Obesity Stereotypes Among Physicians, Medical and College Students, Bariatric Surgery Patients and Families

Cowan, George S M; Smalley, M. Dale; Defibaugh, Neal; Cowan, Katherine B; Hiler, Magdalena; Sehnert, William J.; James, Sue

doi:10.1381/096089291765561204

Cited by 18 publications

(9 citation statements)

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“…Physicians are less likely to show stereotype effects when they have sufficient time and cognitive resources to be aware of and suppress stereotypes [67,68]. This may also explain why we found no main effect of age and obesity on physicians' clinical decisions, factors also associated with negative stereotyping [69,70].…”

Section: Discussionmentioning

confidence: 89%

Patients' gender affected physicians' clinical decisions when presented with standardized patients but not for matching paper patients

Borkhoff¹,

Hawker²,

Kreder³

et al. 2009

Journal of Clinical Epidemiology

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Section: Discussionmentioning

confidence: 89%

Patients' gender affected physicians' clinical decisions when presented with standardized patients but not for matching paper patients

Borkhoff¹,

Hawker²,

Kreder³

et al. 2009

Journal of Clinical Epidemiology

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“…Improvements in the operations for morbid obesity, the occasionally difficult patients, and a lack of sympathy by society for massively obese individuals [55], have fostered this opinion. However, it should be noted that in all areas of General Surgery over the past 50 years, there have been changes, development and progress [56].…”

Section: Discussionmentioning

confidence: 99%

The Development of the Surgical Treatment of Morbid Obesity

Deitel

Shikora

2002

Journal of the American College of Nutrition

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Morbid obesity is defined as obesity with a body mass index >/=40, or >/=35 with secondary serious diseases. Conservative medical therapies in these individuals generally fail to sustain weight loss. Thus, surgical operations have evolved which are based on gastric restriction and/or malabsorption. Historically, the intestinal bypass operation was followed by the gastric bypass operation (in some instances combined with intestinal bypass) or by the gastric restriction operations (gastroplasty or gastric banding). Laparoscopic techniques are now being used for these operations, but require surgical expertise in both the bariatric operations and advanced laparoscopic skills. All operations may have complications, but these occur in a very small percent. Postoperative follow-up and nutritional surveillance are mandatory. The operations result in significant weight loss, and the current operations have a mean lasting weight loss of about 50 percent of excess body weight, with improvement or resolution of most obesity-associated conditions. There is evidence that even modest to moderate weight loss in these individuals has significant medical benefit.

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“…In general, health care professionals assume obese patients are more likely to be lazy, less likely to adhere to weight loss recommendations, and more likely to have psychosomatic symptoms. 7–9 Obese patients are also the subject of medical student derogatory humor. 9–12 …”

mentioning

confidence: 99%

Obesity Educational Interventions in U.S. Medical Schools: A Systematic Review and Identified Gaps

Vitolins¹,

Crandall²,

Miller³

et al. 2012

Teaching and Learning in Medicine

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Objective Obesity is the second leading cause of preventable death in the U.S. However, physicians feel poorly trained to address the obesity epidemic. This review examines effective training methods for overweight and obesity intervention in undergraduate medical education. Data Sources Using indexing terms related to overweight, obesity and medical student education, we conducted a literature searched PubMed PsychInfo, Cochrane and ERIC for relevant articles in English. References from articles identified were also reviewed to located additional articles. Review Methods We included all studies that incorporated processor outcome evaluations of obesity educational interventions for US medical students. Of an initial 168 citations, 40 abstracts were retrieved; 11 studies were found to be pertinent to medical student obesity education, but only 5 included intervention and evaluation elements. Quality criteria for inclusion consisted of explicit evaluation of the educational methods used. Data extraction identified participants (e.g., year of medical students), interventions, evaluations and results. Results These five studies successfully used a variety of teaching methods including hands on training, didactic lectures, role playing and standardized patient interaction to increase medical students’ knowledge, attitudes and skills regarding overweight and obesity intervention. Two studies addressed medical student bias towards overweight and obese patients. No studies addressed health disparities in the epidemiology and bias of obesity. Conclusions Despite the commonly cited “obesity epidemic,” there are very few published studies that report the effectiveness of medical school obesity educational programs. Gaps still exist within undergraduate medical education including specific training that addresses obesity and long-term studies showing that such training is retained.

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Obesity Stereotypes Among Physicians, Medical and College Students, Bariatric Surgery Patients and Families

Cited by 18 publications

References 0 publications

Patients' gender affected physicians' clinical decisions when presented with standardized patients but not for matching paper patients

Patients' gender affected physicians' clinical decisions when presented with standardized patients but not for matching paper patients

The Development of the Surgical Treatment of Morbid Obesity

Obesity Educational Interventions in U.S. Medical Schools: A Systematic Review and Identified Gaps

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