Family Physicians' Perspectives on Their Weight Loss Nutrition Counseling in a High Obesity Prevalence Area

Nair, Dilip; Hart, Andrea Y.

doi:10.3122/jabfm.2018.04.170467

Cited by 14 publications

(15 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…36 Despite these calls to action, the presence of nutrition in medial curriculum has remained largely static across the country and trainees continue to report unsatisfactory nutrition training. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Doctors, therefore, consistently feel inadequately prepared Percentage of students and residents who agreed or strongly agreed with questions addressing patient's barriers to incorporating a whole-foods, plant-based (WFPB) diet into their lifestyle. Error bars reflect 95% confidence intervals.…”

Section: Discussion Of Findingsmentioning

confidence: 99%

“…T he lack of adequate nutrition education in US medical schools and residency programs has been an area of concern for decades. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] In a survey 1 by the Nutrition in Medicine program at the University of North Carolina at Chapel Hill in 2010, 103 of the 109 US medical schools surveyed required some sort of nutrition education, but this averaged 19.6 hours over the course of the first 2 years of the curriculum. In the same survey, 79% of schools indicated that their students needed more nutrition education than they were currently getting.…”

mentioning

confidence: 99%

See 1 more Smart Citation

A Place for Plant-Based Nutrition in US Medical School Curriculum: A Survey-Based Study

Morton

Pantalos

Ziegler

et al. 2021

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

Purpose. To evaluate medical students’ and family medicine residents’ perceptions of their current degree of nutrition training in general and regarding a whole-foods, plant-based (WFPB) diet. Methods. An original survey instrument was administered to medical students and family medicine residents. Quantitative and qualitative data were collected to evaluate perceptions of nutrition education in medical training, a WFPB diet, and ideas for nutrition-focused curricular reform. Results. Of the 668 trainees surveyed, 200 responded (response rate = 30%). Of these, 22% agreed that they received sufficient nutrition education in medical school and 41% agreed that a WFPB diet should be a focus. Respondents with personal experiences with a plant-based diet were more willing to recommend it to future patients. Common ideas for curricular reform were instruction on a WFPB diet along with other healthy dietary patterns, patient counseling, a dedicated nutrition course, and electives. Conclusions. Nutrition education in US medical training needs improvement to address the growing burden of obesity-related chronic disease. Proper nutrition and lifestyle modification should therefore play a larger role in the education of future physicians. A focus on plant-predominant diets, such as the WFPB diet, may be an acceptable and effective addition to current medical school curriculum, and deserves further study.

show abstract

Section: Discussion Of Findingsmentioning

confidence: 99%

mentioning

confidence: 99%

A Place for Plant-Based Nutrition in US Medical School Curriculum: A Survey-Based Study

Morton

Pantalos

Ziegler

et al. 2021

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

show abstract

“…6,7 However, the number of PCPs use of these codes is extremely low (0.1% of eligible beneficiaries in 2012 and 0.2% in 2015). 8,9 Several systematic or narrative reviews, [10][11][12][13] surveys, 14 and qualitative interviews [15][16][17][18] described clinicians' knowledge, beliefs, attitudes, and practices on weight management in primary care and barriers to implementation. However, there has not been a systematic description of the practice-level characteristics and comparison between practices that billed for IBT and those that did not, a gap filled by this paper.…”

Section: Introductionmentioning

confidence: 99%

A Survey of Primary Care Practices on Their Use of the Intensive Behavioral Therapy for Obese Medicare Patients

et al. 2021

View full text Add to dashboard Cite

OBJECTIVE:To fill the gap in knowledge on systematic differences between primary care practices (PCP) that do or do not provide intensive behavioral therapy (IBT) for obese Medicare patients. METHODS: A mixed modality survey (paper and online) of primary care practices obtained from a random sample of Medicare databases and a convenience sample of practice-based research network practices. KEY RESULTS: A total of 287 practices responded to the survey, including 140 (7.4% response rate) from the random sample and 147 (response rate not estimable) from the convenience sample. We found differences between the IBT-using and non-using practices in practice ownership, patient populations, and participation in Accountable Care Organizations. The non-IBT-using practices, though not billing for IBT, did offer some other assistance with obesity for their patients. Among those who had billed for IBT, but stopped billing, the most commonly cited reason was billing difficulties. Many providers experienced denied claims due to billing complexities. CONCLUSIONS: Although the Centers for Medicare and Medicaid Services established payment codes for PCPs to deliver IBT for obesity in 2011, very few providers submitted fee-for-service claims for these services after almost 10 years. A survey completed by both a random and convenience sample of practices using and not using IBT for obesity payment codes revealed that billing for these services was problematic, and many providers that began using the codes discontinued using them over the past 7 years.

show abstract

“…Promotion of lifestyle behavior change via our health systems is a feasible approach to population health management as a majority of people in the U.S. (85% and 96% of adults and children, respectively) report having a usual place to receive healthcare [4]. However, physicians are inadequately prepared to offer lifestyle counseling on healthy eating, physical activity, and obesity prevention [5,6,7], which may be partly due to a lack of training during their medical education [8]. Multiple studies report a deficiency of training in physical activity [9] and nutrition [10] during the initial medical school experience.…”

Section: Introductionmentioning

confidence: 99%

Assessing the current and desired levels of training and applied experiences in chronic disease prevention of students during medical school

et al. 2023

View full text Add to dashboard Cite

Introduction Chronic diseases account for approximately 70% of deaths in the U.S. annually. Though physicians are uniquely positioned to provide behavior change counseling for chronic disease prevention, they often lack the necessary training and self-efficacy. This study examined medical student interest in receiving chronic disease prevention training as a formal part of their education as part of an effort to enhance their ability to provide guidance to patients in the future. Methods A 23-question, online survey was sent to all undergraduate medical students enrolled in a large medical education program. The survey assessed medical student interest in receiving training related to chronic disease prevention. Survey topics included student awareness of primary prevention programs, perceived importance of receiving training and applied experience in chronic disease prevention, and preferences for how and when to receive this training. Results Of 793 eligible medical students, 432 completed the survey (54.5%). Overall, 92.4% of students reported receiving formal training in physical activity, public health, nutrition, obesity, smoking cessation, and chronic diseases was of “very high” or “high” importance. Despite this level of importance, students most frequently reported receiving no or 1–5 h of formal training in a number of topics, including physical activity (35.4% and 47.0%, respectively) and nutrition (16.9% and 56.3%, respectively). The level of importance given to public health training was significantly greater across degree type (p = 0.0001) and future specialty (p = 0.03) for MD/MPH students and those interested in primary care, respectively. Conclusions While medical students perceive chronic disease prevention as an important topic, most reported receiving little to no formal training. To address the growing prevalence of chronic disease across our society, programs schools should place greater emphasis on integrating training in physical activity, nutrition, and obesity-related content into the medical education curriculum.

show abstract

Family Physicians' Perspectives on Their Weight Loss Nutrition Counseling in a High Obesity Prevalence Area

Cited by 14 publications

References 16 publications

A Place for Plant-Based Nutrition in US Medical School Curriculum: A Survey-Based Study

A Place for Plant-Based Nutrition in US Medical School Curriculum: A Survey-Based Study

A Survey of Primary Care Practices on Their Use of the Intensive Behavioral Therapy for Obese Medicare Patients

Assessing the current and desired levels of training and applied experiences in chronic disease prevention of students during medical school

Contact Info

Product

Resources

About