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The objective of this translational research is to study the effect of implementing an innovative simulated diabetes learning intervention within primary care residency programs across the country. A prototype of the learning intervention, called SimCare, has demonstrated in a previous randomized trial to improve A1c levels and reduce risky prescribing events in actual patients of practicing physicians. The intervention uses cognitive behavioral learning theory to provide goal-directed feedback to physicians after every encounter over a series of virtual patient-physician encounters. Formulas derived from pharmacokinetic data, combined with the experience of clinical experts, are used to compute simulated patient physiologic responses to drug changes and adherence factors. The simulated representation of cumulative and incremental effects of drug changes on patient physiology over time is an original contribution of this work. The online intervention is economical, sustainable, and addresses a number of current obstacles to outpatient diabetes training in primary care residency programs. The project will assess the impact of this translational tool on the ability of residents to achieve evidence-based diabetes clinical goals for glycemia, blood pressure, and lipids on simulated assessment cases.
Specific Aim 1: To examine the impact of simulated case-based learning on measures of quality of diabetes care delivered by primary care residents to simulated adult patients with diabetes mellitus.
Hypothesis 1: Compared to control group residents, those residents who receive the Simulated Diabetes Training (SDT) intervention will treat a higher proportion of simulated patients to evidence-based diabetes goals including glycemic control (A1c < 7%), blood pressure control (BP < 130/80 mm Hg), and lipid control (evidence-based low-density lipoprotein (LDL), Triglyceride, and HDL levels).
Specific Aim 2: To examine the impact of a simulated case-based learning intervention on rates of appropriate drug intensification and number of risky prescribing events in the management of simulated adult patients with diabetes mellitus.
Hypothesis 2: Compared to control group residents, those residents who receive the Simulated Diabetes Training (SDT) intervention will have improved rates of appropriate drug intensification in simulated assessment cases.
Hypothesis 3: Compared to control group residents, those residents who receive the Simulated Diabetes Training (SDT) intervention will have a lower number of risky prescribing events in simulated assessment cases.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Type 2 Diabetes
Simulated Diabetes Training
HealthPartners Research Foundation
Not yet recruiting
HealthPartners Research Foundation
Published on BioPortfolio: 2014-07-24T14:11:29-0400
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The time period before the development of symptomatic diabetes. For example, certain risk factors can be observed in subjects who subsequently develop INSULIN RESISTANCE as in type 2 diabetes (DIABETES MELLITUS, TYPE 2).
A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY.
Urination of a large volume of urine with an increase in urinary frequency, commonly seen in diabetes (DIABETES MELLITUS; DIABETES INSIPIDUS).
The state of PREGNANCY in women with DIABETES MELLITUS. This does not include either symptomatic diabetes or GLUCOSE INTOLERANCE induced by pregnancy (DIABETES, GESTATIONAL) which resolves at the end of pregnancy.
Excessive thirst manifested by excessive fluid intake. It is characteristic of many diseases such as DIABETES MELLITUS; DIABETES INSIPIDUS; and NEPHROGENIC DIABETES INSIPIDUS. The condition may be psychogenic in origin.