Serving To Educate Primary Care Clinicians On Metabolic Issues
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Hard-to-Control Diabetes Survey
I am a(n)…
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MD/DO
NP/RN
PA
Other
How many years have you been in practice?
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1-5
6-10
11-15
16-20
Over 20
What is your practice setting?
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Solo Practice
Group Practice
Hospital
Clinic
Academic
Other
Number of patients seen per month with diabetes
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1-10
11-20
21-30
31-40
41-50
Over 50
Please rate the following:
Degree to which your educational expectations were met
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Excellent
Above Average
Average
Fair
Poor
Relevance to your practice
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Excellent
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Average
Fair
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Effective faculty presenters
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Excellent
Above Average
Average
Fair
Poor
Overall Presentation
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Excellent
Above Average
Average
Fair
Poor
Please rate your ability to achieve the Learning Objectives below:
Increase awareness of hypercortisolism as a potential cause of hard to control diabetes
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Completely
Mostly
Somewhat
Not at all
Describe new and emerging data for hypercortisolism treatments, including the impact on patients within their practice who have difficult-to-control diabetes
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Completely
Mostly
Somewhat
Not at all
Implement methods for working with the health care team, including initiating effective referrals to endocrinology, for patients with evidence of hypercortisolism
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Completely
Mostly
Somewhat
Not at all
Collaborate with members of the health care team to implement multidisciplinary management of hypercortisolism and achieve optimal patient outcomes
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Completely
Mostly
Somewhat
Not at all
Agree or Disagree?
The presentation was fair and balanced, free of commercial bias.
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YES
NO
I feel more competent as a result of the presentation.
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YES
NO
The presentation was scientifically rigorous.
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YES
NO
The content contributed valuable information that will assist in improving patient outcomes
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Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
My participation in this activity will improve the work of our healthcare team.
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Yes
No
Will you change your practice behaviors as a result of the presentation?
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Absolutely
Probably
Unsure
Unlikely
No
What will you change?
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Be more vigilant in checking for hypercortisolism
Screen with the most effective tools for hypercortisolism
Work with my colleagues on the healthcare team to increase hypercortisolism awareness and treatment
Educate my patients about hypercortisolism
Refer to endocrinology when needed
Identify patients with T2D who may be candidates for treatment with a glucocorticoid receptor antagonist
Other
If Other
What barriers to change do you foresee?
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Cost
Insurance Coverage
Formulary
Patient Compliance
Time with Patient
Other
None
If Other
What was your level of knowledge on this subject?
Before the presentation
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None
Little
Some
Considerable
Expert
After the presentation
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None
Little
Some
Considerable
Expert
A 55-year-old woman with type 2 diabetes, hypertension, and osteoporosis presents to your clinic for a routine visit. She takes metformin, glimepiride, basal insulin, losartan, amlodipine, and alendronate. Her HbA1c is 9.4% and her blood pressure is 142/94. She does not have a history of sleep apnea or kidney disease and does not consume alcohol. What is the approximate likelihood that this patient has hypercortisolism due to adrenal autonomous cortisol secretion, based on Part 1 the CATALYST trial?
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<1%
1%-10%
11%-20%
21%-30%
Which of the following FDA-approved agents for treating hypercortisolism antagonizes the glucocorticoid receptor?
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Ketoconazole
Pasireotide
Mifepristone
Osilodrostat
How confident do you feel in your answer to the previous question?
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Very confident
Confident
Somewhat confident
Not confident
What would like to learn more about on this topic?
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