ArticleJournal of general internal medicine2010
Implementation of a chronic illness model for diabetes care in a family medicine residency program.
Article in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Context, mechanisms and outcomes of integrated care for diabetes mellitus type 2: a systematic review.BMC health services research · 2016Pooled it
- Effectiveness of a game-based educational strategy e-EDUCAGUIA for implementing antimicrobial clinical practice guidelines in family medicine residents in Spain: a randomized clinical trial by cluster.BMC medical education · 2022Trial
- Resident and Physician Assistant Co-management-One Model for Reducing Inequities in Care for Patients with Diabetes.Journal of general internal medicine · 2025Article
- Development and Implementation of a Multidisciplinary Translational Course Using Rheumatoid Arthritis as a Model for Chronic Illness During the Medical Student Clerkship Year.Medical science educator · 2025Article
- Assessing REflective simulation-based e-Training on motivational interviewing among multidisciplinary healthcare practitioners [RESeT-MI]: a mixed methods pilot study.BMC medical education · 2024Article
- Registry-Managed Care Coordination and Education for Patients With Co-occurring Diabetes and Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2021Observational
- Motivating residents to change communication: the role of a brief motivational interviewing didactic.Primary health care research & development · 2019Article
- Multidisciplinary Team-Based Obesity Treatment in Patients With Diabetes: Current Practices and the State of the Science.Diabetes spectrum : a publication of the American Diabetes Association · 2017Article
- Continuity Clinic Model and Diabetic Outcomes in Internal Medicine Residencies: Findings of the Educational Innovations Project Ambulatory Collaborative.Journal of graduate medical education · 2016Article
- A qualitative study on why did the poorly-educated Chinese elderly fail to attend nurse-led case manager clinic and how to facilitate their attendance.International journal for equity in health · 2015Article
- Motivational interviewing interventions in graduate medical education: a systematic review of the evidence.Journal of graduate medical education · 2014Review
- Supporting primary care practices in building capacity to use health information data.EGEMS (Washington, DC) · 2014Article
- Patients' experience of chronic illness care in a network of teaching settings.Canadian family physician Medecin de famille canadien · 2012Article
- Improving care in a resident practice for patients with diabetes.Journal of graduate medical education · 2011Article
- Time for leadership in teaching about care of chronic illness.Journal of general internal medicine · 2010Article
- Academia, chronic care, and the future of primary care.Journal of general internal medicine · 2010Article
- Resident continuity clinic: an oxymoron?Journal of general internal medicine · 2010Article
- Influence of patient characteristics on assessment of diabetes self-management support.Nursing researchArticle
- Future Rehabilitation Professionals' Intentions to Use Self-Management Support: Helping Students to Help Patients.Physiotherapy Canada. Physiotherapie CanadaArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWhile the Chronic Care Model (CCM) has been shown to improve the care of patients with chronic illnesses, primary care physicians have been unprepared in its use, and residencies have encountered challenges in introducing it into the academic environment.
aimOur residency program has implemented a diabetes management program modeled on the CCM to evaluate its impact on health outcomes of diabetic patients and educational outcomes of residents.
settingUniversity-affiliated, community-based family medicine residency program. PROGRAM DESCRIPTION: Six residents, two faculty clinicians, and clinic staff formed a diabetes management team. We redesigned the outpatient experience for diabetic patients by incorporating elements of the CCM: multidisciplinary team care through planned and group visits; creation of a diabetes registry; use of guidelines-based flow sheets; and incorporation of self-management goal-setting. Residents received extensive instruction in diabetes management, quality improvement, and patient self-management. PROGRAM EVALUATION: We achieved overall improvement in all metabolic and process measures for patients, with the percentage achieving HbA1c, LDL, and BP goals simultaneously increasing from 5.7% to 17.1%. Educational outcomes for residents, as measured by compliance with review of provider performance reports and self-management goal-setting with patients, also significantly improved. DISCUSSION: Through a learning collaborative experience, residency programs can successfully incorporate chronic care training for residents while addressing gaps in care for patients with diabetes.
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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.