Division of Endocrinology, Children's Hospital Boston, Boston, MA, USA.
BMC Med Educ. 2010 Feb 17;10:18. doi: 10.1186/1472-6920-10-18.
Information about the availability and effectiveness of childhood obesity training during residency is limited.
We surveyed residency program directors from pediatric, internal medicine-pediatrics (IM-Peds), and family medicine residency programs between September 2007 and January 2008 about childhood obesity training offered in their programs.
The response rate was 42.2% (299/709) and ranged by specialty from 40.1% to 45.4%. Overall, 52.5% of respondents felt that childhood obesity training in residency was extremely important, and the majority of programs offered training in aspects of childhood obesity management including prevention (N = 240, 80.3%), diagnosis (N = 282, 94.3%), diagnosis of complications (N = 249, 83.3%), and treatment (N = 242, 80.9%). However, only 18.1% (N = 54) of programs had a formal childhood obesity curriculum with variability across specialties. Specifically, 35.5% of IM-Peds programs had a formal curriculum compared to only 22.6% of pediatric and 13.9% of family medicine programs (p < 0.01). Didactic instruction was the most commonly used training method but was rated as only somewhat effective by 67.9% of respondents using this method. The most frequently cited significant barrier to implementing childhood obesity training was competing curricular demands (58.5%).
While most residents receive training in aspects of childhood obesity management, deficits may exist in training quality with a minority of programs offering a formal childhood obesity curriculum. Given the high prevalence of childhood obesity, a greater emphasis should be placed on development and use of effective training strategies suitable for all specialties training physicians to care for children.
有关住院医师培训中儿童肥胖症培训的可及性和有效性的信息有限。
我们于 2007 年 9 月至 2008 年 1 月期间对儿科、儿内科-儿科（IM-Peds）和家庭医学住院医师培训计划的住院医师培训计划主任进行了调查，询问他们所在计划中提供的儿童肥胖症培训情况。
回复率为 42.2%（299/709），按专业范围从 40.1%到 45.4%不等。总体而言，有 52.5%的受访者认为住院医师培训中的儿童肥胖症培训非常重要，并且大多数计划提供了儿童肥胖症管理方面的培训，包括预防（N=240，80.3%）、诊断（N=282，94.3%）、并发症诊断（N=249，83.3%）和治疗（N=242，80.9%）。但是，只有 18.1%（N=54）的计划有正式的儿童肥胖症课程，不同专业之间存在差异。具体来说，35.5%的 IM-Peds 计划有正式课程，而儿科计划只有 22.6%，家庭医学计划只有 13.9%（p<0.01）。讲座是最常用的培训方法，但有 67.9%的受访者使用这种方法认为其效果仅为中等。实施儿童肥胖症培训的最大障碍是课程竞争需求（58.5%）。
尽管大多数住院医师接受了儿童肥胖症管理方面的培训，但培训质量可能存在缺陷，只有少数计划提供正式的儿童肥胖症课程。鉴于儿童肥胖症的高患病率，应更加重视开发和使用适合所有专业培训医生的有效培训策略，以照顾儿童。
