Learners as Teachers: Using group visits to teach medical students about obesity counseling Wendy Daley, MS-IV Kenneth Leon, MS-IV Albert Einstein College of Medicine Jose Rodriguez, MD Kim Painter, MD, MPH
Session Objectives Describe group visits use as a teaching tool for medical student education Highlight a successful medical student community obesity intervention Examine the effectiveness of the experience
Obesity in NYC About half of adult New Yorkers are overweight or obese (almost 3 million) About 1 in 5 adults is obese (~1 million) About 1 in 4 Black or Hispanic New Yorkers is obese NYC Community Health Survey, NYC Department of Health and Mental Hygiene, 2003
Health Not Cosmetics: A Drop in Group Medical Appointment (DIGMA) Weekly group visits supporting lifestyle modification Free of charge No appointment necessary Part of Family Medicine Clerkship at AECOM
DIGMA Logistics Patients registered and weighed by clinic staff Lifestyle modification discussion led by medical students Exercise Personalized Videos Provider Documentation
Medical Student Role Teach weekly nutrition lesson Develop project to promote healthy habits Learn to counsel patients lifestyle changes
Our Project
Healthy Substitutions Survey patients to determine home food content Used results and developed healthy substitutions curriculum for grocery shopping Pre and post survey to assess knowledge and attitudes
LETS GO SHOPPING!!
Grocery Store Curriculum Understand how you shop Make a list Map the store Read the label Prepare the meal
Results “Iceberg Lettuce is nutritious” “Natural juice won’t make me gain as much weight as fruit drinks”
Improvement in Student Skills
What we learned Cultural/educational differences Patients’ attitudes and views freely expressed in group setting Patients support each other Patients motivate and direct provider learning Working outside the box
Start Early
Questions? Wendy Daley MSIV, MPH Ken Leon MSIV José Rodríguez MD Assistant Professor of Family Medicine Florida State University College of Medicine Kimberly Painter MD, MPH
Our Class