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Published  05/25/2007
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Title: Complications of Diabetes Mellitus: Interactive Tutorial
MedEdPORTAL ID#:    425
Version:    1
Resource Type:  Virtual Patient
Description:   The focus of this online learning module is to provide medical students with an interactive forum in which to learn about the various complications of diabetes mellitus. By providing both a timeline and an organ-based navigation system, the module allows students to appreciate the longitudinal progression of poorly managed diabetes, as well as the physiological and clinical details of how diabetes affects each organ.

Every organ-specific complication (diabetic retinopathy, nephropathy, etc.) contains a brief introduction to the physiology behind the disorder, followed by the typical patient history, physical exam and test findings, and suggested treatment for the disorder. A self assessment at the end of each section allows students to test their grasp of the information they have just learned.
Author Institution:   University of California, San Francisco, School of Medicine
Primary Author:
Matthew Stenerson
University of California, San Francisco, School of Medicine
36 Eastgate Drive
Daly City, CA 94015
USA
(831) 295-2970

mstenerson@gmail.com
Other Authors: 
Leslie  Zimmerman
University of California: San Francisco: School of Medicine
lzim@medicine.ucsf.edu
Cammy  Huang
Stanford University School of Medicine
cammy.huang@stanford.edu
Resource File(s):
  • Hosted on External Website
  • Click on the above link to access resource website
  • Additional Resource File Information:
    The submission is a website module only.
    AAMC Hot Topics:
  • Medicine: Communication Skills
  • Content Last Updated:
    05/25/2007
    Specialty/Discipline:
  • Medicine: Biochemistry/Cell Biology
  • Medicine: Clinical Exam
  • Medicine: Clinical Neuroscience
  • Medicine: Clinical Sciences Assessment
  • Medicine: CNS/Neuroanatomy/Neuroscience
  • Medicine: Internal Medicine
  • Medicine: Intro to Clinical Medicine/Clinical
  • Medicine: Physical Diagnosis
  • Medicine: Physiology
  • Medicine: Skills/Doctoring
  • Oral Health: Biochemistry/Cell Biology
  • Oral Health: Skills/Doctoring
  • Educational Objectives:
    1) Recognize common complications of diabetes mellitus as seen in a patient's history, physical exam, and tests.
    2) Correlate physical exam and test findings to underlying pathophysiology.
    3) Compare and contrast common presenting symptoms of type 1 and type 2 diabetes mellitus.
    4) Describe the clinical reasoning behind screening for certain complications of diabetes, as well as why such screening is initiated at different times in people with type 1 vs. type 2 diabetes.
    Resource Keyword/Symptom:
  • Foot Infection
  • Clinical Clerkship (MeSH)
  • Medical History Taking (MeSH)
  • Blood Glucose
  • Fasting Glucose
  • Glucose Tolerence
  • Hemoglobin A1c
  • Myocardial Infarction
  • Stroke
  • Diabetes
  • Congestive Heart Failure
  • Coronary Artery Disease
  • Coronary Artery Disease
  • Gastroparesis
  • Polyuria
  • Polydipsia
  • Diabetic Nephropathy
  • Ketoacidosis
  • Erectile Dysfunction
  • Urinary Tract Infection
  • Claudication
  • Peripheral Vascular Disease
  • Peripheral Neuropathy
  • Diabetes Mellitus (MeSH)
  • Diagnosis
  • Computer-Assisted (MeSH)
  • Physical Examination (MeSH)
  • Diagnostic Techniques & Procedures (MeSH)
  • Laboratory Techniques & Procedures (MeSH)
  • Thirst (MeSH)
  • Clinical Exam
  • Clinical Neuroscience
  • Clinical Sciences Assessment
  • Biochemistry
  • Cell Biology
  • Internal Medicine
  • Intro to Clinical Medicine
  • Physical Diagnosis
  • Physiology
  • Skills/Doctoring
  • CNS
  • Neuroanatomy
  • Accreditation Council for Graduate Medical Education (ACGME) Competencies Addressed:
  • Patient Care
  • Medical Knowledge
  • Systems-Based Practice
  • Intended Learner Audience:
  • 1st Year Medical/Dental Students
  • 2nd Year Medical/Dental Students
  • Intended Faculty Audience:
  • Clinical Science Faculty
  • Medical/Dental School Administrators (broadly defined)
  • Content Suitable to Patient Education:
    Yes
    Effectiveness and Significance of Publication:
    The module has been used as a supplementary resource for the Metabolism Nutrition course at the UCSF School of Medicine. Anecdotally, students have described the module as being quite helpful in consolidating and solidifying the information about diabetes that they had learned from the course's lectures. The module is also available as a supplementary resource to medical students at Stanford University.
    Special Implementation Requirements or Guidelines:
    Requires the Adobe Shockwave player to run (http://www.adobe.com/shockwave/download/).
    Lessons Learned:
    Breaking information into discrete chunks, as this module does, is highly effective in teaching students a large amount of information without overwhelming them all at once. In addition, taking students from the initial history all the through the physical exam, tests, and finally treatment of particular conditions, provides pre-clinical students with a glimpse into the comprehensive management of these diabetes complications. Framing the complications in this clinically relevant manner not only serves to solidify what students have learned from their lectures, but also demonstrates how they will soon be approaching patient problems in their clinical years.
    Publications, Presentations, and/or Citations For This Publication:
    None.
    Sponsorship (Funding Source):
    Not Applicable
    Citation Formats:
  • NLM:
  • Stenerson M , Zimmerman L, Huang C, Complications of Diabetes Mellitus: Interactive Tutorial. MedEdPORTAL; 2007. Available from: http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=425
  • APA:
  • Stenerson, M., Zimmerman, L., Huang, C., (2007). Complications of Diabetes Mellitus: Interactive Tutorial. MedEdPORTAL: http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal/?subid=425
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