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Published in:

01-10-2009 | Original Article

Internal Medicine Residents’ Comfort with and Frequency of Providing Dietary Counseling to Diabetic Patients

Authors: Joyce W. Tang, MD, Benjamin Freed, MD, Timothy Baker, MD, Julie Kleczek, MD, Kimberly Tartaglia, MD, Neda Laiteerapong, MD, Valerie G. Press, MD, MPH, Mindy Schwartz, MD, Vineet M. Arora, MD, MA

Published in: Journal of General Internal Medicine | Issue 10/2009

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.

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Title: Internal Medicine Residents’ Comfort with and Frequency of Providing Dietary Counseling to Diabetic Patients
Authors: Joyce W. Tang, MD
Benjamin Freed, MD
Timothy Baker, MD
Julie Kleczek, MD
Kimberly Tartaglia, MD
Neda Laiteerapong, MD
Valerie G. Press, MD, MPH
Mindy Schwartz, MD
Vineet M. Arora, MD, MA
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: Journal of General Internal Medicine / Issue 10/2009
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-009-1084-8

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ABSTRACT

BACKGROUND

OBJECTIVE

DESIGN

PARTICIPANTS

RESULTS

CONCLUSION

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