Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA.
Med Educ Online. 2008 May 2;13:5. doi: 10.3885/meo.2008.Res00257.
Obesity is a common problem in primary care, but little is known about Internal Medicine residents' attitudes towards obesity treatment.
To describe resident attitudes about obesity treatment.
Cross-sectional survey of 101 Internal Medicine residents in Philadelphia, PA, and Bronx, NY. Responses to 18 items on a Likert scale assessed resident attitudes. Weight loss goals were assessed with open-ended questions to a clinical scenario. ANOVA with trend analysis compared questionnaire responses to resident postgraduate year (PGY) level. Associations between clinic site, PGY level, and dichotomized Likert responses were tested with chi-square analysis.
19% of residents felt competent in prescribing weight loss programs. Few residents (18%) considered the current recommendations of a 5-10% reduction in body weight to be successful in an obese hypothetical patient. Third-year residents reported greater feelings of negativity towards obese patients than first- and second year residents (p<.05)
Resident physicians do not feel competent in treating obesity and have unrealistic weight loss goals; third-year residents had more negative attitudes about obese patients compared to residents in their 1(st) or 2(nd) year of training. These areas are targets for further resident education about obesity management.
肥胖是初级保健中的常见问题，但人们对内科学住院医师对肥胖治疗的态度知之甚少。
描述住院医师对肥胖治疗的态度。
对宾夕法尼亚州费城和纽约布朗克斯的 101 名内科住院医师进行横断面调查。对李克特量表上的 18 个项目的回答评估了住院医师的态度。通过对临床情景的开放式问题评估减肥目标。使用方差分析和趋势分析比较问卷调查结果与住院医师毕业后年（PGY）水平。采用卡方检验检验诊所地点、PGY 水平和二分李克特反应之间的关联。
19%的住院医师认为开减肥方案有能力。很少有住院医师（18%）认为目前建议肥胖患者体重减轻 5-10%是成功的。与第一和第二年的住院医师相比，第三年的住院医师对肥胖患者的负面情绪更大（p<.05）。
住院医师认为自己没有能力治疗肥胖症，而且对减肥的目标不切实际；与培训的第 1 年或第 2 年的住院医师相比，第 3 年的住院医师对肥胖患者的态度更为消极。这些领域是进一步针对肥胖管理进行住院医师教育的目标。
