The transition from knowing to doing: teaching junior doctors how to use insulin in the management of diabetes mellitus

Objective To develop and evaluate a short education programme to improve the skills and confidence of junior doctors in managing the glycaemic control of inpatients with diabetes mellitus. Methods A total of 15 junior doctors completed two 1‐hour workshops on the practical skills required to manage...

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Veröffentlicht in:Medical education 2003-08, Vol.37 (8), p.689-694
Hauptverfasser: Conn, Jennifer J, Dodds, Agnes E, Colman, Peter G
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container_title Medical education
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creator Conn, Jennifer J
Dodds, Agnes E
Colman, Peter G
description Objective To develop and evaluate a short education programme to improve the skills and confidence of junior doctors in managing the glycaemic control of inpatients with diabetes mellitus. Methods A total of 15 junior doctors completed two 1‐hour workshops on the practical skills required to manage the glycaemic control of insulin‐treated patients. The workshops were based on simulated case scenarios presented in a workbook format. Pre‐workshop performance and levels of confidence were tested, using a set of tasks matched to the learning objectives. Participants were re‐tested immediately after the second workshop and again after 3 months. Results There was a significant overall effect for time of testing for performance and confidence considered together, F(4,11) = 12.67, P = 0.000, power = 1.00. The mean score for performance for the intermediate and 3‐month post‐tests combined was significantly higher than the mean performance score for the pre‐test (11.00 
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Methods A total of 15 junior doctors completed two 1‐hour workshops on the practical skills required to manage the glycaemic control of insulin‐treated patients. The workshops were based on simulated case scenarios presented in a workbook format. Pre‐workshop performance and levels of confidence were tested, using a set of tasks matched to the learning objectives. Participants were re‐tested immediately after the second workshop and again after 3 months. Results There was a significant overall effect for time of testing for performance and confidence considered together, F(4,11) = 12.67, P = 0.000, power = 1.00. The mean score for performance for the intermediate and 3‐month post‐tests combined was significantly higher than the mean performance score for the pre‐test (11.00 &lt; [17.53 + 15.80]), t(56) = −6.50, P = 0.000 (95% CI −6.15, −3.10). The mean score for confidence for the intermediate and 3 month post‐tests combined was higher than the mean for the pre‐test (13.20 &lt; [15.33 + 15.20]), t(56) = 2.95, P = 0.011 (95% CI 2.19, 0.46), although this result must be treated with caution. Conclusions A brief educational intervention can improve and maintain the performance and confidence of junior doctors in managing patients with insulin‐treated diabetes in a simulated environment.</description><identifier>ISSN: 0308-0110</identifier><identifier>EISSN: 1365-2923</identifier><identifier>DOI: 10.1046/j.1365-2923.2003.01582.x</identifier><identifier>PMID: 12895248</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Clinical Competence - standards ; Curriculum subjects: programmes and methods ; Diabetes ; Diabetes Mellitus, Type 1 - drug therapy ; education programme ; Education, Medical, Continuing - methods ; Educational sciences ; Humans ; Hypoglycemic Agents - administration &amp; dosage ; insulin ; Insulin - administration &amp; dosage ; junior doctor ; Medical and paramedical education ; Medical Staff, Hospital - education ; structured tasks ; Teaching methods</subject><ispartof>Medical education, 2003-08, Vol.37 (8), p.689-694</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. 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Methods A total of 15 junior doctors completed two 1‐hour workshops on the practical skills required to manage the glycaemic control of insulin‐treated patients. The workshops were based on simulated case scenarios presented in a workbook format. Pre‐workshop performance and levels of confidence were tested, using a set of tasks matched to the learning objectives. Participants were re‐tested immediately after the second workshop and again after 3 months. Results There was a significant overall effect for time of testing for performance and confidence considered together, F(4,11) = 12.67, P = 0.000, power = 1.00. The mean score for performance for the intermediate and 3‐month post‐tests combined was significantly higher than the mean performance score for the pre‐test (11.00 &lt; [17.53 + 15.80]), t(56) = −6.50, P = 0.000 (95% CI −6.15, −3.10). The mean score for confidence for the intermediate and 3 month post‐tests combined was higher than the mean for the pre‐test (13.20 &lt; [15.33 + 15.20]), t(56) = 2.95, P = 0.011 (95% CI 2.19, 0.46), although this result must be treated with caution. Conclusions A brief educational intervention can improve and maintain the performance and confidence of junior doctors in managing patients with insulin‐treated diabetes in a simulated environment.