Literature DB >> 33111052

Comprehensive Obesity Education for Family Medicine Residents.

Birgit Khandalavala1, Jessica Koran-Scholl1, Jenenne Geske1.   

Abstract

BACKGROUND: Family medicine residents receive limited education on obesity management and obesity bias. Weight stigmatization is prevalent in primary care providers and trainees, and early mitigation is critical to optimize patient-centered care. Recent Provider Competencies for the Prevention and Management of Obesity include obesity bias. This report is intended to fill a current gap in obesity education for family medicine residents.
METHODS: An interprofessional obesity teaching half day for family medicine residents incorporated the Provider Competencies and focused on five modules that addressed complexities of obesity and its clinical management. The obesity bias module focused on both explicit and implicit bias, assessment of implicit bias, preferential language usage, and mitigation strategies. An obesity-simulation empathy suit was available, and a public health expert described successful obesity care in a patient-centered medical home. Family medicine residents were surveyed prior to, immediately after the half-day of obesity teaching, and 15 months later.
RESULTS: Survey results indicated 39.3% of residents had no previous biopsychosocial obesity education. Residents believed the content moderately (68.8%) or mostly (12.5%) impacted their approach to working with patients with obesity. Residents' comfort in working with patients with obesity as well as their perceived understanding of their own biases increased immediately after the intervention and was sustained 15 months later.
CONCLUSIONS: Our results suggest that a half day of obesity teaching can have a positive and sustained impact on family medicine residents. Additionally, this educational experience allowed for greater individual awareness building and insight regarding implicit bias. Such education for family medicine residents fills an identified gap in obesity education.
© 2020 by the Society of Teachers of Family Medicine.

Entities:  

Year:  2020        PMID: 33111052      PMCID: PMC7581191          DOI: 10.22454/PRiMER.2020.525629

Source DB:  PubMed          Journal:  PRiMER        ISSN: 2575-7873


  21 in total

1.  Nutrition and physical activity counseling practices of family practice residents.

Authors:  Jong-Long Guo; Nell H Gottlieb; Michele Murphy Smith; Philip P Huang; Chiu-Mieh Huang
Journal:  J Cancer Educ       Date:  2002       Impact factor: 2.037

2.  Obesity bias in primary care providers.

Authors:  Birgit N Khandalavala; Anantha Rojanala; Jenenne A Geske; Jessica B Koran-Scholl; Thomas P Guck
Journal:  Fam Med       Date:  2014 Jul-Aug       Impact factor: 1.756

3.  AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY COMPREHENSIVE CLINICAL PRACTICE GUIDELINES FOR MEDICAL CARE OF PATIENTS WITH OBESITYEXECUTIVE SUMMARYComplete Guidelines available at https://www.aace.com/publications/guidelines.

Authors:  W Timothy Garvey; Jeffrey I Mechanick; Elise M Brett; Alan J Garber; Daniel L Hurley; Ania M Jastreboff; Karl Nadolsky; Rachel Pessah-Pollack; Raymond Plodkowski
Journal:  Endocr Pract       Date:  2016-07       Impact factor: 3.443

4.  Projected U.S. State-Level Prevalence of Adult Obesity and Severe Obesity.

Authors:  Zachary J Ward; Sara N Bleich; Angie L Cradock; Jessica L Barrett; Catherine M Giles; Chasmine Flax; Michael W Long; Steven L Gortmaker
Journal:  N Engl J Med       Date:  2019-12-19       Impact factor: 91.245

5.  The mixed impact of medical school on medical students' implicit and explicit weight bias.

Authors:  Sean M Phelan; Rebecca M Puhl; Sara E Burke; Rachel Hardeman; John F Dovidio; David B Nelson; Julia Przedworski; Diana J Burgess; Sylvia Perry; Mark W Yeazel; Michelle van Ryn
Journal:  Med Educ       Date:  2015-10       Impact factor: 6.251

6.  Weight bias among health professionals specializing in obesity.

Authors:  Marlene B Schwartz; Heather O'Neal Chambliss; Kelly D Brownell; Steven N Blair; Charles Billington
Journal:  Obes Res       Date:  2003-09

7.  Improving residents' clinical approach to obesity: impact of a multidisciplinary didactic curriculum.

Authors:  Andres Acosta; Alice Azzalin; Claudia J Emmons; Jonathan J Shuster; Melanie Jay; Margaret C Lo
Journal:  Postgrad Med J       Date:  2014-09-11       Impact factor: 2.401

8.  AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY COMPREHENSIVE CLINICAL PRACTICE GUIDELINES FOR MEDICAL CARE OF PATIENTS WITH OBESITY.

Authors:  W Timothy Garvey; Jeffrey I Mechanick; Elise M Brett; Alan J Garber; Daniel L Hurley; Ania M Jastreboff; Karl Nadolsky; Rachel Pessah-Pollack; Raymond Plodkowski
Journal:  Endocr Pract       Date:  2016-05-24       Impact factor: 3.443

9.  Obesity bias in training: attitudes, beliefs, and observations among advanced trainees in professional health disciplines.

Authors:  Rebecca M Puhl; Joerg Luedicke; Carlos M Grilo
Journal:  Obesity (Silver Spring)       Date:  2013-12-04       Impact factor: 5.002

10.  Overcoming Weight Bias in the Management of Patients With Diabetes and Obesity.

Authors:  Rebecca M Puhl; Sean M Phelan; Joseph Nadglowski; Theodore K Kyle
Journal:  Clin Diabetes       Date:  2016-01
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