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

  • Joyce W. Tang
  • Benjamin Freed
  • Timothy Baker
  • Julie Kleczek
  • Kimberly Tartaglia
  • Neda Laiteerapong
  • Valerie G. Press
  • Mindy Schwartz
  • Vineet M. Arora
Original Article

DOI: 10.1007/s11606-009-1084-8

Cite this article as:
Tang, J.W., Freed, B., Baker, T. et al. J GEN INTERN MED (2009) 24: 1140. doi:10.1007/s11606-009-1084-8

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.

KEY WORDS

resident counseling diet diabetes 

Copyright information

© Society of General Internal Medicine 2009

Authors and Affiliations

  • Joyce W. Tang
    • 1
  • Benjamin Freed
    • 2
  • Timothy Baker
    • 3
  • Julie Kleczek
    • 2
  • Kimberly Tartaglia
    • 4
  • Neda Laiteerapong
    • 5
  • Valerie G. Press
    • 2
  • Mindy Schwartz
    • 2
  • Vineet M. Arora
    • 2
  1. 1.Institute for Healthcare Studies, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  2. 2.Department of MedicineUniversity of ChicagoChicagoUSA
  3. 3.Department of Internal MedicineUniversity of NevadaRenoUSA
  4. 4.Department of Internal MedicineOhio State UniversityColumbusUSA
  5. 5.Department of MedicineMacNeal HospitalBerwynUSA

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