1. hi, folks

2. troglitazone
rosiglitazone
albiglutide
acarbose
exenatide
dapagliflozin
aspart insulin
pioglitazone
deglutec insulin
saxagliptin
tolbutamide
detemir insulin
linagliptin
glipizide
glargine insulin
canagliflozin
chlorpropamide
glyburide
regular insulin
glimepiride
NPH insulin
miglitol
glulisine insulin
empagliflozin
metformin
lispro insulin
inhaled insulin
alogliptin
liraglutide
pramlintide
repaglinide
nateglinide
dulaglitide
sitagliptin

3. STEPS criteria to teach therapy choices (and more)
Joshua Steinberg MD UHS Wilson Family Medicine Residency SUNY Upstate Medical Univ

4. Objectives inform and disseminate about novel approach
obtain feedback from fellow educators
encourage collaboration on STEPS tables

5. Teaching Goal
Students & residents have a tough time organizing and making choices when faced with an overwhelming number of options
11 categories of HTN meds (maybe 50 meds total)
10 categories of DM2 meds (32 meds plus other interventions)
contraception… let’s demonstrate!

6. make a list of methods

7. what do women care about?

8. evaluate a method with STEPS

9. full STEPS table

10. more STEPS tables could probably do this with lots of things
interventions for depression
interventions for hypertension
interventions for bipolar
start with exhaustive list of interventions/meds or categories of meds
ask everyone what criteria would help us see the strengths and weaknesses of options, arrive at STEPS
have the group make STEPS table and start to see why which agents shine and which are less good and which no good

12. Gain Attention
Inform Objectives
Connect to Prior
Knowledge
Present Information
Provide Guidance
Elicit Performance or Practice
Provide Feedback
Assess Performance
Enhance Retention and Transfer
recognize they’re overwhelmed, help ‘em overcome make sense of many choices, learn scheme often know most of the content for the grid boxes arrive at options, STEPS scheme, completed grid guide them to STEPS, give tips on options break them up into groups to do a column each lots of feedback as we construct the grid mostly during precepting cases afterwards everyone goes home with grid as handout

13. Discussion what do you think? do you want to get involved?
joshua steinberg