Impact of resident participation in a multidisciplinary diabetes team.
OBJECTIVE
To determine the impact of participation in a multidisciplinary diabetes team on pediatric residents' perceptions of team members' roles.


METHODS
Pediatric residents were assigned to a traditional diabetes clinical rotation (n = 34) or to an ambulatory multidisciplinary diabetes team within their continuity clinic (n = 21). The residents and a small sample of practicing pediatricians (n = 46) completed a Likert-type instrument at the completion of the 18-mo study.


RESULTS
Multidisciplinary diabetes team residents were significantly more positive about the roles for endocrinological evaluation in monitoring compliance, for the nurse educator/certified diabetes educator in assisting with sick-day management and school behavioral problems, and for the dietician in helping with cholesterol problems. They were significantly more like practicing pediatricians in their perceptions of pediatric roles in teaching sick-day management, implementing weight reduction, assisting with conflict resolution about diabetes, screening for microvascular complications, and developing behavioral strategies for metabolic control than residents in the traditional rotation. The groups did not differ in their beliefs about patient empowerment.


CONCLUSIONS
Multidisciplinary diabetes team participation may be useful in modifying specific role perceptions of pediatric residents about diabetes care. It does not appear to alter perceptions favoring greater patient empowerment.
Department of Pediatrics, Indiana University School of Medicine, Indianapolis.
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Gray
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Langefeld
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Golden
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Orr
D001294:Attitude to Health; D002648:Child; D003153:Community Health Services / Q000458:organization & administration*; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D004046:Dietetics; D004704:Endocrinology; D006801:Humans; D010348:Patient Care Team; D010353:Patient Education as Topic; D010372:Pediatrics; D012947:Social Work; D013041:Specialties, Nursing