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Post by johnmccall on Jun 4, 2005 22:36:48 GMT
Hi All, Any views on what private practitioners need to know about diabetes? I will be developing some on-line training over the next year or so for a group of Scottish Diabetes Specialist Podiatrists www.sdsp.org.uk and we want to include something that will be useful to private practice. The training will be very basic but free. What are your thoughts? Many thanks, John |
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Post by Admin on Jun 6, 2005 10:47:09 GMT
Hi John,
I don't treat diabetes pts specifically, but I would think that for general private practice a useful topic would be vascular and neurological screening, underpinned by current HPC and NHS requirements.
cheers,
david
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Post by Phil Y on Jun 6, 2005 20:55:49 GMT
Hi John,
Great idea! As practitioners we can never know enough about this awful condition.
Being able to educate the patient as to what diabetes means to them is paramount as I have found that they have been diagnosed with diabetes then so little information offered to support the diagnosis.
I support fully your plans and look forward to reading your updates.
Regards,
Phil...
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Post by johnmccall on Jun 6, 2005 22:49:51 GMT
Thanks Phil,
I think you and David hit the nail on the head. The people who are seeing patients in every day practice have the chance to screen for risks and discuss with the patient the ways of preventing complications from progressing. By the time patients get to see people like me it's getting to be too late, so it really is the first line treatment and advice that is so valuable.
Most of it is not rocket science but common sense with a little bit of foot care expertise thrown in.
Cheers
John
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Post by dtt on Jun 7, 2005 15:16:04 GMT
Hi John I would want to know the latest developments and thinking in first line screening and of course the same on patient management . As you are aware in my blissfull ignorance I was taking ABPI assuming the values were correct . It was not until you pointed out the new thinking which makes the readings inaccurate that I became aware (thank you again) This is I feel a great big step forward for the IPP's inasmuch as Specialist pod's taking the time to share their knowledge to the many so that we can integrate that within our own patient levels and needs. Blimey a step forward  Now there's a turn up for the book ;D Cheers Derek  |
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Post by Astrid McLellan on Jun 10, 2005 15:12:18 GMT
Hi All, Any views on what private practitioners need to know about diabetes? I will be developing some on-line training over the next year or so for a group of Scottish Diabetes Specialist Podiatrists www.sdsp.org.uk and we want to include something that will be useful to private practice. The training will be very basic but free. What are your thoughts? Dear John, I agree with David's comment that what is needed in Private Practice is good training on how to carry out vascular and neurological assessments underpinned by current HPC and NHS requirements. I have looked for such courses / training modules before. I did go to a 'training' day at SMAE (!) Although interesting it was all 'talk' with minimal to no practical input and was far too 'high brow'. I came away frustrated to say the least. What I see alot in my practice are Diabetic patients who do not understand their overall condition and they are often quite frightened about it as well. I am diabetic myself and when 1st diganosed I was given little to no information that made any sense at all about the condition, it's complications and how to look after myself especially my feet! I appreciate it that this is not in the the Private Practitioner's domain to educate the patient except regarding the feet but I do feel very strongly that we must do all we can to look after the patient within our remit. I would definitely welcome the vascualr and neurological assessment / examination training. Regards Astrid |
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Post by Astrid McLellan on Jun 10, 2005 15:13:29 GMT
OOOPPPs! pressed wrong buttons!
Sorry...hope all can read my posting!
Astrid
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Post by wjliggins on Jun 10, 2005 15:27:44 GMT
Might be worth having a look at the Certificate in diabetes course run by Warwick Uni. (I'm doing this at the moment). It seems to be directed mainly at G.P.'s but there's some excellent information which should slot in nicely to your proposed course John.
