Obesity education in the family medicine clerkship: a US and Canadian survey of clerkship directors’ beliefs, barriers, and curriculum content

Autor: Harland Holman, Sumi Dey, Ian Drobish, Leora Aquino, Alan T. Davis, Tracy J. Koehler, Rebecca Malouin
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: BMC Medical Education, Vol 19, Iss 1, Pp 1-6 (2019)
Druh dokumentu: article
ISSN: 1472-6920
DOI: 10.1186/s12909-019-1614-y
Popis: Abstract Background Despite concerns regarding the increasing obesity epidemic, little is known regarding obesity curricula in medical education. Medical school family medicine clerkships address common primary care topics during clinical training. However, studies have shown that many family physicians feel unprepared at addressing obesity. The purpose of this study was to evaluate factors related to obesity education provided during family medicine clerkships as well as identify future plans regarding obesity education. Methods Data were collected through the 2017 Educational Research Alliance (CERA) survey of Family Medicine Clerkship Directors (CDs) in the United States and Canada. Survey items included the level of importance of obesity education, teaching methods, barriers to teaching, and obesity related topics taught during the clerkship. Survey data were summarized and analyzed. Results The survey response rate was 71.2%. The most frequent barrier to teaching obesity related topics was time constraints (89%). The most commonly taught topics were co-morbid conditions (82.1%), diet (76.9%), and exercise (76.9%). The least commonly taught topics were addressed less than 30% of the time, and included cultural aspects, obesity bias, medications than can cause weight gain, medications to treat obesity, and bariatric surgery. Over half of CDs (59%) are not planning to change existing curriculum, with 39% planning to add to the current curriculum. The CDs’ perceptions of the importance of obesity education were significantly associated with the number of topics covered during clerkship (p
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