Miller Emily R, Gupta Anshu
Clinical Assistant Professor, Division of Pediatric Endocrinology and Diabetes, Michigan State University College of Human Medicine.
Assistant Professor, Department of Pediatrics, Virginia Commonwealth University School of Medicine.
MedEdPORTAL. 2017 Jul 5;13:10598. doi: 10.15766/mep_2374-8265.10598.
Type 1 diabetes mellitus (T1DM) is an autoimmune disease that impacts roughly 200,000 youths in the United States. Many patients have limited access to specialist care. Therefore, general pediatricians are expected to be skilled in the management of diabetes. Recent studies suggest that an educational gap exists for general practitioners regarding diabetes care. Team-based learning (TBL), an active, learner-centered method of teaching, has been shown to be an effective tool in adult learning and teaching. Here, we outline a TBL activity focused on the education of pediatric residents in the comprehensive management of T1DM.
Learners prepare in advance by reading through a review article on T1DM. They are formed into groups and work through the readiness assurance process first, followed by application exercises. The application exercises focus on choosing and applying an insulin regimen to a patient with a new diagnosis of T1DM, including modification of this regimen based on blood sugar trends, management of diabetes ketoacidosis, and recognition and management of hypoglycemia.
Learners showed improvement in their readiness assurance testing, from 81.4% individually to 91% as a group. Eighty percent of learners agreed or strongly agreed this was an effective method for improving diabetes skills and knowledge, and the learning process engaged them.
TBL may be a valuable educational strategy to enhance knowledge of T1DM care for general pediatricians. Future studies focusing on longitudinal educational outcomes would be beneficial.
1型糖尿病(T1DM)是一种自身免疫性疾病,在美国约有20万名青少年受其影响。许多患者获得专科护理的机会有限。因此,普通儿科医生应具备熟练管理糖尿病的技能。最近的研究表明,全科医生在糖尿病护理方面存在教育差距。基于团队的学习(TBL)是一种以学习者为中心的主动教学方法,已被证明是成人学习和教学中的有效工具。在此,我们概述了一项针对儿科住院医师进行T1DM综合管理教育的TBL活动。
学习者通过阅读一篇关于T1DM的综述文章提前做好准备。他们被分成小组,首先完成准备度保证过程,然后进行应用练习。应用练习的重点是为新诊断为T1DM的患者选择并应用胰岛素治疗方案,包括根据血糖趋势调整该方案、糖尿病酮症酸中毒的管理以及低血糖的识别和管理。
学习者在准备度保证测试中的表现有所提高,个人得分从81.4%提高到小组得分91%。80%的学习者同意或强烈同意这是提高糖尿病技能和知识的有效方法,并且学习过程让他们参与其中。
TBL可能是增强普通儿科医生对T1DM护理知识的一种有价值的教育策略。未来关注纵向教育成果进行研究将是有益的。