UC San Diego School of Medicine, Continuing Medical Education
(858) 534-3940 | ocme@ucsd.edu | cme.ucsd.edu

Agenda

FRIDAY
Understanding Patients’ Self-Care Problems
8:00 AM Key Program Objectives
8:45 AM

BDI operating principles

  • The well-documented ineffectiveness of commonly used behavioral strategies (and why we should quit using them)
  • A new way to conceptualize motivation in diabetes
    • The myth of the “non-compliant” patient
    • Common misattributions about patient behavior (e.g., denial, lack of will-power, sloth and gluttony, needle phobia)
    • The essential rationality of patient behavior
    • Ambivalence underlies almost all motivational problems
    • Attention to obstacles is key
10:15 AM Break
10:30 AM

Understanding patient obstacles: A case-based approach

  • Poor medication adherence
  • Struggling with weight management
  • The disengaged patient
  • Psychological insulin resistance
  • Depressed mood and diabetes-related emotional distress
  • Reluctance to adding additional medications

Overview of the critical diabetes care obstacles

  • Psychological
  • Interpersonal
  • Environmental
12:00 PM Lunch
Key Interventions, Part 1
1:00 PM

Intervention strategy #1: Recognizing and appreciating the patient’s perspective

Intervention strategy #2: Assessment of obstacles and determining the key barrier for each patient

Intervention strategy #3, Discussing metabolic results as a means to re-frame patients’ perspectives on diabetes and promote patient engagement

2:30 PM Break
2:40 PM

Intervention strategy #4: Congratulations vs. criticism

Intervention strategy #5: Testing in pairs, a new/old approach to SMBG

Review of the first day: Participant questions, comments and feedback

4:00 PM Adjourn for the day
SATURDAY
Key Interventions, Part 2
8:00 AM

Intervention strategy #6: Addressing critical misbeliefs about medications

Intervention strategy #7: Addressing hypoglycemic concerns

Intervention strategy #8: Making good use of family and friends

10:15 AM

Break

10:30 AM

Intervention strategy #9: Making good use of patients’ expertise

Intervention strategy #10: Making productive plans for action

12:00 PM Lunch
Putting it all Together
12:45 PM

Dyadic practice with case vignettes

  • Poor medication adherence
  • Struggling with weight management
  • The disengaged patient
  • Psychological insulin resistance
  • Depressed mood and diabetes-related emotional distress
  • Reluctance to adding additional medications
2:15 PM Break
2:30 PM How to bring new behavioral skills into a busy clinical practice: An opportunity for brainstorming
3:00 PM Final dyadic practice: Committing for personal change as a health care professional
3:30 PM Program summary and review: Participant questions, comments and feedback
4:00 PM Final program adjournment