Chuck Visits 2 - 3: A 53-year-old man with type 2 diabetes, first follow-up visits (updated 2014)

Curriculum:
Improving Insulin Outcomes: Overcoming Barriers and Clinical Inertia - Revised 2014
Credits:
0.75 AMA PRA Category 1 Credits
Launch Date:
17-Apr-13
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

No Primary Audience Was Provided.

Relevant Terms:

No Primary Audience Was Provided.

John W. Hare, MD

John W. Hare, MD
Pre-Clinical Course Instructor
Boston University School of Medicine
Formerly Associate Clinical Professor of Medicine
Harvard Medical School
Formerly Senior Physician
Joslin Diabetes Center
Boston, MA

John W. Hare received his MD from Indiana University. He was an Intern at Methodist Hospital in Indianapolis, a Junior Resident at New England Deaconess Hospital in Boston, and a Senior Resident and Research Fellow in Metabolism at Northwestern University in Chicago. He is certified by the American Board of Internal Medicine in Endocrinology, Diabetes and Metabolism.
 
Dr. Hare was a Senior Physician and clinician at the Joslin Diabetes Center from 1974-2007 and often participated in Joslin Professional Education programs. As Director of a national network of Joslin-branded, hospital-based diabetes centers, he reviewed and evaluated medical and educational standards, and physician and educator productivity. He has supervised the Joslin Clinic fellowship program and attended in both medicine and endocrinology at New England Deaconess Hospital. He was an Associate Clinical Professor of Medicine at Harvard Medical School where he taught medical students and still serves on their Committee on Admissions.
 
Dr. Hare has participated in clinical studies, and published numerous papers and reviews. He edited two textbooks, Signs & Symptoms in Endocrine and Metabolic Disorders and Diabetes Complicating Pregnancy: The Joslin Clinic Method, and has contributed chapters to other books. He has been active in American, European and International diabetes societies. He has helped design Harvard medical education programs abroad, and has lectured in Europe, Latin America, Asia, Africa and the Middle East. After retiring from Joslin, he was a Senior Consultant in Diabetes for Partners Harvard Medical International. He now teaches students at the Boston University School of Medicine.

Richard S. Beaser, MD

Richard S. Beaser, MD
Associate Clinical Professor of Medicine
Harvard Medical School
Medical Executive Director, Professional Education
Joslin Diabetes Center
Boston, MA

Richard Beaser, MD, is the Medical Executive Director of Professional Education, Joslin Diabetes Center. He is a practicing physician in the Joslin Clinic and holds the position of Associate Clinical Professor of Medicine at Harvard Medical School. He has been on the staff of Joslin Diabetes Center since 1982. He has held numerous positions at Joslin, including Section Chief of the Adult Diabetology Practice, Medical Director of the Diabetes Treatment Unit, Coordinator of the Patient Education Section, and Medical Director of Joslin TrialNet, a clinical trials network. He has been a clinical research investigator, including the landmark Diabetes Control and Complications Trial.

Dr. Beaser has written 4 books: Joslin Diabetes Manual, Outsmarting Diabetes, The Joslin Guide to Diabetes, and Joslin's Diabetes Deskbook: A Guide for Primary Care Providers. Dr. Beaser is a well-known national lecturer on clinical diabetes and its comorbidities. He is the author of numerous articles in peer-reviewed journals, review articles, and book chapters. In 1990, Dr. Beaser co-founded Joslin's Professional Education Department, which was incorporated into the Joslin Strategic Initiatives Division in 2000. As Medical Executive Director of this department, Dr. Beaser has overall responsibility for departmental activities. He specifically focuses on development or oversight of all the department's educational content for physicians, other medical professionals, and patients. He is responsible for the business and project development aspects of the department as well, working collaboratively to conceive, develop, and seek funding for all departmental projects and activities.

Patty Bonsignore, MS, RN, CDE

Patty Bonsignore, MS, RN, CDE
Manager
Clinical and Education Programs, Healthcare Services
Joslin Diabetes Center
Boston, MA

Patty Bonsignore is a Registered Nurse and Certified Diabetes Educator who has been a member of Joslin Diabetes Clinical team in Boston since January 2001. Prior to coming to Joslin Clinic, she was a case manager in both the inpatient and outpatient settings. She has worked as a clinical and educational program manager for Joslin's Affiliated Programs and in Joslin's clinical research division.  

Ms. Bonsignore has worked for the past twenty five years coaching patients on a variety of healthcare issues and for the past fifteen years has focused on helping patients improve their diabetes self management skills. She currently works in Joslin's Health Care Services division developing diabetes self-management curriculum, clinical guidelines, handouts and professional training tools on diabetes. She lectures regularly for Joslin's Corporate Education programs. These programs are designed to provide didactic and hands-on training for nurses, dietitians, pharmacists, call center staff, and other professionals with knowledge of current trends in the diagnosis and treatment of diabetes. She received her Bachelor of Science in Nursing and a Master's degree in Labor Relations from the University of Massachusetts in Amherst. Her clinical areas of interest include motivational interviewing, improving case management strategies in the outpatient setting, and curriculum development.
1. Demonstrate strategies to overcome common barriers to insulin initiation, treatment and adherence stemming from issues such as provider knowledge, skill, and practice systems issues, as well as patient-based barriers stemming from psychological issues, culture, self-care ability, and comorbidities.
2. Select optimal and individualized treatment design, initiation process, educational support, and ongoing managing protocol for insulin regimens to achieve targeted levels of glycemic control for people with type 2 diabetes.
3. Implement strategies for improvement in both provider performance and office-based systems for insulin initiation, management, and patient educational support.
4. Respond to feedback of actual patient-level practice data as an evaluative tool for the educational initiatives and describe strategies to continue practice improvement based on this data.