Objective. To assess the impact of pharmacy students teaching a diabetes self-management education (DSME) class on their competence and confidence in providing diabetes education. Design. Pharmacy students enrolled in a service-learning elective first observed pharmacy faculty members teaching a DSME class and then 4 weeks later organized and taught a DSME class to a different group of patients at a student-run free medical clinic. Assessment. Student performance as assessed by faculty members using a rubric was above average, with a mean score of 3.3 on a 4.0 scale. Overall, student confidence after teaching the group DSME class was significantly higher than before teaching the class. Conclusion. Organizing and teaching a DSME class improved third-year pharmacy students' confidence and diabetes knowledge and skills, as well as provided a valuable service to patients at a free medical clinic.Keywords: diabetes education, diabetes, pharmacy students, service-learning
INTRODUCTIONDiabetes self-management education (DSME) is an ongoing process of teaching patients the knowledge, skills, and abilities necessary for diabetes self-care.
1The clinical practice recommendations of the American Diabetes Association state that all clinical practitioners should recommend DSME to their patients with diabetes.2 Currently, there is no required format for providing DSME. However, approaches to diabetes education that are interactive and patient-centered have been associated with positive patient outcomes. Many educational tools and curricula exist such as the US Diabetes Conversation Map Program.3 Conversation maps are interactive educational tools used to guide provider-patient conversations. One or more of the instructors who facilitate DSME should be a registered nurse, dietician, or pharmacist.
1Pharmacists can have an integral role in diabetes education, and exposing pharmacy students to opportunities to educate diabetes patients and use educational tools within the pharmacy curriculum may prepare students to provide DSME to patients.A variety of active-learning educational techniques such as use of diabetes simulations, as well as elective courses and certificate programs, have been used to improve pharmacy students' knowledge, attitudes, and skills related to diabetes. [4][5][6][7][8] However, there are no published reports of group DSME classes facilitated by pharmacy students. A review of the literature revealed a single study that involved nursing student-facilitated DSME group classes using diabetes conversation maps. However, the study did not incorporate actual patients; rather some students role-played patients with diabetes while other students taught the DSME class. Participation in this exercise increased nursing student knowledge about diabetes and patient education techniques.
9The Accreditation Council for Pharmacy Education (ACPE) encourages the use of actual patients in activelearning exercises according to Standard 11. 10 In addition, the Center for the Advancement of Pharmaceutical Education (CAPE) out...