Table 1.
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.
Points: 1 = strongly disagree; 2 = disagree; 3 = neutral; 4 = agree; 5 = strongly agree.
p value reported is result of 2-tailed t test comparing physician response with student baseline responses.
p value reported is result of 2-tailed t test comparing physician responses with student responses after third year.