Diabetes ROADMAP: Teaching Guideline Use, Communication, and Documentation When Delivering the Diagnosis of Diabetes

Christy J W Ledford, Dean A Seehusen, Lauren A Cafferty, Heather A Rider, Tyler Rogers, Stephanie Fulleborn, Erik Clauson, Christopher C Ledford, Steven Trigg, Jeremy T Jackson, Paul F Crawford

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


INTRODUCTION: Most interventions to date regarding breaking bad news focus on late-stage disease or disclosing a cancer diagnosis. Little attention has been given to delivery of chronic metabolic disease diagnoses such as prediabetes/type 2 diabetes.

METHODS: Informed by the American Diabetes Association standards of care and formative research conducted by our research team, we developed this curriculum through the six-step approach to curriculum development. The curriculum consists of a 2- or 3-hour intervention that teaches medical decision-making, interpersonal communication, and clinical documentation in the context of prediabetes and type 2 diabetes followed by role-play and clinical practice.

RESULTS: Across three cohorts, 53 clinicians completed the curriculum. Across the three iterations, learners rated the curricular intervention as worthwhile and delivered at an appropriate level. In a community hospital setting, learners scored significantly higher on a knowledge check than did a control group of six clinicians ( p < .001). Learners in the community hospital also indicated high response efficacy and self-efficacy. At the academic medical center, simulated patients indicated high measures on the Diabetes Health Threat Communication Questionnaire.

DISCUSSION: The moment of diagnosis presents a key opportunity to affect patients' perceptions of the disease. This curriculum guides clinicians in making the most of diagnosis delivery. Pairing of qualitative, patient-centered research alongside the iterative curriculum design process allows the curriculum to be adaptable and scalable to multiple settings and learner types.

Original languageEnglish
Pages (from-to)10959
JournalMedEdPORTAL : the journal of teaching and learning resources
StatePublished - 11 Sep 2020


  • Communication
  • Curriculum
  • Diabetes Mellitus, Type 2/diagnosis
  • Documentation
  • Humans


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