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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
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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
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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
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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
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DIGMA Logistics Patients registered and weighed by clinic staff Lifestyle modification discussion led by medical students Exercise Personalized Videos Provider Documentation
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Medical Student Role Teach weekly nutrition lesson Develop project to promote healthy habits Learn to counsel patients lifestyle changes
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Our Project
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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
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LETS GO SHOPPING!!
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Grocery Store Curriculum Understand how you shop Make a list Map the store Read the label Prepare the meal
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Results “Iceberg Lettuce is nutritious” “Natural juice won’t make me gain as much weight as fruit drinks”
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Improvement in Student Skills
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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
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Start Early
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Questions? Wendy Daley MSIV, MPH wdaley@aecom.yu.edu Ken Leon MSIV kleon@aecom.yu.edu José Rodríguez MD Assistant Professor of Family Medicine Florida State University College of Medicine jose.rodriguez@med.fsu.edu 850 645 6850 Kimberly Painter MD, MPH painter.kim@gmail.com www.healthnotcosmetics.org
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Our Class
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