550 Fannin Street Suite SM 1001, Houston, TX, 77030, USA

    Ashkan Zand & Archana R. Sadhu

  2. Houston, TX, USA

    Karim Ibrahim

Authors
  1. Ashkan Zand
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Karim Ibrahim
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Archana R. Sadhu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Archana R. Sadhu.

Ethics declarations

Conflict of Interest

Ashkan Zand, Karim Ibrahim, and Archana R. Sadhu declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Hospital Management of Diabetes

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zand, A., Ibrahim, K. & Sadhu, A.R. Innovations in Professional Inpatient Diabetes Education. Curr Diab Rep 18, 147 (2018). https://doi.org/10.1007/s11892-018-1119-9

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11892-018-1119-9

Keywords

Search

Navigation