Residents and interns participate in the Diabetes Disease Management Clinic9 on Wednesday mornings during their ambulatory block rotation. Patients of the resident and faculty practice with poorly controlled diabetes are referred to this clinic for a multidisciplinary intervention designed to comprehensively address their diabetes management and complications. Residents work with a faculty preceptor, an APRN case manager, a nutritionist, pharmacists, and social workers. Residents learn a variety of essential skills (e.g., how to instruct patients in proper use of glucometers, insulin injection techniques including use of insulin pens and syringes, identification and treatment of hypoglycemia, diabetes-specific nutrition counseling, etc.), gain advanced knowledge of management of patients with type 1 and type 2 diabetes including the use of oral agents, insulins and other injectables, have focused learning on evaluating and managing important co-morbidities and learn strategies to assess and reduce risk of the common macrovascular and microvascular complications of diabetes.
1 Green ML, Ellis PJ. Impact of an evidence-based medicine curriculum based on adult learning theory. J Gen Intern Med. 1997;12(12):742-750.
2 Green ML, Ciampi MA, Ellis PJ. Residents' medical information needs in clinic: are they being met? Am J Med. 2000;109(3):218-223.
3 Green ML, Ruff TR. Why Do Residents Fail to Answer Their Clinical Questions? A Qualitative Study of Barriers to Practicing Evidence-Based Medicine. Acad Med. 2005;80(2):176-182.
4 Green ML. Evaluating evidence-based practice performance (editorial). ACP Journal Club. Sep-Oct 2006;145:A8-A10.
5 Green ML, Reddy SG, Holmboe E. Teaching and evaluating point of care learning with an Internet-based clinical-question portfolio. Journal of Continuing Education in the Health Professions. 2009;29(4):209-219.
6 Holmboe ES, Prince L, Green ML. Teaching and Improving Quality of Care in a Primary Care Internal Medicine Residency Clinic. Acad Med. 2005;80(6):571-577.
7 Windish DM, Huot SJ, Green ML. Medicine Residents' Understanding of the Biostatistics and Results in the Medical Literature. Vol 298; 2007:1010-1022.
8 Windish DM, Diener-West M. A clinician-educator's roadmap to choosing and interpreting statistical tests. J Gen Intern Med. Jun 2006;21(6):656-660.
9 Kansagara DL, Holmboe ES, Carr K, Huot SJ. Establishing a diabetes disease management program in a resident clinic (Abstract). J Gen Intern Med. 2005;20 (Suppl 1):31.
10 Fortin AH, Haeseler FD, Angoff N, et al. Teaching pre-clinical medical students an integrated approach to medical interviewing: half-day workshops using actors. J Gen Intern Med. 2002;17(9):704-708.