Education as a tool to modify anti-obesity bias among Pediatric residents

Rincon-Subtirelu, Marielisa

doi:10.5116/ijme.58b1.46e3

Cited by 20 publications

(13 citation statements)

References 9 publications

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“…One of the challenges for effective obesity counselling is that medical residents and students do not receive sufficient training on the complex biopsychosocial etiology of obesity and evidence-based management strategies, and these topics are not well covered in medical exams [18][19][20][21][22]. A recent review concluded that across the world there is a paucity of obesity education programs for learners in health professions [23].…”

Section: Introductionmentioning

confidence: 99%

Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course

et al. 2020

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Background: Quality, evidence-based obesity management training for family medicine residents is needed to better support patients. To address this gap, we developed a comprehensive course based on the 5As of Obesity Management™ (ASK, ASSESS, ADVISE, AGREE, ASSIST), a framework and suite of resources to improve residents' knowledge and confidence in obesity counselling. This study assessed the course's impact on residents' attitudes, beliefs, and confidence with obesity counselling. Methods: The course combines lectures with a bariatric empathy suit experience, standardized and in-clinic patient practice, and narrative reflections. Using a multi-methods design we measured changes in 42 residents' attitudes, beliefs, and self-confidence and thematically analyzed the narrative reflections to understand residents' experience with the course content and pedagogy.

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Section: Introductionmentioning

confidence: 99%

Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course

et al. 2020

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“…However, our findings also suggest that pediatricians may more likely perceive that pediatric patients are not interested in improving their weight status and that it is too difficult for them to change their behaviors compared with the internal medicine/pediatrics specialty. Though it is possible that this latter perception may vary based on the age of the patient, it is necessary to be aware that a physician's personal biases, assumptions, and expectations might influence pediatric weight management (12,36). Awareness of weight stigma is essential at all stages of training to encourage the best, unbiased clinical practices.…”

Section: Discussionmentioning

confidence: 99%

Exploring Pediatric Obesity Training, Perspectives, and Management Patterns Among Pediatric Primary Care Physicians

Reyes

Perez

Czepiel

et al. 2020

Obesity

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Objective: Significant variability exists in the amount of formal obesity training obtained by physicians caring for pediatric patients. The study objective was to assess the relationship between formal obesity training and pediatrics physicians' perceptions, practice patterns, overall knowledge, and confidence during management of pediatric obesity. Methods: An anonymous survey was distributed via email from February 2020 through March 2020 at a large academic system. Internal medicine/pediatrics (46 total) and pediatrics (104 total) primary care providers were selected. Data were collected on the total number of obesity-related training hours by quartiles, demographics, physicians' clinical practice patterns, and physicians' knowledge of pediatric obesity management, along with their perceptions, attitudes, and beliefs. Results: A total of 73 survey participants completed the survey: 69% were female, 77% were older than 40 years, and 74% were White. Physicians with the highest training were most likely to feel confident when managing pediatric obesity. However, only 20% of all physicians felt confident providing pre-and post-bariatric surgery care, and just 6% of physicians self-reported achieving management success. Conclusions: Increased obesity training improves physicians' confidence and leads to familiarity with management guidelines. Formal obesity training should be prioritized during residency and beyond so that physicians who care for pediatric patients are better equipped to offer unbiased and effective care.

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“…(14)(15)(16)(17) One of the challenges for effective obesity counselling is that medical residents and students do not receive sufficient training on the complex physiology of obesity and evidence-based management strategies, and these topics are not well covered in medical exams. (18)(19)(20)(21) Reasons include the relative newness of classifying obesity as a disease, the complexity of causation and management, and the socio-cultural and personal associations that physicians, residents, medical educators, and patients bring to each interaction that addresses obesity. (22)(23)(24)(25)(26) The result is a substantial lack of capacity in primary health care to deliver comprehensive, tailored, and effective obesity prevention and management.…”

Section: 2) Both the United States Preventive Services Task Force Amentioning

confidence: 99%

Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course

Luig

Wicklum

Heatherington

et al. 2019

Preprint

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Background Prevention and management of obesity is integral to family medicine. Yet, physicians lack training and confidence to effectively address weight concerns with patients. Quality, evidence-based obesity management training for family medicine residents is needed to better support patients. We developed a comprehensive course based on the 5As of Obesity Management™, a framework and suite of resources to improve residents’ knowledge and confidence in obesity counselling. This study aimed to understand the course’s impact on residents’ attitudes, beliefs, and confidence with obesity counselling. Methods The course combines lectures with a bariatric suit experience, standardized and in-clinic patient practice, and narrative reflections. Using a multi-methods design we measured changes in 42 residents’ attitudes, beliefs, and self-confidence and thematically analyzed the narrative reflections to understand residents’ experience with the course content and pedagogy. Results Following the course, residents reported improved attitudes towards people living with obesity and improved confidence for obesity counselling. Experiential learning proved crucial in increasing residents’ ability to empathically engage with patients and to critically reflect on implications for their practice. Conclusion The 5AsT-MD course has the potential to increase residents’ confidence and competency in obesity prevention and management. Findings reflect the utility of the 5As to improve residents’ confidence and competency in obesity management counselling.

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Education as a tool to modify anti-obesity bias among Pediatric residents

Cited by 20 publications

References 9 publications

Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course

Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course

Exploring Pediatric Obesity Training, Perspectives, and Management Patterns Among Pediatric Primary Care Physicians

Improving Obesity Management Training in Family Medicine: Multi-methods evaluation of the 5AsT-MD Pilot Course

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