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Author Notes:

Correspondence: WBH2N@virginia.edu

WBH designed the survey tool, obtained IRB approval at UVA and UMMC, collected and analyzed data from all four study centers, and authored the manuscript.

SL obtained IRB approval and collected data at Emory and assisted with writing and revising the manuscript.

MD collected data at UL and assisted with writing and revising the manuscript.

MRC performed all statistical analyses and assisted with writing the manuscript.

NTK obtained IRB approval and oversaw data collection at UL and assisted with writing and revising the manuscript.

JLK oversaw data collection at UVA and assisted with writing and revising the manuscript.

SCT designed the survey tool, oversaw data collection at UMMC, and assisted with writing and revising the manuscript.

All authors read and approved the final manuscript.

The authors wish to acknowledge Mikhail Y. Akbashev, MD, for his oversight of data collection at Emory University.

Institutional Review Board (IRB) approval for study design and verbal consent to participate was granted separately at each institution (Emory University, University of Virginia, University of Louisville, and University of Mississippi) prior to questionnaire administration.

Verbal consent was obtained from all participants in this study.

The authors declare that they have no competing interests.

Subjects:

Research Funding:

The authors have no sources of funding to disclose for this study.

No funding body played any role in the design of the study; collection, analysis, and interpretation of data; or writing of the manuscript.

Keywords:

  • Social Sciences
  • Education & Educational Research
  • Education, Scientific Disciplines
  • Graduate medical education
  • Hyperglycemia
  • Physicians
  • Knowledge
  • Biostatistics
  • COMPUTERIZED ORDER SET
  • CLINICAL ENDOCRINOLOGISTS
  • HOSPITALIZED-PATIENTS
  • AMERICAN ASSOCIATION
  • EDUCATIONAL-PROGRAM
  • GLUCOSE MANAGEMENT
  • HYPERGLYCEMIA
  • INSULIN
  • OUTCOMES
  • QUALITY

Construction and preliminary evaluation of the inpatient glycemic control questionnaire (IGCQ): a survey tool assessing perceptions and knowledge of resident physicians

Tools:

Journal Title:

BMC Medical Education

Volume:

Volume 19, Number 1

Publisher:

, Pages 228-228

Type of Work:

Article | Final Publisher PDF

Abstract:

Background: Uncontrolled hyperglycemia in hospitalized patients, with or without diabetes mellitus, is associated with many adverse outcomes. Resident physicians are the primary managers of inpatient glycemic control (IGC) in many academic and community medical centers; however, no validated survey tools related to their perceptions and knowledge of IGC are currently available. As identification of common barriers to successful IGC amongst resident physicians may help foster better educational interventions (ultimately leading to improvements in IGC and patient care), we sought to construct and preliminarily evaluate such a survey tool. Methods: We developed the IGC questionnaire (IGCQ) by using previously published but unvalidated survey tools related to physician perspectives on inpatient glycemic control as a framework. We administered the IGCQ to a cohort of resident physicians from the University of Mississippi Medical Center, University of Louisville, Emory University, and the University of Virginia. We then used classical test theory and Rasch Partial Credit Model analyses to preliminarily evaluate and revise the IGCQ. The final survey tool contains 16 total items and three answer-choice categories for most items. Results: Two hundred forty-six of 438 (56.2%) eligible resident physicians completed the IGCQ during various phases of development. Conclusions: We constructed and preliminarily evaluated the IGCQ, a survey tool that may be useful for future research into resident physician perceptions and knowledge of IGC. Future studies could seek to externally validate the IGCQ and then utilize the survey tool in pre- and post-intervention assessments.

Copyright information:

© 2019 The Author(s).

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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