Narrative Review: A Rational Approach to Starting Insulin Therapy

Mooradian, Arshag D.; Bernbaum, Marla; Albert, Stewart G.

doi:10.7326/0003-4819-145-2-200607180-00010

Cited by 111 publications

(67 citation statements)

References 49 publications

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“…Because some of the students had not yet completed didactic courses on diabetes at the time of this activity, teams were also given a blood glucose management protocol that included glycemic goals of therapy and a titration schedule for basal and preprandial insulin. 13,14 Teams were given 20 minutes to review information about the standardized patient, identify the issues that impact the patient's health care, and develop a care plan for the patient. Teams were permitted to rewind the video and to use the computer to access Lexi-Comp, a drug information resource.…”

Section: Designmentioning

confidence: 99%

Designing and Evaluating an Interprofessional Experiential Course Series Involving Medical and Pharmacy Students

Rotz

Dueñas

Zanoni

et al. 2016

American Journal of Pharmaceutical Education

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Objective. To prepare first-year and second-year pharmacy and medical students to build effective collaborative health care teams by participating in an interprofessional experiential 6-semester course series.Design. An interprofessional experiential course series was designed using a variety of teaching methods to achieve both interprofessional and experiential learning outcomes. A standardized objective behavioral assessment was developed to measure team performance of interprofessional communication and teamwork. In addition, student perceptions were measured using a validated instrument. Assessment. A majority of teams demonstrated appropriate competence with respect to interprofessional communication and teamwork. Additionally, a majority of students expressed positive perceptions of interprofessional collaboration with respect to teamwork, roles and responsibilities, and patient outcomes.Conclusion. An interprofessional experiential course series can be successfully implemented to achieve both interprofessional and experiential learning outcomes. Highly collaborative teams and positive student perceptions provide evidence of achievement of interprofessional education learning outcomes.Keywords: interprofessional education, behaviors, perceptions, SPICE, assessment INTRODUCTIONExperiential education is a methodology involving the incorporation of learners into direct practice experiences and guided reflective observations with the goal of increasing student knowledge and professional abilities such as skills, attitudes, and behaviors. 1 Interprofessional education (IPE) is a pedagogical approach that engages students of various health professions, dedicated to the introduction, reinforcement, and mastery of core competencies for provision of patient care in a collaborative team environment. 2 Both experiential education and IPE are integral components of the doctor of pharmacy (PharmD) curriculum supported by the American Association of Colleges of Pharmacy's Center for the Advancement of Pharmacy Education (CAPE). 3 Additionally, the Accreditation Council for Pharmacy Education (ACPE) outlines these required standards and specifically states that all students should competently "participate in experiential educational activities with prescribers/student prescribers and other student/professional health care team members, including face-to-face interactions that are designed to advance interprofessional team effectiveness." 4 Several instructional design formats for the delivery of IPE are reported in the literature. A review conducted by Abu-Rish and colleagues reviewed 83 eligible studies and found small group discussion and problem-based learning to be the most commonly used strategies, followed by experiential-based clinical teaching, simulation-based learning, and various other educational interventions. 5 Because of the variety of instructional design formats employed and the varying frequency of these activities throughout the curriculum (ie, one-time activities vs multiple activities throughout the ...

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Section: Designmentioning

confidence: 99%

Designing and Evaluating an Interprofessional Experiential Course Series Involving Medical and Pharmacy Students

Rotz

Dueñas

Zanoni

et al. 2016

American Journal of Pharmaceutical Education

View full text Add to dashboard Cite

show abstract

“…There are numerous additional resources on initiating insulin that the reader is referred to for more detail. [44][45][46][47][48] Oral antihyperglycemic drugs are usually held while a patient is admitted to the hospital but once medical conditions are improved, oral intake is established, and renal function stabilized, these drugs can be restarted. If a patient has a new contraindication to metformin or sulfonylureas but does not need insulin, a TZD or DPP4 inhibitor should be considered.…”

Section: Transitioning From the Hospitalmentioning

confidence: 99%

Bridge over troubled waters: Safe and effective transitions of the inpatient with hyperglycemia

O’Malley¹,

Emanuele²,

Halasyamani³

et al. 2008

J. Hosp. Med.

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“…Basal insulin secretion regulates lipolysis and hepatic glucose production in between meals [7]. Conventional insulin therapy during pregnancy includes human regular insulin and neutral protamine Hagedorn (NPH); these fail to optimally simulate physiologic insulin release [8]. Through the advent of recombinant DNA techniques, both rapid-and long-acting analogues were used to create products that mimic physiologic insulin profiles [6].…”

Section: Introductionmentioning

confidence: 99%

“…This delayed onset of action requires it be administered 30 minutes prior to meals [8]. In clinical practice, however, rapid-acting analogues get substituted for regular insulin in the conventional insulin regimen.…”

Section: Introductionmentioning

confidence: 99%

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Systematic Literature Review of Basal Bolus Insulin Analogue Therapy during Pregnancy

Henderson¹

2015

OGIJ

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Narrative Review: A Rational Approach to Starting Insulin Therapy

Cited by 111 publications

References 49 publications

Designing and Evaluating an Interprofessional Experiential Course Series Involving Medical and Pharmacy Students

Designing and Evaluating an Interprofessional Experiential Course Series Involving Medical and Pharmacy Students

Bridge over troubled waters: Safe and effective transitions of the inpatient with hyperglycemia

Systematic Literature Review of Basal Bolus Insulin Analogue Therapy during Pregnancy

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