All the best
Bill Liggins
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Post by Admin on Jun 11, 2005 10:24:17 GMT
This is I feel a great big step forward for the IPP's inasmuch as Specialist pod's taking the time to share their knowledge to the many so that we can integrate that within our own patient levels and needs. Blimey a step forward Now there's a turn up for the book ;D That's hopefully what this forum is all about ;D! cheers, david |
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Post by dtt on Jun 12, 2005 19:41:32 GMT
Hi Astrid The training you require and should have, would help to educate your diabetic/ neuro vascular insufficiency patients as to the reason requirement and need of the testing. (why did you not speak out at the course you attended ??) This again highlights the lack on cpd courses at varying levels. Perhaps in the first instance "Bob Golding's KISS method" to give a base level and go from there ,which would give practitioners the confidence and knowledge they crave and deserve. Good luck and keep your eye on this site for the proposed Diabetic information promised  cheers Derek |
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Post by Astrid McLellan on Jun 17, 2005 12:19:05 GMT
Dear Derek, Sorry for the delayed reply!I agree, I should've spoken out as I'm not shy in coming forward. However it was a smae course and I suppose I felt there was no point as they are not training or learning centred in my opinion (!)  Cheers Astrid |
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Post by johnmccall on Jun 17, 2005 12:49:24 GMT
Hello all,
Thanks for the replies so far. Interesting!
The Warwick course (thanks Bill) is very good and can be done by distance learning. We've run it several times in Ayrshire and it's mainly been attended by practice nurses with a few Pods and fewer GPs.
It's a good course for an all round grounding in Diabetes but is quite a lot of work.
Astrid is quite right, there's just not enough information given out - or at least there's a lot of info around but it's not always available to the patient at the right time nd in an understndable format.
One of the debates at the Diabetes uk conference in Glasgow this year was around education. How, when, where, who should give it etc? There is evidence on education but there simply isn't enough good evidence to provide sound guidance as to what is most effective.
One aim (in this 'Year of the Diabetic Foot') is to get back to basics and train 'coal face' practitioners (that's IPPs too!) to know a bit more about how to screen for and prevent diabetic foot complications, and what sort of basic advice to give.
Regards to all,
John
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Post by dtt on Jun 17, 2005 18:28:49 GMT
Hi Astrid
I
Now that's an interesting comment ??
Care to expand on it ??
I think I can guess some of your thoughts because mine are similar
Cheers
Derek
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Post by Astrid McLellan on Jun 19, 2005 18:08:21 GMT
Dear Derek, I wondered if someone would pick this up!  This is really about the way SMAE seems to deliver all their seminars etc... at one level instead of providing seminars pitched at different levels of understanding and learning needed for their potential training audience. What I'm trying to say is that what I needed (and most of the delegates there on the day) on the seminar I attended was a practical hands on training / workshop on how to carry out Neurological and Vascular Assessments. What I got was a lecture that would have been more appropriate for GP's even specialists but not at pods working in practice who would need to know and understand how to carry out a basic acceptable examination / assessment process with a view to referral if needed. Hope that makes sense.  Regards Astrid PS: I used to be a trainer before I became a Chiropodist. |
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Post by dtt on Jun 20, 2005 17:48:02 GMT
Hi Astrid YES !! I know exactly what you mean The whole lecturing thing in my view is outdated and really gives very little help to anyone listening as there has always been in my opinion , the rule by fear approach or absolute power... etc . I bet there were not many questions asked that were answered without the intimidation factor thrown in (shut up and listen or else) attitude?? After completing all the courses (except first aid and the new degree course) that the SMAE had to offer I must confess to doing my cpd elsewhere in a much more relaxed (not sitting like a stuffed shirt in a white coat) atmosphere which gives a better learning environment. I have been in "deep discussion" with John McCall (who is a diabetic specialist) and the owner of Podiatrysoftware.com . developing his practice management system to my practice needs . I have probably learned more on current diabetic thinking from just simple questions to John on diabetes in 2 reply emails from him, than anything I have read from the SMAE in years!! John is an EDUCATOR and explains things at the levels of the recipient ( and my I.T skills are Muppet level) but he has me understanding more about that as well !! So Astrid my advice is to be patient . More and more independent courses are coming out all the time (David and Ian Biomechanics to name one) . John has promised some informative posts on diabetes on this forum perhaps that could be developed by other specialist podiatrists . The smae will get the message sooner or later and address the teaching needs of its members and realise there is a difference in pre and post graduate education . And you never know if more sensible people can unite the profession we may all benefit from the shared knowledge Cheers Derek |
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