Objective: We sought to determine if interactive, case-based, online continuing medical education (CME) could improve the competence and confidence of diabetologists/endocrinologists (D/Es) and primary care physicians (PCPs) related to interpreting and applying ambulatory glucose profile (AGP) data to patient management regimens for T2D.
Methods: Educational design included a “test, then teach” approach to elicit cognitive dissonance, with evidence-based feedback provided following each learner response. A repeated pairs pre-/post-assessment study design and chi-square test (P <.is considered significant) assessed educational effect, with Cramer’s V being used to assess educational impact (0.06-0.15 is a noticeable effect, 0.16-0.26 considerable, and >0.26 extensive) . The activity launched May 11, 2021 and data were collected through August 12, 2021.
Results: In total, 94 D/Es and 576 PCPs were included in the analysis. Matched learner data indicate that overall, 29% D/Es learners’ responses and 36% of PCPs learners’ responses improved from pre-to-post (both P<.with extensive overall impacts 0.267-0.293) . On a question-level: 34% of D/Es (P<.01, V=.343) and 46% of PCPs (P<.01, V=.402) improved at selecting the medication adjustment most appropriate based on a patient’s AGP data. 24% of D/Es (P<.01, V=.19) and 26% of PCPs (P<.01, V=.183) improved at currently interpreting the AGP. Overall, 23% of D/Es and 37% of PCPs reported increased confidence in iCGM in patients with T2D.
Conclusion: This study demonstrates the success of interactive, case-based, online CME on improving competence and confidence of D/Es and PCPs related to interpretation and application of AGP data. Case-based education with interactive polling questions and detailed explanations related to best choices should be employed more often to help clinicians apply knowledge/data into practice to improve patient management and care.
A.Larkin: None. M.Lacouture: None. A.Le: None.
Developed through an independent educational grant from Abbott Diabetes Care