Evidence map›Paper›PMID 25214540›Full record

ArticlePostgraduate medical journal2014

Improving residents' clinical approach to obesity: impact of a multidisciplinary didactic curriculum.

Andres Acosta, Alice Azzalin, Claudia J Emmons, Jonathan J Shuster, Melanie Jay, Margaret C Lo

Registry-linked trialAbstract read
In one paragraph

Article in Postgraduate medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02626819 (Improving Weight Management at VA), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02626819 nacompletednot on this mapstarted 2015, after this paper: background citation

Improving Weight Management at VA: Enhancing the MOVE!23 for Primary Care (CDA 10-206)

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2015 to 2018Enrolled45ConditionsObesityArmsMOVE! Toward Your Goals, Enhanced Usual Care
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Efficacy of interventions aimed at reducing explicit and implicit weight bias in healthcare students: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Intervention Descriptions in Medical Education: What Can Be Improved? A Systematic Review and Checklist.Academic medicine : journal of the Association of American Medical Colleges · 2019
    Pooled it
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  11. Review
  12. Effect of didactic lectures on obesity documentation and counseling among internal medicine residents.Journal of community hospital internal medicine perspectives · 2016
    Article
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  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andres AcostaDivision of Internal Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Alice AzzalinDivision of Internal Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Claudia J EmmonsDivision of Internal Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Jonathan J ShusterDepartment of Health Outcomes and Policy, University of Florida College of Medicine, Gainesville, Florida, USA.
Melanie JayDepartments of Medicine and Population Health, New York Harbor Veteran Affairs Administration, New York University School of Medicine, New York, New York, USA.
Margaret C LoDivision of Internal Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
NCATS NIH HHS 1UL1TR000064NCATS NIH HHS UL1 TR000064
6 · The paper itself

Abstract

BACKGROUND/

objectivesObesity has been declared a 21st century pandemic by WHO. Yet surveys reveal physicians-in-training are uncomfortable managing obesity. One major barrier is the lack of residency education on obesity management. This study incorporates an obesity-specific didactic curriculum into an internal medicine (IM) residency programme and assesses its impact on residents' knowledge, attitudes, practice behaviours, and clinical outcomes in patients with obesity.

methodsThe intervention consisted of four, 1 h, obesity-specific lectures in the University of Florida Resident Noon Conference. Lectures were taught by multidisciplinary experts and offered to 75 IM residents every 2 weeks from 5 November 2010 to 17 December 2010. Impact on IM residents' knowledge and attitudes was assessed by a pre- and post-intervention Obesity Awareness Questionnaire (OAQ). IM residents' clinical performance was assessed by chart reviews of 238 patients with body mass index >25 kg/m(2) in residents' clinics 4 months pre- and 6 months post-intervention for three clinical outcomes and seven practice behaviours on obesity management. Pre- and post-intervention outcomes were compared via paired t tests (quantitative data) or McNemar's test (binary data).

resultsMean lecture attendance was 25/75 residents (33%) per lecture. Survey response was 67/75 residents (89%) pre-OAQ and 63/75 residents (84%) post-OAQ. While most attitudes remained unchanged, IM residents gained significant confidence in exercise counselling, safety of bariatric surgery, and patients' weight loss potential; they were more likely to address obesity in the plan and referrals to bariatric surgery. Clinical outcomes and IM residents' knowledge demonstrated no improvement.

conclusionsOur brief lecture-based curriculum has the potential to improve IM residents' attitudes and practice behaviours towards obesity. The lack of improvement in clinical outcomes and resident knowledge prompts the need for multimodal, longitudinal curricula with experiential application of obesity medicine.

Indexed as

Health Knowledge, Attitudes, PracticeChronic DiseaseCurriculumEducational MeasurementEducation, Medical, GraduateHumansInternship and ResidencyObesityMEDICAL EDUCATION & TRAININGPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID25214540
PMCPMC7157760

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.