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Volume 11 (4)
Volume 11, Issue 4, 1991 
J Contin Educ Health Prof 1991; 11(4):283-294
MEDICINE
David G. Marrero PhD Patricia Moore, RN Carl D. Langefeld, MS Nicky Moorman, RN, MSN, CDE Marianne Gergely, RN, CDE Naomi S. Fineberg, MD S. Edwin Fineberg, MD Frank Vinicor, MD Steven A. Mazzuca, PhD Charles M. Clark, Jr., MD A b s t r a c t Traditionally, continuing medical education (CME) programs do not address the changes in the organization of a practice necessary to implement new care strategies. We developed a continuing medical education program that included a structured method, termed environmental optimizing, to help primary care physicians implement intensified management strategies for insulin-requiring patients with diabetes mellitus. To evaluate this approach, 88 physicians and 126 of their non-obese, insulin-requiring patients were surveyed and interviewed pre-program and ant six and twelve months post-program. The results suggest that this approach to CME resulted in a significant number of physicians adopting the program recommendations. Specifically, there was a significant increase in the use of 1) multiple daily insulin regimens (p=.01), 2) a program-specific "tracer" insulin regimen (p=.001), 3) the use of HbA1 assays to adjust insulin Keywords: Diabetes; office environment; education |
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