[1533.509] Are Graduating Residents Prepared To Engage in Obesity Prevention and Treatment?

Mary Pat Frintner, Janice L. Liebhart, Jeanne Lindros, Alison Baker, Sandra G. Hassink. American Academy of Pediatrics, Elk Grove Village, IL; Nemours Pediatric Obesity Initiative at Alfred l duPont Hospital for Children, Wilmington, DE.

BACKGROUND: The childhood obesity epidemic mandates that pediatricians have the ability to effectively prevent and treat obesity (OB). Residency education is beginning to include OB identification and management but little information is available to gauge residents' preparedness to manage children with OB in practice.
OBJECTIVE: Examine resident training, perceived ability and confidence to prevent and treat OB.
DESIGN/METHODS: National, random sample of graduating pediatric residents surveyed in 2013 using the AAP Annual Survey of Graduating Residents (n=1,000; response=63%).
RESULTS: Most residents received overweight (OW) and OB training in key areas: diagnosis (92%), prevention (81%), treatment (84%) and using motivational interviewing (MI)/shared decision-making strategies for behavior change (69%). Most (58%) wished they had more training on MI. Most were satisfied with the amount of training time devoted to OW/OB in residency (74% reported “just right,” 21% “too little,” 5% “too much”) but fewer were satisfied with training time in medical school (46% reported “just right,” 53% “too little,” 1% “too much”).
Most residents rated their ability to evaluate (78-87%) and discuss/counsel on OW/OB or related issues (74-80%) as very good/ excellent (see Table). However, only half (51%) reported feeling they had very good/excellent ability to use motivational interviewing (MI). Even fewer (35%) felt very comfortable using behavior change techniques in the treatment of OB (35%) and monitoring behavior change goals of children with obesity (40%). Few residents report high self-efficacy levels for counseling on OW/OB prevention (26%) and treatment (22%).

Resident Rated Ability

Very Good/Excellent Ability

%

Calculate BMI87
Evaluate children for OW/OB87
Begin OB discussion in clinical visit83
Counsel families on screen time80
Evaluate children for OB-related comorbidities78
Measure height and weight78
Take family history of OW/OB78
Counsel families on physical activity78
Counsel families on OW/OB76
Counsel families on nutrition/diet74
Use MI51



CONCLUSIONS: While most graduating residents report confidence in their general ability to assess and counsel on OB, most feel unprepared to effectively use behavior change techniques such as MI and lack self-efficacy in counseling for OW/OB prevention and treatment.

E-PAS2014:1533.509

Session: Poster Session: Medical Education (1:00 PM - 4:00 PM)
Date/Time: Saturday, May 3, 2014 - 1:00 PM
Room: Exhibit Hall C - Vancouver Convention Centre
Board: 509
Course Code: 1533

 

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