Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Future Healthcare Journal

  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Future Healthcare Journal

futurehosp Logo
  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

A prototype for training teams: type 1 diabetes clinic and multidisciplinary meeting simulation

Jessica Kearney and Omar G Mustafa
Download PDF
DOI: https://doi.org/10.7861/fhj.9-2-s27
Future Healthc J July 2022
Jessica Kearney
AUniversity Hospital Lewisham, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Omar G Mustafa
BKing's College Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
Loading

Background

Medical education aims to equip physicians with the knowledge and skills required to deliver effective and safe patient care. Simulation-based education provides experiential learning and a safe environment for trainees to learn and develop their technical and non-clinical skills. We hosted an endocrinology and diabetes specialist registrar training day and aimed to simulate scenarios akin to those seen on a standard working day for a diabetes and endocrinology trainee. This included holding a referrals bleep, assessing a patient in clinic, and discussing cases in a multidisciplinary team (MDT) meeting. The clinic and multidisciplinary meeting (MDM) simulation aimed to improve trainees’ data interpretation, presentation skills and knowledge of relevant technology while considering key psychosocial factors in management of patients with type 1 diabetes (T1D).

Methods

Trainees were divided into groups of 3–4, with those of similar seniority grouped together. In the clinic scenario each group was presented with a different case. The information provided included the patient's background, concerns and diabetes technology data. Small group discussion followed to discuss the information available and construct the management plan. Each group then presented their case to a multidisciplinary team (diabetologist, diabetes specialist nurse, diabetes specialist dietitian, psychiatrist) structured in a similar format to the type 1 diabetes multidisciplinary meeting at an inner-city teaching hospital. The trainees were asked to present the cases to the MDM and discuss management plan to inform the MDT discussion. Following each case there was a debrief to discuss the learning points.

Results

Thirteen specialist registrars attended the session, ten (77%) answered the pre- and post-session questionnaire. Six (60%) were from ST3–4 and four (40%) were from ST5–7. The training day was rated using a Likert scale (poor (1) to excellent (5)) with a mean score of 4.7±0.64. The qualitative feedback included trainees enjoying the ‘interactive sessions’ with ‘problem-solving aspects’, ‘MDT approach’ and an ‘abundance of educators’. Scores (Likert scale 1=strongly disagree to 5=strongly agree) of skills increased after the session compared with pre-session scores in ‘Performing an outpatient assessment of a complex patient with type 1 diabetes’ (3.64±0.88 to 4.38±0.7), ‘Analysing data from diabetes technology and using this to inform the consultation’ (3.45±0.99 to 4.13±0.78), ‘Initiating appropriate diabetes technology according to relevant guidelines’ (3.27±0.86 to 4.13±0.78), and ‘Considering the psychosocial factors in diabetes consultations’(3.64±0.88 to 4.25±0.83).

Conclusion

Simulating a clinic and MDM setting, in which small groups of trainees discuss challenging aspects of a case and how they would approach the consultation, encourages collaborative learning and promotes problem-solving skills. Presenting the cases in front of a simulated MDT enables feedback from experts with different perspectives on a case. The feedback suggests this method of teaching improved trainees’ confidence in performing outpatient assessments, analysing data, initiating technology and considering psychosocial aspects. The presence of the members of the MDT provides different perspectives to the management of patients and offers unique learning opportunities to develop a team approach to the care of patients with T1D.

  • © Royal College of Physicians 2022. All rights reserved.
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
A prototype for training teams: type 1 diabetes clinic and multidisciplinary meeting simulation
Jessica Kearney, Omar G Mustafa
Future Healthc J Jul 2022, 9 (Suppl 2) 27; DOI: 10.7861/fhj.9-2-s27

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
A prototype for training teams: type 1 diabetes clinic and multidisciplinary meeting simulation
Jessica Kearney, Omar G Mustafa
Future Healthc J Jul 2022, 9 (Suppl 2) 27; DOI: 10.7861/fhj.9-2-s27
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Background
    • Methods
    • Results
    • Conclusion
  • Info & Metrics

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Healthcare professionals lack confidence and training in approaching advanced care planning discussions during renal inpatient admissions
  • Are foundation taster weeks an underutilised resource?
  • GeNotes: a new online ‘just in time’ genomics resource for healthcare professionals
Show more Education, training and professionalism

Similar Articles

FAQs

  • Difficulty logging in.

There is currently no login required to access the journals. Please go to the home page and simply click on the edition that you wish to read. If you are still unable to access the content you require, please let us know through the 'Contact us' page.

  • Can't find the CME questionnaire.

The read-only self-assessment questionnaire (SAQ) can be found after the CME section in each edition of Clinical Medicine. RCP members and fellows (using their login details for the main RCP website) are able to access the full SAQ with answers and are awarded 2 CPD points upon successful (8/10) completion from:  https://cme.rcplondon.ac.uk

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home

Other Services

  • Advertising
futurehosp Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians