OBJECTIVE: The management of inpatient hyperglycemia and diabetes requires expertise among many health-care providers. There is limited evidence about how education for healthcare providers can result in optimization of clinical outcomes. The purpose of this critical review of the literature is to examine methods and outcomes related to educational interventions regarding the management of diabetes and dysglycemia in the hospital setting. This report provides recommendations to advance learning, curricular planning, and clinical practice. METHODS: We conducted a literature search through PubMed Medical for terms related to concepts of glycemic management in the hospital and medical education and training. This search yielded 1,493 articles published between 2003 and 2016. RESULTS: The selection process resulted in 16 original articles encompassing 1,123 learners from various disciplines. We categorized findings corresponding to learning outcomes and patient care outcomes. CONCLUSION: Based on the analysis, we propose the following perspectives, leveraging learning and clinical practice that can advance the care of patients with diabetes and/or dysglycemia in the hospital. These include: (1) application of knowledge related to inpatient glycemic management can be improved with active, situated, and participatory interactions of learners in the workplace; (2) instruction about inpatient glycemic management needs to reach a larger population of learners; (3) management of dysglycemia in the hospital may benefit from the integration of clinical decision support strategies; and (4) education should be adopted as a formal component of hospitals' quality planning, aiming to integrate clinical practice guidelines and to optimize diabetes care in hospitals.
OBJECTIVE: The management of inpatient hyperglycemia and diabetes requires expertise among many health-care providers. There is limited evidence about how education for healthcare providers can result in optimization of clinical outcomes. The purpose of this critical review of the literature is to examine methods and outcomes related to educational interventions regarding the management of diabetes and dysglycemia in the hospital setting. This report provides recommendations to advance learning, curricular planning, and clinical practice. METHODS: We conducted a literature search through PubMed Medical for terms related to concepts of glycemic management in the hospital and medical education and training. This search yielded 1,493 articles published between 2003 and 2016. RESULTS: The selection process resulted in 16 original articles encompassing 1,123 learners from various disciplines. We categorized findings corresponding to learning outcomes and patient care outcomes. CONCLUSION: Based on the analysis, we propose the following perspectives, leveraging learning and clinical practice that can advance the care of patients with diabetes and/or dysglycemia in the hospital. These include: (1) application of knowledge related to inpatient glycemic management can be improved with active, situated, and participatory interactions of learners in the workplace; (2) instruction about inpatient glycemic management needs to reach a larger population of learners; (3) management of dysglycemia in the hospital may benefit from the integration of clinical decision support strategies; and (4) education should be adopted as a formal component of hospitals' quality planning, aiming to integrate clinical practice guidelines and to optimize diabetes care in hospitals.
Authors: Curtiss B Cook; Kimberly A Jameson; Zachary C Hartsell; Mary E Boyle; Brenda J Leonhardi; Marci Farquhar-Snow; Karen A Beer Journal: Diabetes Educ Date: 2008 Jan-Feb Impact factor: 2.140
Authors: Guillermo E Umpierrez; Dawn Smiley; Sol Jacobs; Limin Peng; Angel Temponi; Patrick Mulligan; Denise Umpierrez; Christopher Newton; Darin Olson; Monica Rizzo Journal: Diabetes Care Date: 2011-01-12 Impact factor: 19.112
Authors: Ronald Tamler; Dina E Green; Maria Skamagas; Tracy L Breen; Helen C Looker; Mark Babyatsky; Derek Leroith Journal: Diabetes Care Date: 2011-06-29 Impact factor: 19.112
Authors: William B Horton; Sidney Law; Monika Darji; Mark R Conaway; Mikhail Y Akbashev; Nancy T Kubiak; Jennifer L Kirby; S Calvin Thigpen Journal: Endocr Pract Date: 2019-08-14 Impact factor: 3.443
Authors: Nestoras Mathioudakis; Holly Bashura; LaPricia Boyér; Susan Langan; Bama S Padmanaban; Shamil Fayzullin; Sam Sokolinsky; Sherita Hill Golden Journal: J Med Educ Curric Dev Date: 2019-07-15
Authors: Ariana Pichardo-Lowden; Guillermo Umpierrez; Erik B Lehman; Matthew D Bolton; Christopher J DeFlitch; Vernon M Chinchilli; Paul M Haidet Journal: BMJ Open Diabetes Res Care Date: 2021-01