Program Title: "Certified Diabetes Educator-India" – (CDEI)
(This course has been recognized by the International Diabetes Federation)
1. Course Description
2. Title of course
3. Objectives
4. Programme duration
5. Delivery Format
6. Course Outline
7. Qualification gained on successful completion of the course
8. Eligibility criteria
9. Contact us

About Us

Ramakrishna Mission Sevashrama Charitable Hospital at Vrindaban (RKMS) is a charitable hospital and a branch center of Ramakrishna Math and Ramakrishna Mission, Belur Math, India. Founded in 1907, it has now grown into a 165 bed multi-specialty hospital with a nursing school which started in 1980. The nursing school is recognized by the Indian Nursing Council and the UP State Medical Faculty.

In collaboration with Manav Seva Foundation, Inc. (MSF), a not for profit organization registered in the state of Missouri, USA, the Sevashrama have started a Certified Diabetes Educator India (CDEI) program. The mission is to provide diabetes care and education to marginalized people in Northern India. (For more information, please follow the link Manav Seva Foundation 121614 . Based on several years of first-hand experience working in India, Drs. Gupta concluded that a team-based approach incorporating individualized patient education, environmental assessment, and social support facilitates the safe and effective implementation of the diabetes management program.

Since medicine in India is mediated through the cultural context, the physician alone, howsoever competent and committed he/she is, cannot be an effective fighter against this wide-spreading disease. In order to reach a larger proportion of the patient population and in order to increase the likelihood of compliance by the patients, diabetes treatment in India must cease to be physician-centric and strive to become team oriented. This is why diabetes educators need to play a key role.

In order to bring about desired changes in both the behaviour and life style of patients, we must recognize the social, cultural, economic, educational, and psychological context of our patients. This involves awareness of and sensitivity to many factors: caste and class lines; the hierarchies of roles and status; family dynamics; norms, values, and beliefs as well as customs and rituals. All of this must be taken into consideration. This is where the diabetes educator comes in and is critically needed. This role, however, is woefully under-recognized and unappreciated by both physicians and patients. We see a huge need to change this mindset and create a respected and well compensated place for specialized diabetes educators. Diabetes education is a potent means of empowering patients in diabetes self –management education. A recognized educator needs to be an indispensable ally in a campaign to combat diabetes, which is vastly under-diagnosed, unreported and untreated disease.

 

Objectives

 We wish to create professional diabetes educators who have medical knowledge, and effective interpersonal communication skills. They will educate patients and their families in diabetes self –management education as well as provide support to infuse hope and optimism which results in necessary behavioural changes.

 

Title of the Course

Certified Diabetes Educator - India (CDEI)

 

Duration of the Course

One year

 

Certificate

Participants will be awarded with the IDF recognized certificate stating that they have met the academic, professional, and experiential requirements and successfully passed the examination of special competency in diabetes education - all of which merits the designation of CDEI duly signed by RKMS, Vrindaban and MSF, USA.

 

Eligibility Criteria

Since the inception of the program, staff nurses with diplomas or a BSc in nursing qualification who are working at RKMS Vrindaban have been the candidates. During this one year program they study the course material thoroughly and get hands-on experience in providing care to diabetes patients..

 

Delivery format

Our two main methods of imparting the education are: online lecturing and interactive learning.

 

Learning at RKMS, Vrindaban includes:

  • The teaching is done with the help of computers, books, journals, and posters. The computers have a variety of learning materials such as presentations of IDF modules, AADE recorded webinar and lectures.
 

  • Students are provided with personal E-books that are loaded with the above topics to study in their own time.
 

  • The area for patient teaching has food models, glucometers, syringes, insulin, and posters for DSME as well as a CDEI instructor who provides training to the candidates.
 

  

  • Students are required to accumulate 200 hours in providing diabetes care to patients under the supervision of the program director, an instructor and the physician in charge.
 

  

  • Candidates get involved with diabetes related community work as and when feasible .
 

