Evidence mapPaperPMID 25006707Full record

Trial reportAcademic medicine : journal of the Association of American Medical Colleges2014

Educating resident physicians using virtual case-based simulation improves diabetes management: a randomized controlled trial.

JoAnn Sperl-Hillen, Patrick J O'Connor, Heidi L Ekstrom, William A Rush, Stephen E Asche, Omar D Fernandes, Deepika Appana, Gerald H Amundson, Paul E Johnson, Debra M Curran

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Academic medicine : journal of the Association of American Medical Colleges, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Modeling Ketogenesis for Use in Pediatric Diabetes Simulation.Journal of diabetes science and technology · 2021
    Article
  12. Therapeutic Inertia: Still a Long Way to Go That Cannot Be Postponed.Diabetes spectrum : a publication of the American Diabetes Association · 2020
    Article
  13. Review
  14. Outpatient diabetes clinical decision support: current status and future directions.Diabetic medicine : a journal of the British Diabetic Association · 2016
    Review
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 3 countries.

JoAnn Sperl-HillenDr. Sperl-Hillen is senior research investigator, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Dr. O'Connor is assistant medical director, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Ms. Ekstrom is senior research project manager, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Dr. Rush is research investigator, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Mr. Asche is manager of statistical services, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Mr. Fernandes is research project manager, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Ms. Appana is manager of Web development research, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Mr. Amundson is research info program analyst IV, HealthPartners Institute for Education and Research, Minneapolis, Minnesota. Dr. Johnson is professor, Curtis L. Carlson Chair in Decision Sciences, Carlson School of Management, University of Minnesota, Minneapolis, Minnesota. Ms. Curran is director of educational quality, HealthPartners Institute for Education and Research, Minneapolis, Minnesota.
Patrick J O'Connor
Heidi L Ekstrom
William A Rush
Stephen E Asche
Omar D Fernandes
Deepika Appana
Gerald H Amundson
Paul E Johnson
Debra M Curran
Twitter (United States) · US

Funding

NIDDK NIH HHS 5R18DK079861NIDDK NIH HHS R18 DK079861
6 · The paper itself

Abstract

purposeTo test a virtual case-based Simulated Diabetes Education intervention (SimDE) developed to teach primary care residents how to manage diabetes.

methodNineteen primary care residency programs, with 341 volunteer residents in all postgraduate years (PGY), were randomly assigned to a SimDE intervention group or control group (CG). The Web-based interactive educational intervention used computerized virtual patients who responded to provider actions through programmed simulation models. Eighteen distinct learning cases (L-cases) were assigned to SimDE residents over six months from 2010 to 2011. Impact was assessed using performance on four virtual assessment cases (A-cases), an objective knowledge test, and pre-post changes in self-assessed diabetes knowledge and confidence. Group comparisons were analyzed using generalized linear mixed models, controlling for clustering of residents within residency programs and differences in baseline knowledge.

resultsThe percentages of residents appropriately achieving A-case composite clinical goals for glucose, blood pressure, and lipids were as follows: A-case 1: SimDE = 21.2%, CG = 1.8%, P = .002; A-case 2: SimDE = 15.7%, CG = 4.7%, P = .02; A-case 3: SimDE = 48.0%, CG = 10.4%, P < .001; and A-case 4: SimDE = 42.1%, CG = 18.7%, P = .004. The mean knowledge score and pre-post changes in self-assessed knowledge and confidence were significantly better for SimDE group than CG participants.

conclusionsA virtual case-based simulated diabetes education intervention improved diabetes management skills, knowledge, and confidence for primary care residents.

Indexed as

Clinical CompetenceCurriculumAdultComputer-Assisted InstructionComputer SimulationDiabetes MellitusFamily PracticeFemaleHumansInternal MedicineInternship and ResidencyMalePatient SimulationUser-Computer Interface

Identifiers

PMID25006707
PMCPMC4245358
OpenAlexW1987592708

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.