Boston Medical Center Endocrinology Group

Summary

Boston Medical Center

Boston Medical Center’s (BMC) Endocrinology Group and Office of Continuing Medical Education (CME) were asked by a major Medicare Part D plan provider to develop an online CME course for primary care physicians and nurse practitioners caring for frail older adults with diabetes. Vida developed a two-part interactive course built around two video case studies and hosted it on our NetCourses.org™ eLearning platform. NetCourses.org™’s reporting capabilities made it a snap for the Office of CME to track course registrants, see their progress, assessment scores, certifications and course evaluation survey results both by individual learner and aggregated by course.

Case Study

BACKGROUND

Boston Medical Center (BMC) is a private, not-for-profit, 508-bed, academic medical center and the primary teaching affiliate for Boston University School of Medicine. Consistent with its mission to provide the best in health care to all, BMC is the largest safety net hospital in New England and reaches into the community as a founding partner of Boston HealthNet, a network of 15 community health centers through Boston serving more than a quarter million people annually.

CHALLENGE

BMC’s Endocrinology Group and Office of Continuing Medical Education were asked by a major Medicare Part D plan provider to develop an online CME course for primary care physicians and nurse practitioners caring for frail older adults with diabetes. Course objectives included discussions of current pharmocologic options, polypharmacy, comorbidities, and appropriate glycemic control targets and regimens for a frail older population. Access to the course was to be restricted to only the plan providers members.

SOLUTION

Vida developed the interactive course in two parts, each featuring a video case study. Part one featured a high functioning older adult suffering from stress and depression who was having difficulty adhering to their insulin treatment regimen. Through this case study were introduced oral and injectable medication options, their mechanisms of action and dosing, advantages and disadvantages, side effects and contraindications. A team approach to care was discussed along with a treatment plan and options to help this patient with compliance so as to avoid long term diabetes-induced morbidities.

Part two featured an considerably older patient who had lost sight due to retinopathy. Through this case study were introduced more conceptual discussions around the appropriate care practices for patients for whom tight glycemic control might be difficult to achieve and/or might not offer significant improvements in quality of life over remaining lifespan.

The courses were hosted on Vida’s NetCourses.org™ eLearning platform. Each part of the course awarded CME and nursing contact hours separately and included a post-test assessment and user selectable course completion certificate. BMC also requested that a post-course user evaluation be added to each part. NetCourses.org™’ reporting capabilities made it a snap for the Office of CME to track course registrants, see their course progress and completion percentage, assessment scores, certifications and course evaluation survey results both by individual learner and aggregated by course. The data export feature allowed BMC to dump data for import into their legacy tracking systems.

Vida really helped us develop an innovative and unique approach to clinical education...

We now have an enduring educational program that can be reused, that doctors can actually access on their own time when they want to from home, and they’ll be able to get CME education in an effective and comprehensive manner.

James L. Rosenzweig, MD, Director of Diabetes Services, Boston Medical Center

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