ME559M.17

Prevention and Management of Obesity

Sites: Cambridge Health Alliance Revere Care Center
Director(s): Wudeneh Mulugeta
Offered: Monthly: Sept, Nov, Feb, Apr, May. First offered April 2021.
Location: CHA - Cambridge Health Alliance (17)
Open to Exclerks: No (HMS Only)
Description: Obesity is a chronic multifactorial disease expected to affect 50% US adults by 2030, disproportionately affecting low-income and minority populations. It is associated with high morbidity and mortality with annual cost of $210 billion in the US. Yet obesity has not been addressed adequately. For example, only2% of eligible patients receive medical treatment for obesity compared to 86%for diabetes. With the increasing burden of obesity, it is imperative that medical students have adequate knowledge and clinical experience in evidence-based obesity prevention and management approaches. This is a one-month immersive clinical clerkship within primary care to improve students’ knowledge and competencies of lifestyle assessment and counseling for the prevention and management of obesity. The course is designed to be a highly engaging and multidisciplinary active learning experience for students. The clerkship will include collaborative team-based approaches involving experienced physician, physical therapist, nutritionist and behavioral therapist along with regular interactive didactics, journal clubs, and case-based learning. Students will have the opportunity to participate in a Bariatric surgery clinic as well as work with social workers and a local foodbank to address related social determinants of health, such as food insecurity. The elective will utilize innovative pedagogical techniques to equip students with hands-on experiences and skills to apply evidence-based tools, such as motivational interviewing, stages of change model, mindfulness and 5 As approaches. Students will have unique opportunities to facilitate and lead weight management group sessions, in addition to individual and telehealth visits. Students will gain practical skills to provide culturally sensitive patient-centered approaches that would empower and support patient self-efficacy. Students will also learn in-depth about medical and surgical management options of obesity as well as weight bias and stigma issues. Students will have the option to get involved in obesity-related mentored research or quality improvement projects.
Incorporation of Basic Science Content and Evidence-Based Medicine:
At the beginning of the rotation, students will receive updated packets of foundational articles and guidelines on the latest obesity prevention and treatment approaches. The etiology and pathophysiology of obesity and obesity-related conditions will be covered in-depth in regular interactive didactics and case-based discussions. Materials from pre-clerkship courses on basic pharmacology, endocrinology and metabolism of lipids, proteins, and carbohydrates will be included to enhance vertical integration of the curriculum. The journal clubs will be student lead discussions facilitated by faculty to discuss current evidence-based approaches and guidelines for the prevention and management of obesity.
Grade Criteria:
Honors with Distinction: Performance level exceeding expectations in all areas compared to most students at current level of education and training. Student consistently demonstrate mastery of advanced concepts and skills. By the end of the clerkship, students consistently perform the course’s learning goals and objectives at the EPA’s entrustable level.
Honors:Performance level exceeding expectations in most areas for current level of education and training. Demonstration of significant acquisition of concepts and skills that are clearly above average. By the end of the clerkship, students mostly perform the course’s learning goals and objectives at the EPA’s entrustable level.
Satisfactory: Performance level meeting expectations in all areas for current level of education and training. Student completes assignments and delivers care in a safe and reliable manner that demonstrates readiness for further learning. By the end of the clerkship, students consistently perform the course’s learning goals and objectives at or above the EPA’s emerging level.
Unsatisfactory: Performance level that does not meet expectations for current level of training and education. Student does not complete assignments, does not demonstrate acquisition of knowledge or skills needed for further learning, evidence of unsafe clinical practice and need for remediation. By the end of the clerkship, the student’s performance of the course’s learning goals and objectives remain at the EPA’s pre-entrustable level.