Gabison Jonathan, Palazzolo Beatrice, Saleh Christina, Ritchie Olivia, Sheehan Kayla, Othman Amal, Harper Diane M, Oshman Lauren
Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Clin Obes. 2024 Aug;14(4):e12654. doi: 10.1111/cob.12654. Epub 2024 Mar 25.
Obesity is the most common chronic condition in the United States (US), yet primary care physicians face barriers in providing obesity treatment. This study examines the prevalence of American Board of Obesity Medicine (ABOM) certified obesity specialists on the faculty of US Family Medicine residency training programmes, the preparedness of graduating resident physicians to treat obesity, and residency training programme director preferences for supporting faculty development to improve residency education in obesity management. This cross-sectional on-line survey of programme directors addressed the number of ABOM-certified faculty, perceived graduate preparedness to treat obesity, and priorities to improve faculty expertise and obesity curriculum. Of 672 eligible programme directors, 298 (44%) responded to our survey. Most programmes (76%) had no ABOM-certified faculty. The proportion of programme directors assessing their graduates as prepared to care for patients with obesity has significantly decreased in the last 5 years (2018: 74%, 2022: 58%, p = .016). Residents in programmes with ABOM-certified faculty member were more likely to be assessed as very prepared to provide medical care (18% vs. 7.8% p = .047). A majority (54%) of programme directors identified limited faculty training and expertise as the biggest faculty and resident-level barrier to quality obesity care. This study demonstrates an important trend towards increasing ABOM-certification among Family Medicine residency programme faculty and an urgent need to prioritise faculty development to improve faculty expertise and resident training to address the obesity epidemic.
肥胖是美国最常见的慢性病，但初级保健医生在提供肥胖治疗方面面临障碍。本研究调查了美国肥胖医学委员会（ABOM）认证的肥胖专家在美国家庭医学住院医师培训项目师资中的比例、即将毕业的住院医师治疗肥胖的准备情况，以及住院医师培训项目主任对支持师资发展以改善肥胖管理住院医师教育的偏好。这项针对项目主任的横断面在线调查涉及ABOM认证师资的数量、对毕业生治疗肥胖准备情况的认知，以及提高师资专业知识和肥胖课程的优先事项。在672名符合条件的项目主任中，298名（44%）回复了我们的调查。大多数项目（76%）没有ABOM认证的师资。在过去5年中，将其毕业生评估为有能力照顾肥胖患者的项目主任比例显著下降（2018年：74%，2022年：58%，p = 0.016）。有ABOM认证师资的项目中的住院医师更有可能被评估为非常有能力提供医疗护理（18%对7.8%，p = 0.047）。大多数（54%）项目主任认为师资培训和专业知识有限是肥胖优质护理在师资和住院医师层面的最大障碍。本研究表明，家庭医学住院医师培训项目师资中ABOM认证人数呈上升的重要趋势，并且迫切需要优先发展师资，以提高师资专业知识和住院医师培训，从而应对肥胖流行问题。
