Internal medicine residents' comfort with and frequency of providing dietary counseling to diabetic patients

Joyce W. Tang; Benjamin Freed; Timothy Baker; Julie Kleczek; Kimberly Tartaglia; Neda Laiteerapong; Valerie G. Press; Mindy Schwartz; Vineet M. Arora

doi:10.1007/s11606-009-1084-8

Internal medicine residents' comfort with and frequency of providing dietary counseling to diabetic patients

Joyce W. Tang^*, Benjamin Freed, Timothy Baker, Julie Kleczek, Kimberly Tartaglia, Neda Laiteerapong, Valerie G. Press, Mindy Schwartz, Vineet M. Arora

^*Corresponding author for this work

Medicine, Cardiology Division

Research output: Contribution to journal › Review article › peer-review

8 Scopus citations

Abstract

BACKGROUND: Resident physicians' preparedness to provide dietary counseling for the rising number of diabetic patients is unclear. OBJECTIVE: To assess the comfort with, frequency of, and perceived effectiveness of diabetic dietary counseling by internal medicine (IM) residents. DESIGN: Cross-sectional survey. PARTICIPANTS: One hundred eleven IM residents at a single academic institution. RESULTS: Survey response rate was 94%. Fewer residents (56%) were comfortable with diabetic dietary counseling compared with counseling on symptoms of hypo/hyperglycemia (90%, p<0.001). Residents less frequently provided diabetic dietary counseling (63%), compared with counseling for medication adherence (87%, p<0.001). The 28% of residents reporting prior education with chronic disease self-management were more comfortable with diabetic dietary counseling (OR 3.2, 95% CI 1.4-7.3, p=0.006), and reported counseling more frequently, although this difference was not statistically significant (OR 1.8, 95% CI 0.86-3.8, p=0.12). More frequent counseling was reported by those residents who were more comfortable (OR 1.5, 95% CI 1.0-2.2, p=0.03) or felt more effective (OR 3.6, 95% CI 2.1-6.1, p<0.001) with their diabetic dietary counseling. CONCLUSION: Overall, IM residents reported low levels of comfort with and frequency of diabetic dietary counseling. However, residents who were more comfortable or who felt more effective with their dietary counseling counseled more frequently.

Original language	English (US)
Pages (from-to)	1140-1143
Number of pages	4
Journal	Journal of general internal medicine
Volume	24
Issue number	10
DOIs	https://doi.org/10.1007/s11606-009-1084-8
State	Published - 2009

Funding

Acknowledgements and funding: This study was funded through the Campus and Community Health Disparities Pilot Grant Program from the University of Chicago Department of Medicine, and in conjunction with the Robert Wood Johnson Foundation’s Finding Answers Program. Dr. Tang is a National Research Service Award postdoctoral fellow at the Institute for Healthcare Studies, which is supported under an institutional award from the Agency for Healthcare Research and Quality, T-32 HS 000078. Portions of these results were previously presented at the 2007 SGIM National Conference in Toronto, Canada. We would like to thank the University of Chicago Internal Medicine residents for their participation and Kim Alvarez for her assistance with data entry. We would like to thank Juned Siddique, PhD for his assistance with statistical analysis.

Keywords

Counseling
Diabetes
Diet
Resident

ASJC Scopus subject areas

Internal Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s11606-009-1084-8

Cite this

@article{031d448cfd5f4f4a9465ca79bae66eaf,

title = "Internal medicine residents' comfort with and frequency of providing dietary counseling to diabetic patients",

abstract = "BACKGROUND: Resident physicians' preparedness to provide dietary counseling for the rising number of diabetic patients is unclear. OBJECTIVE: To assess the comfort with, frequency of, and perceived effectiveness of diabetic dietary counseling by internal medicine (IM) residents. DESIGN: Cross-sectional survey. PARTICIPANTS: One hundred eleven IM residents at a single academic institution. RESULTS: Survey response rate was 94%. Fewer residents (56%) were comfortable with diabetic dietary counseling compared with counseling on symptoms of hypo/hyperglycemia (90%, p<0.001). Residents less frequently provided diabetic dietary counseling (63%), compared with counseling for medication adherence (87%, p<0.001). The 28% of residents reporting prior education with chronic disease self-management were more comfortable with diabetic dietary counseling (OR 3.2, 95% CI 1.4-7.3, p=0.006), and reported counseling more frequently, although this difference was not statistically significant (OR 1.8, 95% CI 0.86-3.8, p=0.12). More frequent counseling was reported by those residents who were more comfortable (OR 1.5, 95% CI 1.0-2.2, p=0.03) or felt more effective (OR 3.6, 95% CI 2.1-6.1, p<0.001) with their diabetic dietary counseling. CONCLUSION: Overall, IM residents reported low levels of comfort with and frequency of diabetic dietary counseling. However, residents who were more comfortable or who felt more effective with their dietary counseling counseled more frequently.",

keywords = "Counseling, Diabetes, Diet, Resident",

author = "Tang, {Joyce W.} and Benjamin Freed and Timothy Baker and Julie Kleczek and Kimberly Tartaglia and Neda Laiteerapong and Press, {Valerie G.} and Mindy Schwartz and Arora, {Vineet M.}",

