Evidence map›Paper›PMID 41645349›Full record

ArticleBMC psychology2026

Understanding medical trainees' anti-fat dislike: roles of observed weight stigma, body image disturbance, and controllability beliefs.

Samantha R Philip, Sherecce A Fields, Bo Zhang, Erin C Standen, Michelle van Ryn, Sean M Phelan

Abstract read
In one paragraph

Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Samantha R PhilipDepartment of Psychological and Brain Sciences, Texas A&M University, 4235 TAMU, College Station, TX, 77840, USA. srphilip@tamu.edu.
Sherecce A FieldsDepartment of Psychological and Brain Sciences, Texas A&M University, 4235 TAMU, College Station, TX, 77840, USA.
Bo ZhangDepartment of Psychology, University of Illinois Urbana-Champaign, 603 E Daniel St, Champaign, IL, 61820, USA.
Erin C StandenHealth Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Michelle van RynDiversity Science Inc, 10121 SE Sunnyside Road, Suite 300, Clackamas, OR, 97015, USA.
Sean M PhelanHealth Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Funding

The Impact of Residency Factors on Racial, Size & LGBT Bias in Physician TraineesR01HL085631 · NHLBI · UNIVERSITY OF MINNESOTA · PI VAN RYN, MICHELLE · 2009 to 2018
$6.9M
NHLBI NIH HHS R01HL085631
6 · The paper itself

Abstract

backgroundStudies have demonstrated that medical students' anti-fat prejudice increases over the course of training, although the mechanisms through which these prejudicial attitudes are heightened are not well understood. The present study aims to empirically examine a theoretical model that posits that the observation of weight stigma in the medical training context drives anti-fat dislike via its effects on trainees' body image and subsequent activation of weight-based stereotypes (i.e., controllability beliefs).

methodsData were collected from the Medical Student Cognitive Habits and Change Evaluation Study (CHANGES), a national longitudinal study conducted between 2010 and 2017. Medical students from 49 allopathic U.S. medical schools were surveyed at year 4 of medical school (MS4; N = 3,976), year 2 of residency (PGY2; N = 3,579), and year 3 of residency (PGY3; N = 3,057). A serial parallel mediation analysis using structural equation modeling was used to evaluate our model.

resultsOur model was largely supported; observations of weight stigma during medical school were directly and indirectly associated with greater anti-fat dislike at PGY3 via fear of weight gain and controllability beliefs about weight.

conclusionsAnti-fat prejudice reduction interventions in the medical training environment should (1) emphasize the importance of, and increase adherence to, positive attitudinal role modeling among faculty and residents, (2) promote body self-acceptance among trainees, and (3) provide education around the complex interplay of genetic and environmental contributors to combat blame-based stereotypes surrounding weight.

methodsData were collected from the Medical Student Cognitive Habits and Change Evaluation Study (CHANGES), a national longitudinal study conducted between 2010 and 2017. Medical students from 49 allopathic U.S. medical schools were surveyed at year 4 of medical school (MS4; N = 3,976), year 2 of residency (PGY2; N = 3,579), and year 3 of residency (PGY3; N = 3,057). A serial parallel mediation analysis using structural equation modeling was used to evaluate our model.

resultsOur model was largely supported; observations of weight stigma during medical school were directly and indirectly associated with greater anti-fat dislike at PGY3 via fear of weight gain and controllability beliefs about weight.

conclusionsAnti-fat prejudice reduction interventions in the medical training environment should 1) emphasize the importance of, and increase adherence to, positive attitudinal role modeling among faculty and residents, 2) promote body self-acceptance among trainees, and 3) provide education around the complex interplay of genetic and environmental contributors to combat blame-based stereotypes surrounding weight.

Indexed as

Attitude of Health PersonnelBody ImageSocial StigmaStudents, MedicalWeight PrejudiceAdultFemaleHumansLongitudinal StudiesMaleUnited StatesYoung AdultAnti-fat prejudiceBody imageMedical trainingRole modelingWeight stigma

Identifiers

PMID41645349
PMCPMC12973536

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LicenceCC BY-NC-ND
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Registered trials

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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.