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- Title
Do internists, pediatricians, and psychiatrists feel competent in obesity care?: using a needs assessment to drive curriculum design.
- Authors
Jay, Melanie; Gillespie, Colleen; Ark, Tavinder; Richter, Regina; McMacken, Michelle; Zabar, Sondra; Paik, Steven; Messito, Mary; Lee, Joshua; Kalet, Adina; Messito, Mary Jo
- Abstract
<bold>Background: </bold>Physicians must effectively evaluate and treat obesity. To design a needs-driven curriculum intended to improve patient outcomes, physicians were surveyed about their self-perceived knowledge and skills.<bold>Objective: </bold>The objective of this study was to determine the expressed needs of residents and faculty regarding obesity care training across three specialties.<bold>Design: </bold>The study used a survey given to faculty and residents in General Internal Medicine, Pediatrics, and Psychiatry.<bold>Methods: </bold>Survey questions were generated from comprehensive nutrition curriculum and clinical recommendations, administered online, and then organized around a validated behavioral health framework-the 5As (assess, advise, agree, assist, arrange). Analyses were conducted to evaluate differences in perceived knowledge and skills between specialties and across training levels.<bold>Results: </bold>From an overall response rate of 65% (65 residents and 250 faculty members), nearly 20% reported inadequate competency in every item with 48% of respondents reporting an inability to adequately counsel patients about common treatment options. Internists reported the lowest competency in arranging referrals and follow-up. Psychiatrists reported the lowest competency in assessment skills.<bold>Conclusions: </bold>This survey demonstrated a critical need for training in specific areas of obesity care. The proposed curriculum targets these areas taking into consideration observed differences across specialties.
- Subjects
MEDICAL care; OVERWEIGHT persons; INTERNISTS; PEDIATRICIANS; PSYCHIATRISTS; OBESITY treatment; PSYCHIATRY; RESEARCH; INTERNAL medicine; RESEARCH methodology; PEDIATRICS; ACQUISITION of data; CURRICULUM; MEDICAL cooperation; EVALUATION research; INTERNSHIP programs; COMPARATIVE studies; CLINICAL competence; EDUCATIONAL attainment
- Publication
JGIM: Journal of General Internal Medicine, 2008, Vol 23, Issue 7, p1066
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-008-0519-y