note = "Funding Information: Acknowledgements and funding: This study was funded through the Campus and Community Health Disparities Pilot Grant Program from the University of Chicago Department of Medicine, and in conjunction with the Robert Wood Johnson Foundation{\textquoteright}s Finding Answers Program. Dr. Tang is a National Research Service Award postdoctoral fellow at the Institute for Healthcare Studies, which is supported under an institutional award from the Agency for Healthcare Research and Quality, T-32 HS 000078. Portions of these results were previously presented at the 2007 SGIM National Conference in Toronto, Canada. We would like to thank the University of Chicago Internal Medicine residents for their participation and Kim Alvarez for her assistance with data entry. We would like to thank Juned Siddique, PhD for his assistance with statistical analysis.",

year = "2009",

doi = "10.1007/s11606-009-1084-8",

language = "English (US)",

volume = "24",

pages = "1140--1143",

journal = "Journal of general internal medicine",

issn = "0884-8734",

publisher = "Springer New York",

number = "10",

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TY - JOUR

T1 - Internal medicine residents' comfort with and frequency of providing dietary counseling to diabetic patients

AU - Tang, Joyce W.

AU - Freed, Benjamin

AU - Baker, Timothy

AU - Kleczek, Julie

AU - Tartaglia, Kimberly

AU - Laiteerapong, Neda

AU - Press, Valerie G.

AU - Schwartz, Mindy

AU - Arora, Vineet M.

N1 - Funding Information: Acknowledgements and funding: This study was funded through the Campus and Community Health Disparities Pilot Grant Program from the University of Chicago Department of Medicine, and in conjunction with the Robert Wood Johnson Foundation’s Finding Answers Program. Dr. Tang is a National Research Service Award postdoctoral fellow at the Institute for Healthcare Studies, which is supported under an institutional award from the Agency for Healthcare Research and Quality, T-32 HS 000078. Portions of these results were previously presented at the 2007 SGIM National Conference in Toronto, Canada. We would like to thank the University of Chicago Internal Medicine residents for their participation and Kim Alvarez for her assistance with data entry. We would like to thank Juned Siddique, PhD for his assistance with statistical analysis.

PY - 2009

Y1 - 2009

N2 - BACKGROUND: Resident physicians' preparedness to provide dietary counseling for the rising number of diabetic patients is unclear. OBJECTIVE: To assess the comfort with, frequency of, and perceived effectiveness of diabetic dietary counseling by internal medicine (IM) residents. DESIGN: Cross-sectional survey. PARTICIPANTS: One hundred eleven IM residents at a single academic institution. RESULTS: Survey response rate was 94%. Fewer residents (56%) were comfortable with diabetic dietary counseling compared with counseling on symptoms of hypo/hyperglycemia (90%, p<0.001). Residents less frequently provided diabetic dietary counseling (63%), compared with counseling for medication adherence (87%, p<0.001). The 28% of residents reporting prior education with chronic disease self-management were more comfortable with diabetic dietary counseling (OR 3.2, 95% CI 1.4-7.3, p=0.006), and reported counseling more frequently, although this difference was not statistically significant (OR 1.8, 95% CI 0.86-3.8, p=0.12). More frequent counseling was reported by those residents who were more comfortable (OR 1.5, 95% CI 1.0-2.2, p=0.03) or felt more effective (OR 3.6, 95% CI 2.1-6.1, p<0.001) with their diabetic dietary counseling. CONCLUSION: Overall, IM residents reported low levels of comfort with and frequency of diabetic dietary counseling. However, residents who were more comfortable or who felt more effective with their dietary counseling counseled more frequently.

AB - BACKGROUND: Resident physicians' preparedness to provide dietary counseling for the rising number of diabetic patients is unclear. OBJECTIVE: To assess the comfort with, frequency of, and perceived effectiveness of diabetic dietary counseling by internal medicine (IM) residents. DESIGN: Cross-sectional survey. PARTICIPANTS: One hundred eleven IM residents at a single academic institution. RESULTS: Survey response rate was 94%. Fewer residents (56%) were comfortable with diabetic dietary counseling compared with counseling on symptoms of hypo/hyperglycemia (90%, p<0.001). Residents less frequently provided diabetic dietary counseling (63%), compared with counseling for medication adherence (87%, p<0.001). The 28% of residents reporting prior education with chronic disease self-management were more comfortable with diabetic dietary counseling (OR 3.2, 95% CI 1.4-7.3, p=0.006), and reported counseling more frequently, although this difference was not statistically significant (OR 1.8, 95% CI 0.86-3.8, p=0.12). More frequent counseling was reported by those residents who were more comfortable (OR 1.5, 95% CI 1.0-2.2, p=0.03) or felt more effective (OR 3.6, 95% CI 2.1-6.1, p<0.001) with their diabetic dietary counseling. CONCLUSION: Overall, IM residents reported low levels of comfort with and frequency of diabetic dietary counseling. However, residents who were more comfortable or who felt more effective with their dietary counseling counseled more frequently.

KW - Counseling

KW - Diabetes

KW - Diet

KW - Resident

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U2 - 10.1007/s11606-009-1084-8

DO - 10.1007/s11606-009-1084-8

M3 - Review article

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SN - 0884-8734

VL - 24

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JO - Journal of general internal medicine

JF - Journal of general internal medicine

IS - 10

ER -

Internal medicine residents' comfort with and frequency of providing dietary counseling to diabetic patients

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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