Archana R Sadhu1,2,3, Amber M Healy4,5, Shivajirao P Patil6, Doyle M Cummings7, Jay H Shubrook8, Robert J Tanenberg9,10,11. 1. Weill Cornell Medical College, New York, NY, USA. arsadhu@houstonmethodist.org. 2. Texas A&M Health Science Center, Bryan, TX, USA. arsadhu@houstonmethodist.org. 3. System Diabetes Program, Houston Methodist, Houston, TX, USA. arsadhu@houstonmethodist.org. 4. Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA. 5. OhioHealth Physicians Group Heritage College Diabetes and Endocrinology, Athens, OH, USA. 6. Department of Family Medicine, Brody School of Medicine, East Carolina University, Greenville, NC, USA. 7. Office of Clinical Trials Research, Brody School of Medicine, East Carolina University, Greenville, NC, USA. 8. Primary Care Department, Touro University California College of Osteopathic Medicine, Vallejo, CA, USA. 9. Brody School of Medicine, East Carolina University, Greenville, NC, USA. 10. Diabetes and Obesity Institute East Carolina University, Greenville, NC, USA. 11. Vidant Medical Center Inpatient Diabetes Program, Greenville, NC, USA.
Abstract
PURPOSE OF REVIEW: Diabetes is a complex and costly chronic disease that is growing at an alarming rate. In the USA, we have a shortage of physicians who are experts in the care of patients with diabetes, traditionally endocrinologists. Therefore, the majority of patients with diabetes are managed by primary care physicians. With the rapid evolution in new diabetes medications and technologies, primary care physicians would benefit from additional focused and intensive training to manage the many aspects of this disease. Diabetes fellowships designed specifically for primary care physicians is one solution to rapidly expand a well-trained workforce in the management of patients with diabetes. RECENT FINDINGS: There are currently two successful diabetes fellowship programs that meet this need for creating more expert diabetes clinicians and researchers outside of traditional endocrinology fellowships. We review the structure of these programs including funding and curriculum as well as the outcomes of the graduates. The growth of the diabetes epidemic has outpaced current resources for readily accessible expert diabetes clinical care. Diabetes fellowships aimed for primary care physicians are a successful strategy to train diabetes-focused physicians. Expansion of these programs should be encouraged and support to grow the cadre of clinicians with expertise in diabetes care and improve patient access and outcomes.
PURPOSE OF REVIEW: Diabetes is a complex and costly chronic disease that is growing at an alarming rate. In the USA, we have a shortage of physicians who are experts in the care of patients with diabetes, traditionally endocrinologists. Therefore, the majority of patients with diabetes are managed by primary care physicians. With the rapid evolution in new diabetes medications and technologies, primary care physicians would benefit from additional focused and intensive training to manage the many aspects of this disease. Diabetes fellowships designed specifically for primary care physicians is one solution to rapidly expand a well-trained workforce in the management of patients with diabetes. RECENT FINDINGS: There are currently two successful diabetes fellowship programs that meet this need for creating more expert diabetes clinicians and researchers outside of traditional endocrinology fellowships. We review the structure of these programs including funding and curriculum as well as the outcomes of the graduates. The growth of the diabetes epidemic has outpaced current resources for readily accessible expert diabetes clinical care. Diabetes fellowships aimed for primary care physicians are a successful strategy to train diabetes-focused physicians. Expansion of these programs should be encouraged and support to grow the cadre of clinicians with expertise in diabetes care and improve patient access and outcomes.
Entities:
Keywords:
Diabetes; Diabetologists; Fellowship; Primary care; Training programs
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