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The Role of Obesity Training in Medical School and Residency on Bariatric Surgery Knowledge in Primary Care Physicians.

Stanford FC, Johnson ED, Claridy MD, Earle RL, Kaplan LM - Int J Family Med (2015)

Bottom Line: Objective.We administered a cross-sectional web-based survey from July to October 2014 to adult primary care physicians in practices affiliated with the Massachusetts General Hospital (MGH).Obesity is a complex chronic disease, and it is important for clinicians to be equipped with the knowledge of the multiple treatment modalities that may be considered to help their patients achieve a healthy weight.

View Article: PubMed Central - PubMed

Affiliation: Obesity, Metabolism and Nutrition Institute, Gastrointestinal Unit and MGH Weight Center, Massachusetts General Hospital, Boston, MA 02114, USA ; Harvard Medical School, Boston, MA 02115, USA ; Harvard Kennedy School of Government, Cambridge, MA 02138, USA.

ABSTRACT
Objective. US primary care physicians are inadequately educated on how to provide obesity treatment. We sought to assess physician training in obesity and to characterize the perceptions, beliefs, knowledge, and treatment patterns of primary care physicians. Methods. We administered a cross-sectional web-based survey from July to October 2014 to adult primary care physicians in practices affiliated with the Massachusetts General Hospital (MGH). We evaluated survey respondent demographics, personal health habits, obesity training, knowledge of bariatric surgery care, perceptions, attitudes, and beliefs regarding the etiology of obesity and treatment strategies. Results. Younger primary care physicians (age 20-39) were more likely to have received some obesity training than those aged 40-49 (OR: 0.08, 95% CI: 0.008-0.822) or those 50+ (OR: 0.03, 95% CI: 0.004-0.321). Physicians who were young, had obesity, or received obesity education in medical school or postgraduate training were more likely to answer bariatric surgery knowledge questions correctly. Conclusions. There is a need for educational programs to improve physician knowledge and competency in treating patients with obesity. Obesity is a complex chronic disease, and it is important for clinicians to be equipped with the knowledge of the multiple treatment modalities that may be considered to help their patients achieve a healthy weight.

No MeSH data available.


Related in: MedlinePlus

Physicians that almost always/frequently disclose their own healthy habits to influence patient behavior.
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fig1: Physicians that almost always/frequently disclose their own healthy habits to influence patient behavior.

Mentions: As noted in Figure 1, physicians with some obesity training were more likely to disclose their own personal habits to influence the behavior of their patients. Physicians with some obesity training were most likely to consider the following to be major barriers to evaluating and/or managing patients with overweight and obesity in their practice: (1) not having enough time, (2) not being part of my professional role, (3) inadequate training, (4) fear of offending the patient, (5) too difficult for patients to change, (6) lack of effective tools and information to give to patients, and (7) long wait times for referrals to obesity medicine specialists (Supplemental Figure 1 in Supplementary Material available online at http://dx.doi.org/10.1155/2015/841249). Alternatively, physicians with no obesity training were most likely to consider the following to be major barriers to evaluating and/or managing patients with overweight and obesity in their practice: (1) inadequate reimbursement, (2) lack of adequate referral services for diet, physical activity, and weight, (3) patients being generally not interested in improving their weight status, and (4) lack of effective treatment options. Across all questions in which physician survey respondents were given a scenario to consider various treatment modalities for patient with obesity, physicians with some obesity training were more likely to consider all possible treatment options to help a patient lose weight (self-direction, allied health, and physician directed therapy, weight loss medications, and bariatric surgery) than those with no obesity training (Supplemental Figures 2–4).


The Role of Obesity Training in Medical School and Residency on Bariatric Surgery Knowledge in Primary Care Physicians.

Stanford FC, Johnson ED, Claridy MD, Earle RL, Kaplan LM - Int J Family Med (2015)

Physicians that almost always/frequently disclose their own healthy habits to influence patient behavior.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4539067&req=5

fig1: Physicians that almost always/frequently disclose their own healthy habits to influence patient behavior.
Mentions: As noted in Figure 1, physicians with some obesity training were more likely to disclose their own personal habits to influence the behavior of their patients. Physicians with some obesity training were most likely to consider the following to be major barriers to evaluating and/or managing patients with overweight and obesity in their practice: (1) not having enough time, (2) not being part of my professional role, (3) inadequate training, (4) fear of offending the patient, (5) too difficult for patients to change, (6) lack of effective tools and information to give to patients, and (7) long wait times for referrals to obesity medicine specialists (Supplemental Figure 1 in Supplementary Material available online at http://dx.doi.org/10.1155/2015/841249). Alternatively, physicians with no obesity training were most likely to consider the following to be major barriers to evaluating and/or managing patients with overweight and obesity in their practice: (1) inadequate reimbursement, (2) lack of adequate referral services for diet, physical activity, and weight, (3) patients being generally not interested in improving their weight status, and (4) lack of effective treatment options. Across all questions in which physician survey respondents were given a scenario to consider various treatment modalities for patient with obesity, physicians with some obesity training were more likely to consider all possible treatment options to help a patient lose weight (self-direction, allied health, and physician directed therapy, weight loss medications, and bariatric surgery) than those with no obesity training (Supplemental Figures 2–4).

Bottom Line: Objective.We administered a cross-sectional web-based survey from July to October 2014 to adult primary care physicians in practices affiliated with the Massachusetts General Hospital (MGH).Obesity is a complex chronic disease, and it is important for clinicians to be equipped with the knowledge of the multiple treatment modalities that may be considered to help their patients achieve a healthy weight.

View Article: PubMed Central - PubMed

Affiliation: Obesity, Metabolism and Nutrition Institute, Gastrointestinal Unit and MGH Weight Center, Massachusetts General Hospital, Boston, MA 02114, USA ; Harvard Medical School, Boston, MA 02115, USA ; Harvard Kennedy School of Government, Cambridge, MA 02138, USA.

ABSTRACT
Objective. US primary care physicians are inadequately educated on how to provide obesity treatment. We sought to assess physician training in obesity and to characterize the perceptions, beliefs, knowledge, and treatment patterns of primary care physicians. Methods. We administered a cross-sectional web-based survey from July to October 2014 to adult primary care physicians in practices affiliated with the Massachusetts General Hospital (MGH). We evaluated survey respondent demographics, personal health habits, obesity training, knowledge of bariatric surgery care, perceptions, attitudes, and beliefs regarding the etiology of obesity and treatment strategies. Results. Younger primary care physicians (age 20-39) were more likely to have received some obesity training than those aged 40-49 (OR: 0.08, 95% CI: 0.008-0.822) or those 50+ (OR: 0.03, 95% CI: 0.004-0.321). Physicians who were young, had obesity, or received obesity education in medical school or postgraduate training were more likely to answer bariatric surgery knowledge questions correctly. Conclusions. There is a need for educational programs to improve physician knowledge and competency in treating patients with obesity. Obesity is a complex chronic disease, and it is important for clinicians to be equipped with the knowledge of the multiple treatment modalities that may be considered to help their patients achieve a healthy weight.

No MeSH data available.


Related in: MedlinePlus