Neuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Liver Research Center, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Obesity (Silver Spring). 2021 Jan;29(1):159-170. doi: 10.1002/oby.22990. Epub 2020 Nov 12.
Significant variability exists in the amount of formal obesity training obtained by physicians caring for pediatric patients. The study objective was to assess the relationship between formal obesity training and pediatrics physicians' perceptions, practice patterns, overall knowledge, and confidence during management of pediatric obesity.
An anonymous survey was distributed via email from February 2020 through March 2020 at a large academic system. Internal medicine/pediatrics (46 total) and pediatrics (104 total) primary care providers were selected. Data were collected on the total number of obesity-related training hours by quartiles, demographics, physicians' clinical practice patterns, and physicians' knowledge of pediatric obesity management, along with their perceptions, attitudes, and beliefs.
A total of 73 survey participants completed the survey: 69% were female, 77% were older than 40 years, and 74% were White. Physicians with the highest training were most likely to feel confident when managing pediatric obesity. However, only 20% of all physicians felt confident providing pre- and post-bariatric surgery care, and just 6% of physicians self-reported achieving management success.
Increased obesity training improves physicians' confidence and leads to familiarity with management guidelines. Formal obesity training should be prioritized during residency and beyond so that physicians who care for pediatric patients are better equipped to offer unbiased and effective care.
从事儿科患者医疗工作的医生所接受的正规肥胖培训量存在显著差异。本研究旨在评估正规肥胖培训与儿科医生在管理儿科肥胖症时的看法、实践模式、整体知识和信心之间的关系。
2020 年 2 月至 2020 年 3 月期间,在一个大型学术系统中通过电子邮件匿名分发了一份调查问卷。选择了内科/儿科(共 46 名)和儿科(共 104 名)的初级保健提供者。收集的数据包括按四分位数划分的肥胖相关培训总时数、人口统计学资料、医生的临床实践模式以及医生对儿科肥胖症管理的知识,以及他们的看法、态度和信念。
共有 73 名调查参与者完成了调查:69%为女性,77%年龄大于 40 岁,74%为白人。接受过最高培训的医生在管理儿科肥胖症时最有信心。然而,只有 20%的医生有信心提供肥胖症手术前后的护理,只有 6%的医生报告自己取得了管理上的成功。
增加肥胖培训可以提高医生的信心,并使其熟悉管理指南。在住院医师培训及以后应优先考虑正规肥胖培训,以便照顾儿科患者的医生能够更好地提供公正有效的护理。