Curso de imersão em diabetes como técnica educativa para profissionais médicos

Abstract

ResumoEste estudo avaliou a eficácia do método de ensino teórico e prático sobre diabetes e a atitude de profissionais médicos quanto à realização de controle glicêmico intensivo. Participaram de um curso de imersão em diabetes, com dois dias de duração, 48 médicos-residentes de clínica médica ou endocrinologia. Os participantes receberam treinamento de monitorização de glicemia capilar, técnicas de aplicação de insulina e contagem de carboidratos, sendo orientados a se portarem como diabéticos e a seguir prescrição médica individual. Foram avaliados através de questionários. No questionário de conhecimentos, observou-se um aumento significante de 12% no índice de acertos entre o início e o final do curso (61,2% e 73,2%, respectivamente, com p < 0,0001). Antes do curso, 70,8% dos participantes diziam ter dificuldades na contagem de carboidratos e 89,6%, na automonitorização glicêmica. Após a experiência prática, 82,9% dos participantes encontraram dificuldades na realização de contagem de carboidratos e 80,8%, na automonitorização; 40,4% fizeram uso de todas as medicações prescritas e 36,1% monitorizaram todas as glicemias. Os resultados deste estudo mostram que esse tipo de curso é eficaz para a aquisição de conhecimentos e contribui com a sensibilização do profissional médico quanto às dificuldades cotidianas enfrentadas pelo portador de diabetes melito na aderência às recomendações. Arq Bras Endocrinol Metab. 2009;53(3):355-9. Descritores Diabete melito; educação médica; vivência AbstRActThis study evaluated the effectiveness of theoretical and practical teaching method in diabetes and doctors' position about feasibility of intensive blood glucose control. Forty-eight internal medicine or endocrinology residents participated in a two-day diabetes immersion course. The participants received training on self-blood glucose monitoring, techniques of insulin administration and carbohydrate counting. They were also instructed to behave as patients with diabetes and to follow individual medical prescription. They were assessed through questionnaires. In knowledge assessment, a significant increase of 12% was observed between the beginning and the end of the course (61.2% and 73.2%, respectively, with p < 0.0001). Before the course, 70.8% and 89.6% of the participants believed there were complications in performing carbohydrate counting and blood glucose monitoring, respectively. After the experience, 82.9% of them had difficulties in carbohydrate counting and 80.8% in self-monitoring; 40.4% took all medications prescribed and 36.1% monitored blood glucose correctly. These results show that the methodology of this course is an effective way to disseminate knowledge and that it contributes to doctors becoming more sensitive to daily problems faced by patients with diabetes melito concerning the acceptance of medical recommendations. Arq Bras Endocrinol Metab. 2009;53(3):355-9.

Evaluation of the Capillary Blood Glucose Self-monitoring Program

“…These results are in accordance with a study undertaken in a sample of resident physicians, which evidenced that most of them experienced difficulties to use capillary glucose self-monitoring after receiving training about DM treatment ( 16 ) . Thus, it is acknowledged that training about handling equipment and inputs should be permanent, as well as about how to interpret the results of the capillary glucose self-monitoring at home.…”

Type 1 Diabetes Mellitus: Pediatric Team-Based Learning Module

“…Past interventions such as web-based curricula and diabetes simulation scenarios have shown variable short-term success. 9,10 Therefore, it is crucial to engage residents in effective but feasible educational techniques to develop the practical skills necessary to care for pediatric patients with T1DM prior to independent practice.…”