肥胖症医学课程提高了内科住院医师在初级医疗环境中的肥胖症护理自我效能。

IF 2.2 Q3 ENDOCRINOLOGY & METABOLISM Clinical Obesity Pub Date : 2024-03-29 DOI:10.1111/cob.12656
Kacey Chae, Jashalynn German, Karla Kendrick, Sean Tackett, Paul O'Rourke, Kimberly A. Gudzune, Marci Laudenslager
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引用次数: 0

摘要

初级保健医生(PCPs)报告称,他们在肥胖症护理方面的知识和培训不足。内科住院医师培训为解决未来初级保健医生的这一教育缺口提供了机会。我们为内科住院医师设计了一个创新的、多元素的课程,内容涉及初级保健环境中的肥胖医学 (OM)。然后,我们在马里兰州的两个住院医师培训项目中开展了一项为期 6 个月的前瞻性双臂研究,评估该课程的可行性(使用情况、对 IM 培训的适宜性和满意度)以及在七个肥胖症护理领域中自我效能的变化,评估采用 4 点量表(1-完全没有信心到 4-非常有信心)。一个住院医师培训项目接受了该课程,另一个作为对照组。我们招募了 35 名综合管理住院医师参加(17 名干预组,18 名对照组)。在干预组住院医师中,42%的人使用了所有课程内容;他们对课程的适宜性和满意度都很高。与对照组相比,干预组住院医师在以下五个肥胖症护理自我效能方面有统计学意义的显著提高:营养(干预组 0.8 vs. 对照组 0.2,p = .02)、行为改变(干预组 1.2 vs. 对照组 0.4,p = .02)、肥胖症护理自我效能(干预组 1.2 vs. 对照组 0.4,p = .02)、肥胖症护理自我效能(干预组 1.2 vs. 对照组 0.4,p = .02)。
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An obesity medicine curriculum increases the obesity care self-efficacy of internal medicine residents in the primary care setting

Primary care physicians (PCPs) report insufficient knowledge and training gaps in obesity care. Internal Medicine (IM) residency offers an opportunity to address this educational gap for future PCPs. We designed an innovative, multicomponent curriculum on obesity medicine (OM) in the primary care setting for IM residents. We then conducted a prospective, 6-month, two-arm study within two residency programs in Maryland evaluating feasibility (use, appropriateness for IM training, and satisfaction) of the curriculum as well as changes in self-efficacy within seven obesity care domains, assessed on 4-point scales (1—not at all confident to 4—very confident). One residency program received the curriculum and the other served as the control group. We recruited 35 IM residents to participate (17 intervention, 18 control). Among intervention residents, 42% used all curricular components; appropriateness and satisfaction with the curriculum were high. Compared with controls, intervention residents had statistically significant increases in five obesity care self-efficacy domains: nutrition (intervention 0.8 vs. control 0.2, p = .02), behaviour change (1.2 vs. 0.4, p < .01), weight-gain-promoting medications (0.8 vs. 0.1, p = .01), anti-obesity medications (1.2 vs. 0.5, p = .03), and bariatric surgical counselling (0.9 vs. 0.4, p = .03). There were no significant changes in physical activity or post-bariatric surgical care domains. Our OM curriculum is feasible with IM residents and increases residents' obesity care self-efficacy beyond what is achieved with usual IM training.

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来源期刊
Clinical Obesity
Clinical Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
5.90
自引率
3.00%
发文量
59
期刊介绍: Clinical Obesity is an international peer-reviewed journal publishing high quality translational and clinical research papers and reviews focussing on obesity and its co-morbidities. Key areas of interest are: • Patient assessment, classification, diagnosis and prognosis • Drug treatments, clinical trials and supporting research • Bariatric surgery and follow-up issues • Surgical approaches to remove body fat • Pharmacological, dietary and behavioural approaches for weight loss • Clinical physiology • Clinically relevant epidemiology • Psychological aspects of obesity • Co-morbidities • Nursing and care of patients with obesity.
期刊最新文献
Healthcare utilization associated with obesity management in Ontario, Canada. Effect of the National Enhanced Service for weight management on the content of annual review consultations for patients living with obesity and hypertension and/or diabetes. Issue Information A cluster randomised controlled trial investigating the efficacy of family-centred obesity management program in primary care settings: A study protocol. Effect of interdisciplinary obesity care on metabolic markers and body weight in people with type 2 diabetes in a rural setting: A randomised controlled trial.
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