Journal article
Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial
Journal of general internal medicine : JGIM, Vol.36(10), pp.3000-3007
10/2021
DOI: 10.1007/s11606-020-06571-x
PMCID: PMC8034040
PMID: 33835315
Abstract
Given the rising rates of obesity there is a pressing need for medical schools to better prepare students for intervening with patients who have overweight or obesity and for prevention efforts.
To assess the effect of a multi-modal weight management curriculum on counseling skills for health behavior change.
A pair-matched, group-randomized controlled trial (2015-2020) included students enrolled in eight U.S. medical schools randomized to receive either multi-modal weight management education (MME) or traditional weight management education (TE).
Students from the class of 2020 (N=1305) were asked to participate in an objective structured clinical examination (OSCE) focused on weight management counseling and complete pre and post surveys. A total of 70.1% of eligible students (N=915) completed the OSCE and 69.3% (N=904) completed both surveys.
The MME implemented over three years included a web-based course, a role-play classroom exercise, a web-patient encounter with feedback, and an enhanced clerkship experience with preceptors trained in weight management counseling (WMC). Counseling focused on the 5As (Ask, Advise, Assess, Assist, Arrange) and patient-centeredness.
The outcome was student 5As WMC skills assessed using an objective measure, an OSCE, scored using a behavior checklist, and a subjective measure, student self-reported skills for performing the 5As.
Among MME students who completed two of three WMC components compared to those who completed none, exposure was significantly associated with higher OSCE scores and self-reported 5A skills.
Variability in medical schools requiring participation in the WMC curriculum.
This trial revealed that medical students struggle with delivering weight management counseling to their patients who have overweight or obesity. Medical schools, though restrained in adding curricula, should incorporate should incorporate multiple WMC curricula components early in medical student education to provide knowledge and build confidence for supporting patients in developing individualized plans for weight management.
R01-194787.
Details
- Title: Subtitle
- Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial
- Creators
- Judith K Ockene - University of Massachusetts Chan Medical SchoolLori Pbert - University of Massachusetts Chan Medical SchoolSybil Crawford - University of Massachusetts Chan Medical SchoolChristine F Frisard - University of Massachusetts Chan Medical SchoolJyothi A Pendharkar - University of Massachusetts Chan Medical SchoolRajani S Sadasivam - University of Massachusetts Chan Medical SchoolJamie Faro - University of Massachusetts Chan Medical SchoolCathy Okuliar - Georgetown UniversityCassie Eno - Creighton UniversityKatherine Margo - University of PennsylvaniaMonica Ann Shaw - University of LouisvilleTaraneh Soleymani - University of Alabama at BirminghamDiane D Stadler - Oregon Health & Science UniversitySarita Warrier - Brown UniversityKatie White - University of IowaAlan C Geller - Harvard University
- Resource Type
- Journal article
- Publication Details
- Journal of general internal medicine : JGIM, Vol.36(10), pp.3000-3007
- DOI
- 10.1007/s11606-020-06571-x
- PMID
- 33835315
- PMCID
- PMC8034040
- NLM abbreviation
- J Gen Intern Med
- ISSN
- 0884-8734
- eISSN
- 1525-1497
- Grant note
- K12 HL138049 / NHLBI NIH HHS R01 CA194787 / NCI NIH HHS
- Language
- English
- Date published
- 10/2021
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359959602771
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