Enhancing Diabetes Care: Optimizing the PCP/Specialist Relationship eMonograph
Activity Description
CME Release Date:
12/31/2010
CME Expiration Date:
12/31/2011
This Internet enduring CME activity was developed by the Faculty who developed the symposium
How to Train Your Dragon: Optimizing the PCP Relationship that took place at the ADA's 70th Scientific Sessions.
This activity is supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc.
Statement of Need
Over the last decade, the evolution of type 2 diabetes treatments has brought many new therapeutic tools and clinical approaches that can result in significantly improved metabolic control and prevent or decrease cardiovascular risk. These advancements have resulted in a mandate to all clinicians to maintain an updated understanding of this rapidly-changing therapeutic paradigm. There are well-established guidelines for management of type 2 diabetes and cardiometabolic risk factors, both with respect to therapeutic targets as well as for treatment selection and management. However, there exists a significant clinical gap between what these guidelines recommend and what is actually happening in the clinical arena. The goal of this educational continuum is to empower clinical diabetes practitioners to be regional catalysts for primary care improvements, in order to overcome clinical inertia and advance the treatment of type 2 diabetes to achieve recommended therapeutic goals.
Target Audience
Primary care providers and specialists who manage and treat patients with diabetes, such as:
- Primary care clinicians/Family practice physicians/Internal medicine physicians
- Primary care nurse practitioners and physician assistants
- Internists
- Endocrinologists
- Diabetes nurse educators
Learning Objectives
After participating in this educational activity, healthcare professionals should be able to:
- Define clinical inertia and identify strategies to overcome it
- Identify patient and provider barriers to effective diabetes care
- Develop and implement strategies that will help overcome barriers to diabetes care
- Select and use the tools provided at the symposium to improve the coordination of care and enhance communication with referring physicians and patients
- Provide referring PCPs with educational materials and links to the Joslin Professional Education Continuum (JPEC) to improve clinical knowledge and skills relative to patient care and overcoming clinical inertia
Faculty and Disclosures
Kenneth J. Snow, MD, MBA*
Assistant Professor of Clinical Medicine
Harvard Medical School
Senior Physician, Adult Diabetes Section
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Kenneth J. Snow has no relevant financial relationships.
Miriam T. Vincent, MD, PhD
Professor and Chair
Department of Family Medicine
Medical Director of Ambulatory Care
University Hospital of Brooklyn
SUNY-Downstate School of Medicine
Brooklyn, NY
Disclosure: Dr. Miriam T. Vincent has no relevant financial relationships.
Angela Ginn-Meadow RD, LDN, CDE
Education Coordinator/Nutrition Diabetes Educator
Joslin Diabetes Center Affiliate at Maryland General Hospital
Baltimore, MD
Disclosure: Ms. Ginn-Meadow has no relevant financial relationships.
*Also on Planning Committee
Planning Committee:
Richard S. Beaser, MD
Associate Clinical Professor of Medicine
Harvard Medical School
Medical Executive Director
Professional Education
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Richard S. Beaser is a consultant for Cequr Ltd.
Julie A. Brown
Executive Director
Professional Education
Joslin Diabetes Center
Boston, MA
Disclosure: Julie A. Brown has no relevant financial relationships.
Sherlyn B. Celone-Arnold
Educational Design Consultant
Integrated Learning Partners, LLC
Westport, CT
Disclosure: Sherlyn B. Celone-Arnold was an employee of Boehringer Ingelheim Pharmaceuticals, Inc. in 2009.
Karen J. Kuc
Assistant Director
Professional Education
Joslin Diabetes Center
Boston, MA
Disclosure: Karen J. Kuc has no relevant financial relationshps.
James E. Neighbours, MEd
Associate Director, Educational Design and Outcomes
Professional Education
Joslin Diabetes Center
Boston, MA
Disclosure: James E. Neighbours has no relevant financial relationships.
