We sought to determine if online continuing medical education (CME) activities could improve the clinical knowledge/competence of primary care physicians (PCPs), diabetologists/endocrinologists (D/Es), and nurses/nurse practitioners (N/NPs) regarding the management type 2 diabetes (T2D) in older patients with hypoglycemia risk. The effect of two online, video-based CME activities were evaluated using knowledge/competence linked pre-/post-assessment questions. McNemar’s chi-squared test (P <.05 indicates statistical significance) assessed educational effect. The activities launched between August 23, 2018 and November 1, 2018, and data were collected for 8 weeks each. In total, 202 D/Es, 1,192 PCPs and 5,480 N/NPs answered all pre-/post-assessment questions for at least 1 activity. Improvements were demonstrated among D/Es, PCPs, and N/NPs: Knowledge: 35% of D/Es (N=139, P<.0001), 40% of PCPs (N=729, P<.0001), and 42% of N/NPs (n=4119, P< .0001) improved regarding insulin dosing when switching between insulin therapies Competence: 27% of D/Es (N=63, P=.0023), 33% of PCPs (N=463, P<.0001), and 18% of N/NPs (n=1361, P< .0001) improved related to selection of antihyperglycemic agent for an older T2D patient at risk of hypoglycemia 63% of D/Es (N=139, P<.0001), 56% of PCPs (N=729, P<.0001), and 43% of N/NPs (n=4119, P< .0001) improved related to the most appropriate insulin dose for a given patient Continued educational gaps: • 32% of D/Es (N=63), 44% of PCPs (N=463), and 63% of N/NPs (n=1361) failed to select the most appropriate insulin for a patient at risk of hypoglycemia • 33% of D/Es (N=63), 37% of PCPs (N=463), and 43% of N/NPs (n=1361) failed to recognize the impact on hypoglycemia of switching basal insulin therapies This study demonstrates the success of online video-based CME on improving knowledge/competence in D/Es, PCP, and N/NPs related to managing T2D in older patients. Continued knowledge gaps were identified for future educational targets.


A. Larkin: None. M. LaCouture: None. A. Le: None.



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