title: [Diabetes immersion training as teaching method to medical practitioners].
abstract: This 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.
authors: Serviço de Diabetes, Disciplina de Endocrinologia e Metabologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brasil.
authors: Patrícia H
authors: PH
authors: Zanoni
authors: Maria Cândida Ribeiro
authors: MC
authors: Parisi
authors: Sharon N
authors: SN
authors: Admoni
authors: Márcia S
authors: MS
authors: Queiroz
authors: Marcia
authors: M
authors: Nery
mesh_terms: D015190:Blood Glucose Self-Monitoring; D015510:Clinical Medicine / Q000193:education; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy; D004040:Dietary Carbohydrates; D004502:Education, Medical, Continuing / Q000379:methods*; D004704:Endocrinology / Q000193:education; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D007328:Insulin / Q000008:administration & dosage; D011795:Surveys and Questionnaires
chemical_list: D004040:Dietary Carbohydrates; D007004:Hypoglycemic Agents; D007328:Insulin