Marshall Britt A, Flores Shih Ina C, Abuphilipous Martina, Park Catherine, Vohra-Khullar Pamela, Hassan Saria
Department of Medicine, Division of General Internal Medicine, Emory University, Atlanta, GA, USA.
Department of Medicine, Division of Endocrinology, Emory University, Atlanta, GA, USA.
J Gen Intern Med. 2025 Jan;40(1):273-276. doi: 10.1007/s11606-024-08941-1. Epub 2024 Aug 5.
The use of technology in diabetes mellitus (DM) management has been growing. The indications and coverage for continuous glucose monitoring (CGM) have increased. Primary care (PC) clinics, including resident continuity clinics, are the frontline for DM management; however, they struggle to adopt CGM.
To implement a CGM curriculum to resident physicians to improve knowledge and confidence.
An internal medicine (IM) resident PC clinic in an urban academic medical institution.
Twenty-four IM residents.
We designed a curriculum that included a lecture about CGM indications, interpretation, ordering, and insurance consideration; and a voluntary, experiential learning module in which the residents wore a CGM.
We conducted a retrospective pre-post survey with a 4-point Likert scale. Average self-reported scores in knowledge increased for CGM (1) indications from 1.85 to 3.45, (2) ordering from 1.35 to 3.05, (3) functioning from 2.20 to 3.50, and (4) data interpretation from 1.85 to 3.25 (all p < 0.0001). Confidence for "describing CGM monitoring" and "fielding questions about CGM" increased from 2.25 to 3.65 (p < 0.0001) and 1.90 to 3.30 (p < 0.0001).
Given the demand for DM management in the PC setting, this targeted CGM curriculum has promise to help residents adopt CGM into their practice.
糖尿病（DM）管理中技术的应用一直在增加。连续血糖监测（CGM）的适应症和覆盖范围有所扩大。包括住院医师连续性诊所在内的基层医疗（PC）诊所是糖尿病管理的前沿阵地；然而，它们在采用CGM方面存在困难。
为住院医师实施CGM课程，以提高知识水平和信心。
城市学术医疗机构的内科（IM）住院医师基层医疗诊所。
24名内科住院医师。
我们设计了一门课程，包括关于CGM适应症、解读、医嘱开具和保险考虑的讲座；以及一个自愿的体验式学习模块，住院医师在其中佩戴CGM。
我们进行了一项采用4点李克特量表的回顾性前后调查。CGM的自我报告平均知识得分提高如下：（1）适应症从1.85提高到3.45，（2）医嘱开具从1.35提高到3.05，（3）功能从2.20提高到3.50，（4）数据解读从1.85提高到3.25（所有p<0.0001）。“描述CGM监测”和“回答关于CGM的问题”的信心从2.25提高到3.65（p<0.0001）和从1.90提高到3.30（p<0.0001）。
鉴于基层医疗环境中对糖尿病管理的需求，这一针对性的CGM课程有望帮助住院医师在实践中采用CGM。
