Type 1 Diabetes Mellitus: Pediatric Team-Based Learning Module

Publication ID Published Volume
10598 July 5, 2017 13

Download the Educational Summary Report

Abstract

Introduction: 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. Methods: 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. Results: 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. Discussion: 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.

Citation

Miller ER, Gupta A. Type 1 diabetes mellitus: pediatric team-based learning module. MedEdPORTAL Publications. 2017;13:10598. https://doi.org/10.15766/mep_2374-8265.10598

Educational Objectives

By the end of this session, learners will be able to:

  1. Recognize presenting symptoms of type 1 diabetes mellitus (T1DM).
  2. Choose the initial and confirmatory tests in the diagnosis of T1DM.
  3. Compare types of insulin therapy, including onset, peak, and duration of action.
  4. Formulate a practical management plan for a patient newly diagnosed with T1DM.
  5. Recognize symptoms of hypoglycemia.
  6. Apply the Rule of 15s during an acute episode of hypoglycemia.
  7. Identify short- and long-term complications of T1DM.
  8. Analyze the diagnostic evaluation for diabetic ketoacidosis.

Keywords

  • Type 1 Diabetes Mellitus, Juvenile Diabetes, Insulin-Dependent Diabetes, Team-Based Learning, Pediatric Endocrinology

References

  1. Ahmed A, Jabbar A, Zuberi L, Islam M, Shamim K. Diabetes related knowledge among residents and nurses: a multicenter study in Karachi, Pakistan. BMC Endocr Disord. 2012;12:18. https://doi.org/10.1186/1472-6823-12-18

  2. American Board of Pediatrics. Content Outline: General Pediatrics. https://www.abp.org/sites/abp/files/pdf/blueprint_gp_2016.pdf. Updated January 2015.

  3. Amori R, Pittas A, Siegel R, et al. Inpatient medical errors involving glucose-lowering medications and their impact on patients: review of 2,598 incidents from a voluntary electronic error-reporting database. Endocr Pract. 2008;14(5):535-542. https://doi.org/10.4158/EP.14.5.535

  4. Balwan S, Fornari A, DiMarzio P, et al. Use of team-based learning pedagogy for internal medicine ambulatory resident teaching. J Grad Med Educ. 2015;7(4):643-648. https://doi.org/10.4300/JGME-D-14-00790.1

  5. Birmingham C, McCord M. Group process research: implications for using learning groups. In: Michaelsen LK, Knight AB, Fink LD, eds. Team-Based Learning: A Transformative Use of Small Groups in College Teaching. Sterling, VA: Stylus Publishing; 2004:73-93.

  6. DeSalvo DJ, Greenberg LW, Henderson CL, Cogen FR. A learner-centered diabetes management curriculum: reducing resident errors on an inpatient diabetes pathway. Diabetes Care. 2012;35(11):2188-2193. https://doi.org/10.2337/dc12-0450

  7. Gregory JM, Moore DJ, Simmons JH. Type 1 diabetes mellitus. Pediatr Rev. 2013;34(5):203-215. https://doi.org/10.1542/pir.34-5-203

  8. Imperatore G, Boyle JP, Thompson TJ, et al; for SEARCH for Diabetes in Youth Study Group. Projections of type 1 and type 2 diabetes burden in the U.S. population aged <20 years through 2050: dynamic modeling of incidence, mortality, and population growth. Diabetes Care. 2012;35(12):2515-2520. https://doi.org/10.2337/dc12-0669

  9. Lee JM, Davis MM, Menon RK, Freed GL. Geographic distribution of childhood diabetes and obesity relative to the supply of pediatric endocrinologists in the United States. J Pediatr. 2008;152(3):331-336. https://doi.org/10.1016/j.jpeds.2007.08.037

  10. Mayer-Davis EJ, Lawrence JM, Dabelea D, et al; for SEARCH for Diabetes in Youth Study. Incidence trends of type 1 and type 2 diabetes among youths, 2002–2012. N Engl J Med. 2017;376(15):1419-1429. https://doi.org/10.1056/NEJMoa1610187

  11. Parmelee D, Michaelsen LK, Cook S, Hudes PD. Team-based learning: a practical guide: AMEE Guide No. 65. Med Teach. 2012;34(5):e275-e287. https://doi.org/10.3109/0142159X.2012.651179

  12. Pichardo-Lowden AR, Kong L, Haidet PM. Knowledge, attitudes, and decision making in hospital glycemic management: are faculty up to speed? Endocr Pract. 2015;21(4):307-322. https://doi.org/10.4158/EP14246.OR

  13. Rubin D, Moshang J, Jabbour S. Diabetes knowledge: are resident physicians and nurses adequately prepared to manage diabetes? Endocr Pract. 2007;13(1):17-21. https://doi.org/10.4158/EP.13.1.17

  14. Zanoni PH, Parisi MCR, Admoni SN, Queiroz MS, Nery M. Curso de imersão em diabetes como técnica educativa para profissionais médicos [Diabetes immersion training as teaching method to medical practitioners]. Arq Bras Endocrinol Metabol. 2009;53(3):355-359. https://doi.org/10.1590/S0004-27302009000300010

Material Access

Please sign in to access this material.

Please register for an AAMC account if you do not have one.

Register

  • Contact Us

Subscribe to Our Quarterly Newsletter

Receive featured content & announcements!

ISSN 2374-8265