{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:15:13Z","timestamp":1788437713730,"version":"build-2803163510"},"reference-count":27,"publisher":"IMR Press","issue":"8","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br. J. Hosp. Med. (Lond)"],"abstract":"<jats:p>Aims\/Background:Intermittent fasting (IF) is increasingly adopted by patients with type 2 diabetes mellitus (T2DM), often without adequate medical supervision. Despite growing patient demand, family physicians frequently report limited formal training in fasting-related diabetes management. This study aimed to evaluate the efficacy of a structured continuing medical education (CME) intervention in improving family physicians\u2019 knowledge, confidence, and clinical decision-making regarding IF in T2DM.Methods:A single-group pre-test and post-test interventional design was employed. Four weekly CME sessions were delivered, with each participant attending one session comprising a didactic lecture. A structured questionnaire was administered before and after each session. A total of 180 participants who completed both assessments and provided informed consent were included in the final analysis.Results:The educational intervention produced a statistically significant increase in total knowledge scores (median [interquartile range, IQR]: 12.0 [10.0\u201315.25] vs. 18.0 [15.25\u201319.0], Z = \u20139.17, p &lt; 0.001, r = 0.68). Significant improvements were also observed in exercise and diet (r = 0.58), diabetes management (r = 0.43), oral antidiabetic drug adjustment (r = 0.64), and insulin management (r = 0.55) (all p &lt; 0.001). Self-perceived competence in managing patients with fasting T2DM increased from 33.3% to 75.6%, and confidence in medication dose and timing adjustment increased from 26.7% to 72.8%. Years in practice were not associated with knowledge gain (Spearman's rs = \u22120.058, p = 0.438), and participant characteristics had only limited influence on educational outcomes.Conclusion:A structured guideline-based CME programme improved short-term knowledge and self-reported confidence regarding IF in T2DM.<\/jats:p>","DOI":"10.31083\/bjhm51130","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:29:22Z","timestamp":1788434962000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of Continuing Medical Education on Family Physicians\u2019 Knowledge and Clinical Decision-Making Regarding Intermittent Fasting in Type 2 Diabetes"],"prefix":"10.31083","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3164-6790","authenticated-orcid":true,"given":"Canan","family":"Tuz","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Medical School, Umuttepe Campus, Kocaeli University, 41001 \u0130zmit, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6792-5786","authenticated-orcid":true,"given":"Tuncay M\u00fcge","family":"Alvur","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical School, Umuttepe Campus, Kocaeli University, 41001 \u0130zmit, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Crupi AN, Haase J, Brandhorst S, Longo VD. 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