Trial reportDiabetes care2009
Simulated physician learning intervention to improve safety and quality of diabetes care: a randomized trial.
Trial report in Diabetes care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00262704 (SimCare), which is not on this map. Cited by 27 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
SimCare: Physician Intervention to Improve Diabetes Care
Who cites it
27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- Local opinion leaders: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2019Pooled it
- Digital Health Professions Education on Diabetes Management: Systematic Review by the Digital Health Education Collaboration.Journal of medical Internet research · 2019Pooled it
- Care management for Type 2 diabetes in the United States: a systematic review and meta-analysis.BMC health services research · 2012Pooled it
- Skin cancer education for primary care physicians: a systematic review of published evaluated interventions.Journal of general internal medicine · 2011Pooled it
- Local opinion leaders: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2011Pooled it
- InsuOnline, an Electronic Game for Medical Education on Insulin Therapy: A Randomized Controlled Trial With Primary Care Physicians.Journal of medical Internet research · 2017Trial
- Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial.Academic medicine : journal of the Association of American Medical Colleges · 2014Trial
- Using simulation technology to teach diabetes care management skills to resident physicians.Journal of diabetes science and technology · 2013Trial
- Simulated physician learning program improves glucose control in adults with diabetes.Diabetes care · 2010Trial
- iENDEAVORS: Development and Testing of Virtual Reality Simulations for Nutrition and Dietetics.International journal of environmental research and public health · 2025Article
- A web-based training simulator of clinical hyperbaric chamber.Scientific reports · 2025Article
- Simulation in podiatry teaching and learning: A scoping review.Journal of foot and ankle research · 2024Article
- Integrating Choosing Wisely, Value-Based Care Principles, Into Undergraduate Medical Education: A Pilot Study.Cureus · 2024Article
- Collaborative case-based learning with programmatic team-based assessment: a novel methodology for developing advanced skills in early-years medical students.BMC medical education · 2022Article
- Nursing-Intense Health Education Intervention for Persons with Type 2 Diabetes: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2021Article
- Trainee doctors in medicine prefer case-based learning compared to didactic teaching.Journal of family medicine and primary care · 2020Article
- Outpatient diabetes clinical decision support: current status and future directions.Diabetic medicine : a journal of the British Diabetic Association · 2016Review
- Description and preliminary evaluation of a diabetes technology simulation course.Journal of diabetes science and technology · 2013Article
- Effect of a course-based intervention and effect of medical regulation on physicians' opioid prescribing.Canadian family physician Medecin de famille canadien · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo assess two physician learning interventions designed to improve safety and quality of diabetes care delivered by primary care physicians (PCPs). RESEARCH DESIGN AND
methodsThis group randomized clinical trial included 57 consenting PCPs and their 2,020 eligible adult patients with diabetes. Physicians were randomized to no intervention (group A), a simulated case-based physician learning intervention (group B), or the same simulated case-based learning intervention with physician opinion leader feedback (group C). Dependent variables included A1C values, LDL cholesterol values, pharmacotherapy intensification rates in patients not at clinical goals, and risky prescribing events.
resultsGroups B and C had substantial reductions in risky prescribing of metformin in patients with renal impairment (P = 0.03). Compared with groups A and C, physicians in group B achieved slightly better glycemic control (P = 0.04), but physician intensification of oral glucose-lowering medications was not affected by interventions (P = 0.41). Lipid management improved over time (P < 0.001) but did not differ across study groups (P = 0.67).
conclusionsA simulated, case-based learning intervention for physicians significantly reduced risky prescribing events and marginally improved glycemic control in actual patients. The addition of opinion leader feedback did not improve the learning intervention. Refinement and further development of this approach is warranted.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.