CME Advisory Committee:
Enrique Caballero, MD
Director, Medical Affairs
Professional Education
Director, Latino Diabetes Initiative
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Enrique Caballero is a consultant and on the speakers bureau and scientific advisory board for Amylin Pharmaceuticals, Inc., AstraZeneca Pharmaceuticals LP, Bristol-Myers Squibb Company, Daiichi Sankyo, Inc., and Eli Lilly and Company.
Jerry Cavallerano, OD, PhD
Optometrist
Beetham Eye Institute
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Jerry Cavallerano has no relevant financial relationships.
A. Patrick Egan, MD
Family Practice
Internal Medicine Specialist
Dorchester House Multi-Service Center
Boston, MA
Disclosure: Dr. A. Patrick Egan has no relevant financial relationships.
Ann E. Goebel-Fabbri, PhD
Instructor in Psychiatry
Harvard Medical School
Psychologist
Behavioral and Mental Health Unit
Joslin Diabetes Center
Boston, MA
Disclosure: Anne E. Goebel-Fabbri has no relevant financial relationships.
Osama Hamdy, MD, PhD, FACE
Assistant Professor of Medicine
Harvard Medical School
Medical Director, Obesity Clinical Program
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Osama Hamdy is on the speakers bureau for Amylin Pharmaceuticals, Inc., Bristol-Myers Squibb Company, Merck & Co., Inc., Novo Nordisk Inc., and Takeda Pharmaceuticals North America, Inc.
Karen J. Kuc
Assistant Director, Grants and Projects
Professional Education
Joslin Diabetes Center
Boston, MA
Disclosure: Karen J. Kuc has no relevant financial relationships.
James E. Neighbours, MEd
Associate Director, Education Design
Professional Education
Joslin Diabetes Center
Boston, MA
Disclosure: James E. Neighbours has no relevant financial relationships.
Eyiuche Okeke, MD
Instructor in Medicine
Harvard Medical School
Outcomes Investigator
Department of Professional Education
Staff Endocrinologist
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Euyiche Okeke has no relevant financial relationships.
Jonathan Scoble
Grants Manager
Professional Education
Joslin Diabetes Center
Boston, MA
Kenneth J. Snow, MD, MBA
Assistant Professor of Clinical Medicine
Harvard Medical School
Senior Physician, Adult Diabetes Section
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Kenneth J. Snow has no relevant financial relationships.
Disclosure: Jonathan Scoble has no relevant financial relationships.
Robert C. Stanton, MD
Associate Professor of Medicine
Harvard Medical School
Chief of Nephrology
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Robert C. Stanton has no relevant financial relationships.
Howard Wolpert, MD
Assistant Professor of Medicine
Harvard Medical School
Director, Insulin Pump Program
Senior Physician
Joslin Diabetes Center
Boston, MA
Disclosure: Dr. Howard A. Wolpert is a consultant for Abbott Diabetes Care, Insulet Corporation, Novo Nordisk, Inc. and Becton, Dickinson and Company.
Accreditation and Designation of Credit
Joslin Diabetes Center designates this educational activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The Joslin Diabetes Center, Boston, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Computer Requirements
To participate in this activity, your computer will need the following hardware and software:
- Windows XP, Vista, or 7; Mac OSX
- Adobe Reader - download latest version here
- Windows Media Player 9 or higher - download latest version here
- Internet Explorer 6 or higher - download latest version here
- Safari - download latest version here
- Google Chrome - download the latest versions here
- Firefox - download the latest versions here
- Internet connection, 56Kbps or faster
- Color monitor, 800 x 600 screen resolution or higher
Credit Instructions
- Read the learning objectives, accreditation information, and faculty disclosures at the beginning of the activity.
- Read the text.
- Complete the posttest and evaluation.
- Physicians who receive a grade of 70% or better on the posttest and who complete the evaluation will receive immediate CME credit.
- All other participants who receive a grade of 70% or better on the posttest and who complete the evaluation will receive a certificate of participation.
Questions About This Activity
For questions regarding the content of this activity, contact the accredited provider for this CME activity: cme@joslin.harvard.edu

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