1105-P: Evolution of Hospital Glycemic Care Knowledge among Faculty and Trainees in an Academic Center-A Comparative Analysis

Introduction & Objective: Knowledge and decision-making can be determinants of practice performance and quality of patient care rendered. Gaps exist in those competencies among healthcare practitioners. This study aimed to determine changes in faculty and trainees in an academic center after implementation of an inpatient diabetes clinical decision support (CDS) tool in the electronic health record (EHR). Methods: We compared proportions of correct glycemic management responses to equivalent questions from two surveys conducted about eight years apart in an academic medical center using the Chi-square test. The first survey represented a baseline needs assessment. The second was a follow-up questionnaire presented in context of an inpatient practice supported by an EHR CDS program across hospital settings. Results: Conclusion: Improved knowledge of glucose goals for different inpatient populations is relevant as it can enable adequate management. Responses about the complex topic of insulin transition to maintain control did not show improvement, but it had a high score at baseline. Lower knowledge on follow-up among trainees reflect the need for reinforcing concepts for learners who join training programs with variable decision-making skills. Some modalities of CDS can enhance knowledge when presenting biomedical information in the context of clinical practice.