Virtual Simulation Improves Clinical Decision-Making in Managing Type 2 Diabetes

This study was conducted to determine if online, virtual patient simulation (VPS)-based continuing medical education (CME) intervention that engages clinicians in a practical learning experience could improve performance of diabetologists/endocrinologists (D/Es) and primary care physicians (PCPs) in the management of T2D and sleep problems. The CME VPS intervention comprised one patient presenting at 2 different points. The VPS platform allows learners to order lab tests, make diagnoses, and prescribe treatments in a manner matching the scope and depth of actual practice. Learners’ choices were analyzed using a sophisticated decision engine. Tailored clinical guidance (CG), based on current evidence and expert recommendation, was provided following each decision. Learners were given the opportunity to modify their decisions after receiving CG. Decisions were collected post-CG and compared with each user’s baseline (pre-CG) decisions using a 2-tailed paired t-test to determine P values. Through November 2017, significant improvements were documented among participating learners after clinical guidance (D/Es n=19; PCPs n=391): Diagnosis of uncontrolled T2D: 40% absolute improvement among PCPs (3% pre-CG vs. 43% post-CG; P