Clinical Gems

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath This week, we continue with Part 3 of our special series of case discussions. CASE DISCUSSION : Ms. ME Ms. ME was referred to an endocrinologist and diabetes educator by her …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath This week, we continue with our special series of case discussions. Mrs. TZ was referred by a podiatrist: Mrs. TZ is a 50-year-old woman with Type 1 (she assures me this …

Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath The aims of the book are to: (1) address commonly encountered diabetes management problems; (2) develop comprehensive responses from a range of relevant health professionals who suggest management approaches relevant to …

SMA Model Walk-Through Three models are frequently used for SMAs—the Cooperative Health Care Clinic (CHCC), the Drop-in Group Medical Appointment (DIGMA), and the SMA for Physical Exams (or Physicals SMA). To see what happens during each model, compare the steps outlined below…

Roles and Responsibilities “SMAs usually require a well-trained staff performing specific roles and responsibilities, which will vary, depending on the individual requirements of the particular SMA model. Some responsibilities are handled before the group visit, while others are performed on the day of the SMA.

  “Once the providers who will participate in the SMA pilot have been selected, each has chosen their SMA model, and steps have been taken to customize promotional materials for participating physicians, then it’s time to hold a meeting with the entire SMA team.1,3 Following are general tasks that need …

This week we begin to delve into the logistics of setting up Shared Medical Appointments with systematic instructions for starting group visits in the clinical setting. “In order to implement SMAs in your medical group, you will need to secure the following….”

An Introduction to Group Visits The complex needs of today’s patients present a challenge to medical group physicians who try to meet patients’ needs within the constraints of the traditional office visit. Studies show that the median length of a patient’s face-to-face time during an office visit with a primary …

Diabetic Neuropathic Disorders, Part 3 John R. White, Jr., PharmD, PA R. Keith Campbell, PharmB, MBA, CDE Travis E. Sonnett, PharmD Adaptation by Matthew Szabo, PharmD (candidate) This week we conclude our three-part excerpt of the ADA/PDR text chapter on Neuropathic Disorders…. 

Diabetic Neuropathic Disorders, Part 2 John R. White, Jr., PharmD, PA R. Keith Campbell, PharmB, MBA, CDE Travis E. Sonnett, PharmD Adaptation by Matthew Szabo, PharmD (candidate) Diabetic Gastroparesis Treatment Options This week we continue our exploration of diabetic neuropathic disorders with analyses of two drugs used to treat diabetic …