Doshi R S, Gudzune K A, Dyrbye L N, Dovidio J F, Burke S E, White R O, Perry S, Yeazel M, van Ryn M, Phelan S M
Duke University Medical Center, Department of Internal Medicine-Pediatrics, Duke University Hospital, Durham, North Carolina, USA.
Department of General Internal Medicine, Johns Hopkins University School of Medicine and the Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA.
Clin Obes. 2019 Feb;9(1):e12288. doi: 10.1111/cob.12288. Epub 2018 Oct 24.
This study aimed to identify factors associated with high obesity care self-competence among US medical students. The authors performed a cross-sectional analysis of 2014 survey data on fourth year medical students collected online as part of the Medical Student Cognitive Habits and Growth Evaluation Study (CHANGES). Independent variables included quality and quantity of interaction with patients and peers with obesity; hours of communication and partnership skills training; negative remarks against patients with obesity by supervising physicians, and witnessed discrimination against patients with obesity. The dependent variable was self-competence in providing obesity care. Of 5823 students invited to participate, 3689 (63%) responded and were included in our analyses. Most students were white (65%), half were women and 42% had high self-competence in caring for patients with obesity. Factors associated with high self-competence included increased interaction with peers with obesity (39% vs. 49%, P < 0.001) and increased partnership skills training (32% vs. 61%, P < 0.001). Increased partnership skills training and quantity of interactions with peers with obesity were associated with high student self-competence in providing obesity-related care to patients. Medical schools might consider increasing partnership skills training to improve students' preparedness and skill in performing obesity-related care.
本研究旨在确定与美国医学生高肥胖护理自我能力相关的因素。作者对作为医学生认知习惯与成长评估研究（CHANGES）一部分在线收集的2014年四年级医学生调查数据进行了横断面分析。自变量包括与肥胖患者及同伴互动的质量和数量；沟通与合作技能培训时长；指导医师对肥胖患者的负面评价，以及目睹对肥胖患者的歧视。因变量是提供肥胖护理的自我能力。在受邀参与的5823名学生中，3689名（63%）做出回应并纳入我们的分析。大多数学生为白人（65%），一半为女性，42%在照顾肥胖患者方面具有高自我能力。与高自我能力相关的因素包括与肥胖同伴互动增加（39%对49%，P<0.001）以及合作技能培训增加（32%对61%，P<0.001）。合作技能培训增加以及与肥胖同伴互动数量增加与学生在为患者提供肥胖相关护理方面的高自我能力相关。医学院校可能会考虑增加合作技能培训，以提高学生在进行肥胖相关护理方面的准备程度和技能。