</description><subject>Clinical Competence - standards</subject><subject>Curriculum subjects: programmes and methods</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>education programme</subject><subject>Education, Medical, Continuing - methods</subject><subject>Educational sciences</subject><subject>Humans</subject><subject>Hypoglycemic Agents - administration &amp; dosage</subject><subject>insulin</subject><subject>Insulin - administration &amp; dosage</subject><subject>junior doctor</subject><subject>Medical and paramedical education</subject><subject>Medical Staff, Hospital - education</subject><subject>structured tasks</subject><subject>Teaching methods</subject><issn>0308-0110</issn><issn>1365-2923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9v1DAQxSMEokvhKyALCW4J_hsnHJBQaQtSuxxoxdHyOpOut4nd2o52--3rsKtW4sRpRuPfPD3PKwpEcEUwrz9vKsJqUdKWsopizCpMREOr3Yti8fTwslhghpsSE4KPijcxbjDGUvDmdXFEaNMKyptFsb1aA0pBu2iT9Q71wY_o1vmtdTcoedT53HxBCbRZz6PN5KwPeWySDxGt_XampgjIujgN1uWKUtYctdM3MIJLyPeos3oFCSIaYRhsmuLb4lWvhwjvDvW4uD47vTr5UV78Ov958u2iNLwmtJQd7-dfMKNb0eoac6DANK1XADWVXSMaEKsuN7qvac2w7Ik0nTQcZC25ZsfFp73uXfD3E8SkRhtNNqEd-CkqyQTPF2sz-OEfcOOn4LI3RTFtOc43y1Czh0zwMQbo1V2wow4PimA1J6M2ag5AzQGoORn1Nxm1y6vvD_rTaoTuefEQRQY-HgAdjR76nImx8ZkTmHHS8Mx93XNbO8DDfxtQl6ffr-c2C5R7ARsT7J4EdLhVtWRSqD_Lc3W5ZMullL_zgR4BZ7S5jw</recordid><startdate>200308</startdate><enddate>200308</enddate><creator>Conn, Jennifer J</creator><creator>Dodds, Agnes E</creator><creator>Colman, Peter G</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200308</creationdate><title>The transition from knowing to doing: teaching junior doctors how to use insulin in the management of diabetes mellitus</title><author>Conn, Jennifer J ; Dodds, Agnes E ; Colman, Peter G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4612-7d4f03083ca959a604e2e3a26bee627d858e5bd7d8af626307f17cd7c4e7674a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Clinical Competence - standards</topic><topic>Curriculum subjects: programmes and methods</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>education programme</topic><topic>Education, Medical, Continuing - methods</topic><topic>Educational sciences</topic><topic>Humans</topic><topic>Hypoglycemic Agents - administration &amp; dosage</topic><topic>insulin</topic><topic>Insulin - administration &amp; dosage</topic><topic>junior doctor</topic><topic>Medical and paramedical education</topic><topic>Medical Staff, Hospital - education</topic><topic>structured tasks</topic><topic>Teaching methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Conn, Jennifer J</creatorcontrib><creatorcontrib>Dodds, Agnes E</creatorcontrib><creatorcontrib>Colman, Peter G</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Medical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Conn, Jennifer J</au><au>Dodds, Agnes E</au><au>Colman, Peter G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The transition from knowing to doing: teaching junior doctors how to use insulin in the management of diabetes mellitus</atitle><jtitle>Medical education</jtitle><addtitle>Med Educ</addtitle><date>2003-08</date><risdate>2003</risdate><volume>37</volume><issue>8</issue><spage>689</spage><epage>694</epage><pages>689-694</pages><issn>0308-0110</issn><eissn>1365-2923</eissn><abstract>Objective To develop and evaluate a short education programme to improve the skills and confidence of junior doctors in managing the glycaemic control of inpatients with diabetes mellitus. Methods A total of 15 junior doctors completed two 1‐hour workshops on the practical skills required to manage the glycaemic control of insulin‐treated patients. The workshops were based on simulated case scenarios presented in a workbook format. Pre‐workshop performance and levels of confidence were tested, using a set of tasks matched to the learning objectives. Participants were re‐tested immediately after the second workshop and again after 3 months. Results There was a significant overall effect for time of testing for performance and confidence considered together, F(4,11) = 12.67, P = 0.000, power = 1.00. The mean score for performance for the intermediate and 3‐month post‐tests combined was significantly higher than the mean performance score for the pre‐test (11.00 &lt; [17.53 + 15.80]), t(56) = −6.50, P = 0.000 (95% CI −6.15, −3.10). 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subjects Clinical Competence - standards
Curriculum subjects: programmes and methods
Diabetes
Diabetes Mellitus, Type 1 - drug therapy
education programme
Education, Medical, Continuing - methods
Educational sciences
Humans
Hypoglycemic Agents - administration & dosage
insulin
Insulin - administration & dosage
junior doctor
Medical and paramedical education
Medical Staff, Hospital - education
structured tasks
Teaching methods
title The transition from knowing to doing: teaching junior doctors how to use insulin in the management of diabetes mellitus
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