Abstract
Diabetes tops most clinicians’ list of most challenging conditions to treat, largely due to the complexity and clinical fluidity of its treatment targets; the overlap of its clinical implications onto other medical conditions such as vascular, renal, ophthalmologic, and neurologic diseases; and the need to extend treatments beyond mere medication prescription into the challenging realm of patient self-management training and lifestyle changes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
Four Clinical Centers have structured PI-CME activities. As of September 2010, Type 2 Diabetes: Improving Office Systems of Care and Insulin Therapy are approved through the American Board of Internal Medicine’s (ABIM) Approved Quality Improvement (AQI) Pathway and are eligible for 20 points toward the Self-Evaluation of Practice Performance requirement of Maintenance of Certification (MOC). The remaining two activities are in the submission process at this writing.
References
Woodwell DA, Cherry DK. National ambulatory medical care survey: 2002 summary. Advance data from vital and health statistics; no. 346. Hyattsville: National Center for Health Statistics. 2004. http://www.cdc.gov/nchs/data/ad/ad346.pdf. Accessed 26 Jan 2007.
Rosamond W, Flegal K, Friday G, et al. on behalf of the American Heart Association. Heart disease and stroke statistics: 2007. Circulation. 2007;115:e69–71.
Resnick HE, Foster GL, Bardsley J, Ratner RE. Achievement of American Diabetes Association clinical practice recommendations among U.S. adults with diabetes, 1999–2002: the national health and nutrition examination survey (NHANES). Diabetes Care. 2006;29:531–7.
Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2007. p. 2008.
American Diabetes Association Web site. http://www.diabetes.org/diabetes-basics/diabetes-statistics/?utm_source=WWWutm_medium=DropDownDButm_content=Statisticsutm_campaign=CON. Accessed 17 Dec 2010.
Spann SJ, Nutting PA, Galliher JM, et al. Management of type 2 diabetes in the primary care setting: a practice-based research network study. Ann Fam Med. 2006;4(1):23–31.
Parchman ML, Romero RL, Pugh JA. Encounters by patients with type 2 diabetes – complex and demanding: an observational study. Ann Fam Med. 2006;4(1):40–5.
Resnick HE, Foster GL, Bardsley J, Ratner RE. Achievement of American Diabetes Association clinical practice recommendations among U.S. adults with diabetes, 1999–2002: the national health and nutrition examination survey (NHANES). Diabetes Care. 2006;29:531–7.
Brown JB, Nichols GA. Slow response to loss of glycemic control in type 2 diabetes mellitus. Am J Manag Care. 2003;9:213–7.
Beaser R, Okeke E, Neighbours J, Brown J, Ronk K, Wolyniec WW. Coordinated primary and specialty care for type 2 diabetes, guidelines and systems: an educational needs assessment. Endocr Pract. 2011;17:1–26.
Klein R, Klein BE, Moss SE, Cruickshanks KJ. The Wisconsin Epidemiologic Study of Diabetic Retinopathy: XVII. The 14-year incidence and progression of diabetic retinopathy and associated risk factors in type 1 diabetes. Ophthalmology. 1998;105:1799–800.
American Diabetes Association. Economic costs of diabetes in the U.S. in 2007. Diabetes Care. 2008;31:596–615.
The Diabetes Control and Complications Trial Research Group. The Effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329:977–86.
UK Prospective Diabetes Study Group. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35). BMJ. 2000;321:405–12.
Lloyd-Jones D, Adams RJ, Brown TM, et al. on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics 2010 update. a report from the American Heart Association. Circulation. 2010;121:e46–215.
Hager M, Russell S, Fletcher SW, editors. Continuing education in the health professions: improving healthcare through lifelong learning. In: Proceedings of a conference sponsored by the Josiah Macy, Jr. foundation, 28 Nov–1 Dec 2007, Bermuda. New York: Josiah Macy, Jr. Foundation; 2008. http://josiahmacyfoundation.org/docs/macy_puns/pub_ContEd_inHealthProf.pdf. Accessed 24 Sept 2011.
Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA. 1995;274:700–5.
Dorman T. Response to “reform of CME” published in JAMA. SACME. 2009;22:1–2.
Colthart I, Bagnall G, Evans A, et al. The effectiveness of self-assessment on the identification of learner needs, learner activity, and impact on clinical practice: BEME Guide no. 10. Med Teach. 2008;30(2):124.
Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296(9):1094–102.
Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessments. J Pers Soc Psychol. 1999;77(6):1121–34.
Sibley JC, Sackett DL, Neufeld V, Gerrard B, Rudnick KV, Fraser W. A randomized trial of continuing medical education. N Engl J Med. 1982;306(9):511.
Duffy FD, Holmboe ES. Self-assessment in lifelong learning and improving performance in practice. JAMA. 2006;296:1137–9.
Eva KW, Regehr G. Self-assessment in the health professions: a reformulation and research agenda. Acad Med. 2005;80(10 Suppl):S81–4.
Committee on Quality of Health Care in America, Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington: National Academy Press; 2001.
Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8:iii–iv, 1–72.
Institute of Medicine (IOM). Redesigning continuing education in the health professions. Washington: The National Academies Press; 2010.
Institute of Medicine (IOM). To err is human: building a safer health system. Washington: National Academy Press; 2000.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Beaser, R.S., Snow, K., Rizzotto, JA.M., Brown, J., Abrahamson, M.J. (2012). Diabetes: Everyone’s Number One Priority. In: Harrington, J., Newman, E. (eds) Great Health Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1198-7_13
Download citation
DOI: https://doi.org/10.1007/978-1-4614-1198-7_13
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4614-1197-0
Online ISBN: 978-1-4614-1198-7
eBook Packages: MedicineMedicine (R0)