TY  - JOUR
T1  - MAnagement of diabetes in pediatric resident continuity clinics
AU  - Kronz KK, Hibbard R, Marrero DG, Ingersoll GM, Fineberg NS, Golden MP
Y1  - 1989/10/01
N1  - 10.1001/archpedi.1989.02150220071022
JO  - American Journal of Diseases of Children
SP  - 1173
EP  - 1176
VL  - 143
IS  - 10
N2  - • General pediatricians provide comprehensive care for many children with insulin-dependent diabetes mellitus. To assess and improve our ambulatory training program, we first evaluated diabetes-specific care behaviors by residents in their continuity clinics and then introduced a structured visit encounter form. Based on established guidelines provided to the residents, a chart audit indicated appropriate measurement of glycosylated hemoglobin 40% of the time, cholesterol 90% of the time, urine protein 50% of the time, and thyroxine 66.7% of the time. Height was plotted 23% of the time, blood pressure was noted 66% of the time, and ophthalmologic referrals were documented 60% of the time. Requests for assistance from nonphysician members of a multidisciplinary diabetes team were minimal. After introduction of the structured visit encounter form, care behaviors did not improve. New training approaches to prepare general pediatric residents to provide excellent diabetes care are needed.(AJDC. 1989;143:1173-1176)
SN  - 0002-922X
M3  - doi: 10.1001/archpedi.1989.02150220071022
UR  - http://dx.doi.org/10.1001/archpedi.1989.02150220071022
ER  -