Do internists, pediatricians, and psychiatrists feel competent in obesity care? Using a needs assessment to drive curriculum design

Melanie Jay, Colleen Gillespie, Tavinder Ark, Regina Richter, Michelle McMacken, Sondra Zabar, Steven Paik, Mary Jo Messito, Joshua Lee, Adina Kalet

Research output: Contribution to journalArticle

Abstract

BACKGROUND: 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. OBJECTIVE: The objective of this study was to determine the expressed needs of residents and faculty regarding obesity care training across three specialties. DESIGN: The study used a survey given to faculty and residents in General Internal Medicine, Pediatrics, and Psychiatry. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

Original languageEnglish (US)
Pages (from-to)1066-1070
Number of pages5
JournalJournal of general internal medicine
Volume23
Issue number7
DOIs
StatePublished - Jul 2008

Keywords

  • Curriculum
  • Medical education (education, medical)
  • Obesity
  • Obesity care
  • Weight loss

ASJC Scopus subject areas

  • Internal Medicine

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    Jay, M., Gillespie, C., Ark, T., Richter, R., McMacken, M., Zabar, S., Paik, S., Messito, M. J., Lee, J., & Kalet, A. (2008). Do internists, pediatricians, and psychiatrists feel competent in obesity care? Using a needs assessment to drive curriculum design. Journal of general internal medicine, 23(7), 1066-1070. https://doi.org/10.1007/s11606-008-0519-y