  • With the online method, students use video conferencing to connect with instructors in USA. This entails the following:
 

 

  • Twice weeks, candidates present cases or discuss topics related to the curriculum with Dr. Santosh Gupta / Physician coordinating the program / Diabetes educator which is followed by discussion.
 

   

  • Candidates will watch lectures of presentations covering the International Diabetes Federation's modules and American association of diabetes educator's -7 behaviours.
 

  • Candidates will receive instructions about Nutrition from Mrs. Prajakta Khare-Ranade MSc, RDN, and L.D, using food models sent to India from USA.
 

  • Dr Jitendra K Gupta will cover topics such as cardiovascular complications of diabetes, metabolic syndrome and risk factors.
 

  • Candidates will participate in monthly internet support group meetings connecting people with diabetes from different parts of India and USA via the penplas united (www.penpalsunited.org).
 
Course outline
Module 1 Overview of diabetes as a growing public health problem, and its human and financial
  impact on families living with the disease.
Module 2 Role of the Diabetes Health Professional. The science of diabetes self-management
  education
Module 3 Pathophysiology of diabetes, diagnosis and classification. Self-monitoring of blood
  glucose and A1C measurement.
Module 4 Glucose lowering medications. Insulin types, action, delivery devices and storage.
Module 5 OHA and complimentary medications for co-morbidities.
Module 6 Use of food models for teaching balanced diet, CHO counting & nutrition during
  pregnancy.
Module 7 Assessment of diet, making healthy choices, for prevention of obesity, metabolic
  syndrome, hypertension and dyslipidemia.
Module 8 The art of Diabetes Self-management Education (DSME): Assessment, goal setting,
  planning, implementation, monitoring & evaluation of outcome.
Module 9 Assessment of literacy level, cognitive functions and learning style
Module 10 AADE7 Healthy eating, being active, monitoring, taking medication, problem solving,
  healthy coping, and reducing risk. Developing the skills needed for behavior change
Module 11 Combating non-compliance through understanding barriers, family support, learning
  styles and use of role models.
Module 12 Gestational diabetes, pre-existing diabetes and pregnancy and neonatal outcome.
Module 13 Community education, screening and educational poster making for World Diabetes
  Day.
Module 14 Acute complications of diabetes: diabetic ketoacidosis, hypoglycemia, use of glucagon
  and sick day management.
Module 15 Chronic complications of diabetes: macro and microvascular, retinopathy and
  nephropathy.
Module 16 Peripheral neuropathy, peripheral vascular disease, foot care and oral health.

Requirements to be eligible for the Certifying Examination

  • Academic requirements: Presentations on various topics from the modules, case presentations and discussions.
  • Candidates should have participated in the multiple choice questions (MCQ) tests conducted at regular intervals related to the topics covered in the Modules.
  • Clinical requirement: 200 hrs of direct patient care including 15 assigned patients along with the required documentation.
 

Certifying Examination

This consists of 100 multiple choice questions and a practical examination involving case presentation and answering questions from examiners, one of whom would be an endocrinologist / diabetologist from a reputed academic institution. If a candidate is unsuccessful in passing the exam, they must repeat the written and practical part of examination after 6 months.

 

Year-end program evaluation

Candidates will provide input on how best to facilitate their learning process. Instructors will discuss with them what additional tools and means of learning can be added to make the process enjoyable and build professional leadership qualities.

Contact us

Diabetes Program Coordinator
Ramakrishna Mission Sevashrama Charitable Hospital
Vrindaban, Mathura, Uttar Pradesh, India 281121
E-mail: hospital1@rkmsvrind.org ;
Diabetes Educator E-mail: rkmsdiabeteseducator@gmail.com
Phone: (0565)2443310/2443838 Ext.281
Mobile: 91-7500252369
 
Dr. Santosh Gupta M.D, MRCP (UK), FAAP (USA) CDE (USA)
Seva Foundation Inc
23 Chesterfield Lakes
Chesterfield, Missouri 63005
E-mail: guptajs1103@gmail.com
Phone: 314-330-3148