Assistance Professor MetroHealth Medical Center-Case Western Reserve University Cleveland, Ohio, United States
Disclosure(s):
Saroja Guntupalli, MD: No financial relationships to disclose
Background: Continuous glucose monitoring (CGM) improves glycemic outcomes and reduces hypoglycemia events; however, CGM use among internal medicine resident continuity clinics remains limited. Barriers mentioned in the literature include inadequate resident familiarity, perceived complexity, cost concerns, insurance coverage, and data interpretation.
Aim: Increase CGM prescription rates by internal medicine residents through a targeted provider education program.
Methods: This is a pre-post intervention quality improvement project conducted at MetroHealth Medical Center from June to December 2025. Using a Plan–Do–Study–Act framework, first and second year internal medicine residents received one didactic session. Interventions included: (1) targeted resident education on CGM indications, and clinical interpretation; (2) hands-on CGM demonstrations facilitated by device educators; (3) insurance coverage education and (4) streamlined electronic medical record ordering processes. Through electronic medical record review, we analyzed CGM prescribing rates; resident-reported confidence to prescribe CGM and barriers before and after implementation.
Results: Following the intervention, CGM prescribing rates increased by 123% compared with baseline. Residents demonstrated improved confidence in initiating CGM prescriptions by 58.3% and integrating CGM data into diabetes management. Enhanced familiarity with clinic resources improved efficiency and reduced perceived barriers to CGM use.
Conclusion: A multidisciplinary, workflow-driven QI initiative led to a substantial increase in CGM prescriptions by internal medicine residents. Integrating targeted education with familiarization of clinical resources and interprofessional collaboration represents a scalable approach to expanding access to diabetes technology and improving quality of care in residency training clinics.
*Unless otherwise noted, all abstracts presented at ENDO must not be released to the press or the public until the date and time of presentation. For oral presentations, the abstracts are embargoed until the session begins. The Endocrine Society reserves the right to lift the embargo on specific abstracts that are selected for promotion prior to or during ENDO.*
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