The Challenge of Treating Obesity and Overweight Proceedings of a Workshop (2017) / Chapter Skim
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7 Workforce and Training
7 Workforce and Training
Pages 47-56
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From page 47... ...
(Kushner) • In the past, concepts of obesity prevention and treatment, in cluding basic science, assessment, and management, have not been addressed on medical licensing examinations.
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From page 48... ...
Medalle professor and chairman of family medicine and community health at University Hospitals of Cleveland and the Case Western Reserve University School of Medicine, a range of organizations -- from the Academy for Eating Disorders to the YMCA -- have been involved in a collaborative effort to develop core competencies that obesity care providers should have. He described 10 of these draft competencies as examples of the skills and knowledge expected of the obesity care workforce.
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From page 49... ...
Rao explained that the fourth core competency involves interprofessional obesity care, specifically being able to describe the benefits of working interprofessionally to treat obesity in ways that cannot be achieved by a single health professional. For example, he said, providers should be able to summarize the value of and rationale for including the skills of diverse interprofessional teams in treating obesity.
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From page 50... ...
The ninth core competency is providing evidence-based care and services for people with or at risk for obesity. Rao stated that BMI and other anthropometric measures, such as waist circumference, should be evaluated routinely, and evidence-based individual and family behavioral change strategies such as motivational interviewing and behavioral therapy should be employed.
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From page 51... ...
In the former case, he explained, important goals are to create a subspecialty or focused practice and provide continuing medical education; in the latter case, important goals are to develop educational domain competencies and entrustable professional activities related to obesity and to include obesity-related items on the step exams of the United States Medical Licensing Examination (USMLE)
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From page 52... ...
Certification brings increased recognition and competency to the field, he observed, and lays a foundation for improved reimbursement. He noted that anticipated advances in obesity care over the next decade in the areas of pharmacotherapy, surgical procedures, and devices will require specialty training and expertise.
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From page 53... ...
Gigliotti observed, however, that many people attending these certificate programs have expressed the desire for a credential that reflects additional expertise and lends credibility to dietitians who are working with people with obesity. At the same time, she noted, other disciplines in health care have recognized the same need, as demonstrated by the medicine credential offered by the American Board of Obesity Medicine and a credential for bariatric nurses developed by the American Society of Bariatric and Metabolic Surgery.
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From page 54... ...
He noted that the success of this program has provided impetus for expanding it to other areas, including childhood obesity. "Training primary care physicians and other providers to provide care is the way to go in tackling this problem," he asserted, "rather than keeping everything within the ivory tower, which is what has been taking place so far." Kushner also mentioned another competency initiative, an intersociety Obesity Medical Education Collaborative, which has developed competencies, benchmarks, and entrustable professional activities for obesity care.
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From page 55... ...
WORKFORCE AND TRAINING 55 they will have competencies with benchmarks already developed that they could use within their curriculum." He added that if clinicians associated with the Obesity Medicine Association had academic affiliations, they, too, could have leverage to work with the education committee.
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