Internet-based Training in a Practice-based Research Network Consortium: A Report from the Primary Care Multiethnic Network (PRIME Net)

Article Figures & Data

Table 1.

Comparison of Percent of Clinicians Correctly Answering Questions about Aacanthosis Nigricans (AN) Before and After Web-based Training Module

Question	Physicians Answering Correctly (%) (n = 103)		P^*
Question	Pretest	Posttest	P^*
AN associated with elevated glucose and insulin levels	65	48	.003
AN can appear as velvety patch, dirty neck, or hyperpigmented area	89	82	.06
AN screening important because patients with AN have an increased risk for diabetes	86	96	.01
Higher AN grade (width) is associated with higher levels of blood insulin	34	63	<.001
AN most frequently present on nape of neck	94	98	.29
Fasting/random glucose is sufficient testing for diabetes in a patient with AN	84	96	.004
Glucose tolerance test is the best test for diabetes in patient with AN	76	98	<.001
Healthier eating, regular exercise, and weight loss reduce insulin levels/improve glucose tolerance in patients with AN	95	99	.12
Decrease in insulin level leads to decrease in size/prominence of AN	53	88	<.001
There is pharmacologic treatment for AN	27	68	<.001

Table 2.

Percent of Clinicians Correctly Identifying Photographs of Dermatologic Conditions as Acanthosis Nigricans (AN) or Not AN

	Photograph	AN or Not AN	Physicians Answering Correctly (%) (n = 103)
Pretest	1	Not AN	96
	2	Not AN	70
	3	AN	95
	4	Not AN	77
	5	AN	99
	6	AN	68
	7	AN	52
	8	Not AN	95
	9	Not AN	95
	10	AN	97
Posttest (initial administration)	1	AN	100
	2	Not AN	97
	3	AN	96
	4	Not AN	89
	5	Not AN	94
	6	Not AN	87
	7	AN	100
	8	AN	97
	9	Not AN	74
	10	AN	96