Butsch W Scott, Robison Kathryn, Sharma Ranita, Knecht Julianne, Smolarz B Gabriel
Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.
Penn Medicine Princeton Medical Center, Plainsboro, NJ, USA.
J Med Educ Curric Dev. 2020 Nov 25;7:2382120520973206. doi: 10.1177/2382120520973206. eCollection 2020 Jan-Dec.
In an obesity epidemic, physicians are unprepared to treat patients with obesity. The objective of this study was to understand how obesity is currently addressed in United States (U.S.) Internal Medicine (IM) residency programs and benchmark the degree to which curricula incorporate topics pertaining to the recently developed Obesity Medicine Education Collaborative (OMEC) competencies.
Invitations to complete an online survey were sent via postal mail to U.S IM residency programs in 2018. Descriptive analyzes were performed.
Directors/associate directors from 81 IM residencies completed the online survey out of 501 programs (16.2%). Although obesity was an intentional educational objective for most programs (66.7%), only 2.5% of respondents believed their residents are "very prepared" to manage obesity. Formal rotation opportunities in obesity are limited, and at best, only one-third (34.6%) of programs reported any one of the core obesity competencies are covered to "a great extent." Many programs reported psychosocial components of obesity (40.7%), weight stigma (44.4%), etiological aspects of obesity (64.2%) and pharmacological treatment of obesity (43.2%) were covered to "very little extent" or "not at all." Lack of room in the curriculum and lack of faculty expertise are the greatest barriers to integrating obesity education; only 39.5% of residency programs have discussed incorporating or expanding formal obesity education.
Our study found the current obesity curricula within U.S. IM residency programs do not adequately cover important aspects that address the growing obesity epidemic, suggesting that obesity education is not enough of a priority for IM residency programs to formalize and implement within their curricula.
在肥胖症流行的情况下，医生们并未做好治疗肥胖症患者的准备。本研究的目的是了解美国内科住院医师培训项目目前如何处理肥胖问题，并对课程纳入与最近制定的肥胖医学教育协作组织（OMEC）能力相关主题的程度进行基准评估。
2018年通过邮政邮件向美国内科住院医师培训项目发送了完成在线调查的邀请。进行了描述性分析。
在501个项目中，有81个内科住院医师培训项目的主任/副主任完成了在线调查（16.2%）。尽管肥胖是大多数项目（66.7%）有意设定的教育目标，但只有2.5%的受访者认为他们的住院医师“非常有准备”管理肥胖症。肥胖症方面的正式轮转机会有限，而且最多只有三分之一（34.6%）的项目报告称任何一项核心肥胖症能力得到了“很大程度”的涵盖。许多项目报告称，肥胖症的社会心理因素（40.7%）、体重歧视（44.4%）、肥胖症的病因（64.2%）和肥胖症的药物治疗（43.2%）在课程中涉及的程度为“非常有限”或“根本没有涉及”。课程安排空间不足和师资专业知识匮乏是整合肥胖症教育的最大障碍；只有39.5%的住院医师培训项目讨论过纳入或扩大正式的肥胖症教育。
我们的研究发现，美国内科住院医师培训项目目前的肥胖症课程未能充分涵盖应对日益严重的肥胖症流行问题的重要方面，这表明肥胖症教育在住院医师培训项目中未被充分重视，不足以在其课程中正式化并实施。
