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. Author manuscript; available in PMC: 2012 Jun 12.
Published in final edited form as: Surg Innov. 2011 Feb 22;18(2):176–183. doi: 10.1177/1553350611399298

Table 1.

Physician and Student Attitudes Toward Obesity and Its Managementa

No. Item Physicians
(From Foster
et al11)
All (BA+CO) Students
Pre-Third Year Post-Third Year
Mean (SD) Mean
(SD)
pb Mean
(SD)
pc
1 I believe it is necessary to educate obese
patients on the health risks of obesity
4.5 (0.6) 4.9 (0.3) <.001 4.7 (0.5) .179
2 Obesity if a chronic disease 4.5 (0.9) 4.0 (1.0) 0.98 4.5 (0.5) .799
3 Obesity is associated with serious medical
conditions
4.4 (0.8) 4.9 (0.3) <.001 4.9 (0.3) <.001
4 Physicians should be role models by
maintaining a normal weight
4.1 (0.8) 4.0 (0.7) .624 3.9 (0.9) .477
5 A 10% reduction in body weight is
sufficient to significantly improve obesity-
related health complications
3.8 (0.9) 3.8 (0.7) .883 4.1 (0.8) .218
6 Most obese patients are well aware of the
health risks of obesity
3.2 (1.0) 3.1 (1.2) .717 2.8 (1.1) .259
7 Medications to treat obesity should be
limited to short-term (<3 months) use
3.2 (1.2) 2.8 (1.0) .155 3.1 (1.3) .732
8 Most obese patients could reach a normal
weight (for height) if they were motivated
3.1 (1.1) 2.4 (1.0) .020 2.4 (0.8) .006
9 Most obese patients will not lose a
significant amount of weight
3.1 (1.0) 3.5 (1.1) .273 3.8 (0.6) .002
10 I have negative reactions toward the
appearance of obese patients
3.0 (1.1) 3.1 (1.1) .810 3.0 (1.0) 1.000
11 If a patient meets the appropriate criteria
for obesity surgery, I would recommend
an evaluation by a surgeon
2.7 (1.1) 3.8 (1.1) .004 4.1 (0.9) <.001
12 Medications to treat obesity should be
used chronically
2.6 (1.2) 2.6 (1.0) .956 2.6 (0.8) .945
13 For most obese patients, long-term
maintenance of weight loss is impossible
2.5 (1.1) 2.7 (0.9) .484 2.7 (0.9) .440
14 It is acceptable to use “scare tactics” to
obtain compliance of the obese patient
2.3 (1.0) 2.8 (1.1) .150 2.6 (1.2) .362
15 I feel uncomfortable when examining an
obese patient
2.1 (1.0) 2.5 (1.0) .206 2.5 (1.1) .273
16 It is difficult for me to feel empathy for an
obese patient
2.0 (0.9) 2.5 (1.0) .069 20. (1.0) 1.000

Abbreviations: BA, students enrolled in the bariatric surgery longitudinal patient pilot program; CO, controls.

a

Points: 1 = strongly disagree; 2 = disagree; 3 = neutral; 4 = agree; 5 = strongly agree.

b

p value reported is result of 2-tailed t test comparing physician response with student baseline responses.

c

p value reported is result of 2-tailed t test comparing physician responses with student responses after third year.