Abstract

A large workforce gap in endocrinologists taking care of patients with diabetes mellitus exists and is particularly problematic in financially challenged, underserved, rural areas. As a partial solution, retired endocrinologists can be recruited back into the workforce to take care of these patients via telemedicine. This perspective describes the elements needed for a successful program based on the five year experience of the author. Required program components include a team approach, effective communication between endocrinologist and primary care provider and substantial clinic infrastructure. The experience with this approach demonstrated a significant reduction of hemoglobin A1C in patients completing the program. Problems with “phone tag” and inability of patients to lose weight have been identified as problems. Use of scheduled telephone call appointments and meal replacements may provide means of solving these problems. This perspective presents the concept that retired endocrinologists, using telemedicine, can be a key resource for improved care of patients with diabetes living in underserved areas.

Keywords:Endocrinologists; Telemedicine; Diabetes mellitus; Financially challenged; Underserved areas; Hemoglobin

Abbreviations:PCPs: Primary Care Providers; FQCHC: Federally Qualified Community Health Centers; CDCESs: Certified Diabetes Care and Education Specialists