Melanie Jay|Sheira Schlair|Rob Caldwell|Adina Kalet|Scott Sherman|Colleen Gillespie
From the Patient’s Perspective: The Impact of Training on Resident Physician’s Obesity Counseling
VA NY Harbor Healthcare System|New York University|Albert Einstein College of Medicine|Montefiore Medical Center|VA NY Harbor Healthcare System|New York University|VA NY Harbor Healthcare System|New York University|VA NY Harbor Healthcare System|VA NY Harbor Healthcare System|New York University
uncertain whether training improves physicians obesity counselingto assess impact obesity counseling curriculum residentsa nonrandomized waitlistcontrol designtwentythree primary care internal medicine residents 12 assigned curriculum group 11 assigned nocurriculum group 7month period 18 months postintervention 163 residents obese patients interviewed medical visitsa 5hour multimodal obesity counseling curriculum based 5as assess advise agree assist arrange using didactics roleplaying standardized patientspatientreport physicians use 5as assessed using structured interview survey main outcomes whether obese patients counseled diet exercise weight loss rate counseling quality counseling provided percentage 5as skills performed visit univariate statistics ttests used compare rate quality counseling two resident groups logistic linear regression used isolate impact curriculum controlling patient physician visit characteristicsa large percentage patients seen groups residents received counseling weight diet andor exercise 70 quality counseling low curriculum curriculum groups mean 366 vs 312 19 possible 5as counseling strategies p 021 difference significant however controlling patient physician visit characteristics residents curriculum group appeared provide significantly higher quality counseling control group std beta 018 r2 change 29 p 005residents received obesity counseling curriculum likely counsel obese patients residents training however associated higher quality counseling patient physician visit characteristics taken account