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Assessing and counseling the obese patient: Improving resident obesity counseling competence.
Iyer, Shwetha; Jay, Melanie; Southern, William; Schlair, Sheira.
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  • Iyer S; Department of Internal Medicine and Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, United States. Electronic address: siyer@montefiore.org.
  • Jay M; Department of Internal Medicine and Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, United States.
  • Southern W; Department of Internal Medicine and Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, United States.
  • Schlair S; Department of Internal Medicine and Family and Social Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, United States.
Obes Res Clin Pract ; 12(2): 242-245, 2018.
Article en En | MEDLINE | ID: mdl-29555317
OBJECTIVE: To evaluate obesity counseling competence among residents in a primary care training program METHODS: We delivered a 3h obesity curriculum to 28 Primary Care residents and administered a pre-curriculum and post curriculum survey looking specifically at self-assessed obesity counseling competence. RESULTS: Nineteen residents completed both the pre curriculum survey and the post curriculum survey. The curriculum had a positive impact on residents' ability to ascertain patient's stage of change, use different methods to obtain diet history (including 24h recall, food record or food frequency questionnaire), respond to patient's questions regarding treatment options, assist patients in setting realistic goals for weight loss based on making permanent lifestyle changes, and use of motivational interviewing to change behavior. When looking at the 5As domains, there was a significant improvement in the domains of Assess, Advise, and Assist. The proportion of residents with a lower level of self-assessed obesity counseling competence reduced from 75% before the curriculum to 37.5% (p=0.04) after the curriculum. CONCLUSION: Our curriculum addressing weight loss counseling using the 5As model increased obesity counseling competence among residents in a primary care internal medicine residency program.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Consejo Dirigido / Programas de Reducción de Peso / Internado y Residencia / Obesidad Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Obes Res Clin Pract Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Consejo Dirigido / Programas de Reducción de Peso / Internado y Residencia / Obesidad Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Obes Res Clin Pract Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos