ECHO-Chicago Complex Diabetes Management: Managing Medical and Social Issues

January 17, 2020 to May 8, 2020
Diabetes is the seventh leading cause of death in the U.S (CDC). Rates of both diabetes and prediabetes in Illinois are higher than the national averages. An estimate 13% of the population (1.3M people) has diabetes and an additional 38% (3.6) has prediabetes, with 90-95% of all cases attributed to Type-2 diabetes (T2D). The impact of diabetes is even greater among Black populations. Diabetes prevalence among Black populations is 18.7%, compared to a prevalence of 7.1% among non-Hispanic white populations. The disproportionate burden of diabetes is evident in Chicago. The rates of diabetes-related mortality and diabetes-related hospitalization are 2.0 and 3.0 times higher, respectively, among Black populations as compared to non-Hispanic white populations. Current demand for endocrinologists far exceeds the number of trained specialists. Vigersky et al (2014) identified a gap of 1500 adult endocrinologists and projected the shortage to exceed 2700 by 2025. As a result, patients and providers often experience frustration in getting timely access to specialty care. With many subspecialists limiting the number of uninsured or underinsured patients they treat, access to subspecialty care becomes even more difficult for Medicaid and uninsured patients and their providers. While diabetes care is usually in the province of primary care providers (PCPs), reported barriers among PCPs in diabetes care include limited resources and environmental constraints, limited knowledge and skills in complex diabetes management, frequently changing diabetes recommendations, lack of comfort or familiarity in initiating insulin regimens, and difficulty with patient adherence.

This series will address these known challenges and gaps in care, to help PCPs implement and sustain evidence-based, patient-centered diabetes management practices by providing practical knowledge and skills for managing diabetes patients with medically and socially complex needs.
 

Target Audience

This activity is intended for physicians, residents, and fellows in internal or family medicine caring for patients with Diabetes.

Learning Objectives

At the conclusion of this course, the participants should be able to:
 
  • Learn about tissues that contribute to hyperglycemia (Liver, Pancreas, Adipose, Muscle, Kidney, Gut, Brain) and medications that target them;
  • Discuss Atypical Diabetes (classifying diabetes management in patients with atypical presentation);
  • Discuss Diabetes and behavioral health: Promoting healthy coping & problem solving; Engaging Patients, Motivational Interviewing and Shared Decision Making;
  • Describe real-world food recommendations and discuss local resources;
  • Explain current Trends in Glucose Monitoring;
  • Discuss Medication Management for Type 2 diabetes as well as non-insulin therapies;
  • Discuss initiating Insulin Therapy for Patients with Type 1 diabetes management, prescription Writing Tips, and carbohydrate Counting;
  • Describe initiating Insulin Therapy in Type 2 diabetes: Newly diagnosed Patients and Those with Progression of Long-Standing Disease;
  • Discuss Pumps/Insulin Pens/Non-insulin Injectable Medications;
  • Highlight Tailoring diabetes management for resource-limited settings;
  • Introduction to Diabetes and Depression;
  • State Hypoglycemia Management;
  • Discuss Sick Day Management for Type 1 & 2 diabetes;
  • Discuss how to best reduce risk and avoid Complications;
  • Provide detailed guide about podiatric exam and management for the primary care physician (when access is difficult);
  • Discuss tools to control pre-diabetes and Gestational Diabetes.
Additional information
ABMS Core Competencies: 
Patient Care and Procedural Skills
Medical Knowledge
For more information, please contact:
CME Coordinator Contact Name: 
Kanika Mittal
CME Coordinator Contact Email: 
CME Coordinator Contact Phone: 
773-702-2213
Summary
Available credit: 
  • 17.00 AMA PRA Category 1 Credit™
  • 17.00 Participation
Event starts: 
01/17/2020 - 8:00am
Event ends: 
05/08/2020 - 9:00am
Activity opens: 
05/08/2020
Activity expires: 
08/08/2020

*Agenda subject to change.

Online Webinar
United States
This course is an online webinar.
To learn more about the ECHO-Chicago curricula, visit us here.
 

The University of Chicago reserves the right to cancel or postpone this conference due to unforeseen circumstances. In the unlikely event this activity must be cancelled or postponed, the registration fee will be refunded; however, The University of Chicago is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

 

COURSE DIRECTOR
  Daniel Johnson, MD
  Professor of Pediatrics Chief, Section of Academic Pediatrics
  Chief, Section of Pediatric Infectious Diseases
  Vice Chair, Clinical Services
  University of Chicago Medicine

 

Disclosure Declarations
As a provider accredited by the ACCME, The University of Chicago Pritzker School of Medicine asks everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. This includes any entity producing, marketing, re-selling, or distributing health care goods or services consumed by or used on patients. The ACCME defines “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest. Mechanisms are in place to identify and resolve any potential conflict of interest prior to the start of the activity.

Additionally, The University of Chicago Pritzker School of Medicine requires authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

Physician Credit
The University of Chicago Pritzker School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Chicago Pritzker School of Medicine designates this live activity for a maximum of 17 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
The University of Chicago Pritzker School of Medicine designates this Performance Improvement activity for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
American Board of Medical Specialties Portfolio Program
This QI Effort meets MOC Part IV Standards and Guidelines for the ABMS Multi-Specialty Portfolio Approval Program Organization and is eligible for MOC Part IV through participating ABMS Member Boards.
 
As an Approved Portfolio Sponsor, the University of Chicago has been approved by the ABMS Multi-Specialty Portfolio Approval Program Organization to approve QI Efforts for MOC Part IV.
 
Other Healthcare Professions Credit
Nurses and other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME, please consult your professional licensing board.
 

Please Note: The credit claiming process will close three months after the conference end date. Requests to claim credit after three months will be subject to additional fees.

Registration: For more information about ECHO, visit the program website below.
 

Claiming Credit: Enter the access code to unlock the credit claiming process.
Please Note: The credit claiming process will close three months after the conference end date. Requests to claim credit after three months will be subject to additional fees.
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