[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
|Evaluate children for OW/OB||87|
|Begin OB discussion in clinical visit||83|
|Counsel families on screen time||80|
|Evaluate children for OB-related comorbidities||78|
|Measure height and weight||78|
|Take family history of OW/OB||78|
|Counsel families on physical activity||78|
|Counsel families on OW/OB||76|
|Counsel families on nutrition/diet||74|