Disclaimer: The following guide is my best guess on what content will be on the exam. I do not know what exactly will be on the exam but I have helped over a thousand health care professionals pass the exam.

Chapter 6- Organization of Diabetes Care
Importance: Medium- Read at least twice
Approximate time recommended: 45 min

I have highlighted what I think will be important for the exam. All areas in grey (key messages and recommendations) are also important for the exam. However you should read the entire chapter.

 

Some of my students have found Chapter 6 and Chapter 7 confusing as they have inter-related information. I would suggest reading Chapter 6 as if you were the minister of health or a high level hospital executive. Pretend that you had the power to decide health system wide decisions like to either hire 1 endocrinologist or 10 nurses or 6 nurses, 2 pharmacists and 2 dietitians; or decide if patients will be seen in person or through tele-medicine; or how you would direct public money to community resources like food banks.

Under the heading of: Introduction

There are not enough endocrinologists to care for all the people with diabetes. That’s where we come in and help care for the ever growing population of people with diabetes in Canada.

Be familiar with the definition of the Chronic Care Model (CCM) and the definition of Quality Improvement (QI)

Components of the CCM that Improve Care

Be familiar with Table 1 and Figure 1

Be familiar will the six components of the Chronic Care Model and examples of each. A helpful way to become familiar with them is to imagine how you would implement them in your own practice. That way your not just memorizing info but finding useful ways to help with your own practice.

• Delivery system design
• Self-management support -> Is expanded upon in Chapter 7
• Decision support
• Clinical information
• The community
• Health systems

 

Practice Questions (press show answer to reveal answer)

Match the following item to their CCM component

A) The community	1) The 2018 Diabetes Canada clinical practice guidelines
B) Decision support	2) Programs that increase food and housing security in your city
C) Self-management support	3) A patient registry of all the people with diabetes in your practice
D) Delivery system design	4) A plan for your patient to go skating with the grandchildren for 30 mins on Tuesdays and Thursdays
E) Health systems	5) You and your role as a certified diabetes educator
F) Clinical information Systems	6) A network of specialists in your province tackling diabetes foot care