肥胖偏见教育教学模块：综合能力与创新技术相结合。
Teaching module for obesity bias education: incorporating comprehensive competencies and innovative techniques.
机构信息
Department of Family Medicine, University of Nebraska Medical Center, 983075 Nebraska Medical Center, Omaha, NE, 68198-3075, USA.
Mayo Clinic College of Medicine and Science, 200 First ST SW, 55905, Rochester, MN, USA.
出版信息
BMC Med Educ. 2023 May 16;23(1):340. doi: 10.1186/s12909-023-04310-4.
BACKGROUND
The majority of the United States population is overweight or obese, and obesity bias is frequently reported by patients. Obesity bias is associated with adverse health outcomes, even independent of body weight. Primary care residents are often sources of obesity bias towards patients with weight, yet education regarding obesity bias is significantly lacking in most family medicine residency teaching curricula. The aim of this study is to describe an innovative web-based module on obesity bias and discuss its impact in family medicine residents.
METHODS
The e-module was developed by an interprofessional team of health care students and faculty. It consisted of a 15-minute video containing five clinical vignettes that depicted instances of explicit and implicit obesity bias in a patient-centered medical home (PCMH) model. Family medicine residents viewed the e-module as part of a dedicated one-hour didactic on obesity bias. Surveys were administered prior to and following the viewing of the e-module. They assessed previous education on obesity care, comfort in working with patients with obesity, residents' understanding of their own biases in working with this population, and the anticipated impact of the module on future patient care.
RESULTS
A total of 83 residents from three family medicine residency programs viewed the e-module and 56 completed both the pre and post survey. There was a significant improvement in residents' comfort in working with patients with obesity as well as their understanding of their own biases.
CONCLUSION
This teaching e-module is a short, interactive, web-based educational intervention that is free and open-sourced. The first-person patient perspective allows learners to better understand the patient's point of view and its PCMH setting illustrates interactions with a variety of healthcare professionals. It was engaging and well received by family medicine residents. This module can begin the conversation around obesity bias, leading to improved patient care.
背景
大多数美国人超重或肥胖，患者经常报告肥胖偏见。肥胖偏见与不良健康结果有关，即使独立于体重。初级保健住院医师通常是对体重患者产生肥胖偏见的来源，但大多数家庭医学住院医师教学课程中严重缺乏肥胖偏见教育。本研究旨在描述一个关于肥胖偏见的创新网络模块，并讨论其对家庭医学住院医师的影响。
方法
电子模块由医疗保健学生和教师的跨专业团队开发。它由一个包含五个临床情景的 15 分钟视频组成，这些情景描绘了在以患者为中心的医疗之家 (PCMH) 模型中存在明确和隐含的肥胖偏见。家庭医学住院医师将电子模块作为专门的肥胖偏见一小时讲座的一部分观看。在观看电子模块之前和之后进行调查。它们评估了以前关于肥胖护理的教育、与肥胖患者合作的舒适度、居民对自己在与这一人群合作时的偏见的理解，以及该模块对未来患者护理的预期影响。
结果
来自三个家庭医学住院医师培训计划的 83 名住院医师观看了电子模块，其中 56 名完成了前测和后测。住院医师与肥胖患者合作的舒适度以及对自身偏见的理解都有显著提高。
结论
这个教学电子模块是一个简短、互动、基于网络的教育干预措施，是免费和开源的。第一人称患者视角使学习者能够更好地理解患者的观点，其 PCMH 设置说明了与各种医疗保健专业人员的互动。它很吸引人，受到家庭医学住院医师的欢迎。该模块可以开始围绕肥胖偏见展开对话，从而改善患者护理。
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